ArticleBMC health services research2014
Determinants and patterns of service utilization and recourse to professionals for mental health reasons.
Article in BMC health services research, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.
- A systematic review of the predictors of health service utilisation by adults with mental disorders in the UK.BMJ open · 2015Pooled it
- Determinants of Digital Health Resource Utilization Among Individuals With Self-Reported Bipolar Disorder in Germany-A Cross-Sectional Study Based on the Andersen Model.Bipolar disorders · 2026Article
- Cultivating Digital Wellness: Embracing Mobile Mental Health Apps in Saudi Arabia.Healthcare (Basel, Switzerland) · 2025Article
- The relationship between consultation modality and mental health professional type and perceived quality of care and mental health outcomes: A comparison between employed and unemployed individuals.PLOS mental health · 2025Article
- Socioeconomic factors and use of psychotherapy in common mental disorders predisposing to disability pension.BMC health services research · 2022Article
- Mental Health Professional Consultations and the Prevalence of Mood and Anxiety Disorders Among Immigrants: Multilevel Analysis of the Canadian Community Health Survey.JMIR mental health · 2020Article
- Health Service Use among Individuals with Depression and Psychological Distress: A Population-Based Cohort Study in Ontario, Canada: Utilisation des services de santé par les personnes souffrant de dépression et de détresse psychologique : une étude de cohorte dans la population de l'Ontario, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2020Article
- Examining postpartum depression screening effectiveness in well child clinics in Alberta, Canada: A study using the All Our Families cohort and administrative data.Preventive medicine reports · 2019Article
- Factors Associated with American Indian Mental Health Service Use in Comparison with White Older Adults.Journal of racial and ethnic health disparities · 2018Article
- A Developmental Perspective in Mental Health Services Use Among Adults with Mental Disorders.The journal of behavioral health services & research · 2018Article
- Mental Health Status, Health Care Utilisation, and Service Satisfaction among Immigrants in Montreal: An Epidemiological Comparison.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2017Article
- Implementation of Integrated Service Networks under the Quebec Mental Health Reform: Facilitators and Barriers associated with Different Territorial Profiles.International journal of integrated care · 2017Article
- Predictors of medical and mental health care use in patients with irritable bowel syndrome in the United States.Behaviour research and therapy · 2017Article
- Gender-related patterns and determinants of recent help-seeking for past-year affective, anxiety and substance use disorders: findings from a national epidemiological survey.Epidemiology and psychiatric sciences · 2016Article
- Factors associated with high use of general practitioner and psychiatrist services among patients attending an addiction rehabilitation center.BMC psychiatry · 2016Article
- How do general practitioners contribute to preventing long-term work disability of their patients suffering from depressive disorders? A qualitative study.BMC family practice · 2016Article
- Article
- Help Received for Perceived Needs Related to Mental Health in a Montreal (Canada) Epidemiological Catchment Area.International journal of environmental research and public health · 2015Article
- E-mental health care among young adults and help-seeking behaviors: a transversal study in a community sample.Journal of medical Internet research · 2015Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundThis study has a dual purpose: 1) identify determinants of healthcare service utilization for mental health reasons (MHR) in a Canadian (Montreal) catchment area; 2) determine the patterns of recourse to healthcare professionals in terms of frequency of visits and type of professionals consulted, and as it relates to the most prevalent mental disorders (MD) and psychological distress.
methodsData was collected from a random sample of 1,823 individuals interviewed after a two-year follow-up period. A regression analysis was performed to identify variables associated with service utilization and complementary analyses were carried out to better understand participants' patterns of healthcare service utilization in relation to the most prevalent MD.
resultsAmong 243 individuals diagnosed with a MD in the 12 months preceding an interview, 113 (46.5%) reported having used healthcare services for MHR. Determinants of service utilization were emotional and legal problems, number of MD, higher personal income, lower quality of life, inability of individuals to influence events occurring in their neighborhood, female gender and, marginally, lack of alcohol dependence in the past 12 months. Emotional problems were the most significant determinant of healthcare service utilization. Frequent visits with healthcare professionals were more likely associated with major depression and number of MD with or without dependence to alcohol or drugs. People suffering from major depression, psychological distress and social phobia were more likely to consult different professionals, while individuals with panic disorders relied on their family physician only. Concerning social phobia, panic disorders and psychological distress, more frequent visits with professionals did not translate into involvement of a higher number of professionals or vice-versa.
conclusionsThis study demonstrates the impact of emotional problems, neighborhood characteristics and legal problems in healthcare service utilization for MHR. Interventions based on inter-professional collaboration could be prioritized to increase the ability of healthcare services to take care especially of individuals suffering from social phobia, panic disorders and psychological distress. Others actions that could be prioritized are training of family physicians in the treatment of MD, use of psychiatric consultants, internet outreach, and reimbursement of psychological consultations for individuals with low income.
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Registered trials
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