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Perceived helpfulness of service sectors used for mental and substance use disorders
| 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. |
|---|---|
| Autores principais: | Harris, Meredith G. |
| Outros Autores: | Kazdin, Alan E.; Munthali, Richard J.; Vigo, Daniel V.; Hwang, Irving; Sampson, Nancy A.; Al-Hamzawi, Ali; Alonso, Jordi; Andrade, Laura Helena; Borges, Guilherme; Bunting, Brendan; Florescu, Silvia; Gureje, Oye; Karam, Elie G.; Lee, Sing; Navarro-Mateu, Fernando; Nishi, Daisuke; Rapsey, Charlene; Scott, Kate M.; Stagnaro, Juan Carlos; Viana, Maria Carmen; Wojtyniak, Bogdan; Xavier, Miguel; Xavier, Miguel; Kessler, Ronald C.; Kessler, Ronald |
| Assunto: | Health service use Healthcare providers Mental disorders Mental health services Patient perspectives Perceived helpfulness Service sectors Substance use disorders Treatment profiles Phychiatric Mental Health Health Policy Public Health, Environmental and Occupational Health Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| Ano: | 2022 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade Nova de Lisboa |
| Idioma: | inglês |
| Origem: | Repositório Institucional da UNL |
| _version_ | 1868414001388453888 |
|---|---|
| author | Harris, Meredith G. |
| author2 | Kazdin, Alan E. Munthali, Richard J. Vigo, Daniel V. Hwang, Irving Sampson, Nancy A. Al-Hamzawi, Ali Alonso, Jordi Andrade, Laura Helena Borges, Guilherme Bunting, Brendan Florescu, Silvia Gureje, Oye Karam, Elie G. Lee, Sing Navarro-Mateu, Fernando Nishi, Daisuke Rapsey, Charlene Scott, Kate M. Stagnaro, Juan Carlos Viana, Maria Carmen Wojtyniak, Bogdan Xavier, Miguel Xavier, Miguel Kessler, Ronald C. Kessler, Ronald |
| author2_role | author author author author author author author author author author author author author author author author author author author author author author author author author |
| author_facet | Harris, Meredith G. Kazdin, Alan E. Munthali, Richard J. Vigo, Daniel V. Hwang, Irving Sampson, Nancy A. Al-Hamzawi, Ali Alonso, Jordi Andrade, Laura Helena Borges, Guilherme Bunting, Brendan Florescu, Silvia Gureje, Oye Karam, Elie G. Lee, Sing Navarro-Mateu, Fernando Nishi, Daisuke Rapsey, Charlene Scott, Kate M. Stagnaro, Juan Carlos Viana, Maria Carmen Wojtyniak, Bogdan Xavier, Miguel Xavier, Miguel Kessler, Ronald C. Kessler, Ronald |
| author_role | author |
| contributor_name_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Centro de Estudos de Doenças Crónicas (CEDOC) BioMed Central (BMC) RUN |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Harris, Meredith G.\"},{\"Person.name\":\"Kazdin, Alan E.\"},{\"Person.name\":\"Munthali, Richard J.\"},{\"Person.name\":\"Vigo, Daniel V.\"},{\"Person.name\":\"Hwang, Irving\"},{\"Person.name\":\"Sampson, Nancy A.\"},{\"Person.name\":\"Al-Hamzawi, Ali\"},{\"Person.name\":\"Alonso, Jordi\"},{\"Person.name\":\"Andrade, Laura Helena\"},{\"Person.name\":\"Borges, Guilherme\"},{\"Person.name\":\"Bunting, Brendan\"},{\"Person.name\":\"Florescu, Silvia\"},{\"Person.name\":\"Gureje, Oye\"},{\"Person.name\":\"Karam, Elie G.\"},{\"Person.name\":\"Lee, Sing\"},{\"Person.name\":\"Navarro-Mateu, Fernando\"},{\"Person.name\":\"Nishi, Daisuke\"},{\"Person.name\":\"Rapsey, Charlene\"},{\"Person.name\":\"Scott, Kate M.\"},{\"Person.name\":\"Stagnaro, Juan Carlos\"},{\"Person.name\":\"Viana, Maria Carmen\"},{\"Person.name\":\"Wojtyniak, Bogdan\"},{\"Person.name\":\"Xavier, Miguel\"},{\"Person.name\":\"Xavier, Miguel\",\"Person.identifier.orcid\":\"0000-0003-2698-1284\"},{\"Person.name\":\"Kessler, Ronald C.\"},{\"Person.name\":\"Kessler, Ronald\",\"Person.identifier.orcid\":\"0000-0003-4831-2305\"}] |
| datacite.contributors.contributor.contributorName.fl_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Centro de Estudos de Doenças Crónicas (CEDOC) BioMed Central (BMC) RUN |
| datacite.creators.creator.creatorName.fl_str_mv | Harris, Meredith G. Kazdin, Alan E. Munthali, Richard J. Vigo, Daniel V. Hwang, Irving Sampson, Nancy A. Al-Hamzawi, Ali Alonso, Jordi Andrade, Laura Helena Borges, Guilherme Bunting, Brendan Florescu, Silvia Gureje, Oye Karam, Elie G. Lee, Sing Navarro-Mateu, Fernando Nishi, Daisuke Rapsey, Charlene Scott, Kate M. Stagnaro, Juan Carlos Viana, Maria Carmen Wojtyniak, Bogdan Xavier, Miguel Xavier, Miguel Kessler, Ronald C. Kessler, Ronald |
| datacite.date.Accepted.fl_str_mv | 2022-01-29T00:00:00Z |
| datacite.date.available.fl_str_mv | 2022-02-23T23:17:42Z |
| datacite.date.embargoed.fl_str_mv | 2022-02-23T23:17:42Z |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Health service use Healthcare providers Mental disorders Mental health services Patient perspectives Perceived helpfulness Service sectors Substance use disorders Treatment profiles Phychiatric Mental Health Health Policy Public Health, Environmental and Occupational Health Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| datacite.titles.title.fl_str_mv | Perceived helpfulness of service sectors used for mental and substance use disorders Findings from the WHO World Mental Health Surveys |
| dc.contributor.none.fl_str_mv | NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM) Centro de Estudos de Doenças Crónicas (CEDOC) BioMed Central (BMC) RUN |
| dc.creator.none.fl_str_mv | Harris, Meredith G. Kazdin, Alan E. Munthali, Richard J. Vigo, Daniel V. Hwang, Irving Sampson, Nancy A. Al-Hamzawi, Ali Alonso, Jordi Andrade, Laura Helena Borges, Guilherme Bunting, Brendan Florescu, Silvia Gureje, Oye Karam, Elie G. Lee, Sing Navarro-Mateu, Fernando Nishi, Daisuke Rapsey, Charlene Scott, Kate M. Stagnaro, Juan Carlos Viana, Maria Carmen Wojtyniak, Bogdan Xavier, Miguel Xavier, Miguel Kessler, Ronald C. Kessler, Ronald |
| dc.date.Accepted.fl_str_mv | 2022-01-29T00:00:00Z |
| dc.date.available.fl_str_mv | 2022-02-23T23:17:42Z |
| dc.date.embargoed.fl_str_mv | 2022-02-23T23:17:42Z |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | http://hdl.handle.net/10362/133486 |
| dc.language.none.fl_str_mv | eng |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.subject.none.fl_str_mv | Health service use Healthcare providers Mental disorders Mental health services Patient perspectives Perceived helpfulness Service sectors Substance use disorders Treatment profiles Phychiatric Mental Health Health Policy Public Health, Environmental and Occupational Health Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| dc.title.fl_str_mv | Perceived helpfulness of service sectors used for mental and substance use disorders Findings from the WHO World Mental Health Surveys |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | 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. |
| dirty | 0 |
| eu_rights_str_mv | openAccess |
| format | article |
| fulltext.url.fl_str_mv | https://run.unl.pt/bitstreams/511efa87-6920-46ab-8a14-637484a1a8f2/download |
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| identifier.url.fl_str_mv | http://hdl.handle.net/10362/133486 |
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| institution | Universidade Nova de Lisboa |
| instname_str | Universidade Nova de Lisboa |
| language | eng |
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| person_str_mv | Harris, Meredith G. Kazdin, Alan E. Munthali, Richard J. Vigo, Daniel V. Hwang, Irving Sampson, Nancy A. Al-Hamzawi, Ali Alonso, Jordi Andrade, Laura Helena Borges, Guilherme Bunting, Brendan Florescu, Silvia Gureje, Oye Karam, Elie G. Lee, Sing Navarro-Mateu, Fernando Nishi, Daisuke Rapsey, Charlene Scott, Kate M. Stagnaro, Juan Carlos Viana, Maria Carmen Wojtyniak, Bogdan Xavier, Miguel Xavier, Miguel Xavier, Miguel https://www.ciencia-id.pt/D71F-6F62-6CFA D71F-6F62-6CFA http://orcid.org/0000-0003-2698-1284 0000-0003-2698-1284 Kessler, Ronald C. Kessler, Ronald Kessler, Ronald http://orcid.org/0000-0003-4831-2305 0000-0003-4831-2305 |
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| spelling | engenBackground: 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.application/pdfenPerceived helpfulness of service sectors used for mental and substance use disordersSubtitleenFindings from the WHO World Mental Health SurveysHarris, Meredith G.Kazdin, Alan E.Munthali, Richard J.Vigo, Daniel V.Hwang, IrvingSampson, Nancy A.Al-Hamzawi, AliAlonso, JordiAndrade, Laura HelenaBorges, GuilhermeBunting, BrendanFlorescu, SilviaGureje, OyeKaram, Elie G.Lee, SingNavarro-Mateu, FernandoNishi, DaisukeRapsey, CharleneScott, Kate M.Stagnaro, Juan CarlosViana, Maria CarmenWojtyniak, BogdanXavier, MiguelPersonalXavier, MiguelDSpacehttp://dspace.org/items/1f1ba027-e7cf-4b4a-906b-35d61c74eb90DSpacehttp://dspace.org/items/1f1ba027-e7cf-4b4a-906b-35d61c74eb90XavierMiguelCiência IDhttps://www.ciencia-id.ptD71F-6F62-6CFAORCIDhttp://orcid.org0000-0003-2698-1284Scopus Author IDhttps://www.scopus.com7006066808Kessler, Ronald C.PersonalKessler, RonaldDSpacehttp://dspace.org/items/6c1a1bfc-ebea-4ec9-9e0b-ee83533fa86fDSpacehttp://dspace.org/items/6c1a1bfc-ebea-4ec9-9e0b-ee83533fa86fKesslerRonaldORCIDhttp://orcid.org0000-0003-4831-2305NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro de Estudos de Doenças Crónicas (CEDOC)BioMed Central (BMC)HostingInstitutionOrganizationalRUNe-mailmailto:run@unl.ptrun@unl.ptURNIsPartOfPURE: 41760388URNIsPartOfPURE UUID: 6bc29da5-8e1b-407b-939a-6b74889ef9c6URNIsPartOfScopus: 85124025093URNIsPartOfWOS: 000749214000001DOIIsPartOf10.1186/s13033-022-00516-z2022-02-23T23:17:42Z2022-01-292022-01-29T00:00:00ZHandlehttp://hdl.handle.net/10362/133486http://purl.org/coar/access_right/c_abf2open accessHealth service useHealthcare providersMental disordersMental health servicesPatient perspectivesPerceived helpfulnessService sectorsSubstance use disordersTreatment profilesPhychiatric Mental HealthHealth PolicyPublic Health, Environmental and Occupational HealthPsychiatry and Mental healthSDG 3 - Good Health and Well-being845447 bytesliteraturehttp://purl.org/coar/resource_type/c_6501journal articlehttp://purl.org/coar/access_right/c_abf2application/pdffulltexthttps://run.unl.pt/bitstreams/511efa87-6920-46ab-8a14-637484a1a8f2/download |
| spellingShingle | Perceived helpfulness of service sectors used for mental and substance use disorders Harris, Meredith G. Health service use Healthcare providers Mental disorders Mental health services Patient perspectives Perceived helpfulness Service sectors Substance use disorders Treatment profiles Phychiatric Mental Health Health Policy Public Health, Environmental and Occupational Health Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| status | SINGLETON |
| subject.fl_str_mv | Health service use Healthcare providers Mental disorders Mental health services Patient perspectives Perceived helpfulness Service sectors Substance use disorders Treatment profiles Phychiatric Mental Health Health Policy Public Health, Environmental and Occupational Health Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| title | Perceived helpfulness of service sectors used for mental and substance use disorders |
| title_full | Perceived helpfulness of service sectors used for mental and substance use disorders |
| title_fullStr | Perceived helpfulness of service sectors used for mental and substance use disorders |
| title_full_unstemmed | Perceived helpfulness of service sectors used for mental and substance use disorders |
| title_short | Perceived helpfulness of service sectors used for mental and substance use disorders |
| title_sort | Perceived helpfulness of service sectors used for mental and substance use disorders |
| topic | Health service use Healthcare providers Mental disorders Mental health services Patient perspectives Perceived helpfulness Service sectors Substance use disorders Treatment profiles Phychiatric Mental Health Health Policy Public Health, Environmental and Occupational Health Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| topic_facet | Health service use Healthcare providers Mental disorders Mental health services Patient perspectives Perceived helpfulness Service sectors Substance use disorders Treatment profiles Phychiatric Mental Health Health Policy Public Health, Environmental and Occupational Health Psychiatry and Mental health SDG 3 - Good Health and Well-being |
| url | http://hdl.handle.net/10362/133486 |
| visible | 1 |