“I don’t need any treatment” – barriers to mental ... - BV FAPESP
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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

“I don’t need any treatment” – barriers to mental health treatment in the general population of a megacity

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Author(s):
Bruno M. Coêlho [1] ; Geilson L. Santana [2] ; Maria C. Viana [3] ; Yuan-Pang Wang [4] ; Laura H. Andrade [5]
Total Authors: 5
Affiliation:
[1] Universidade de São Paulo. Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina. Núcleo de Epidemiologia Psiquiátrica (LIM-23), Departamento de Psiquiatria - Brasil
[2] Universidade de São Paulo. Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina. Núcleo de Epidemiologia Psiquiátrica (LIM-23), Departamento de Psiquiatria - Brasil
[3] Universidade Federal do Espírito Santo. Centro de Ciências da Saúde. Programa de Pós-Graduação em Saúde Pública, Departamento de Medicina Social - Brasil
[4] Universidade de São Paulo. Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina. Núcleo de Epidemiologia Psiquiátrica (LIM-23), Departamento de Psiquiatria - Brasil
[5] Universidade de São Paulo. Instituto de Psiquiatria, Hospital das Clínicas, Faculdade de Medicina. Núcleo de Epidemiologia Psiquiátrica (LIM-23), Departamento de Psiquiatria - Brasil
Total Affiliations: 5
Document type: Journal article
Source: Revista Brasileira de Psiquiatria; v. 43, n. 6, p. 590-598, 2021-04-30.
Abstract

Objective: Most countries fail to treat individuals with psychopathologies. Investigating treatment barriers and reasons for dropout are key elements to overcoming this scenario. Methods: A representative sample of 2,942 urban-dwelling adults was interviewed face-to-face within a cross-sectional, stratified, multistage probability survey of the general population. Psychiatric diagnosis, severity level, use of services, reasons for not seeking treatment, and treatment dropout were investigated. Results: Only 23% of individuals with a psychopathology of any severity level in the last 12 months received treatment. Low perceived need for treatment (56%) was the most common reason for not seeking treatment. The most visited settings were psychiatric, other mental health care, and general medical care. Among those with a perceived need for treatment (44%), psychological barriers were the most common reason for not seeking it. Treatment dropout was more prevalent among those who visited a general medical care setting. Among individuals still in treatment, human services and psychiatric care were the most common types. Female sex was associated with structural barriers (OR = 2.1). Disorder severity was negatively associated with need barriers (OR = 0.4), and positively associated with structural barriers (OR = 2.5) and psychological barriers (OR = 2.5). Conclusion: Despite the need for treatment and better services, psychological barriers were the major reason for not seeking treatment. Apart from providing more specialists, investing in awareness, de-stigmatization, and information is the ultimate strategy for improving psychiatric care. (AU)

FAPESP's process: 11/50517-4 - Identification of subgroups of alcohol users and related factors in the São Paulo Metropolitan Area: gender differences, sociodemographic characteristics and psychiatric comorbidities
Grantee:Laura Helena Silveira Guerra de Andrade
Support Opportunities: Regular Research Grants
FAPESP's process: 03/00204-3 - Epidemiological study of psychiatric disorders in the São Paulo Metropolitan Region: prevalence, risk factors, and social and economical burden
Grantee:Laura Helena Silveira Guerra de Andrade
Support Opportunities: Research Projects - Thematic Grants