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

dc.creatorHarris, Meredith G.es_ES
dc.creatorKazdin, Alan E.es_ES
dc.creatorMunthali, Richard J.es_ES
dc.creatorVigo, Daniel V.es_ES
dc.creatorHwang, Irvinges_ES
dc.creatorSampson, Nancy A.es_ES
dc.creatorAl-Hamzawi, Alies_ES
dc.creatorAlonso, Jordies_ES
dc.creatorAndrade, Laura Helenaes_ES
dc.creatorBorges, Guilhermees_ES
dc.creatorBunting, Brendanes_ES
dc.creatorFlorescu, Silviaes_ES
dc.creatorGureje, Oyees_ES
dc.creatorKaram, Elie G.es_ES
dc.creatorLee, Singes_ES
dc.creatorNavarro-Mateu, Fernandoes_ES
dc.creatorNishi, Daisukees_ES
dc.creatorRapsey, Charlenees_ES
dc.creatorScott, Kate M.es_ES
dc.creatorStagnaro, Juan Carloses_ES
dc.creatorViana, Maria Carmenes_ES
dc.creatorWojtyniak, Bogdanes_ES
dc.creatorXavier, Migueles_ES
dc.creatorKessler, Ronald C.es_ES
dc.date2022
dc.date.accessioned2024-11-01T17:46:24Z
dc.date.available2024-11-01T17:46:24Z
dc.date.issued2022
dc.identifierJC44DIEP22es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/8092
dc.identifier.urihttps://doi.org/10.1186/s13033-022-00516-z
dc.descriptionBackground: 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.es_ES
dc.formatPDFes_ES
dc.language.isoenges_ES
dc.publisherBioMed Centrales_ES
dc.relation16:6
dc.rightsAcceso Cerradoes_ES
dc.titlePerceived helpfulness of service sectors used for mental and substance use disorders: findings from the WHO World Mental Health Surveyses_ES
dc.typeArtículoes_ES
dc.contributor.affiliationSchool of Public Health, The University of Queensland, Level 2, Public Health Building (887), 288 Herston Road, Herston, QLD, 4006, Australia
dc.contributor.emailmeredith.harris@uq.edu.au
dc.relation.jnabreviadoINT J MENT HEALTH SYST
dc.relation.journalInternational Journal of Mental Health Systems
dc.identifier.placeInglaterra
dc.date.published2022
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.eissn1752-4458
dc.identifier.doi10.1186/s13033-022-00516-z
dc.subject.kwMental health services
dc.subject.kwHealth service use
dc.subject.kwPerceived helpfulness
dc.subject.kwPatient perspectives
dc.subject.kwHealthcare providers
dc.subject.kwService sectors
dc.subject.kwTreatment profles
dc.subject.kwMental disorders
dc.subject.kwSubstance use disorders


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