Australian general practice and the meeting of needs for mental health care

Meadows, Graham; Liaw, Teng; Burgess, Philip; Bobevski, Irene; Fossey, Ellie

doi:10.1007/s127-001-8199-7

Cited by 37 publications

(52 citation statements)

References 34 publications

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“…22 Several studies have also shown that people perceiving UNCs have symptoms that are more severe than people without perceived needs for care, 20 as well as higher distress. Consistent with previous studies conducted in the general population and among users of primary care services, 1,10,[12][13][14][15]19 needs related to psychotherapy are more likely to be perceived as unmet, and needs for medication as met. This is consistent with a high psychotropic consumption in Quebec, 1 where their access is easy (that is, cost and prescription).…”

Section: Discussionsupporting

confidence: 84%

“…For instance, over 80% of patients with common mental disorders report that their needs for medication are fully met, while only 5% report that such needs go completely unmet. 12,13 In contrast, while psychotherapy is reported to be the most frequent perceived need regarding mental health care, 14 such needs are fully met in only one-half of patients 10,12,14 and completely unmet in 13% to 26% of patients. 12,13 Other perceived needs, such as those related to health information and psychosocial interventions (for example, related to housing or employment), are also less frequently fully met.…”

mentioning

confidence: 99%

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Reasons and Determinants for Perceiving Unmet Needs for Mental Health in Primary Care in Quebec

et al. 2015

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Objective: To evaluate the mental health care needs perceived as unmet by adults in Quebec who had experienced depressive and (or) anxious symptomatology (DAS) in the previous 2 years and who used primary care services, and to identify the reasons associated with different types of unmet needs for care (UNCs) and the determinants of reporting UNCs. Method:Longitudinal data from the Dialogue Project were used. The sample consisted of 1288 adults who presented a common mental disorder and who consulted a general practitioner. The Hospital Anxiety and Depression Scale was used to measure DAS, and the Perceived Need for Care Questionnaire facilitated the assessment of the different types of UNCs and their motives.Results: About 40% of the participants perceived UNCs. Psychotherapy, help to improve ability to work, as well as general information on mental health and services were the most mentioned UNCs. The main reasons associated with reporting UNCs for psychotherapy and psychosocial interventions are "couldn't afford to pay" and "didn't know how or where to get help," respectively. The factors associated with mentioning UNCs (compared with met needs) are to present a high DAS or a DAS that increased during the past 12 months, to perceive oneself as poor or to not have private health insurance. Conclusions:To reduce the UNCs and, further, to reduce DAS, it is necessary to improve the availability and affordability of psychotherapy and psychosocial intervention services, and to inform users on the types of services available and how to access them. Raisons et déterminants de perception des besoins de santé mentale non comblés dans ls soins de première ligne au QuébecObjectif : Évaluer les besoins de soins de santé mentale perçus comme étant non comblés par des adultes québécois qui ont eu une symptomatologie dépressive et (ou) anxieuse (SDA) dans les 2 années précédentes et qui ont utilisé des services de non comblés (BSNC) et les déterminants pour déclarer ces BSNC.Méthode : Les données longitudinales du projet Dialogue ont été utilisées. L'échantillon se composait de 1288 adultes qui présentaient un trouble mental commun et qui mesurer la SDA, et le questionnaire des besoins de soins perçus a éclairé l'évaluation des différents types de BSNC et de ce qui les motivait.

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Section: Discussionsupporting

confidence: 84%

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confidence: 99%

Reasons and Determinants for Perceiving Unmet Needs for Mental Health in Primary Care in Quebec

et al. 2015

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“…Perceived need for mental health care in the past six months was measured with the perceived need for care questionnaire (PNCQ) [30,31]. The PNCQ was developed to measure need for mental health care, as well as the extent to which needs are met, from the perspective of the patient.…”

Section: Measurements J Perceived Needmentioning

confidence: 99%

“…For example, Bäärnhielm and Ekblad conducted interviews with Turkish women, during which difficulties to understand the meaning of unfamiliar words, concepts, investigations and treatments came up as a very important theme [5]. Such difficulties may result in difficulties in determining personal risk, and consequently a lack of perceived need for care [31,42,44]. Additionally, cultural factors are known to affect the interpretation of symptoms [23].…”

Section: Introductionmentioning

confidence: 99%

Perceived need for mental health care among non-western labour migrants

Fassaert

Wit

Tuinebreijer

et al. 2008

Soc Psychiat Epidemiol

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“…[1][2][3][4][5][6][7][8][9][10][11][12][13] Both in Canada and in other jurisdictions, family physicians are found to be the major provider visited for mental health reasons. They play a key role in the management of mental health problems 6,10,[14][15][16][17][18] and efforts and initiatives to deliver quality mental health care have shifted toward the integration of primary care and specialized mental health services. [19][20][21][22][23] The role of the family physician in mental health care relating to other providers is often unclear.…”

mentioning

confidence: 99%

General Practice and Mental Health Care: Determinants of Outpatient Service Use

et al. 2009

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Objective: To examine the determinants that lead Canadian adults to consult family physicians, psychiatrists, psychologists, psychotherapists, and other health professionals for mental health reasons and to compare the determinants of service use across provider types. Method: Data from the Canadian Community Health Survey: Mental Health and Well-Being were used for people aged 18 years and older (n = 35 236). A multivariate logistic regression was used to model outpatient consultations with different providers as a function of predictive determinants. Result: Three types of variables were examined: need, enabling, and predisposing factors. Among need, the most common predictors of service use for mental health reasons were self-rated mental health, the presence of chronic conditions, depression and panic attacks, unmet mental health needs, psychological well-being, and the ability to handle daily demands. Among enabling factors, emotional and informational support and income were important predictors. Among predisposing factors, men were less likely to consult with a family physician and other resources but not with psychiatrists; and people with less education were less likely to consult psychologists and other health providers. Conclusion: Need factors were the most important predictors of both psychiatrist and combined family physician and psychiatrist consultation in the previous year. However, sex barriers remain and promotion campaigns in seeking mental health care should be aimed toward men. Further, education and income barriers exist in the use of specialty providers of psychotherapy and policies should thus focus on rendering these services more accessible to disadvantaged people.

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Australian general practice and the meeting of needs for mental health care

Cited by 37 publications

References 34 publications

Reasons and Determinants for Perceiving Unmet Needs for Mental Health in Primary Care in Quebec

Reasons and Determinants for Perceiving Unmet Needs for Mental Health in Primary Care in Quebec

Perceived need for mental health care among non-western labour migrants

General Practice and Mental Health Care: Determinants of Outpatient Service Use

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