The DOI matches its Crossref record; 26 of the 27 references it cites were found in a registry or an index.
Shortfall in mental health service utilisation
Open accessAbstract
Background: Treatment coverage for mental disorders is poor in most developed countries. Aims: To explore some reasons for the poor treatment coverage for mental disorders in developed countries. Method: Data were taken from Australian national surveys and from the World Health Report. Results: Only one-third of people with a mental disorder consulted. Probability of consulting varied by diagnosis: 90% for schizophrenia, which is accounted for by external factors; 60% for depression; and 15% for substance use and personality disorders. The probability of consulting varied by gender, age, marital status and disability, from 73% among women aged 25–54 years, disabled and once married to 9% among males without these risk factors. Those who did not consult but were disabled or comorbid said that they “preferred to manage themselves”. Data from five countries showed no evidence that overall health expenditure, out-of-pocket cost or responsiveness of the health system affected the overall consulting rates. Conclusions: Societal, attitudinal and diagnostic variables account for the variation. Funding does not. Public education about the recognition and treatment of mental disorders and the provision of effective treatment by providers might remedy the shortfall.
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“Only 35% of young people experiencing mental health problems seek professional face-to-face help [91,92].”
From Do online mental health services improve help-seeking for young people? A systematic review (2014) · cites this paper as [92]
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“However, only 16.7% of people who suffer from anxiety disorders seek help from a mental health professional, and of these individuals, only 21.3% receive CBT, which is arguably the most effective treatment [8].”
From Efficacy of a hybrid online training for panic symptoms and agoraphobia: study protocol for a randomized controlled trial. (2014) · cites this paper as [8]
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“Despite the severity of these consequences, it is estimated that up to one-half of those with depression [16-18] and only one third to one-half of those affected by anxiety disorders [8,16] seek professional help.”
From A systematic review of help-seeking interventions for depression, anxiety and general psychological distress (2012) · cites this paper as [8]
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“However, only 16.7% of people who suffer from anxiety disorders seek help from a mental health professional, and of these individuals, only 21.3% receive CBT, which is arguably the most effective treatment [8].”
From Efficacy of a hybrid online training for panic symptoms and agoraphobia: study protocol for a randomized controlled trial. (2014) · cites this paper as [8]
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Self-citation
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Cited by
Sorted by citations
Measuring the self-stigma associated with seeking psychological help
Vogel, D. L., Wade, N. G., & Haake, S. (2006) · Journal of Counseling Psychology · doi:10.1037/0022-0167.53.3.325 · Cited by 1,190
“The percentage of those with a mental health concern who actually seek help from a counselor or mental health professional is no-ticeably smaller (i.e., 11%), particularly for those who struggle with problems that do not meet diagnosable criteria (i.e., " 2%, Andrews et al., 2001).”
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Ware, J., Kosinski, M., Bowker, D., Gandek, B., Ware, J. E., & Turner‐Bowker, D. M. (2002) · Cited by 1,085
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Prevalence and correlates of personality disorder in Great Britain
Coid, J., Yang, M., Tyrer, P., Roberts, A., & Ullrich, S. (2006) · British Journal of Psychiatry · doi:10.1192/bjp.188.5.423 · Cited by 901
Vogel, D. L., Heimerdinger-Edwards, S. R., Hammer, J. H., & Hubbard, A. (2011) · Journal of Counseling Psychology · doi:10.1037/a0023688 · Cited by 551
“Researchers have also shown that for men, seeking psychological services is even less common than for women (Andrews et al., 2001).”
Background
Metadata
- Authors
- Andrews, G., Issakidis, C., & Carter, G.
- Affiliations
- UNSW Sydney (AU)
- Corresponding author
- Andrews, Gavin
- ORCID
- Andrews, Gavin
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2001-11
- Volume
- 179
- Issue
- 5
- Pages
- 417-425
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2082102545
- Cited by
- 420
- References
- 27
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 8 · 2023: 7 · 2022: 17 · 2021: 20 · 2020: 16 · 2019: 15 · 2018: 20 · 2017: 18 · 2016: 19 · 2015: 23 · 2014: 33 · 2013: 25 · 2012: 24
- FWCI
- 13.69
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- mental health service utilization, treatment coverage, help-seeking, mental illness, schizophrenia, depression, substance use disorders, personality disorders, gender differences, disability, comorbidities, self-management, health care costs, out-of-pocket costs, health system responsiveness, mental health funding, public education
- MeSH terms
- Adolescent, Adult, Aged, Attitude to Health, Australia, Mental Disorders, Female, Humans, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Perception, Regression Analysis, Sex Factors, Socioeconomic Factors, Odds Ratio
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