Determinants of Service Use among Young Canadians with Mental Disorders
Open accessAbstract
Objective: To identify the determinants of service use by young Canadians with mental health problems. Methods: Data were drawn from a recent large Canadian mental health survey. The analyses were conducted on a subsample of 1092 Canadians aged 15 to 24 years and identified as presenting a mood disorder, an anxiety disorder, or a substance-related disorder in the 12 months preceding the survey. We classified variables potentially associated with any type of service use for a mental health problem over a 12-month period according to predisposing, enabling, and need factors. We conducted weighted multivariate logistic regressions to determine the association of each factor with service use. Results: In the final model, being female and living alone were the predisposing factors associated with service use. None of the enabling factors predicted help seeking. In regard to the perceived need factors, those who had difficulties with social situations were more likely to use services. Having a mood disorder and (or) having a diagnosed chronic illness were the evaluated need factors associated with service use. Conclusion: Certain groups of young Canadians are less likely to seek help for mental health problems and could be the target of interventions aimed at increasing service use.
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The willingness of rehabilitants to implement treatment recommendations following psychodiagnostics is an important prerequisite for optimizing care of comorbid psychologically distressed patients.
“Neben einer adäquaten psychodiagnostischen Routine ist die Bereitschaft der Rehabilitanden, die auf die Psychodiagnostik folgenden Behandlungsempfehlungen auch umzusetzen, eine weitere wichtige Voraussetzung zur notwendigen Optimierung der Versorgung komorbid psychisch belasteter Patienten [ 22 -25 ] .”
From Inanspruchnahmebereitschaft und Inanspruchnahmeverhalten von Behandlungen aufgrund psychischer Belastungen bei Patienten der somatischen Rehabilitation (2012) · cites this paper as [23]
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- Authors
- Bergeron, E., Poirier, L.-R., Fournier, L., Roberge, P., & Barrette, G.
- Affiliations
- Université de Montréal (CA)
- Institut National de Santé Publique du Québec (CA)
- Université du Québec à Montréal (CA)
- Corresponding author
- Fournier, Louise
- Venue
- The Canadian Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2005-09
- Volume
- 50
- Issue
- 10
- Pages
- 629-636
- ISSN
- 0706-7437 (ISSN-L)
- 1497-0015
- OpenAlex
- W2160372437
- Cited by
- 58
- References
- 27
- Citations by year
- 2023: 2 · 2022: 3 · 2021: 1 · 2020: 2 · 2019: 5 · 2018: 4 · 2017: 4 · 2016: 5 · 2015: 1 · 2014: 5 · 2013: 3 · 2012: 7
- FWCI
- 2.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The Canadian Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- mental health service utilization, help-seeking, young adults, mood disorders, anxiety disorders, substance-related disorders, predisposing factors, enabling factors, need factors, gender differences, living alone, social difficulties, chronic disease, mental health disparities
- MeSH terms
- Adolescent, Adult, Mental Disorders, Canada, Community Mental Health Services, Factor Analysis, Statistical, Female, Health Services Needs and Demand, Health Surveys, Humans, Male, Risk Factors, Prevalence, Cluster Analysis, Logistic Models
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