Service use for mental health problems: findings from the 2007 National Survey of Mental Health and Wellbeing.

OBJECTIVES: To provide an overview of 12 month rates of service use for mental health problems and mental disorders by the general Australian adult population. METHOD: Data came from the 2007 National Survey of Mental Health and Wellbeing (2007 NSMHWB), a nationally representative household survey o...

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Publicado en:Australian & New Zealand Journal of Psychiatry Vol. 43; no. 7; pp. 615 - 624
Autores principales: Burgess PM, Pirkis JE, Slade TN, Johnston AK, Meadows GN, Gunn JM
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Jul2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2009
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        atl: Service use for mental health problems: findings from the 2007 National Survey of Mental Health and Wellbeing.
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          Burgess PM
          Pirkis JE
          Slade TN
          Johnston AK
          Meadows GN
          Gunn JM
        affil: School of Population Health, University of Queensland, Queensland Centre for Mental Health Research, Qld, Australia. p.burgess@sph.uq.edu.au
      sug:
        subj:
          Mental Health Services Utilization
          Adolescence
          Adult
          Aged
          Australia
          Confidence Intervals
          Descriptive Statistics
          Funding Source
          Interview Guides
          Interviews
          Male
          Questionnaires
          Sex Factors
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Male
      ab: OBJECTIVES: To provide an overview of 12 month rates of service use for mental health problems and mental disorders by the general Australian adult population. METHOD: Data came from the 2007 National Survey of Mental Health and Wellbeing (2007 NSMHWB), a nationally representative household survey of 8841 individuals aged between 16 and 85 years. RESULTS: Overall, 11.9% of the general Australian adult population made use of any services for mental health problems in a 12 month period. Approximately one-third of people (34.9%) meeting criteria for a mental disorder did so. Female subjects with mental disorders were more likely to use services than male subjects (40.7% vs 27.5%). People in the youngest age group made relatively less use of services than older adults. Those with affective disorders were most likely to make use of services (58.6%), followed by those with anxiety (37.8%) and substance use disorders (24.0%), respectively. Mental health hospitalizations were less common than consultations with community-based providers (2.6%), whereas 34.6% consulted a community-based provider--particularly general practitioners (24.7%) and psychologists (13.2%). There was a clear dose-response effect between severity of disorders and rates of community-based service use: 63.5% of those with severe mental disorders used community-based services, compared with 40.2% and 17.7% of those with moderate and mild mental disorders, respectively. There was also a relationship between comorbidity of mental disorders and service use. CONCLUSIONS: Rates of service use for mental health problems among those with mental disorders in Australia are less than optimal. Little international guidance is available regarding appropriate levels of treatment coverage and other comparable countries face similar difficulties. Further work is required to determine what an appropriate rate of service use is, and to set targets to reach that rate. Australia has demonstrated that concerted policy efforts can improve rates of service use. These efforts should be expanded.
      pubtype: Academic Journal
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        tables/charts
        Journal Article
      ougenre: Article
    language: English
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