Please use this identifier to cite or link to this item:
https://observatorio.fm.usp.br/handle/OPI/46273
Title: | I don't need any treatment'' - barriers to mental health treatment in the general population of a megacity |
Authors: | COELHO, Bruno M.; SANTANA, Geilson L.; VIANA, Maria C.; WANG, Yuan-Pang; ANDRADE, Laura H. |
Citation: | BRAZILIAN JOURNAL OF PSYCHIATRY, v.43, n.6, p.590-598, 2021 |
Abstract: | Objective: Most countries fail to treat individuals with psychopathologies. Investigating treatment barriers and reasons for dropout are key elements to overcoming this scenario. Methods: A representative sample of 2,942 urban-dwelling adults was interviewed face-to-face within a cross-sectional, stratified, multistage probability survey of the general population. Psychiatric diagnosis, severity level, use of services, reasons for not seeking treatment, and treatment dropout were investigated. Results: Only 23% of individuals with a psychopathology of any severity level in the last 12 months received treatment. Low perceived need for treatment (56%) was the most common reason for not seeking treatment. The most visited settings were psychiatric, other mental health care, and general medical care. Among those with a perceived need for treatment (44%), psychological barriers were the most common reason for not seeking it. Treatment dropout was more prevalent among those who visited a general medical care setting. Among individuals still in treatment, human services and psychiatric care were the most common types. Female sex was associated with structural barriers (OR = 2.1). Disorder severity was negatively associated with need barriers (OR = 0.4), and positively associated with structural barriers (OR = 2.5) and psychological barriers (OR = 2.5). Conclusion: Despite the need for treatment and better services, psychological barriers were the major reason for not seeking treatment. Apart from providing more specialists, investing in awareness, de-stigmatization, and information is the ultimate strategy for improving psychiatric care. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - HC/IPq Artigos e Materiais de Revistas Científicas - LIM/23 Artigos e Materiais de Revistas Científicas - ODS/03 |
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art_COELHO_I_dont_need_any_treatment_barriers_to_mental_2021.PDF | publishedVersion (English) | 179.09 kB | Adobe PDF | View/Open |
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