Perceived need for mental health care: influences of diagnosis, demography and disability

Meadows, Graham; Burgess, Philip; Bobevski, Irene; Fossey, Ellie; Harvey, Carol; Liaw, Siaw‐Teng

doi:10.1017/s0033291701004913

Cited by 81 publications

(73 citation statements)

References 24 publications

(36 reference statements)

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“…The findings are consistent with previous literature (12,26,30) in several ways. First, the overall prevalence of PN or HS in this sample was 11.6%, which is similar to previous reports from the OHS (11.7%) (39) and Australia (13.8%) (25) and falls in the middle of the range of prevalence estimates noted in other countries (7.0% to 19.4%) (24,27,39).…”

Section: Discussionsupporting

confidence: 93%

“…This finding is consistent with a previous study examining perceived need in Australia. Meadows and others (30) explain that the most common professionals to be contacted for emotional symptoms are primary care physicians, who are more likely to be able to meet the need for medications but may be less skilled in providing psychological treatments, compared with psychiatrists or psychologists. Increased access to psychotherapy should be considered for those who perceive a need for it.…”

Section: Discussionmentioning

confidence: 99%

“…Cross-national surveys assessing perceived need for treatment have found the following results. First, the prevalence of perceived need for mental health treatment is much lower than the prevalence of meeting criteria for a mental disorder diagnosis (12,26,30). Second, self-perceived need for treatment, independent of meeting criteria for a mental disorder assessed in the survey, was found to be associated with increased distress and disability (28,30).…”

mentioning

confidence: 98%

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Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample

et al. 2005

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Objective: The optimal method of determining how many people in the general population need help for emotional problems remains unclear. This study aimed to examine the prevalence and correlates of self-perceived need for mental health services (that is, help seeking and perceived need) in a large, population-based sample.Methods: Data came from the Canadian Community Health Survey 1.2 (n = 36 816, respondent age 15 years and over, and response rate 77%). Respondents were asked whether they had sought help in the past year from any professional for emotional problems and whether they felt they needed help for emotional symptoms but had not sought treatment. The Composite International Diagnostic Interview (CIDI) was used to make DSM-IV mental disorder diagnoses. Results:The past-year prevalences of help seeking and perceived need were 8.7% and 2.9%, respectively. After adjusting for the presence of DSM-IV disorders assessed in the survey, sociodemographic factors, illness severity, social supports, and the presence of physical health conditions were associated with help seeking and perceived need. Independent of DSM diagnoses, sociodemographics, and social supports, perceived need and help seeking were associated with increased levels of distress, disability, and suicidal ideation and attempts.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 98%

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Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample

et al. 2005

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“…A shorter recall period (for example, 30 days) and specific questions regarding perceived need in relation to each mental disorder would have provided more precise information. Meadows and others have validated an instrument to assess perceived need (the Perceived Need for Care Questionnaire, 45) and have used this instrument to estimate perceived need in an Australian community survey (25,42). We suggest that future community surveys should include a comprehensive assessment of perceived need in addition to an assessment of DSM diagnoses.…”

Section: Study Limitationsmentioning

confidence: 97%

The Relation between Perceived Need for Mental Health Treatment, DSM Diagnosis, and Quality of Life: A Canadian Population-Based Survey

et al. 2005

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Objectives: Prevalence estimates of mental disorders were designed to provide an indirect estimate of the need for mental health services in the community. However, recent studies have demonstrated that meeting criteria for a DSM-based disorder does not necessarily equate with need for treatment. The current investigation examined the relation between self-perceived need for mental health treatment and DSM diagnosis, with respect to quality of life (QoL) and suicidal ideation. Methods: Data came from an Ontario population-based sample of 8116 residents (aged 15 to 64 years). The University of Michigan Composite International Diagnostic Interview was used to diagnose mood, anxiety, substance use, and bulimia disorder according to DSM-III-R criteria. We categorized past-year help seeking for emotional symptoms and (or) perceiving a need for treatment without seeking care as self-perceived need for treatment. We used a range of variables to measure QoL: self-perception of mental health status, a validated instrument that measured well-being, and restriction of activities (current, past 30 days, and long-term). Results: Independent of subjects' meeting criteria for a DSM-III-R diagnosis, self-perceived need for treatment was significantly associated with poor QoL (on all measures) and past-year suicidal ideation. Conclusions: Self-perceived need for mental health treatment, in addition to DSM diagnosis, may provide valuable information for estimating the number of people in the population who need mental health services. The relation between self-perceived need for treatment and objective measures of treatment need requires future study.

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“…Research results indicate that an absence of community care plans and post-discharge services results in increased visits to physicians and higher frequencies of medical services (Borus & Olendzki, 1985;Lechnyr, 1992) that the majority of people with mental illness and/or addiction prefer to receive treatment from a physician or primary health care team. Sareen et al (2005) and Meadows et al (2002) confirm that individuals with a perceived need for counselling prefer primary care physicians rather than psychiatrists or psychologists.…”

Section: Accessible Community Outreach With Follow-up Servicesmentioning

confidence: 80%

After discharge from hospital, where do we go? Follow-up of clients with mental illness and/or addiction: 30 days post-acute care.

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Perceived need for mental health care: influences of diagnosis, demography and disability

Abstract: The findings of this study underscore the imperative for mental health services to be attentive and responsive to consumer perceived need. The substantial majority of people who are significantly disabled by mental health problems are among those who see themselves as having such needs.

Cited by 81 publications

References 24 publications

Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample

Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample

The Relation between Perceived Need for Mental Health Treatment, DSM Diagnosis, and Quality of Life: A Canadian Population-Based Survey

After discharge from hospital, where do we go? Follow-up of clients with mental illness and/or addiction: 30 days post-acute care.

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