Twelve-Month and Lifetime Health Service use in Te Rau Hinengaro: The New Zealand Mental Health Survey
Abstract
Objective To estimate the 12 month and lifetime use of health services for mental health problems. Method A nationwide face-to-face household survey carried out in 2003-2004. A fully structured diagnostic interview, the World Health Organization Composite International Diagnostic Interview (CIDI 3.0) was used. There were 12 992 completed interviews from participants aged 16 years and over. The overall response rate was 73.3%. In this paper, the outcomes reported are 12 month and lifetime health service use for mental health and substance use problems. Results Of the population, 13.4% had a visit for a mental health reason in the 12 months before interview. Of all 12 month cases of mental disorder, 38.9% had a mental health visit to a health or non-health-care provider in the past 12 months. Of these 12 month cases, 16.4% had contact with a mental health specialist, 28.3% with a general medical provider, 4.8% within the human services sector and 6.9% with a complementary or alternative medicine practitioner. Most people with lifetime disorders eventually made contact if their disorder continued. However, the percentages seeking help at the age of onset were small for most disorders and several disorders had large percentages who never sought help. The median duration of delay until contact varies from 1 year for major depressive disorder to 38 years for specific phobias. Conclusions A significant unmet need for treatment for people with mental disorder exists in the New Zealan…
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Internalizing disorders are the most prevalent psychopathologies experienced worldwide.
“Internalizing disorders (IDs, e.g. generalized anxiety disorder, GAD; social anxiety disorder, SOC; major depressive disorder, MDD; posttraumatic stress disorder, PTSD) are the most prevalent psychopathologies experienced worldwide [1, 8–11]”
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- Authors
- Oakley Browne, M. A., Elisabeth Wells, J., Mcgee, M. A., & For The New Zealand Mental Health Survey Research Team
- Affiliations
- School of Rural Health, Monash University, Centre for Multidisciplinary Studies, PO Box 973, Moe, Victoria, 3825, Australia
- Department of Public Health and General Practice, Christchurch School of Medicine and Health Sciences, University of Otago, Christchurch, New Zealand
- University of Otago (NZ)
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2006-10
- Volume
- 40
- Issue
- 10
- Pages
- 855-864
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2129346765
- Cited by
- 71
- References
- 0
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 3 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 2 · 2017: 5 · 2016: 4 · 2015: 4 · 2014: 5 · 2013: 2 · 2012: 3
- FWCI
- 7.32
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- World Health Organization
- National Institutes of Health (5r13mh066849-04, 5r01mh069864-04, 5r01mh070884-05)
- National Institute of Mental Health (R13-MH-066849, R01‐MH070884, R01‐MH069864)
- National Institute on Drug Abuse (R01DA016558)
- Fogarty International Center (R01-TW006481)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
- Keywords
- mental health service utilization, help-seeking, unmet treatment needs, mental illness, substance use disorders, help-seeking delay, complementary and alternative medicine
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Catchment Area, Health, Cross-Sectional Studies, Demography, Female, Health Surveys, Humans, Interview, Psychological, Male, Mental Health Services, Middle Aged, New Zealand, Severity of Illness Index, Time Factors, Prevalence, Health Care Surveys, Diagnostic and Statistical Manual of Mental Disorders
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