Treatment rates and delays for mental and substance use disorders: results from the Australian National Survey of Mental Health and Wellbeing

Epidemiology and Psychiatric Sciences, Год журнала: 2025, Номер 34

Опубликована: Янв. 1, 2025

Abstract Aims Prompt initial contact with a treatment provider is critical first step in seeking help for mental or substance use disorders (SUDs). The aim of the current study was to provide estimates patterns and predictors delay making based on recently completed Australian National Survey Mental Health Wellbeing. Methods Data came nationally representative epidemiological survey n = 15,893 Australians. Measures included DSM-IV lifetime diagnoses mood (MD), anxiety (AD) SUDs; age disorder onset; contact. Correlates were examined. Results SUDs exhibited lowest rate (27%), compared MD (94%) ADs (85%). Individuals AD experienced longest (Mdn 11 years), followed by those 8 years) MDs 3 years). Females had higher odds but lower SUDs. Recent birth cohorts showed increased across disorders, education associated AD. Age onset, country co-occurring mixed associations seeking. Conclusions reveals stark disparities treatment-seeking behaviour delays pronounced underutilization services Additionally, attention should be directed towards early intervention individuals earlier symptom from

Язык: Английский

---

The complete mental health of Australia’s adolescents and emerging adults: distress and wellbeing across 3 nationally representative community samples

Epidemiology and Psychiatric Sciences, Год журнала: 2025, Номер 34

Опубликована: Янв. 1, 2025

The high level of psychological distress in young people is a growing concern. However, there are few national surveys that describe the trajectories mental health and wellbeing through adolescence into early adulthood. Further, existing research has largely focused exclusively on ill-health, with little focus positive health. This study provides first profile Australians aged 12-25 years. Participants completed National Youth Mental Health survey 2018 (n1 = 3832), 2020 (n2 974) or 2022 (n3 961). We applied Keyes' Complete (CMH) framework to derive categories wellbeing, examine rates CMH over time, by age gender. While approximately half those surveyed reported flourishing (high without illness), declined between 2022. Rates generally decreased age, was more prevalent amongst males than females. findings provide unique contrast youth pre-, during post- COVID-19 pandemic. consistently high, proportion reporting highlights need consider all aspects functioning accurately understand respond needs people.

Язык: Английский

---

Co-occurring mental and substance use disorders in Australia 2020–2022: Prevalence, patterns, conditional probabilities and correlates in the general population

Australian & New Zealand Journal of Psychiatry, Год журнала: 2024, Номер unknown

Опубликована: Окт. 11, 2024

Background: Previous estimates from 2007 found that co-occurring mental and/or substance use disorders were a pervasive feature of Australia’s health. Since time there have been shifts and improvements in the conceptualisation incorporation research treatment settings. The current study provides up-to-date on prevalence disorders, highlights common patterns co-occurrence, identifies significant correlates examines any changes extent since 2007. Methods: Data two Australian National Surveys Mental Health Wellbeing conducted 2020–2022 ( N = 15,893) 8841). Descriptive statistics estimated for number conditions, correlations pairwise conditional probabilities. Multinomial logistic robust Poisson regressions used to identify compare conditions across surveys. Results: Approximately 46% people with or disorder past 12 months experienced more diagnosable conditions. There was little evidence suggest has changed (Prevalence Ratio (PR) 1.08, 95% CI 0.98–1.18). Subgroup analysis indicated those aged 16–24 years significantly likely experience co-occurrence compared (PR 1.44, 1.17–1.77). Conclusions: Co-occurring remain endemic Australia. Indeed, they appear be increasingly problematic younger, recent cohorts. results continued effort is needed develop implement transdiagnostic interventions target broad contextual societal factors.

Язык: Английский

---

Policy implications of the 2020–22 Australian study of mental health and wellbeing

Australian & New Zealand Journal of Psychiatry, Год журнала: 2024, Номер unknown

Опубликована: Ноя. 7, 2024

The objective of this paper is to summarise the policy implications key findings from 2020-22 Australian National Study Mental Health and Wellbeing (NSMHWB). We provide an analysis four papers in issue journal NSMHWB (

Язык: Английский

---