Trends in service use and treatment for mental disorders in adults throughout Great Britain
Open accessAbstract
Background: Trends in health treatments and outcomes in the general population may be used to monitor achievement of health targets. Aims: To investigate changes in mental health services and treatment in Britain over a 7-year period. Method: National surveys of psychiatric morbidity were completed in 1993 and 2000 in households throughout Great Britain. Standardised interviews were used to establish psychiatric case status and service and treatment utilisation in adults aged 16–64 years. Results: Use of psychotropic medication doubled in those designated as psychiatric cases. In the non-case-status population antidepressant use rose from 0.16% in 1993 (95% Cl 0.07–0.25) to 2.02% in 2000 (95% Cl 1.69–2.35). However, the overall prevalence of neurotic and psychotic disorder hardly changed from 1993 to 2000. Use of specialised ‘talking treatments' did not increase significantly, except in the non-case group. Conclusions: Treatment with psychotropic medication alone is unlikely to improve the overall mental health of the nation. A policy based almost exclusively on treatment of identified cases should be augmented by preventive approaches.
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Changes in attitudes were matched by significant increases in the use of mental health services in recent years.
“These changes in attitudes were matched by significant increases in the use of mental health services in recent years (20-25).”
From Attitudes toward mental health help seeking as predictors of future help-seeking behavior and use of mental health treatments (2016) · cites this paper as [20]
The Results report a significant increase from 1993 to 2000 in GP visits for mental health problems among adults with neurotic disorders. The claim is broader than that finding: visits were unchanged among adults without neurotic disorders, and the Results and Discussion report no overall significant increase in psychological therapies or counselling. The paper does not establish that changes in attitudes were matched by the increase. (LLM, conf=0.88)
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- [15]15. DAVID MELZER, MB, BCh, Department of Community Medicine, Institute of Public Health, University of Cambridge;
- [16]16. RACHEL JENKINS, FRCPsych,WHO Collaborating Centre, Institute of Psychiatry, London; GLYN of Cambridge;
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- Authors
- Brugha, T. S., Bebbington, P. E., Singleton, N., Melzer, D., Jenkins, R., Lewis, G., Farrell, M., Bhugra, D., Lee, A., & Meltzer, H.
- Affiliations
- University of Leicester (GB)
- The Royal Free Hospital (GB)
- Office for National Statistics (GB)
- University of Cambridge (GB)
- University of Bristol (GB)
- Corresponding author
- Brugha, Traolach S.
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2004-11
- Volume
- 185
- Issue
- 5
- Pages
- 378-384
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2167202513
- Cited by
- 114
- References
- 32
- Citations by year
- 2024: 1 · 2023: 1 · 2021: 4 · 2020: 3 · 2019: 2 · 2018: 5 · 2017: 8 · 2016: 6 · 2015: 13 · 2014: 7 · 2013: 8 · 2012: 4
- FWCI
- 8.33
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Leicester Research Archive (University of Leicester) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
- Keywords
- mental health services, mental illness, psychotropic drugs, antidepressant use, psychiatric morbidity, service utilization, mental health policy, prevention, adults, Great Britain
- MeSH terms
- Adolescent, Adult, Mental Disorders, Counseling, Family Practice, Female, United Kingdom, Humans, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Psychotherapy
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