| Title: |
Factors associated with non-initiation of mental healthcare after detection of poor mental health at a scheduled health check: A cohort study |
| Authors: |
Geyti, C; Christensen, KS; Dalsgaard, EM; Bech, BH; Gunn, J; Maindal, HT; Sandbaek, A |
| Publisher Information: |
BMJ PUBLISHING GROUP |
| Publication Year: |
2020 |
| Collection: |
The University of Melbourne: Digital Repository |
| Description: |
INTRODUCTION: Poor mental health is an important public health concern, but mental health problems are often under-recognised. Providing feedback to general practitioners (GPs) on their patients' mental health status may improve the identification of cases in need of mental healthcare. OBJECTIVES: To investigate the extent of initiation of mental healthcare after identification of poor mental health and to identify factors associated with non-initiation. DESIGN: Prospective cohort study with 1-year follow-up. SETTING: In a population-based health preventive programme, Check Your Health, we conducted a combined mental and physical health check in Randers Municipality, Denmark, in 2012-2015 in collaboration with local GPs. PARTICIPANTS: Participants were 350 individuals aged 30-49 years old with screen-detected poor mental health who had not received mental healthcare within the past year. The cohort was derived from 14 167 randomly selected individuals of whom 52% (n=7348) participated. Mental health was assessed by the mental component summary score of the 12-item Short-Form Health Survey. OUTCOME: The outcome was initiation of mental healthcare. Mental healthcare included psychometric testing by GP, talk therapy by GP, contact with a psychologist, contact with a psychiatrist and psychotropic medication. RESULTS: Within 1 year, 22% (95% CI 18 to 27) of individuals with screen-detected poor mental health initiated mental healthcare. Among individuals who initiated mental healthcare within follow-up, one in six had visited their GP once or less in the preceding year. Male sex (OR: 0.49 (95% CI 0.28 to 0.86)) and less impaired mental health (OR: 0.93 (95% CI 0.89 to 0.98)) were associated with non-initiation of mental healthcare. We found no overall association between socioeconomic factors and initiating mental healthcare. CONCLUSION: Systematic provision of mental health test results to GPs may improve the identification of cases in need of mental healthcare, but does not translate into initiation of mental ... |
| Document Type: |
article in journal/newspaper |
| Language: |
English |
| ISSN: |
2044-6055 |
| Relation: |
https://hdl.handle.net/11343/251703 |
| Availability: |
https://hdl.handle.net/11343/251703 |
| Rights: |
https://creativecommons.org/licenses/by-nc/4.0 ; CC BY-NC |
| Accession Number: |
edsbas.827AA863 |
| Database: |
BASE |