Perceived helpfulness of service sectors used for mental and substance use disorders: Findings from the WHO World Mental Health Surveys

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• dc.contributor.author Harris, Meredith G.
• dc.contributor.author Alonso Caballero, Jordi
• dc.contributor.author Kessler, Ronald C.
• dc.date.accessioned 2022-03-11T07:01:54Z
• dc.date.available 2022-03-11T07:01:54Z
• dc.date.issued 2022
• dc.description.abstract Background: Mental healthcare is delivered across service sectors that differ in level of specialization and intervention modalities typically offered. Little is known about the perceived helpfulness of the combinations of service sectors that patients use. Methods: Respondents 18 + years with 12-month DSM-IV mental or substance use disorders who saw a provider for mental health problems in the year before interview were identified from WHO World Mental Health surveys in 17 countries. Based upon the types of providers seen, patients were grouped into nine mutually exclusive single-sector or multi-sector 'treatment profiles'. Perceived helpfulness was defined as the patient's maximum rating of being helped ('a lot', 'some', 'a little' or 'not at all') of any type of provider seen in the profile. Logistic regression analysis was used to examine the joint associations of sociodemographics, disorder types, and treatment profiles with being helped 'a lot'. Results: Across all surveys combined, 29.4% (S.E. 0.6) of respondents with a 12-month disorder saw a provider in the past year (N = 3221). Of these patients, 58.2% (S.E. 1.0) reported being helped 'a lot'. Odds of being helped 'a lot' were significantly higher (odds ratios [ORs] = 1.50-1.89) among the 12.9% of patients who used specialized multi-sector profiles involving both psychiatrists and other mental health specialists, compared to other patients, despite their high comorbidities. Lower odds of being helped 'a lot' were found among patients who were seen only in the general medical, psychiatrist, or other mental health specialty sectors (ORs = 0.46-0.71). Female gender and older age were associated with increased odds of being helped 'a lot'. In models stratified by country income group, having 3 or more disorders (high-income countries only) and state-funded health insurance (low/middle-income countries only) were associated with increased odds of being helped 'a lot'. Conclusions: Patients who received specialized, multi-sector care were more likely than other patients to report being helped 'a lot'. This result is consistent with previous research suggesting that persistence in help-seeking is associated with receiving helpful treatment. Given the nonrandom sorting of patients by types of providers seen and persistence in help-seeking, we cannot discount that selection bias may play some role in this pattern.
• dc.format.mimetype application/pdf
• dc.identifier.citation Harris MG, Kazdin AE, Munthali RJ, Vigo DV, Hwang I, Sampson NA et al. Perceived helpfulness of service sectors used for mental and substance use disorders: Findings from the WHO World Mental Health Surveys. Int J Ment Health Syst. 2022 Jan 29;16(1):6. DOI: 10.1186/s13033-022-00516-z
• dc.identifier.doi http://dx.doi.org/10.1186/s13033-022-00516-z
• dc.identifier.issn 1752-4458
• dc.identifier.uri http://hdl.handle.net/10230/52676
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof Int J Ment Health Syst. 2022 Jan 29;16(1):6
• dc.rights © The Author(s) 2022. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Health service use
• dc.subject.keyword Healthcare providers
• dc.subject.keyword Mental disorders
• dc.subject.keyword Mental health services
• dc.subject.keyword Patient perspectives
• dc.subject.keyword Perceived helpfulness
• dc.subject.keyword Service sectors
• dc.subject.keyword Substance use disorders
• dc.subject.keyword Treatment profiles
• dc.title Perceived helpfulness of service sectors used for mental and substance use disorders: Findings from the WHO World Mental Health Surveys
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion