Perceived need for mental health care: influences of diagnosis, demography and disability

Meadows, G., Burgess, Philip M., Bobevski, I., Fossey, E., Harvey, C. and Liaw, S. T. (2002) Perceived need for mental health care: influences of diagnosis, demography and disability. Psychological Medicine, 32 2: 299-309. doi:10.1017/S0033291701004913

Author Meadows, G.
Burgess, Philip M.
Bobevski, I.
Fossey, E.
Harvey, C.
Liaw, S. T.
Title Perceived need for mental health care: influences of diagnosis, demography and disability
Journal name Psychological Medicine   Check publisher's open access policy
ISSN 0033-2917
Publication date 2002
Sub-type Article (original research)
DOI 10.1017/S0033291701004913
Volume 32
Issue 2
Start page 299
End page 309
Total pages 11
Place of publication Cambridge, England
Publisher Cambridge Univ Press
Language eng
Subject 1103 Clinical Sciences
1701 Psychology
Abstract Background. Recent major epidemiological studies have adopted increasingly multidimensional approaches to assessment. Several of these have included some assessment of perceived need for mental health care. The Australian National Survey of Mental Health and Wellbeing, conducted in 1997, included a particularly detailed examination of this construct, with an instrument with demonstrated reliability and validity. Methods. A clustered probability sample of 10641 Australians responded to the field questionnaire for this survey, including questions on perceived need either where there had been service utilization, or where a disorder was detected by administration of sections of the Composite International Diagnostic Interview. The confidentialized unit record file generated from the survey was analysed for determinants of perceived need. Results. Perceived need is increased in females, in people in the middle years of adulthood, and in those who have affective disorders or co-morbidity. Effects of diagnosis and disability can account for most of the differences in gender specific rates. With correction for these effects through regression, there is less perceived need for social interventions and possibly more for counselling in females; disability is confirmed as strongly positively associated with perceived need, as are the presence of affective disorders or co-morbidity. Conclusions. The findings of this study underscore the imperative for mental health services to be attentive and responsive to consumer perceived need. The substantial majority of people who are significantly disabled by mental health problems are among those who see themselves as having such needs.
Keyword Psychiatry
Psychology, Clinical
National Survey
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Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Public Health Publications
School of Medicine Publications
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Created: Mon, 13 Aug 2007, 12:50:09 EST