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Perceived helpfulness of treatment for alcohol use disorders: Findings from the World Mental Health Surveys

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dc.contributor.author Degenhardt, Louisa
dc.contributor.author Alonso Caballero, Jordi
dc.contributor.author Kessler, Ronald C.
dc.contributor.author WHO World Mental Health Survey collaborators
dc.date.accessioned 2022-07-22T06:31:55Z
dc.date.issued 2021
dc.identifier.citation Degenhardt L, Bharat C, Chiu WT, Harris MG, Kazdin AE, Vigo DV et al. Perceived helpfulness of treatment for alcohol use disorders: Findings from the World Mental Health Surveys. Drug Alcohol Depend. 2021; 229(Pt B):109158. DOI: 10.1016/j.drugalcdep.2021.109158
dc.identifier.issn 0376-8716
dc.identifier.uri http://hdl.handle.net/10230/53782
dc.description.abstract Aim: we examined prevalence and factors associated with receiving perceived helpful alcohol use disorder (AUD) treatment, and persistence in help-seeking after earlier unhelpful treatment. Methods: Data came from 27 community epidemiologic surveys of adults in 24 countries using the World Health Organization World Mental Health surveys (n = 93,843). Participants with a lifetime history of treated AUD were asked if they ever received helpful AUD treatment, and how many professionals they had talked to up to and including the first time they received helpful treatment (or how many ever, if they had not received helpful treatment). Results: 11.8% of respondents with lifetime AUD reported ever obtaining treatment (n = 9378); of these, 44% reported that treatment was helpful. The probability of obtaining helpful treatment from the first professional seen was 21.8%; the conditional probability of subsequent professionals being helpful after earlier unhelpful treatment tended to decrease as more professionals were seen. The cumulative probability of receiving helpful treatment at least once increased from 21.8% after the first professional to 79.7% after the seventh professional seen, following earlier unhelpful treatment. However, the cumulative probability of persisting with up to seven professionals in the face of prior treatments being unhelpful was only 13.2%. Conclusion: Fewer than half of people with AUDs who sought treatment found treatment helpful; the most important factor was persistence in seeking further treatment if a previous professional had not helped. Future research should examine how to increase the likelihood that AUD treatment is found to be helpful on any given contact.
dc.format.mimetype application/pdf
dc.language.iso eng
dc.publisher Elsevier
dc.rights © Elsevier http://dx.doi.org/10.1016/j.drugalcdep.2021.109158
dc.title Perceived helpfulness of treatment for alcohol use disorders: Findings from the World Mental Health Surveys
dc.type info:eu-repo/semantics/article
dc.identifier.doi http://dx.doi.org/10.1016/j.drugalcdep.2021.109158
dc.subject.keyword Epidemiology
dc.subject.keyword Treatment
dc.rights.accessRights info:eu-repo/semantics/embargoedAccess
dc.type.version info:eu-repo/semantics/acceptedVersion
dc.embargo.liftdate 2022-11-01
dc.date.embargoEnd info:eu-repo/date/embargoEnd/2022-11-01

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