Use of mental health services in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project

Jordi Alonso, Matthias C. Angermeyer, Sebastian Bernert, Ronny Bruffaerts, Traolach S. Brugha, Heather Bryson, Giovanni De Girolamo, Ron De Graaf, Koen Demyttenaere, Isabelle Gasquet, Josep Maria Haro, Steven J. Katz, Ronald C. Kessler, Viviane Kovess, Jean Pierre Lépine, Johan Ormel, Gabriella Polidori, Leo J. Russo, Gemma Vilagut, Josué AlmansaSaena Arbabzadeh-Bouchez, Jaume Autonell, Mariola Bernal, Martine A. Buist-Bouwman, Miquel Codony, Antonia Domingo-Salvany, Montserrat Ferrer, Sam S. Joo, Montserrat Martínez-Alonso, Herbert Matschinger, Fausto Mazzi, Zoe Morgan, Pierluigi Morosini, Concepció Palacín, Berta Romera, Nick Taub, Wilma A M Vollebergh

Research output: Contribution to journalArticle

384 Citations (Scopus)

Abstract

Objective: Comprehensive information about access and patterns of use of mental health services in Europe is lacking. We present the first results of the use of health services for mental disorders in six European countries as part of the ESEMeD project. Method: The study was conducted in: Belgium, France, Germany, Italy, the Netherlands and Spain. Individuals aged 18 years and over who were not institutionalized were eligible for an computer-assisted interview done at home. The 21 425 participants were asked to report how frequently they consulted formal health services due to their emotions or mental health, the type of professional they consulted and the treatment they received as a result of their consultation in the previous year. Results: An average of 6.4% of the total sample had consulted formal health services in the previous 12 months. Of the participants with a 12-month mental disorder, 25.7% had consulted a formal health service during that period. This proportion was higher for individuals with a mood disorder (36.5%, 95% CI 32.5-40.5) than for those with anxiety disorders (26.1%, 95% CI 23.1-29.1). Among individuals with a 12-month mental disorder who had contacted the health services 12 months previously, approximately two-thirds had contacted a mental health professional. Among those with a 12-month mental disorder consulting formal health services, 21.2% received no treatment. Conclusion: The ESEMeD results suggest that the use of health services is limited among individuals with mental disorders in the European countries studied. The factors associated with this limited access and their implications deserve further research.

Original languageEnglish
Pages (from-to)47-54
Number of pages8
JournalActa Psychiatrica Scandinavica
Volume109
Issue numberSUPPL. 420
DOIs
Publication statusPublished - Jun 2004

Fingerprint

Mental Health Services
Mental Disorders
Health Services
Epidemiology
Mental Health
Belgium
Anxiety Disorders
Mood Disorders
Netherlands
Spain
Italy
France
Germany
Emotions
Referral and Consultation
Interviews
Research

Keywords

  • Accessibility
  • Health policy
  • Health services
  • Mental disorders

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Neuroscience(all)

Cite this

Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., ... Vollebergh, W. A. M. (2004). Use of mental health services in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatrica Scandinavica, 109(SUPPL. 420), 47-54. https://doi.org/10.1111/j.1600-0047.2004.00330.x

Use of mental health services in Europe : Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. / Alonso, Jordi; Angermeyer, Matthias C.; Bernert, Sebastian; Bruffaerts, Ronny; Brugha, Traolach S.; Bryson, Heather; De Girolamo, Giovanni; De Graaf, Ron; Demyttenaere, Koen; Gasquet, Isabelle; Haro, Josep Maria; Katz, Steven J.; Kessler, Ronald C.; Kovess, Viviane; Lépine, Jean Pierre; Ormel, Johan; Polidori, Gabriella; Russo, Leo J.; Vilagut, Gemma; Almansa, Josué; Arbabzadeh-Bouchez, Saena; Autonell, Jaume; Bernal, Mariola; Buist-Bouwman, Martine A.; Codony, Miquel; Domingo-Salvany, Antonia; Ferrer, Montserrat; Joo, Sam S.; Martínez-Alonso, Montserrat; Matschinger, Herbert; Mazzi, Fausto; Morgan, Zoe; Morosini, Pierluigi; Palacín, Concepció; Romera, Berta; Taub, Nick; Vollebergh, Wilma A M.

In: Acta Psychiatrica Scandinavica, Vol. 109, No. SUPPL. 420, 06.2004, p. 47-54.

Research output: Contribution to journalArticle

Alonso, J, Angermeyer, MC, Bernert, S, Bruffaerts, R, Brugha, TS, Bryson, H, De Girolamo, G, De Graaf, R, Demyttenaere, K, Gasquet, I, Haro, JM, Katz, SJ, Kessler, RC, Kovess, V, Lépine, JP, Ormel, J, Polidori, G, Russo, LJ, Vilagut, G, Almansa, J, Arbabzadeh-Bouchez, S, Autonell, J, Bernal, M, Buist-Bouwman, MA, Codony, M, Domingo-Salvany, A, Ferrer, M, Joo, SS, Martínez-Alonso, M, Matschinger, H, Mazzi, F, Morgan, Z, Morosini, P, Palacín, C, Romera, B, Taub, N & Vollebergh, WAM 2004, 'Use of mental health services in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project', Acta Psychiatrica Scandinavica, vol. 109, no. SUPPL. 420, pp. 47-54. https://doi.org/10.1111/j.1600-0047.2004.00330.x
Alonso, Jordi ; Angermeyer, Matthias C. ; Bernert, Sebastian ; Bruffaerts, Ronny ; Brugha, Traolach S. ; Bryson, Heather ; De Girolamo, Giovanni ; De Graaf, Ron ; Demyttenaere, Koen ; Gasquet, Isabelle ; Haro, Josep Maria ; Katz, Steven J. ; Kessler, Ronald C. ; Kovess, Viviane ; Lépine, Jean Pierre ; Ormel, Johan ; Polidori, Gabriella ; Russo, Leo J. ; Vilagut, Gemma ; Almansa, Josué ; Arbabzadeh-Bouchez, Saena ; Autonell, Jaume ; Bernal, Mariola ; Buist-Bouwman, Martine A. ; Codony, Miquel ; Domingo-Salvany, Antonia ; Ferrer, Montserrat ; Joo, Sam S. ; Martínez-Alonso, Montserrat ; Matschinger, Herbert ; Mazzi, Fausto ; Morgan, Zoe ; Morosini, Pierluigi ; Palacín, Concepció ; Romera, Berta ; Taub, Nick ; Vollebergh, Wilma A M. / Use of mental health services in Europe : Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. In: Acta Psychiatrica Scandinavica. 2004 ; Vol. 109, No. SUPPL. 420. pp. 47-54.
@article{c641987406364a9e9088f71319504107,
title = "Use of mental health services in Europe: Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project",
abstract = "Objective: Comprehensive information about access and patterns of use of mental health services in Europe is lacking. We present the first results of the use of health services for mental disorders in six European countries as part of the ESEMeD project. Method: The study was conducted in: Belgium, France, Germany, Italy, the Netherlands and Spain. Individuals aged 18 years and over who were not institutionalized were eligible for an computer-assisted interview done at home. The 21 425 participants were asked to report how frequently they consulted formal health services due to their emotions or mental health, the type of professional they consulted and the treatment they received as a result of their consultation in the previous year. Results: An average of 6.4{\%} of the total sample had consulted formal health services in the previous 12 months. Of the participants with a 12-month mental disorder, 25.7{\%} had consulted a formal health service during that period. This proportion was higher for individuals with a mood disorder (36.5{\%}, 95{\%} CI 32.5-40.5) than for those with anxiety disorders (26.1{\%}, 95{\%} CI 23.1-29.1). Among individuals with a 12-month mental disorder who had contacted the health services 12 months previously, approximately two-thirds had contacted a mental health professional. Among those with a 12-month mental disorder consulting formal health services, 21.2{\%} received no treatment. Conclusion: The ESEMeD results suggest that the use of health services is limited among individuals with mental disorders in the European countries studied. The factors associated with this limited access and their implications deserve further research.",
keywords = "Accessibility, Health policy, Health services, Mental disorders",
author = "Jordi Alonso and Angermeyer, {Matthias C.} and Sebastian Bernert and Ronny Bruffaerts and Brugha, {Traolach S.} and Heather Bryson and {De Girolamo}, Giovanni and {De Graaf}, Ron and Koen Demyttenaere and Isabelle Gasquet and Haro, {Josep Maria} and Katz, {Steven J.} and Kessler, {Ronald C.} and Viviane Kovess and L{\'e}pine, {Jean Pierre} and Johan Ormel and Gabriella Polidori and Russo, {Leo J.} and Gemma Vilagut and Josu{\'e} Almansa and Saena Arbabzadeh-Bouchez and Jaume Autonell and Mariola Bernal and Buist-Bouwman, {Martine A.} and Miquel Codony and Antonia Domingo-Salvany and Montserrat Ferrer and Joo, {Sam S.} and Montserrat Mart{\'i}nez-Alonso and Herbert Matschinger and Fausto Mazzi and Zoe Morgan and Pierluigi Morosini and Concepci{\'o} Palac{\'i}n and Berta Romera and Nick Taub and Vollebergh, {Wilma A M}",
year = "2004",
month = "6",
doi = "10.1111/j.1600-0047.2004.00330.x",
language = "English",
volume = "109",
pages = "47--54",
journal = "Acta Psychiatrica Scandinavica",
issn = "0001-690X",
publisher = "wiley",
number = "SUPPL. 420",

}

TY - JOUR

T1 - Use of mental health services in Europe

T2 - Results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project

AU - Alonso, Jordi

AU - Angermeyer, Matthias C.

AU - Bernert, Sebastian

AU - Bruffaerts, Ronny

AU - Brugha, Traolach S.

AU - Bryson, Heather

AU - De Girolamo, Giovanni

AU - De Graaf, Ron

AU - Demyttenaere, Koen

AU - Gasquet, Isabelle

AU - Haro, Josep Maria

AU - Katz, Steven J.

AU - Kessler, Ronald C.

AU - Kovess, Viviane

AU - Lépine, Jean Pierre

AU - Ormel, Johan

AU - Polidori, Gabriella

AU - Russo, Leo J.

AU - Vilagut, Gemma

AU - Almansa, Josué

AU - Arbabzadeh-Bouchez, Saena

AU - Autonell, Jaume

AU - Bernal, Mariola

AU - Buist-Bouwman, Martine A.

AU - Codony, Miquel

AU - Domingo-Salvany, Antonia

AU - Ferrer, Montserrat

AU - Joo, Sam S.

AU - Martínez-Alonso, Montserrat

AU - Matschinger, Herbert

AU - Mazzi, Fausto

AU - Morgan, Zoe

AU - Morosini, Pierluigi

AU - Palacín, Concepció

AU - Romera, Berta

AU - Taub, Nick

AU - Vollebergh, Wilma A M

PY - 2004/6

Y1 - 2004/6

N2 - Objective: Comprehensive information about access and patterns of use of mental health services in Europe is lacking. We present the first results of the use of health services for mental disorders in six European countries as part of the ESEMeD project. Method: The study was conducted in: Belgium, France, Germany, Italy, the Netherlands and Spain. Individuals aged 18 years and over who were not institutionalized were eligible for an computer-assisted interview done at home. The 21 425 participants were asked to report how frequently they consulted formal health services due to their emotions or mental health, the type of professional they consulted and the treatment they received as a result of their consultation in the previous year. Results: An average of 6.4% of the total sample had consulted formal health services in the previous 12 months. Of the participants with a 12-month mental disorder, 25.7% had consulted a formal health service during that period. This proportion was higher for individuals with a mood disorder (36.5%, 95% CI 32.5-40.5) than for those with anxiety disorders (26.1%, 95% CI 23.1-29.1). Among individuals with a 12-month mental disorder who had contacted the health services 12 months previously, approximately two-thirds had contacted a mental health professional. Among those with a 12-month mental disorder consulting formal health services, 21.2% received no treatment. Conclusion: The ESEMeD results suggest that the use of health services is limited among individuals with mental disorders in the European countries studied. The factors associated with this limited access and their implications deserve further research.

AB - Objective: Comprehensive information about access and patterns of use of mental health services in Europe is lacking. We present the first results of the use of health services for mental disorders in six European countries as part of the ESEMeD project. Method: The study was conducted in: Belgium, France, Germany, Italy, the Netherlands and Spain. Individuals aged 18 years and over who were not institutionalized were eligible for an computer-assisted interview done at home. The 21 425 participants were asked to report how frequently they consulted formal health services due to their emotions or mental health, the type of professional they consulted and the treatment they received as a result of their consultation in the previous year. Results: An average of 6.4% of the total sample had consulted formal health services in the previous 12 months. Of the participants with a 12-month mental disorder, 25.7% had consulted a formal health service during that period. This proportion was higher for individuals with a mood disorder (36.5%, 95% CI 32.5-40.5) than for those with anxiety disorders (26.1%, 95% CI 23.1-29.1). Among individuals with a 12-month mental disorder who had contacted the health services 12 months previously, approximately two-thirds had contacted a mental health professional. Among those with a 12-month mental disorder consulting formal health services, 21.2% received no treatment. Conclusion: The ESEMeD results suggest that the use of health services is limited among individuals with mental disorders in the European countries studied. The factors associated with this limited access and their implications deserve further research.

KW - Accessibility

KW - Health policy

KW - Health services

KW - Mental disorders

UR - http://www.scopus.com/inward/record.url?scp=2542470287&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2542470287&partnerID=8YFLogxK

U2 - 10.1111/j.1600-0047.2004.00330.x

DO - 10.1111/j.1600-0047.2004.00330.x

M3 - Article

AN - SCOPUS:2542470287

VL - 109

SP - 47

EP - 54

JO - Acta Psychiatrica Scandinavica

JF - Acta Psychiatrica Scandinavica

SN - 0001-690X

IS - SUPPL. 420

ER -