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Cited by 95Mental Health Treatment and AccessSubstance Abuse Treatment and OutcomesPsychiatric care and mental health services

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Use of Mental Health Care Services by Canadians With Co-occurring Substance Dependence and Mental Disorders

Urbanoski, Karen A., Rush, Brian R., Wild, T. Cameron, Bassani, Diego G., Castel, Saulo·2007·Psychiatric Services
DOI 10.1176/appi.ps.58.7.962
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Abstract

OBJECTIVES: This study contributes to knowledge of the processes underlying help seeking by those with mental and substance use disorders by examining relationships among need, service use, and satisfaction with mental health care in a population-based sample. METHODS: Secondary data analyses were performed on responses to the 2002 Canadian Community Health Survey (N=36,984). Diagnostic algorithms classified respondents by past-year diagnostic status, including substance dependence and selected mood and anxiety disorders. Logistic regressions examined associations between diagnostic status and service use, satisfaction, and unmet need for care. RESULTS: Ten percent of Canadians and 39% of Canadians with a mental disorder or substance dependence sought services in the year preceding data collection. Although those with co-occurring substance dependence and mental disorders reported the poorest mental health and were most likely to seek care, the presence of a mental disorder, regardless of co-occurring substance dependence, contributed primarily to help seeking. Among those who sought services, the use of informal sources of care, including self-help groups, was more common among those with substance dependence. Those with co-occurring disorders reported the lowest satisfaction with care and the greatest prevalence of unmet need. CONCLUSIONS: The differential use of services, satisfaction, and unmet need across diagnostic status allowed for speculation on differing levels of disability and stigma in the help-seeking process for different types of disorders. The strong association between co-occurring disorders and unmet need for care, including a large proportion of respondents who stated they preferred to self-manage their symptoms, is particularly troubling and deserves future research attention.

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Metadata

Authors
Urbanoski, K. A., Rush, B. R., Wild, T. C., Bassani, D. G., & Castel, S.
Affiliations
Centre for Addiction and Mental Health (CA)
ORCID
Venue
Psychiatric Services
Publisher
American Psychiatric Association Publishing
Published
2007-07
Volume
58
Issue
7
Pages
962-969
ISSN
  • 0022-1597 (ISSN-L)
  • 1075-2730
  • 1557-9700
DOI
10.1176/appi.ps.58.7.962
OpenAlex
W2128635334
Cited by
95
References
17
Citations by year
2026: 1 · 2025: 4 · 2024: 10 · 2023: 6 · 2022: 7 · 2021: 2 · 2020: 5 · 2019: 6 · 2018: 7 · 2017: 6 · 2016: 7 · 2015: 5 · 2014: 12 · 2013: 3 · 2012: 2
FWCI
4.13
Type
journal article
Language
en
Open access
closed
Locations
  • Psychiatric Services (publishedVersion)
  • PubMed (publishedVersion)
Funders
Eli Lilly Canada
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
  • Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Keywords
help-seeking, mood disorders, anxiety disorders, informal care, self-help groups, stigma, disability, symptom self-management, Canadian Community Health Survey
MeSH terms
Adult, Mental Disorders, Canada, Cross-Sectional Studies, Female, Humans, Male, Mental Health Services, Middle Aged, National Health Programs, Comorbidity, Substance-Related Disorders

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