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

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Harris, Meredith G. ^[1] ; Kazdin, Alan E. ^[2] ; Munthali, Richard J. ^[3] ; Vigo, Daniel V. ^{[4, 3]} ; Hwang, Irving ^[5] ; Sampson, Nancy A. ^[5] ; Al-Hamzawi, Ali ^[6] ; Alonso, Jordi ^{[7, 8]} ; Andrade, Laura Helena ^[9] ; Borges, Guilherme ^[10] ; Bunting, Brendan ^[11] ; Florescu, Silvia ^[12] ; Gureje, Oye ^[13] ; Karam, Elie G. ^{[14, 15, 16]} ; Lee, Sing ^{[17, 18, 19]} ; Navarro-Mateu, Fernando ^{[20, 21, 22]} ; Nishi, Daisuke ^[23] ; Rapsey, Charlene ^[24] ; Scott, Kate M. ^[24] ; Stagnaro, Juan Carlos ^[25] ; Viana, Maria Carmen ^[26] ; Wojtyniak, Bogdan ^[27] ; Xavier, Miguel ^{[28, 29]} ; Kessler, Ronald C. ^[5]

Afiliação do(s) autor(es):Mostrar menos -

^[1] Queensland Ctr Mental Hlth Res, Pk Ctr Mental Hlth, Wolston Pk Rd, Wacol, Qld 4076 - Australia

^[2] Yale Univ, Dept Psychol, 2 Hillhouse Ave 208205, New Haven, CT 06520 - USA

^[3] Univ British Columbia, Dept Psychiat, UBC Hosp Detwiller Pavil, UBC Vancouver Campus, Room 2813, 2255 Wesbrook Mall, Vancouver, BC V6T 2A1 - Canada

^[4] Harvard Med Sch, Dept Global Hlth & Social Med, 641 Huntington Ave, Boston, MA 02115 - USA

^[5] Harvard Med Sch, Dept Hlth Care Policy, 180 Longwood Ave, Boston, MA 02115 - USA

^[6] Al Qadisiya Univ, Coll Med, POB 88, Al Diwaniyah, Al Qadisiyah - Iraq

^[7] IMIM Hosp del Mar Med Res Inst, PRBB Bldg, Doctor Aiguader, 88, Barcelona 08003 - Spain

^[8] CIBER Epidemiol & Salud Publ CIBERESP, Av Monforte de Lemos, 3-5, Pabellon 11, Planta 0, Madrid 28029 - Spain

^[9] Univ Sao Paulo, Med Sch, Nude Epidemiol Psiquiatr LIM 23, Rua Dr Ovidio Pires de Campos 785, BR-05403010 Sao Paulo - Brazil

^[10] Natl Inst Psychiat Ram6n de La Fuente Muniz, Calzada Mexico Xochimilco 101, Mexico City 14370, DF - Mexico

^[11] Ulster Univ, Sch Psychol, Coll Ave, Derry BT48 7JL, Londonderry - North Ireland

^[12] Natl Sch Publ Hlth Management & Dev, 31 Vaselor Str, Bucharest 21253 - Romania

^[13] Univ Ibadan, Univ Coll Hosp, Dept Psychiat, 5116 PMB, Ibadan - Nigeria

^[14] Balamand Univ, Fac Med, Beirut - Lebanon

^[15] Inst Dev Res Advocacy & Appl Care IDRAAC, St George Hosp St, Beirut - Lebanon

^[16] St George Hosp Univ, Med Ctr, Dept Psychiat & Clin Psychol, Beirut 166378 - Lebanon

^[17] Chinese Univ Hong Kong, Dept Psychiat, Tai Po, Hong Kong - Peoples R China

^[18] Pompeu Fabra Univ UPF, Placa Merce 10-12, Barcelona 08002 - Spain

^[19] Tai Po Hosp, GF Multictr, Tai Po, 9 Chuen Rd, Hong Kong - Peoples R China

^[20] Inst Murciano Invest Biosanitaria Virgen de la Ar, Murcia 30120 - Spain

^[21] Ctr Invest Biomed ERed Epidemiol & Salud Publ, Murcia 30120 - Spain

^[22] Murcia Hlth Serv, Serv Murciano Salud, Unidad Docencia Invest & Format Salud Mental, C Lorca, 58 El Palmar, Murcia 30120 - Spain

^[23] Univ Tokyo, Grad Sch Med, Dept Mental Hlth, Bunkyo Ku, 7-3-1 Hongo, Tokyo 1130033 - Japan

^[24] Univ Otago, Dept Psychol Med, POB 56, Dunedin 9054 - New Zealand

^[25] Univ Buenos Aires, Fac Med, Dept Psiquiatria & Salud Mental, 2155, C1121ABG, Caba Paraguay - Argentina

^[26] Univ Fed Espirito Santo, Dept Social Med, Postgrad Program Publ Hlth, Rua Dr Eur de Aguiar 888-705, BR-29052600 Vitoria, ES - Brazil

^[27] Natl Inst Publ Hlth, Natl Res Inst, 24 Chocimska St, PL-00791 Warsaw - Poland

^[28] Univ Nova Lisboa, Lisbon Inst Global Mental Hlth, Campo Martires Patria 130, P-1169056 Lisbon - Portugal

^[29] Univ Nova Lisboa, Chron Dis Res Ctr CEDOC, Campo Martires Patria 130, P-1169056 Lisbon - Portugal

• Tipo de documento: Artigo Científico
• Fonte: INTERNATIONAL JOURNAL OF MENTAL HEALTH SYSTEMS; v. 16, n. 1 JAN 29 2022.
• Citações Web of Science: 0

Resumo

Background 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. (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