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Cited by 74Mental Health Treatment and AccessAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMigration, Health and Trauma

Perceived need for mental health care and barriers to care in the Netherlands and Australia

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Prins, Marijn, Meadows, Graham, Bobevski, Irene, Graham, Annette, Verhaak, Peter, van der Meer, Klaas, Penninx, Brenda, Bensing, Jozien·2011·Social Psychiatry and Psychiatric Epidemiology
DOI 10.1007/s00127-010-0266-3PMC PMC3173635
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Abstract

PURPOSE: This study of Australian and Dutch people with anxiety or depressive disorder aims to examine people's perceived needs and barriers to care, and to identify possible similarities and differences. METHODS: Data from the Australian National Survey of Mental Health and Well-Being and the Netherlands Study of Depression and Anxiety were combined into one data set. The Perceived Need for Care Questionnaire was taken in both studies. Logistic regression analyses were performed to check if similarities or differences between Australia and the Netherlands could be observed. RESULTS: In both countries, a large proportion had unfulfilled needs and self-reliance was the most frequently named barrier to receive care. People from the Australian sample (N = 372) were more likely to perceive a need for medication (OR 1.8; 95% CI 1.3-2.5), counselling (OR 1.4; 95% CI 1.0-2.0) and practical support (OR 1.8; 95% CI 1.2-2.7), and people's overall needs in Australia were more often fully met compared with those of the Dutch sample (N = 610). Australians were more often pessimistic about the helpfulness of medication (OR 3.8; 95% CI 1.4-10.7) and skills training (OR 3.0; 95% CI 1.1-8.2) and reported more often financial barriers for not having received (enough) information (OR 2.4; 95% CI 1.1-5.5) or counselling (OR 5.9; 95% CI 2.9-11.9). CONCLUSIONS: In both countries, the vast majority of mental health care needs are not fulfilled. Solutions could be found in improving professionals' skills or better collaboration. Possible explanations for the found differences in perceived need and barriers to care are discussed; these illustrate the value of examining perceived need across nations and suggest substantial commonalities of experience across the two countries.

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  • The present study's barrier findings are consistent with other Australian studies examining barriers for other anxiety and related disorders.

    “The results of the present study are also consistent with other Australian studies examining barriers for other anxiety and related disorders (Langley et al., 2018;McCausland et al., 2020;Prins et al., 2011;Robertson et al., 2020;Smith et al., 2021).”

    From Treatment histories, barriers, and preferences for individuals with symptoms of generalized anxiety disorder (2024) · cites this paper as Prins et al., 2011

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Authors
Prins, M., Meadows, G., Bobevski, I., Graham, A., Verhaak, P., van der Meer, K., Penninx, B., & Bensing, J.
Affiliations
  • Netherlands Institute for Health Services Research (NL)
  • Dandenong Hospital (AU)
  • University Medical Center Groningen (NL)
  • Utrecht University (NL)
Corresponding author
Prins, Marijn
ORCID
Venue
Social Psychiatry and Psychiatric Epidemiology
Publisher
Springer Science and Business Media LLC
Published
2010-08-05
Volume
46
Issue
10
Pages
1033-1044
ISSN
  • 0933-7954 (ISSN-L)
  • 1433-9285
DOI
10.1007/s00127-010-0266-3
PMC
PMC3173635
OpenAlex
W2143380136
Cited by
74
References
11
Citations by year
2026: 3 · 2025: 5 · 2024: 3 · 2023: 6 · 2022: 7 · 2021: 8 · 2020: 4 · 2019: 4 · 2018: 1 · 2017: 4 · 2016: 6 · 2015: 8 · 2014: 5 · 2013: 5 · 2012: 3
FWCI
4.37
Type
journal article
Language
en
Open access
Licence
cc-by-nc
Locations
  • Social Psychiatry and Psychiatric Epidemiology (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Minerva Access (University of Melbourne) (submittedVersion, cc-by-nc)
  • Pure Amsterdam UMC (submittedVersion, other-oa)
  • Victoria University Research Repository (Victoria University) (submittedVersion, cc-by-nc)
  • Data Archiving and Networked Services (DANS) (submittedVersion)
  • Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
  • Leiden Repository (Leiden University) (submittedVersion)
  • Digital Academic REpository of VU University Amsterdam (Vrije Universiteit Amsterdam) (submittedVersion)
  • University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
  • VU Research Portal (submittedVersion, other-oa)
Funders
  • Australian Government
  • Universiteit Leiden (10‐000‐1002)
  • ZonMw (10‐000‐1002)
  • Vrije Universiteit Amsterdam
  • GGZ inGeest
  • Rivierduinen
  • GGZ Friesland
  • GGZ Drenthe
  • Nederlands Instituut voor Onderzoek van de Gezondheidszorg (10-000-1002)
  • Leids Universitair Medisch Centrum
  • Universitair Medisch Centrum Groningen
Topics
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
Keywords
perceived need for mental health care, barriers to care, anxiety disorders, depressive disorders, self-reliance, attitudes toward medication, counseling, financial barriers, cross-national comparison, Australia, Netherlands
MeSH terms
Adolescent, Adult, Australia, Female, Health Services Accessibility, Health Services Needs and Demand, Humans, Male, Mental Health Services, Middle Aged, Netherlands, Surveys and Questionnaires, Young Adult

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