Prevalence, comorbidity, disability and service utilisation - Overview of the Australian National Mental Health Survey

Andrews, Gavin, Henderson, Scott and Hall, Wayne (2001) Prevalence, comorbidity, disability and service utilisation - Overview of the Australian National Mental Health Survey. British Journal of Psychiatry, 178 2: 145-153. doi:10.1192/bjp.178.2.145


Author Andrews, Gavin
Henderson, Scott
Hall, Wayne
Title Prevalence, comorbidity, disability and service utilisation - Overview of the Australian National Mental Health Survey
Journal name British Journal of Psychiatry   Check publisher's open access policy
ISSN 0007-1250
Publication date 2001-02-01
Year available 2001
Sub-type Article (original research)
DOI 10.1192/bjp.178.2.145
Open Access Status Not yet assessed
Volume 178
Issue 2
Start page 145
End page 153
Total pages 9
Place of publication London
Publisher Royal College of Psychiatrists
Language eng
Subject 321204 Mental Health
321021 Psychiatry
Abstract Background Health planning should be based on data about prevalence, disability and services used.
Formatted abstract
Background
Health planning should be based on data about prevalence, disability and services used.

Aims
To determine the prevalence of ICD-10 disorders and associated comorbidity, disability and service utilisation.

Method
We surveyed a national probability sample of Australian households using the Composite International Diagnostic Interview and other measures.

Results

The sample size was 10 641 adults, response rate 78%. Close to 23% reported at least one disorder in the past 12 months and 14% a current disorder. Comorbidity was associated with disability and service use. Only 35% of people with a mental disorder in the 12 months prior to the survey had consulted for a mental problem during that year, and most had seen a general practitioner. Only half of those who were disabled or had multiple comorbidity had consulted and of those who had not, more than half said they did not need treatment.

Conclusions

The high rate of not consulting among those with disability and comorbidity is an important public health problem. As Australia has a universal health insurance scheme, the barriers to effective care must be patient knowledge and physician competence.
Keyword Psychiatry
Psychiatric-morbidity Surveys
Great-britain
United-states
Depression
Disorders
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Public Health Publications
 
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Created: Mon, 13 Aug 2007, 22:11:03 EST