Twelve-Month and Lifetime Health Service use in Te Rau Hinengaro: The New Zealand Mental Health Survey

School of Rural Health, Monash University, Centre for Multidisciplinary Studies, Moe, Victoria, Australia.
Australian and New Zealand Journal of Psychiatry (Impact Factor: 3.41). 11/2006; 40(10):855-64. DOI: 10.1111/j.1440-1614.2006.01904.x
Source: PubMed


To estimate the 12 month and lifetime use of health services for mental health problems.
A nationwide face-to-face household survey carried out in 2003-2004. A fully structured diagnostic interview, the World Health Organization Composite International Diagnostic Interview (CIDI 3.0) was used. There were 12 992 completed interviews from participants aged 16 years and over. The overall response rate was 73.3%. In this paper, the outcomes reported are 12 month and lifetime health service use for mental health and substance use problems.
Of the population, 13.4% had a visit for a mental health reason in the 12 months before interview. Of all 12 month cases of mental disorder, 38.9% had a mental health visit to a health or non-health-care provider in the past 12 months. Of these 12 month cases, 16.4% had contact with a mental health specialist, 28.3% with a general medical provider, 4.8% within the human services sector and 6.9% with a complementary or alternative medicine practitioner. Most people with lifetime disorders eventually made contact if their disorder continued. However, the percentages seeking help at the age of onset were small for most disorders and several disorders had large percentages who never sought help. The median duration of delay until contact varies from 1 year for major depressive disorder to 38 years for specific phobias.
A significant unmet need for treatment for people with mental disorder exists in the New Zealand community, as in other comparable countries.

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    • "Everyday functioning is significantly altered, and greater financial dependence on family and/or state resources makes SAD a societal burden [2]. Epidemiological data also reveal that only a small number of individuals seek and receive treatment for this condition [1], as SAD sufferers can delay seeking treatment for 28 years [3]. Spontaneous remission of symptoms has been reported and is rare, and it is mainly by active interventions (psychological and pharmacological) that the course of SAD can be altered [4]. "
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    Trials 10/2012; 13(1):202. DOI:10.1186/1745-6215-13-202 · 1.73 Impact Factor
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    • "The community's lack of mental health literacy is concerning as the response that a drinker receives from their social network can have a substantial impact on their willingness to seek help [4]. Being aware of when and how to encourage a drinker to seek appropriate help is an important community skill, especially as the majority of problem drinkers do not seek help [5]. Not seeking help increases the harms associated with problem drinking, such as developing co-morbid physical and mental health problems [6]. "
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    BMC Psychiatry 12/2009; 9(1). DOI:10.1186/1471-244X-9-79 · 2.21 Impact Factor
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    • "making treatment contact for that disorder at the age at which their symptoms first developed although eventually almost all made treatment contact if their symptoms continued (median delay of treatment seeking of 7 years)(Oakley Browne et al., 2006). Similar results have been found in a US national survey with 20.7% of those with alcohol dependence making treatment contact at the age of onset and 69.8% eventually making contact with a median delay of 6 years (Wang et al., 2005a). "
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