Pathway to effective treatment for common mental and substance use disorders in the World Mental Health Surveys: Perceived need for treatment

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• dc.contributor.author Harris, Meredith G.
• dc.contributor.author Alonso Caballero, Jordi
• dc.contributor.author World Mental Health Survey collaborators
• dc.date.accessioned 2025-06-16T11:46:33Z
• dc.date.available 2025-06-16T11:46:33Z
• dc.date.issued 2025
• dc.description.abstract Background: Perceived need for treatment is a first step along the pathway to effective mental health treatment. Perceived need encompasses a person's recognition that they have a problem and their belief that professional help is needed to manage the problem. These two components could have different predictors. Methods: Respondents aged 18+ years with 12-month mental disorders from 25 representative household surveys in 21 countries in the World Mental Health Survey Initiative (n = 12,508). All surveys included questions about perceived need; 16 surveys (13 countries) included additional questions about respondents' main reason for perceived need-problem recognition or perceived inability to manage without professional help (n = 9814). Associations of three sets of predictors (disorder, socio-demographics, past treatment) with perceived need and its components were examined using Poisson regression models. Results: Across the 16 surveys with additional questions, 42.4% of respondents with a 12-month mental disorder reported perceived need for treatment. In separate multivariable models for each predictor set: (1) Most disorder types (except alcohol use disorder, specific phobia), disorder severity, and number of disorders were associated with perceived need and both of its components; (2) Sociodemographic factors tended to differentially predict either problem recognition (females, 30-59 years, disabled/unemployed) or need for professional help (females, homemakers, disabled/unemployed, public insurance); (3) Past treatment factors (type of professional, psychotherapy, helpful or unhelpful treatment) were associated with perceived need and both components, except number of past professionals differentially predicted problem recognition. In a consolidated model: employment and insurance became non-significant; type and number of past professionals seen became more important; helpful past treatment predicted greater need for professional help while unhelpful treatment predicted lower problem recognition. Problem recognition was the more important component in determining perceived need for some groups (e.g., severe disorder, people who consulted non-mental health professionals). Conclusions: Greater clinical need is a key determinant of perceived need for treatment. Findings suggest a need for strategies to address low perceived need (e.g., in males, older people, alcohol use disorders) and lower endorsement of professional treatment in some groups, and to improve patient's treatment experiences which are important enablers of future help-seeking.
• dc.format.mimetype application/pdf
• dc.identifier.citation Harris MG, Kazdin AE, Hwang I, Manoukian SM, Sampson NA, Stein DJ, et al. Pathway to effective treatment for common mental and substance use disorders in the World Mental Health Surveys: Perceived need for treatment. Int J Ment Health Syst. 2025 May 23;19(1):17. DOI: 10.1186/s13033-025-00666-w
• dc.identifier.doi http://dx.doi.org/10.1186/s13033-025-00666-w
• dc.identifier.issn 1752-4458
• dc.identifier.uri http://hdl.handle.net/10230/70697
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof Int J Ment Health Syst. 2025 May 23;19(1):17
• dc.rights © The Author(s) 2025. Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, 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 you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. 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-nc-nd/4.0/.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/4.0/
• dc.subject.keyword Health professionals
• dc.subject.keyword Mental disorders
• dc.subject.keyword Mental health services
• dc.subject.keyword Perceived helpfulness
• dc.subject.keyword Perceived need for treatment
• dc.subject.keyword Substance use disorders
• dc.subject.keyword Treatment history
• dc.title Pathway to effective treatment for common mental and substance use disorders in the World Mental Health Surveys: Perceived need for treatment
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion