ArticleJournal of affective disorders2022
Barriers to treatment for mental disorders in six countries of the Americas: A regional report from the World Mental Health Surveys.
Article in Journal of affective disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.
- Workplace mental health screening: a systematic review and meta-analysis.Occupational and environmental medicine · 2023Pooled it
- Evaluation of the effectiveness of Reframe-IT + to prevent suicidal ideation and other mental health outcomes among adolescents in Chile: 3-month, 6-month and 10-month follow-up.BMC psychology · 2026Trial
- Internet-delivered cognitive behavior therapy versus treatment as usual for anxiety and depression among Latin American university students: A randomized clinical trial.Journal of consulting and clinical psychology · 2023Trial
- Assessing the Need for Mental Health Support From Free-Text Responses: Development and Validation of Language-Based Assessments in Adults With Internalizing Symptoms.JMIR mental health · 2026Article
- Help-Seeking and Substance Use Among Police Staff After the 2018 Strasbourg Christmas Market Attack.American journal of industrial medicine · 2026Article
- Obsessive-Compulsive Disorder in three understudied populations: A review of Latino, Black, and Sexual & Gender Minority Individuals.Current psychiatry reports · 2026Review
- Community health worker implementation of transdiagnostic evidence-based treatment in Spanish: protocol for refinement, implementation, and a feasibility pilot RCT.Implementation science communications · 2026Article
- Adolescent mental health and social inequality in the aftermath of COVID-19 in Bogotá, Colombia: a qualitative study using a critical ecological model.BMC public health · 2026Article
- Psychiatric comorbidity of depression and anxiety in medical trainees: prevalence and predictors in Ecuador.BMC psychiatry · 2026Article
- Implementing community health worker-delivered behavioral health models: A primer for healthcare organizations.Translational behavioral medicine · 2026Article
- Validation of the CONSULT-PSYCHIATR Scale: reasons for reluctance to seek psychiatric consultation among workers in Peru.Frontiers in psychiatry · 2026Article
- Pathway to effective treatment for common mental and substance use disorders in the World Mental Health Surveys: Perceived need for treatment.International journal of mental health systems · 2025Article
- Incorporating the voice of young people in mental health research: reflections from three lived experience advisory panels in Latin America.Research involvement and engagement · 2025Article
- Psychotherapy Access Barriers and Interest in Digital Mental Health Interventions Among Adults With Treatment Needs: Survey Study.JMIR mental health · 2025Article
- Indirect Interventions: Lifestyle Options to Treat Mental Disorders.Healthcare (Basel, Switzerland) · 2025Review
- Barriers to 12-month treatment of common anxiety, mood, and substance use disorders in the World Mental Health (WMH) surveys.International journal of mental health systems · 2025Article
- Learning health systems for community-based mental health.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Mental disorders in adults deprived of liberty in American countries: a scoping review.Cadernos de saude publica · 2025Article
- The use of geographic information systems (GIS) in studying mental health service delivery: A scoping review.Global mental health (Cambridge, England) · 2025Review
- Development and validation of the mental health service demand and utilization questionnaire.Frontiers in public health · 2025Article
Corrections and comments
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Authors and funding
17 authors at 10 institutions in 8 countries.
Funding
Abstract
backgroundMental health treatment is scarce and little resources are invested in reducing the wide treatment gap that exists in the Americas. The regional barriers are unknown. We describe the barriers for not seeking treatment among those with mental and substance use disorders from six (four low- and middle-income and two high-income) countries from the Americas. Regional socio-demographic and clinical correlates are assessed.
methodsRespondents (n = 4648) from seven World Mental Health surveys carried out in Argentina, Brazil, Colombia, Mexico, Peru, and the United States, who met diagnostic criteria for a 12-month mental disorder, measured with the Composite International Diagnostic Interview, and who did not access treatment, were asked about treatment need and, among those with need, structural and attitudinal barriers. Country-specific deviations from regional estimates were evaluated through logistic models.
resultsIn the Americas, 43% of those that did not access treatment did not perceive treatment need, while the rest reported structural and attitudinal barriers. Overall, 27% reported structural barriers, and 95% attitudinal barriers. The most frequent attitudinal barrier was to want to handle it on their own (69.4%). Being female and having higher severity of disorders were significant correlates of greater perceived structural and lower attitudinal barriers, with few country-specific variations. LIMITATIONS: Only six countries in the Americas are represented; the cross-sectional nature of the survey precludes any causal interpretation.
conclusionsAwareness of disorder or treatment need in various forms is one of the main barriers reported in the Americas and it specially affects persons with severe disorders.
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