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Psychiatric morbidity, service use, and need for care in the general population: Results of the Netherlands Mental Health Survey and incidence study

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  • Bijl, R.V.
  • Ravelli, A.

Abstract

Objectives. This study examined the use of primary health care, mental health care, and informal care services, as well as unmet care needs, by individuals with different psychiatric diagnoses. Methods. Data were derived from the Netherlands Mental Health Survey and Incidence Study and were based on a representative sample (n=7147) of the general population (aged 18-64 years). Results. In a 12-month period, 33.9% of those with a psychiatric disorder used some form of care; 27.2% used primary care, and 15.3% used mental health care. Patients with mood disorders were the most likely to enlist professional care; those with alcohol- and drug-related disorders were the least likely to do so. Higher educated persons who live alone, single parents, unemployed persons, and disabled persons were more likely to use mental health care. Unmet need for professional help was reported by 16.8% (men 9.9%, women 23.9%) of those with a disorder. Conclusion. Care use varies widely by diagnostic category. The role of general medical practioners in treating persons with psychiatric disorders is more limited than was anticipated. Patients in categories associated with extensive use of professional care are more likely to have unmet care needs.

Suggested Citation

  • Bijl, R.V. & Ravelli, A., 2000. "Psychiatric morbidity, service use, and need for care in the general population: Results of the Netherlands Mental Health Survey and incidence study," American Journal of Public Health, American Public Health Association, vol. 90(4), pages 602-607.
  • Handle: RePEc:aph:ajpbhl:2000:90:4:602-607_8
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    Cited by:

    1. Ahs, Annika Maria Helen & Westerling, Ragnar, 2006. "Health care utilization among persons who are unemployed or outside the labour force," Health Policy, Elsevier, vol. 78(2-3), pages 178-193, October.
    2. Moritz E Wigand & Nathalie Oexle & Tamara Waldmann & Tobias Staiger & Thomas Becker & Nicolas Rüsch, 2019. "Predictors of help-seeking in unemployed people with mental health problems," International Journal of Social Psychiatry, , vol. 65(7-8), pages 543-547, November.
    3. Yvonne Forsell, 2004. "Psychiatric Symptoms, Social Disability, Low Wellbeing and Need for Treatment: Data from a Population-Based Study," International Journal of Social Psychiatry, , vol. 50(3), pages 195-203, September.
    4. Valérie Dauriac-Le Masson & Alain Mercuel & Marie Jeanne Guedj & Caroline Douay & Pierre Chauvin & Anne Laporte, 2020. "Mental Healthcare Utilization among Homeless People in the Greater Paris Area," IJERPH, MDPI, vol. 17(21), pages 1-13, November.
    5. Agata Łaszewska & Johannes Wancata & Rebecca Jahn & Judit Simon, 2020. "The excess economic burden of mental disorders: findings from a cross-sectional prevalence survey in Austria," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(7), pages 1075-1089, September.
    6. Marie-Josée Fleury & André Ngamini Ngui & Jean-Marie Bamvita & Guy Grenier & Jean Caron, 2014. "Predictors of Healthcare Service Utilization for Mental Health Reasons," IJERPH, MDPI, vol. 11(10), pages 1-28, October.
    7. Georgios Eleftheriou & Riccardo Zandonella Callegher & Raffaella Butera & Marco De Santis & Anna Franca Cavaliere & Sarah Vecchio & Alessandra Pistelli & Giovanna Mangili & Emi Bondi & Lorenzo Somaini, 2023. "Consensus Panel Recommendations for the Pharmacological Management of Pregnant Women with Depressive Disorders," IJERPH, MDPI, vol. 20(16), pages 1-57, August.
    8. Valentin Marian ANTOHI & Florin Marian BUHOCIU & Daniela Gabriela GLAVAN & Cristina COTOCEL & Mihail Cristian PIRLOG, 2017. "Socio-Economic Costs of Affective Disorders in Romania," Risk in Contemporary Economy, "Dunarea de Jos" University of Galati, Faculty of Economics and Business Administration, pages 579-604.
    9. Michelle Dey & Anthony Francis Jorm, 2017. "Social determinants of mental health service utilization in Switzerland," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 62(1), pages 85-93, January.
    10. Valentin Marian ANTOHI & Florin Marian BUHOCIU & Daniela Gabriela GLAVAN & Cristina COTOCEL & Mihail Cristian PIRLOG, 2017. "Socio-Economic Costs of Affective Disorders in Romania," Proceedings RCE 2017, Editura Lumen, vol. 0, pages 579-604, November.
    11. Rhodes, Anne & Liisa Jaakkimainen, R. & Bondy, Susan & Fung, Kinwah, 2006. "Depression and mental health visits to physicians--a prospective records-based study," Social Science & Medicine, Elsevier, vol. 62(4), pages 828-834, February.
    12. Amira Barrech & Reinhold Kilian & Edit Rottler & Lucia Jerg-Bretzke & Michael Hölzer & Monika Annemarie Rieger & Marc Nicolas Jarczok & Harald Gündel & Eva Rothermund, 2018. "Do Working Conditions of Patients in Psychotherapeutic Consultation in the Workplace Differ from Those in Outpatient Care? Results from an Observational Study," IJERPH, MDPI, vol. 15(2), pages 1-10, January.

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