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. 2008 Nov;43(11):889-97.
doi: 10.1007/s00127-008-0399-9. Epub 2008 Aug 2.

Twelve-month treatment of psychiatric disorders in the South African Stress and Health Study (World Mental Health Survey Initiative)

Soraya Seedat  1 , D J Stein, A Herman, R Kessler, J Sonnega, S Heeringa, S Williams, D Williams
Affiliations

Twelve-month treatment of psychiatric disorders in the South African Stress and Health Study (World Mental Health Survey Initiative)

Soraya Seedat et al. Soc Psychiatry Psychiatr Epidemiol. 2008 Nov.

Abstract

Background: The proportion of people with mental disorders in treatment is relatively small in low and middle income countries. However, little is known about patterns of recent service use in a country like South Africa.

Methods: A nationally representative household survey of 4,351 adult South Africans was carried out. Twelve-month DSM-IV disorders were determined using the WHO composite international diagnostic interview (CIDI). Prevalence and correlates of treatment were assessed among respondents with anxiety, mood and substance use disorders.

Results: One-fourth (25.5%) of respondents with a 12-month disorder had received treatment in the past 12 months either from a psychiatrist (3.8%), nonpsychiatrist mental health specialist (2.9%), general medical provider (16.6%), human services provider (6.6%), or complementary-alternative medical (CAM) provider (5.9%). Only 27.6% of severe cases had received any treatment. In addition, 13.4% of respondents with no disorder had accessed services in the past year. Blacks were significantly more likely than other racial groups to access the CAM sector while Whites were more likely to have seen a psychiatrist.

Conclusions: The majority of South Africans with a 12-month mental disorder have unmet treatment needs. In addition to a greater allocation of resources to mental health services, more community outreach and awareness initiatives are needed.

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References

    1. Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP, Angermeyer MC, et al. WHO World Mental Health Survey Consortium. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. 2004;291(21):2581–2590. - PubMed
    1. Saxena S, Maulik PK. Mental health services in low- and middle- income countries: an overview. Curr Opin Psychiatry. 2003;16:437–442.
    1. Stein DJ, Seedat S, Herman A, Moomal H, Heeringa SG, Kessler RC, Williams DR. Lifetime prevalence of psychiatric disorders in South Africa. Br J Psychiatry. 2008;192(2):112–117. - PMC - PubMed
    1. Williams DR, Herman A, Stein DJ, Heeringa SG, Jackson PB, Moomal H, Kessler RC. Twelve-month mental disorders in South Africa: prevalence, service use and demographic correlates in the population-based South African Stress and Health Study. Psychol Med. 2008;38(2):211–220. - PMC - PubMed
    1. Lund C, Flisher AJ. South African Mental Health Process Indicators. J Ment Health Policy Econ. 2001;4(1):9–16. - PubMed

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