Use of services and Treatment
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Last update: 06/10/2008
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Although mental disorders are frequent in the ESEMeD countries, the rate of people who consult a medical professional for their mental health problems is considerably low.
§ Among those with a 12 – month mood disorder, only between 35.8% (in Italy) and 56.0% (in the Netherlands) reported having consulted a general medical professional due to problems with emotions or mental health.
§ Among users of services, general medical professionals were the most frequently consulted in all countries (66.4% on average), while the use of a mental health specialist ranged from 39.4% in France to 52.2% in Spain.
§ A conservative estimate suggests that 3.1% of the general European adult population has unmet need for mental health care (due to the presence of a mental disorder that interferes a lot with their life and had not used any formal services).
In all countries, a consistent pattern of consultation was found with the highest lifetime rates being observed for respondents with mood disorders and the lowest for those without any mental disorder. The presence of comorbid disorders was associated with increased consultations rates. In contrast, consultation rates for those with alcohol related disorders were relatively low compared to those found for the other disorders.
Nevertheless, the overall use of health care varies considerably in the different ESEMeD countries. Up to now, no simple relationship between health care system characteristics and the use of services can explain these differences. It seems that a complex model of health care system variables (e.g. financing, referral system) moderate the use of services within and between countries.
Used for this summary:
ESEMeD/MHEDEA 2000 Investigators.Use of mental health services in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project.
Acta Psychiatr Scand 2004;109(suppl 420): 47-54
Alonso J, Lepine JP.Overview of key data from the European Study of the Epidemiology of Mental Disorders (ESEMeD).
J Clin Psychiatry 2007;68(Suppl 2): 3-9.
Alonso J, Codony M, Kovess V, Angermeyer MC, Katz SJ, Haro JM, et al.Population level of unmet need for mental healthcare in Europe.
Br J Psychiatry 2007;190:299-306.
Kovess-Masfety V, Alonso J, Brugha TS, Angermeyer MC, Haro JM, Sevilla-Dedieu C, and the ESEMeD/MHEDEA 2000 Investigators. Differences in lifetime use of services for mental health problems in six European countries.
Psychiatr Serv 2007; 58(2):213-220.
Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ, et al.Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys.
Lancet 2007; 370(9590):841-850.
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List of Articles related to: Use of services and Treatment
Alonso J, Angermeyer MC, Bernert S, Bruffaerts R, Brugha TS, Bryson H. Use of mental health services in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project.
Acta Psychiatr Scand 2004;109(suppl 420): 47-54. (Published)
Alonso J, Ferrer M, Romera B, Vilagut G, Angermeyer M, Bernert S, Brugha TS, Taub N, McColgen Z, De Girolamo G, Polidori G, Mazzi F, De Graaf R, Vollebergh WA, Buist-Bowman MA, Demyttenaere K, Gasquet I, Haro JM, Palacin C, Autonell J, Katz SJ, Kessler RC, Kovess V, Lepine JP, Arbabzadeh-Bouchez S, Ormel J, Bruffaerts R. The European Study of the Epidemiology of Mental Disorders (ESEMeD/MHEDEA 2000) project: rationale and methods.
Int J Methods Psychiatr Res. 2002;11(2):55-67. (Published)
Codony M, Alonso J, Almansa J, Vilagut G, Domingo-Salvany A, Pinto-Meza A, Fernández A, Usall J, Dolz M, Haro JM.. Utilización de los servicios de salud mental en la población general española. Resultados del estudio ESEMeD-España. [Mental health care use in the Spanish general population. Results of the ESEMeD-Spain study.]. (Spanish)
Actas Esp Psiquiatr 2007; 35(suppl 2):21-28. (Published)
Alonso J, Codony M, Kovess V, Angermeyer MC, Katz SJ, Haro JM, de Girolamo G, de Graaf R, Demyttenaere K, Vilagut G, Almansa J, Lepine JP, Brugha TS, on behalf of the ESEMeD-MHEDEA 2000 investigators.. Population level of unmet need for mental healthcare in Europe.
Br J Psychiatry 2007;190:299-306 (Published)
Wang PS, Aguilar-Gaxiola E, Alonso J, Angermeyer MA, Borges G, Bromet EJ, Bruffaerts R, de Girolamo G, de Graaf R, Gureje O, Haro JM, Karam EG, Kessler RC, Kovess V, Lane MC, Lee S, Levinson D, Ono Y, Petukhova M, Posada-Villa J, Seedat S, Wells JE.. Worldwide use of mental health services for anxiety, mood and substance disorders: Results from 17 countries
The Lancet 2007; (in press) (Published)
Wang PS, Aguilar-Gaxiola S, Alonso J, Angermeyer MC, Borges G, Bromet EJ, et al (... Haro JM, ..., Kessler RC,...).. Use of mental health services for anxiety, mood, and substance disorders in 17 countries in the WHO world mental health surveys.
Lancet 2007; 370(9590):841-850. (Published)
Kovess-Masfety V, Alonso J, Brugha TS, Angermeyer MC, Haro JM, Sevilla-Dedieu C, and the ESEMeD/MHEDEA 2000 Investigators (…, Vilagut G).. Differences in lifetime use of services for mental health problems in six European countries
Psychiatr Serv 2007; 58(2):213-220 (Published)
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