The DOI matches its Crossref record; 34 of the 37 references it cites were found in a registry or an index.
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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Cites
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392
Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?
Andersen, R. M. (1995) · Journal of Health and Social Behavior · doi:10.2307/2137284 · Cited by 9,831
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003) · JAMA · doi:10.1001/jama.289.23.3095 · Cited by 7,988
Kessler, R. C., & Üstün, T. B. (2004) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.168 · Cited by 4,771
Wittchen, H.-U. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90036-1 · Cited by 2,348
The de Facto US Mental and Addictive Disorders Service System
Regier, D. A. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820140007001 · Cited by 1,988
Prevalence and Treatment of Mental Disorders, 1990 to 2003
Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., Wang, P., Wells, K. B., & Zaslavsky, A. M. (2005) · New England Journal of Medicine · doi:10.1056/nejmsa043266 · Cited by 1,910
SUDAAN User's Manual, Release 7.5,
Bieler, G. S., Barnwell, B., & Shah, B. V. (1997) · Cited by 1,273
Andrade, L., Caraveo‐anduaga, J. J., Berglund, P., Bijl, R. V., Graaf, R. D., Vollebergh, W., Dragomirecka, E., Kohn, R., Keller, M., Kessler, R. C., et al. (2003) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.138 · Cited by 1,068
The quality of care for depressive and anxiety disorders in the United States
Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.1.55 · Cited by 1,061
Andrews, G., Henderson, S., & Hall, W. (2001) · British Journal of Psychiatry · doi:10.1192/bjp.178.2.145 · Cited by 933
Revised Prevalence Estimates of Mental Disorders in the United States
Narrow, W. E., Rae, D. S., Robins, L. N., & Regier, D. A. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.2.115 · Cited by 807
Alonso, J., Angermeyer, M. C., & Lépine, J. P. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0047.2004.00325.x · Cited by 758
Self-citationPerceived Need and Help-Seeking in Adults With Mood, Anxiety, or Substance Use Disorders
Mojtabai, R., Olfson, M., & Mechanic, D. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.1.77 · Cited by 710 · cited 2×
“…on Major Depressive Disorder, 2000), our approach seems conceptually and empirically justified, in that considerable interference with life and activities should be considered a relevant criterion for the use of healthcare among those with a mental disorder (Mojtabai et al, 2002; Mechanic, 2003).”
BackgroundPrevalence and Treatment of Mental Disorders
MacKenzie, T. D., Kolpak, S. J., & Mehler, P. S. (2005) · New England Journal of Medicine · doi:10.1056/nejmc051936 · Cited by 650
Adequacy of Treatment for Serious Mental Illness in the United States
Wang, P. S., Demler, O., & Kessler, R. C. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.1.92 · Cited by 581
The ESEMeD/MHEDEA 2000 investigators, Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., de Girolamo, G., de Graaf, R., Demyttenaere, K., et al. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0047.2004.00330.x · Cited by 519
Self-citationJenkins, R., Lewis, G., Bebbington, P., Brugha, T. S., Farrell, M., GILL, B., & Meltzer, H. (1997) · Psychological Medicine · doi:10.1017/s0033291797005308 · Cited by 427
Self-citationShortfall in mental health service utilisation
Andrews, G., Issakidis, C., & Carter, G. (2001) · British Journal of Psychiatry · doi:10.1192/bjp.179.5.417 · Cited by 420 · cited 6×
“Several general population surveys (Regier et al, 1993; Jenkins et al, 1997; Bijl & Ravelli, 2000; Andrews et al, 2001a; Andrade et al, 2003, Kessler et al, 2003; Demyttenaere et al, 2004) have indicated a high prevalence of mental disorders.”
BackgroundResultInfluentialSelf-reports of health care utilization compared to provider records
Ritter, P. L., Stewart, A. L., Kaymaz, H., Sobel, D. S., Block, D. A., & Lorig, K. R. (2001) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(00)00261-4 · Cited by 401
Bijl, R. V., & Ravelli, A. (2000) · American Journal of Public Health · doi:10.2105/ajph.90.4.602 · Cited by 366
de Graaf, R., Bijl, R. V., Smit, F., Ravelli, A., & Vollebergh, W. (2000) · American Journal of Epidemiology · doi:10.1093/aje/152.11.1039 · Cited by 355
‘Subthreshold’ mental disorders
Pincus, H. A., Davis, W., & McQueen, L. E. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.174.4.288 · Cited by 283
Disability in depression and back pain
Chwastiak, L. A., & Von Korff, M. (2003) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(03)00051-9 · Cited by 280
Sampling and methods of the European Study of the Epidemiology of Mental Disorders (ESEMeD) project
The ESEMeD/MHEDEA 2000 investigators, Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., de Girolamo, G., de Graaf, R., Demyttenaere, K., et al. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0047.2004.00326 · Cited by 215
Self-citationThe Use of Mental Health Services in Ontario: Epidemiologic Findings
Lin, E. H. B., Goering, P. N., Offord, D. R., Campbell, D., & Boyle, M. H. (1996) · The Canadian Journal of Psychiatry · doi:10.1177/070674379604100905 · Cited by 211
(2000) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543562 · Cited by 169
Is The Prevalence Of Mental Disorders A Good Measure Of The Need For Services?
Mechanic, D. (2003) · Health Affairs · doi:10.1377/hlthaff.22.5.8 · Cited by 126
Assessing Population Need for Mental Health Care: A Review of Approaches and Predictors
Aoun, S. M., Pennebaker, D., & Wood, C. (2004) · Mental Health Services Research · doi:10.1023/b:mhsr.0000011255.10887.59 · Cited by 82
Self‐reported use of mental health services versus administrative records: should we care?
Rhodes, A. E., Lin, E. H. B., & Mustard, C. (2002) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.130 · Cited by 78
Prevalence of psychiatric disorder and the need for psychiatric care in Northern Ireland
Mcconnell, P., Bebbington, P., McClelland, R. J., Gillespie, K., & Houghton, S. (2002) · The British Journal of Psychiatry · doi:10.1192/bjp.181.3.214 · Cited by 71
Outcomes and costs of a community support worker service for the severely mentally ill
Clarkson, P., McCrone, P., Sutherby, K., Johnson, C., Johnson, S., & Thornicroft, G. (1999) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1999.tb00976.x · Cited by 22
The need for psychiatric treatment in the general population
Bebbington, P. (2000) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543562.008 · Cited by 17
Flagged first, then by citations
3 of the 37 references couldn’t be matched to a known paper.
Research works printed but not linked: 3
- 10.1111/j.1600-0047.2004.00325.x · DOI · Paper page
- Shah, 1997, SUDAAN User's Manual Release 8.0.1
- Stevens, 1994, Introduction in Health Care Needs Assessment: The Epidemiological Needs Assessment Review, 1
Cited by
Sorted by citations
Our future: a Lancet commission on adolescent health and wellbeing
Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)00579-1 · Cited by 3,785
Barriers to mental health treatment: results from the WHO World Mental Health surveys
Andrade, L. H., Alonso, J., Mneimneh, Z., Wells, J. E., Al-Hamzawi, A., Borges, G., Bromet, E., Bruffaerts, R., de Girolamo, G., de Graaf, R., et al. (2014) · Psychological Medicine · doi:10.1017/s0033291713001943 · Cited by 1,289
Self-citationClinical diagnosis of depression in primary care: a meta-analysis
Mitchell, A. J., Vaze, A., & Rao, S. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60879-5 · Cited by 1,251
Clement, S., Brohan, E., Jeffery, D., Henderson, C., Hatch, S. L., & Thornicroft, G. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-36 · Cited by 314
Stigma and its impact on help-seeking for mental disorders: what do we know?
Schomerus, G., & Angermeyer, M. C. (2008) · Epidemiologia e Psichiatria Sociale · doi:10.1017/s1121189x00002669 · Cited by 340
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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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