Twelve-month mental health service use in six countries of the Americas: A regional report from the World Mental Health Surveys

Autor(es):Mostrar menos -

Borges, G. ^[1] ; Aguilar-Gaxiola, S. ^[2] ; Andrade, L. ^[3] ; Benjet, C. ^[1] ; Cia, A. ^[4] ; Kessler, R. C. ^[5] ; Orozco, R. ^[1] ; Sampson, N. ^[5] ; Stagnaro, J. C. ^[6] ; Torres, Y. ^[7] ; Viana, Maria Carmen ^[8] ; Medina-Mora, M. E. ^[1] ; Colla, WHO World Mental Hlth Survey

Afiliação do(s) autor(es)

^[1] Inst Nacl Psiquiatria Ramon Fuente Muniz, Ciudad De Mexico - Mexico

^[2] UC Davis Hlth Syst, Ctr Reducing Hlth Dispar, Sacramento, CA - USA

^[3] Univ Sao Paulo, Nucleo Epidemiol Psiquiatr LIM 23, Inst Psiquiatria, Hosp Clin, Fac Med, Sao Paulo, SP - Brazil

^[4] Anxiety Disorders Ctr, Buenos Aires, DF - Argentina

^[5] Harvard Med Sch, Dept Hlth Care Policy, Boston, MA 02115 - USA

^[6] Univ Buenos Aires, Fac Med, Dept Psiquiatria & Salud Mental, Buenos Aires, DF - Argentina

^[7] CES Univ, Ctr Excellence Res Mental Hlth, Medellin - Colombia

^[8] Fed Univ Espirito Santo UFES, Psychiat Epidemiol Res Ctr CEPEP, Dept Social Med & Postgrad Program Publ Hlth, Vitoria, ES - Brazil

• Tipo de documento: Artigo Científico
• Fonte: EPIDEMIOLOGY AND PSYCHIATRIC SCIENCES; v. 29, 2020.
• Citações Web of Science: 3

Resumo

Aims. To provide cross-national data for selected countries of the Americas on service utilization for psychiatric and substance use disorders, the distribution of these services among treatment sectors, treatment adequacy and factors associated with mental health treatment and adequacy of treatment. Methods. Data come from data collected from 6710 adults with 12 month mental disorder surveys across seven surveys in six countries in North (USA), Central (Mexico) and South (Argentina, Brazil, Colombia, Peru) America who were interviewed 2001-2015 as part of the World Health Organization (WHO) World Mental Health (WMH) Surveys. DSM-IV diagnoses were made with the WHO Composite International Diagnostic Interview (CIDI). Interviews also assessed service utilization by the treatment sector, adequacy of treatment received and socio-demographic correlates of treatment. Results. Little over one in four of respondents with any 12 month DSM-IV/CIDI disorder received any treatment. Although the vast majority (87.1%) of this treatment was minimally adequate, only 35.3% of cases received treatment that met acceptable quality guidelines. Indicators of social-advantage (high education and income) were associated with higher rates of service use and adequacy, but a number of other correlates varied across survey sites. Conclusions. These results shed light on an enormous public health problem involving under-treatment of common mental disorders, although the problem is most extreme among people with social disadvantage. Promoting services that are more accessible, especially for those with few resources, is urgently needed. (AU)

• Processo FAPESP: 03/00204-3 - Estudo epidemiológico dos transtornos psiquiátricos na região metropolitana de São Paulo: prevalências, fatores de risco e sobrecarga social e econômica
• Beneficiário: Laura Helena Silveira Guerra de Andrade
• Modalidade de apoio: Auxílio à Pesquisa - Temático