Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina

Autores
Cia, Alfredo H.; Stagnaro, Juan C.; Aguilar Gaxiola, Sergio; Sustas, Sebastián Ezequiel; Serfaty, Edith; Nemirovsky, Martin; Kessler, Ronald C.; Benjet, Corina
Año de publicación
2019
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
OBJECTIVE: To estimate the 12-month prevalence of mental health services utilization (overall and by type of service sector), the adequacy of treatment provided, and sociodemographic correlates in the Argentinean Study of Mental Health Epidemiology (ASMHE). METHODS: The ASMHE is a multistage probability household sample representative of adults in urban areas of Argentina. The World Health Organization World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was used to evaluate psychiatric diagnosis and service utilization. RESULTS: Among those with a disorder, 27.6% received any treatment in the prior 12 months. Of these, 78.3% received minimally adequate treatment using a broad definition and only 43.6% using a stringent definition. For individuals with a disorder, more services were provided by mental health professionals (17.7%) than by general medical professionals (11.5%) or non-healthcare sectors (2.6%). Younger individuals with low education and income were less likely to receive treatment; those never married and those with an anxiety or mood disorder were more likely to receive treatment. Among those in treatment, treatment was least adequate among younger individuals with low education and low income. CONCLUSIONS: Policies to increase access to services for mental health disorders in Argentina are needed, as is training for primary care practitioners in the early detection and treatment of psychiatric disorders.
Fil: Cia, Alfredo H.. Centro de Investigaciones Médicas En Ansiedad; Argentina
Fil: Stagnaro, Juan C.. Universidad de Buenos Aires. Facultad de Medicina; Argentina
Fil: Aguilar Gaxiola, Sergio. University of California; Estados Unidos
Fil: Sustas, Sebastián Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina
Fil: Serfaty, Edith. Centro de Estudios Epidemiológicos; Argentina
Fil: Nemirovsky, Martin. Proyecto SUMA; Argentina
Fil: Kessler, Ronald C.. Harvard Medical School; Estados Unidos
Fil: Benjet, Corina. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz; México
Materia
MENTAL HEALTH
PUBLIC HEALTH
EPIDEMIOLOGY
SUBSTANCE USE DISORDER
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/98154
Acceder
id CONICETDig_87c9e4a56e4079657edf056a84271b45
oai_identifier_str oai:ri.conicet.gov.ar:11336/98154
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in ArgentinaCia, Alfredo H.Stagnaro, Juan C.Aguilar Gaxiola, SergioSustas, Sebastián EzequielSerfaty, EdithNemirovsky, MartinKessler, Ronald C.Benjet, CorinaMENTAL HEALTHPUBLIC HEALTHEPIDEMIOLOGYSUBSTANCE USE DISORDERhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3OBJECTIVE: To estimate the 12-month prevalence of mental health services utilization (overall and by type of service sector), the adequacy of treatment provided, and sociodemographic correlates in the Argentinean Study of Mental Health Epidemiology (ASMHE). METHODS: The ASMHE is a multistage probability household sample representative of adults in urban areas of Argentina. The World Health Organization World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was used to evaluate psychiatric diagnosis and service utilization. RESULTS: Among those with a disorder, 27.6% received any treatment in the prior 12 months. Of these, 78.3% received minimally adequate treatment using a broad definition and only 43.6% using a stringent definition. For individuals with a disorder, more services were provided by mental health professionals (17.7%) than by general medical professionals (11.5%) or non-healthcare sectors (2.6%). Younger individuals with low education and income were less likely to receive treatment; those never married and those with an anxiety or mood disorder were more likely to receive treatment. Among those in treatment, treatment was least adequate among younger individuals with low education and low income. CONCLUSIONS: Policies to increase access to services for mental health disorders in Argentina are needed, as is training for primary care practitioners in the early detection and treatment of psychiatric disorders.Fil: Cia, Alfredo H.. Centro de Investigaciones Médicas En Ansiedad; ArgentinaFil: Stagnaro, Juan C.. Universidad de Buenos Aires. Facultad de Medicina; ArgentinaFil: Aguilar Gaxiola, Sergio. University of California; Estados UnidosFil: Sustas, Sebastián Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Medicina; ArgentinaFil: Serfaty, Edith. Centro de Estudios Epidemiológicos; ArgentinaFil: Nemirovsky, Martin. Proyecto SUMA; ArgentinaFil: Kessler, Ronald C.. Harvard Medical School; Estados UnidosFil: Benjet, Corina. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz; MéxicoAssociação Brasileira de Psiquiatria2019-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/98154Cia, Alfredo H.; Stagnaro, Juan C.; Aguilar Gaxiola, Sergio; Sustas, Sebastián Ezequiel; Serfaty, Edith; et al.; Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina; Associação Brasileira de Psiquiatria; Revista Brasileira de Psiquiatria; 41; 3; 5-2019; 238-2441516-44461809-452XCONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/http://ref.scielo.org/p2n5trinfo:eu-repo/semantics/altIdentifier/doi/10.1590/1516-4446-2018-0036info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-10T13:23:58Zoai:ri.conicet.gov.ar:11336/98154instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-10 13:23:58.651CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina
title Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina
spellingShingle Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina
Cia, Alfredo H.
MENTAL HEALTH
PUBLIC HEALTH
EPIDEMIOLOGY
SUBSTANCE USE DISORDER
title_short Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina
title_full Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina
title_fullStr Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina
title_full_unstemmed Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina
title_sort Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina
dc.creator.none.fl_str_mv Cia, Alfredo H.
Stagnaro, Juan C.
Aguilar Gaxiola, Sergio
Sustas, Sebastián Ezequiel
Serfaty, Edith
Nemirovsky, Martin
Kessler, Ronald C.
Benjet, Corina
author Cia, Alfredo H.
author_facet Cia, Alfredo H.
Stagnaro, Juan C.
Aguilar Gaxiola, Sergio
Sustas, Sebastián Ezequiel
Serfaty, Edith
Nemirovsky, Martin
Kessler, Ronald C.
Benjet, Corina
author_role author
author2 Stagnaro, Juan C.
Aguilar Gaxiola, Sergio
Sustas, Sebastián Ezequiel
Serfaty, Edith
Nemirovsky, Martin
Kessler, Ronald C.
Benjet, Corina
author2_role author
author
author
author
author
author
author
dc.subject.none.fl_str_mv MENTAL HEALTH
PUBLIC HEALTH
EPIDEMIOLOGY
SUBSTANCE USE DISORDER
topic MENTAL HEALTH
PUBLIC HEALTH
EPIDEMIOLOGY
SUBSTANCE USE DISORDER
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv OBJECTIVE: To estimate the 12-month prevalence of mental health services utilization (overall and by type of service sector), the adequacy of treatment provided, and sociodemographic correlates in the Argentinean Study of Mental Health Epidemiology (ASMHE). METHODS: The ASMHE is a multistage probability household sample representative of adults in urban areas of Argentina. The World Health Organization World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was used to evaluate psychiatric diagnosis and service utilization. RESULTS: Among those with a disorder, 27.6% received any treatment in the prior 12 months. Of these, 78.3% received minimally adequate treatment using a broad definition and only 43.6% using a stringent definition. For individuals with a disorder, more services were provided by mental health professionals (17.7%) than by general medical professionals (11.5%) or non-healthcare sectors (2.6%). Younger individuals with low education and income were less likely to receive treatment; those never married and those with an anxiety or mood disorder were more likely to receive treatment. Among those in treatment, treatment was least adequate among younger individuals with low education and low income. CONCLUSIONS: Policies to increase access to services for mental health disorders in Argentina are needed, as is training for primary care practitioners in the early detection and treatment of psychiatric disorders.
Fil: Cia, Alfredo H.. Centro de Investigaciones Médicas En Ansiedad; Argentina
Fil: Stagnaro, Juan C.. Universidad de Buenos Aires. Facultad de Medicina; Argentina
Fil: Aguilar Gaxiola, Sergio. University of California; Estados Unidos
Fil: Sustas, Sebastián Ezequiel. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Medicina; Argentina
Fil: Serfaty, Edith. Centro de Estudios Epidemiológicos; Argentina
Fil: Nemirovsky, Martin. Proyecto SUMA; Argentina
Fil: Kessler, Ronald C.. Harvard Medical School; Estados Unidos
Fil: Benjet, Corina. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz; México
description OBJECTIVE: To estimate the 12-month prevalence of mental health services utilization (overall and by type of service sector), the adequacy of treatment provided, and sociodemographic correlates in the Argentinean Study of Mental Health Epidemiology (ASMHE). METHODS: The ASMHE is a multistage probability household sample representative of adults in urban areas of Argentina. The World Health Organization World Mental Health Composite International Diagnostic Interview (WMH-CIDI) was used to evaluate psychiatric diagnosis and service utilization. RESULTS: Among those with a disorder, 27.6% received any treatment in the prior 12 months. Of these, 78.3% received minimally adequate treatment using a broad definition and only 43.6% using a stringent definition. For individuals with a disorder, more services were provided by mental health professionals (17.7%) than by general medical professionals (11.5%) or non-healthcare sectors (2.6%). Younger individuals with low education and income were less likely to receive treatment; those never married and those with an anxiety or mood disorder were more likely to receive treatment. Among those in treatment, treatment was least adequate among younger individuals with low education and low income. CONCLUSIONS: Policies to increase access to services for mental health disorders in Argentina are needed, as is training for primary care practitioners in the early detection and treatment of psychiatric disorders.
publishDate 2019
dc.date.none.fl_str_mv 2019-05
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/98154
Cia, Alfredo H.; Stagnaro, Juan C.; Aguilar Gaxiola, Sergio; Sustas, Sebastián Ezequiel; Serfaty, Edith; et al.; Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina; Associação Brasileira de Psiquiatria; Revista Brasileira de Psiquiatria; 41; 3; 5-2019; 238-244
1516-4446
1809-452X
CONICET Digital
CONICET
url http://hdl.handle.net/11336/98154
identifier_str_mv Cia, Alfredo H.; Stagnaro, Juan C.; Aguilar Gaxiola, Sergio; Sustas, Sebastián Ezequiel; Serfaty, Edith; et al.; Twelve-month utilization rates and adequacy of treatment for mental health and substance use disorders in Argentina; Associação Brasileira de Psiquiatria; Revista Brasileira de Psiquiatria; 41; 3; 5-2019; 238-244
1516-4446
1809-452X
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://ref.scielo.org/p2n5tr
info:eu-repo/semantics/altIdentifier/doi/10.1590/1516-4446-2018-0036
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
publisher.none.fl_str_mv Associação Brasileira de Psiquiatria
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
_version_ 1842981326902263808
score 12.48226

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