Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: results from the WHO World Mental Health (WMH) surveys

Evans‐Lacko, Sara; Aguilar‐Gaxiola, Sergio; Al‐Hamzawi, Ali; Alonso, Jordi; Benjet, Corina; Bruffærts, Ronny; Chiu, Wai Tat; Florescu, Silvia; Girolamo, Giovanni de; Gureje, Oye; Haro, Josep María; He, Yulong; Hu, Chiyi; Karam, Elie G.; Kawakami, Norito; Lee, S; Lund, Crick; Kovess-Masfety, Viviane; Levinson, Daphna; Navarro‐Mateu, Fernando; Pennell, Beth Ellen; Sampson, Nancy A.; Scott, Kate M.; Tachimori, Hisateru; Have, Margreet ten; Viana, María Carmen; Williams, Daniel; Wojtyniak, Bogdan; Zarkov, Zahari; Kessler, R. C.; Chatterji, Somnath; Thornicroft, Graham

doi:10.1017/s0033291717003336

Cited by 389 publications

(280 citation statements)

References 30 publications

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“…CIDI organic exclusion rules were applied to all diagnoses. Age of onset of each disorder was collected and classified as adolescent (11-17 years), young (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35), and older (36-68) onset.…”

Section: World Mental Health Composite International Diagnostic Intermentioning

confidence: 99%

Minding the treatment gap: results of the Singapore Mental Health Study

Subramaniam

Abdin

Vaingankar

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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Purpose To establish the 12-month treatment gap and its associated factors among adults with mental disorders in the Singapore resident population using data from the second Singapore Mental Health Study and to examine the changes since the last mental health survey conducted in 2010. Methods 6126 respondents were administered selected modules of the Composite International Diagnostic Interview, to assess major depressive disorder (MDD), dysthymia, bipolar disorder, generalized anxiety disorder (GAD), obsessive compulsive disorder (OCD) and alcohol use disorder (AUD) (which included alcohol abuse and dependence). Past year treatment gap was defined as the absolute difference between the prevalence of a particular mental disorder in the past 12 months preceding the interview and those who had received treatment for that disorder. Results The prevalence of overall 12-month treatment gap in this population was high (78.6%). A multiple logistic regression analysis revealed significantly higher odds of treatment gap among those diagnosed with OCD (compared to those with MDD) and in those with a comorbid chronic physical disorder; while those who had primary education and below and those who were unemployed were less likely to have a treatment gap as compared to those with post-secondary education and those employed, respectively. Conclusions The high treatment gap in the population is concerning and highlights the need to promote help-seeking and uptake of treatment. Given the unique demographic characteristics, i.e., those with higher education and employed were more likely not to seek treatment, targeted interventions in the educational and workplace settings should be implemented.

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Section: World Mental Health Composite International Diagnostic Intermentioning

confidence: 99%

Minding the treatment gap: results of the Singapore Mental Health Study

Subramaniam

Abdin

Vaingankar

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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“…Only a minority of individuals affected by mental disorders around the world have access to treatment. 1 This important treatment gap is even more profound in low-and middle-income countries (LMICs). We also calculated the rates of the main diagnosis, based on the discharge code, defined according to criteria from the International Classification of Diseases, 10th revision (ICD-10).…”

Section: Introductionmentioning

confidence: 99%

Prevalence and trends of mental disorders requiring inpatient care in the city of Porto Alegre: a citywide study including all inpatient admissions due to mental disorders in the public system from 2013-2017

Salum

Leite

Santos

et al. 2020

Trends Psychiatry Psychother.

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Objectives To investigate the 5-year prevalence of patients admitted to public inpatient care units due to a mental disorder, stratifying them by age group and diagnosis, and to assess trends of admissions over this time period in Porto Alegre. Methods All admissions to the public mental health care system regulated by the city-owned electronic system Administração Geral dos Hospitais (AGHOS) were included in the analysis. The total population size was obtained by estimations of Fundação de Economia e Estatística (FEE). General information about 5-year prevalence of inpatient admissions, time-series trends e prevalence by age groups and diagnosis were presented. Results There were 32,608 admissions over the 5-year period analyzed. The overall prevalence of patients was 1.62% among the total population, 0.01% among children, 1.12% among adolescents, 2.28% among adults and 0.93% among the elderly. The most common diagnosis was drug-related, followed by mood, alcohol-related and psychotic disorders. There was a linear trend showing an increase in the number of admissions from 2013 to the midst of 2014, which dropped in 2015. Conclusions Admissions due to mental disorders are relatively common, mainly among adults and related to drug use and mood disorders. Time trends varied slightly over the 5 years. Prevalence rates in real-world settings might be useful for policymakers interested in planning the public mental health system in large Brazilian cities.

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“…Data from the World Health Organization World Mental Health Survey Initiative showed treatment gap disparities between countries. In lower-middle-income countries only 13.7% of adults who met criteria for mental disorders received treatment, compared to 22.0% in upper-middle-income countries, and 36.8% in high-income countries(13). The treatment gap is broader for youth compared to other age groups worldwide with service utilization rates ranging from as low as 2.2% to 63.0%(4).…”

mentioning

confidence: 99%

Use of Mental Health Services by Children With Mental Disorders in Two Major Cities in Brazil

Fatori

Salum

Rohde

et al. 2019

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Objective: To describe lifetime mental health service use in children diagnosed with mental disorders in two major cities in Brazil and to identify characteristics associated with unmet needs. Methods: The High Risk Cohort Study is a community study conducted in two major Brazilian cities. 2,511 6-12 years old children were assessed and 652 were diagnosed with at least one mental disorder. The current study analysed a subsample of 651 children with complete information on mental health service use. Results: 81.0% of the children with mental disorders did not receive mental health treatment in the past. The majority of cases were being treated with psychotherapy and a combination of psychotherapy/medication. Being a mixed-race child was significantly associated with unmet needs when compared to white race. Conclusions: The high rate of unmet needs of children with mental disorders should be addressed with strategies to improve access to healthcare.

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Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: results from the WHO World Mental Health (WMH) surveys

Cited by 389 publications

References 30 publications

Minding the treatment gap: results of the Singapore Mental Health Study

Minding the treatment gap: results of the Singapore Mental Health Study

Prevalence and trends of mental disorders requiring inpatient care in the city of Porto Alegre: a citywide study including all inpatient admissions due to mental disorders in the public system from 2013-2017

Use of Mental Health Services by Children With Mental Disorders in Two Major Cities in Brazil

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