Barriers to mental health treatment: results from the WHO World Mental Health surveys

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  • dc.contributor.author Andrade, Laura Helena
  • dc.contributor.author Alonso Caballero, Jordi
  • dc.contributor.author Kessler, Ronald C.
  • dc.date.accessioned 2019-02-07T07:55:44Z
  • dc.date.available 2019-02-07T07:55:44Z
  • dc.date.issued 2014
  • dc.description.abstract BACKGROUND: To examine barriers to initiation and continuation of mental health treatment among individuals with common mental disorders. METHOD: Data were from the World Health Organization (WHO) World Mental Health (WMH) surveys. Representative household samples were interviewed face to face in 24 countries. Reasons to initiate and continue treatment were examined in a subsample (n = 63,678) and analyzed at different levels of clinical severity. RESULTS: Among those with a DSM-IV disorder in the past 12 months, low perceived need was the most common reason for not initiating treatment and more common among moderate and mild than severe cases. Women and younger people with disorders were more likely to recognize a need for treatment. A desire to handle the problem on one's own was the most common barrier among respondents with a disorder who perceived a need for treatment (63.8%). Attitudinal barriers were much more important than structural barriers to both initiating and continuing treatment. However, attitudinal barriers dominated for mild-moderate cases and structural barriers for severe cases. Perceived ineffectiveness of treatment was the most commonly reported reason for treatment drop-out (39.3%), followed by negative experiences with treatment providers (26.9% of respondents with severe disorders). CONCLUSIONS: Low perceived need and attitudinal barriers are the major barriers to seeking and staying in treatment among individuals with common mental disorders worldwide. Apart from targeting structural barriers, mainly in countries with poor resources, increasing population mental health literacy is an important endeavor worldwide.
  • dc.description.sponsorship The WHO WMH Survey Initiative is supported by the National Institute of Mental Health (NIMH; R01 MH070884), the John D. and Catherine T. MacArthur Foundation, the Pfizer Foundation, the US Public Health Service (R13-MH066849, R01-MH069864 and R01 DA016558), the Fogarty International Center (FIRCA R03-TW006481). The São Paulo Megacity Mental Health Survey is supported by the State of São Paulo Research Foundation (FAPESP) Thematic Project Grant 03/00 204-3. The ESEMeD project is funded by the European Commission (Contracts QLG5-1999-01 042; SANCO 2 004 123 and EAHC20081308), the Piedmont Region (Italy), Fondo de Investigación Sanitaria, Instituto de Salud Carlos III, Spain (FIS 00/0028), Ministerio de Ciencia y Tecnología, Spain (SAF 2000-158-CE), Departament de Salut, Generalitat de Catalunya, Spain, Instituto de Salud Carlos III (CIBER CB06/02/0046, RETICS RD06/0011 REM-TAP). The World Mental Health Japan (WMHJ) Survey is supported by the Grant for Research on Psychiatric and Neurological Diseases and Mental Health (H13-SHOGAI-023, H14-TOKUBETSU-026, H16-KOKORO-013) from the Japan Ministry of Health, Labor and Welfare. The Lebanese National Mental Health Survey (LEBANON) is supported by the National Institute of Health/Fogarty International Center (R03 TW006481- 01. The Mexican National Comorbidity Survey (MNCS) is supported by The National Institute of Psychiatry Ramon de la Fuente (INPRFMDIES 4280) and by the National Council on Science and Technology (CONACyT-G30544-H). The Ukraine Comorbid Mental Disorders during Periods of Social Disruption (CMDPSD) study was funded by the US National Institute of Mental Health (RO1-MH61905). The US National Comorbidity Survey Replication (NCS-R) is supported by the NIMH (U01-MH60220), the Robert Wood Johnson Foundation (RWJF; Grant044780)
  • dc.format.mimetype application/pdf
  • dc.identifier.citation Andrade LH, Alonso J, Mneimneh Z, Wells JE, Al-Hamzawi A, Borges G et al. Barriers to mental health treatment: results from the WHO World Mental Health surveys. Psychol Med. 2014 Apr;44(6):1303-17. DOI: 10.1017/S0033291713001943
  • dc.identifier.doi http://dx.doi.org/10.1017/S0033291713001943
  • dc.identifier.issn 0033-2917
  • dc.identifier.uri http://hdl.handle.net/10230/36522
  • dc.language.iso eng
  • dc.publisher Cambridge University Press
  • dc.relation.ispartof Psychological Medicine. 2014 Apr;44(6):1303-17
  • dc.rights © Cambridge University Press. Andrade LH, Alonso J, Mneimneh Z, Wells JE, Al-Hamzawi A, Borges G et al. Barriers to mental health treatment: results from the WHO World Mental Health surveys. Psychol Med. 2014 Apr; 44(6): 1303-17 is available at http://dx.doi.org/10.1017/S0033291713001943
  • dc.rights.accessRights info:eu-repo/semantics/openAccess
  • dc.subject.other Salut mundial
  • dc.subject.other Serveis sanitaris -- Accessibilitat
  • dc.subject.other Assistència psiquiàtrica
  • dc.subject.other Organització Mundial de la Salut
  • dc.title Barriers to mental health treatment: results from the WHO World Mental Health surveys
  • dc.type info:eu-repo/semantics/article
  • dc.type.version info:eu-repo/semantics/acceptedVersion

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