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Population level of unmet need for mental healthcare in Europe
Open accessAbstract
Background: The high prevalence of mental disorders has fuelled controversy about the need for mental health services. Aims: To estimate unmet need for mental healthcare at the population level in Europe. Method: As part of the European Study of Epidemiology of Mental Disorders (ESEMeD) project, a cross-sectional survey was conducted of representative samples of the adult general population of Belgium, France, Germany, Italy, The Netherlands and Spain ( n =8796). Mental disorders were assessed with the Composite International Diagnostic Interview 3.0. Individuals with a 12-month mental disorder that was disabling or that had led to use of services in the previous 12 months were considered in need of care. Results: About six per cent of the sample was defined as being in need of mental healthcare. Nearly half (48%) of these participants reported no formal healthcare use. In contrast, only 8% of the people with diabetes had reported no use of services for their physical condition. In total, 3.1% of the adult population had an unmet need for mental healthcare. About 13% of visits to formal health services were made by individuals without any mental morbidity. Conclusions: There is a high unmet need for mental care in Europe, which may not be eliminated simply by reallocating existing healthcare resources.
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“since both over- and undertreatment of mental illness can be harmful [39, 40]”
From Measuring the Effect of the Early assessment Team (MEET) for patients referred to outpatient mental health care: a study protocol for a randomised controlled trial (2024) · cites this paper as [39]
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“Unmet mental health needs not only extend the period in which someone lives with the burden of ill mental health, but are also associated with greater levels of disability, reduced quality of life, and an increased likelihood of suicidal ideation and suicide attempts [4, 5].”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [5]
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Metadata
- Authors
- Alonso, J., Codony, M., Kovess, V., Angermeyer, M. C., Katz, S. J., Haro, J. M., De Girolamo, G., De Graaf, R., Demyttenaere, K., Vilagut, G., Almansa, J., Lépine, J. P., & Brugha, T. S.
- Affiliations
- Hospital Del Mar (ES)
- Leipzig University (DE)
- University of Michigan (US)
- Hospital Sant Joan de Déu Barcelona (ES)
- Universitair Ziekenhuis Leuven (BE)
- University of Leicester (GB)
- Corresponding author
- Alonso, Jordi
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2007-04
- Volume
- 190
- Issue
- 4
- Pages
- 299-306
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2112911661
- Cited by
- 299
- References
- 37
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 14 · 2023: 13 · 2022: 23 · 2021: 11 · 2020: 23 · 2019: 8 · 2018: 17 · 2017: 10 · 2016: 14 · 2015: 13 · 2014: 21 · 2013: 15 · 2012: 32
- FWCI
- 20.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Lirias (submittedVersion, other-oa)
- Leicester Research Archive (University of Leicester) (submittedVersion)
- Funders
- GlaxoSmithKline
- World Health Organization
- European Commission (1999-01042, QLG5–1999-01042, SANCO2004123, 2004123)
- Generalitat de Catalunya (01042)
- Regione Piemonte (00/0028)
- Instituto de Salud Carlos III (FIS 00/0028)
- Departament de Salut, Generalitat de Catalunya
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Studies
- Keywords
- mental illness, mental health service utilization, psychiatric morbidity, health care utilization, disability, Europe
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Cross-Sectional Studies, Europe, Female, Health Services Needs and Demand, Humans, International Cooperation, Male, Mental Health Services, Middle Aged, Psychiatric Status Rating Scales
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