“I don’t need any treatment” – barriers to mental health treatment in the general population of a megacity
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, s...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Psiquiatria (ABP)
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| Series: | Brazilian Journal of Psychiatry |
| Subjects: | |
| Online Access: | http://www.scielo.br/pdf/rbp/2021nahead/1516-4446-rbp-1516444620201448.pdf |
| _version_ | 1818772693514715136 |
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| author | Bruno M. Coêlho Geilson L. Santana Maria C. Viana Yuan-Pang Wang Laura H. Andrade |
| author_facet | Bruno M. Coêlho Geilson L. Santana Maria C. Viana Yuan-Pang Wang Laura H. Andrade |
| author_sort | Bruno M. Coêlho |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-18T10:13:25Z |
| format | Article |
| id | doaj.art-ce1a904b82174d3d9d465755d7f85f63 |
| institution | Directory Open Access Journal |
| issn | 1809-452X |
| language | English |
| last_indexed | 2024-12-18T10:13:25Z |
| publisher | Associação Brasileira de Psiquiatria (ABP) |
| record_format | Article |
| series | Brazilian Journal of Psychiatry |
| spelling | doaj.art-ce1a904b82174d3d9d465755d7f85f632022-12-21T21:11:23ZengAssociação Brasileira de Psiquiatria (ABP)Brazilian Journal of Psychiatry1809-452X10.1590/1516-4446-2020-1448“I don’t need any treatment” – barriers to mental health treatment in the general population of a megacityBruno M. CoêlhoGeilson L. SantanaMaria C. VianaYuan-Pang WangLaura H. AndradeObjective: 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.http://www.scielo.br/pdf/rbp/2021nahead/1516-4446-rbp-1516444620201448.pdfMental healthhealthcaretreatment adherencetreatment seekingtreatment dropout |
| spellingShingle | Bruno M. Coêlho Geilson L. Santana Maria C. Viana Yuan-Pang Wang Laura H. Andrade “I don’t need any treatment” – barriers to mental health treatment in the general population of a megacity Brazilian Journal of Psychiatry Mental health healthcare treatment adherence treatment seeking treatment dropout |
| title | “I don’t need any treatment” – barriers to mental health treatment in the general population of a megacity |
| title_full | “I don’t need any treatment” – barriers to mental health treatment in the general population of a megacity |
| title_fullStr | “I don’t need any treatment” – barriers to mental health treatment in the general population of a megacity |
| title_full_unstemmed | “I don’t need any treatment” – barriers to mental health treatment in the general population of a megacity |
| title_short | “I don’t need any treatment” – barriers to mental health treatment in the general population of a megacity |
| title_sort | i don t need any treatment barriers to mental health treatment in the general population of a megacity |
| topic | Mental health healthcare treatment adherence treatment seeking treatment dropout |
| url | http://www.scielo.br/pdf/rbp/2021nahead/1516-4446-rbp-1516444620201448.pdf |
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