Article

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: 3.77). 11/2006; 40(10):855-64. DOI: 10.1111/j.1440-1614.2006.01904.x
Source: PubMed

ABSTRACT 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.

0 Followers
 · 
73 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: Social Anxiety Disorder (SAD) and Social Anxiety Symptoms (SAS) have been largely studied both epidemiologically and genetically, however, estimates of genetic and environmental influences for these phenotypes widely vary across reports. Based upon available literature, 13 cohorts (42585 subjects) were included in 3 meta-analytic estimates of the standardized variance components of aetiological influences on SAD/SAS, on the effect of age and of phenotype (symptoms vs diagnosis). The proportions of variance accounted for by genetic and environmental factors were calculated by averaging estimates among studies, and pondered by the number of individuals in each sample. Meta-analytic estimations showed that genetic and non-shared environmental factors explain most of individual differences for SAD/SAS. In adults, the genetic contribution was half than that in younger patients, with higher contribution of non-shared environmental influences. In contrast, the shared environmental factors seem to be less relevant.
    Journal of Anxiety Disorders 10/2014; 28(7). DOI:10.1016/j.janxdis.2014.07.002 · 2.96 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Internet treatments may overcome barriers and improve access to mental health services for people who do not access professional help. It may be particularly beneficial for Chinese Australians, a group that tends to delay and underutilize face-to-face treatments. This study explored the appeal of Internet therapy to Chinese- and English-speaking Australians with depression who accessed Internet-delivered cognitive behavioural therapy (iCBT) programs. Data collected from previous randomised controlled trials of iCBT depression programs were used. Using a matched samples design, 55 Chinese- and 55 English-speaking iCBT participants with depression were matched on age, gender, and depression screener scores. They were compared on their symptom severity, previous help-seeking patterns, and reasons for seeking Internet treatment. The Chinese-speaking participants had significantly milder depressive symptoms and were less likely to have previously sought professional help compared to the English-speaking participants (all ps < 0.05). Both groups endorsed similar number of reasons for seeking iCBT, and the most common reasons related to reduced structural barriers. However, the Chinese-speaking participants were more likely to seek iCBT due to lack of knowledge about face-to-face treatment (p = 0.005), while the English-speaking participants were more likely to report not benefiting from traditional help (p = 0.030). The attraction of iCBT appears to be the reduction of structural barriers to treatment. iCBT may reduce treatment delay and increase access to Chinese Australians who have not sought professional help. English-speaking Australians are seeking iCBT as an additional means of getting help.
    Social Psychiatry and Psychiatric Epidemiology 09/2014; 50(1). DOI:10.1007/s00127-014-0956-3 · 2.58 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Web-based psychological interventions aim to make psychological treatments more accessible and minimize clinician input, but their effectiveness requires further examination. The purposes of the present study are to evaluate the outcomes of web-based interventions for treating depressed adults using meta-analytic techniques, and to examine moderating effects on these interventions. A random-effects analysis yielded a medium effect of web-based interventions compared to controls, with a significant reduction in depression and improvement in well-being. Regression analysis revealed moderating effects of human support and inclusion of reminders in treatments for depression. Also, mean attrition rates were similar to face-to-face treatment, moderated by inclusion of human support. Future research on client suitability and clinical significance are needed. Trials on web-based interventions are encouraged to address quality constraints apparent in existing studies, namely the need for explicit acknowledgment of multiple publications, ensuring quality of control groups, and careful reporting of methods and results. It was concluded that web-based interventions are effective ways of treating depression and enhancing well-being, particularly if supplemented with personal engagement.
    International Journal of Mental Health and Addiction 04/2013; 11(2). DOI:10.1007/s11469-012-9416-z · 0.95 Impact Factor