Jana Volkert1, Sylke Andreas1, Martin Härter1, Maria Christina Dehoust1, Susanne Sehner2, Anna Suling2, Berta Ausín3, Alessandra Canuto4, Mike J Crawford5, Chiara Da Ronch6, Luigi Grassi6, Yael Hershkovitz7, Manuel Muñoz3, Alan Quirk5, Ora Rotenstein7, Ana Belén Santos-Olmo3, Arieh Y Shalev8, Jens Strehle9, Kerstin Weber10, Karl Wegscheider2, Hans-Ulrich Wittchen9, Holger Schulz1. 1. Department of Medical Psychology,University Medical Centre Hamburg-Eppendorf,Martinistrasse 52,Building W 26,20246,Hamburg,Germany. 2. Institute of Medical Biometry and Epidemiology,University Medical Centre Hamburg-Eppendorf,Martinistrasse 52,Building W 34,20246,Hamburg,Germany. 3. School of Psychology,University Complutense of Madrid,Campus de Somosaguas s/n,28223,Madrid,Spain. 4. Nant Foundation,East Vaud Psychiatric Institute,Route de Nant,1804,Corsier-sur-Vevey,Switzerland. 5. Royal College of Psychiatrists,Mansell Street 21,E18AA,London,UK. 6. Department of Biomedical and Specialty Surgical Sciences,Institute of Psychiatry,University of Ferrara,Corso Giovecca 203,Ferrara,44121,Italy. 7. Hadassah University Medical Centre,P.O.B 12000,91120,Jerusalem,Israel. 8. Department of Psychiatry,NY Langone Medical Center,New York,USA. 9. Institute of Clinical Psychology and Psychotherapy,Technische Universität Dresden,Chemnitzer Strasse 46,01187,Dresden,Germany. 10. Medical Direction,University Hospitals of Geneva,Chemin de Champ-Dollon 20,1241,Puplinge,Switzerland.
Abstract
ABSTRACTBackground:Empirical data on the use of services due to mental health problems in older adults in Europe is lacking. The objective of this study is to identify factors associated with service utilization in the elderly. METHODS: As part of the MentDis_ICF65+ study, N = 3,142 people aged 65-84 living in the community in six European and associated countries were interviewed. Based on Andersen's behavioral model predisposing, enabling, and need factors were analyzed with logistic regression analyses. RESULTS: Overall, 7% of elderly and 11% of those with a mental disorder had used a service due to mental health problems in the last 12 months. Factors significantly associated with underuse were male sex, lower education, living in the London catchment area, higher functional impairment and more comorbid mental disorders. The most frequently reported barrier to service use was personal beliefs, e.g. "I can deal with my problem on my own" (90%). CONCLUSION: Underutilization of mental health services among older people in the European community is common and interventions are needed to achieve an adequate use of services.
ABSTRACTBackground:Empirical data on the use of services due to mental health problems in older adults in Europe is lacking. The objective of this study is to identify factors associated with service utilization in the elderly. METHODS: As part of the MentDis_ICF65+ study, N = 3,142 people aged 65-84 living in the community in six European and associated countries were interviewed. Based on Andersen's behavioral model predisposing, enabling, and need factors were analyzed with logistic regression analyses. RESULTS: Overall, 7% of elderly and 11% of those with a mental disorder had used a service due to mental health problems in the last 12 months. Factors significantly associated with underuse were male sex, lower education, living in the London catchment area, higher functional impairment and more comorbid mental disorders. The most frequently reported barrier to service use was personal beliefs, e.g. "I can deal with my problem on my own" (90%). CONCLUSION: Underutilization of mental health services among older people in the European community is common and interventions are needed to achieve an adequate use of services.
Authors: Jean-Pierre Schuster; Marie-Pierre F Strippoli; Nicolas Hoertel; Pedro Marques-Vidal; Caroline L Vandeleur; Frédéric Limosin; Martin Preisig; Armin von Gunten Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2021-11-29 Impact factor: 4.328
Authors: Manuel Muñoz; Berta Ausín; Ana B Santos-Olmo; Martin Härter; Jana Volkert; Holger Schulz; Susanne Sehner; Maria Christina Dehoust; Anna Suling; Karl Wegscheider; Alessandra Canuto; Mike J Crawford; Luigi Grassi; Chiara Da Ronch; Yael Hershkovitz; Alan Quirk; Ora Rotenstein; Arieh Y Shalev; Jens Strehle; Kerstin Weber; Hans-Ulrich Wittchen; Sylke Andreas Journal: PLoS One Date: 2018-04-30 Impact factor: 3.240
Authors: Berta Ausín; Manuel Muñoz; Miguel Ángel Castellanos; Sara García Journal: Int J Environ Res Public Health Date: 2020-03-15 Impact factor: 3.390
Authors: Luigi Grassi; Rosangela Caruso; Chiara Da Ronch; Martin Härter; Holger Schulz; Jana Volkert; Maria Dehoust; Susanne Sehner; Anna Suling; Karl Wegscheider; Berta Ausín; Alessandra Canuto; Manuel Muñoz; Mike J Crawford; Yael Hershkovitz; Alan Quirk; Ora Rotenstein; Ana Belén Santos-Olmo; Arieh Shalev; Jens Strehle; Kerstin Weber; Hans-Ulrich Wittchen; Sylke Andreas; Martino Belvederi Murri; Luigi Zerbinati; Maria Giulia Nanni Journal: Health Qual Life Outcomes Date: 2020-03-06 Impact factor: 3.186