Unmet Need for the Treatment of Depression in Atlantic Canada

Jill M Starkes · Steve R Kisely

87 citations0/0 files storedThe Canadian Journal of Psychiatry

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Mental Health Treatment and Access Treatment of Major Depression Migration, Health and Trauma

Abstract

OBJECTIVE: Most people with depression do not receive treatment, even though effective interventions are available. Population-based data can assist health service planners to improve access to mental health services. This study aimed to examine the determinants of untreated depression in Canada's Atlantic provinces. METHOD: This study used data from the Canadian Community Health Survey Cycle 1.1. Logistic regression models explored the prevalence of depression and associated patterns of mental health service use among population subgroups. RESULTS: Of the respondents, 7.3% experienced major depression in the previous year, as measured by the Composite International Diagnostic Interview Short Form. Individuals with the following characteristics were at increased risk for depression: female sex; widowed, separated, or divorced marital status; low income; and 2 or more comorbid medical conditions. Only 40% of respondents with probable depression reported any consultation about their condition with a general practitioner or mental health specialist. Less than one-quarter of Atlantic Canadians with depression reported receiving levels of care consistent with practice guidelines. Vulnerable groups, including older individuals, people with low levels of education, and those living in rural areas, were significantly less likely to receive treatment in either primary or specialty care. CONCLUSIONS: These findings suggest inequitable access to services and the need to target interventions to at-risk populations by raising awareness among the public and health care providers. Health systems in the Atlantic region must work toward achieving consistent longitudinal care for a larger proportion of individuals suffering from depression by studying the underlying factors for service use among underserved groups.

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References

1995Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?2003The Epidemiology of Major Depressive Disorder 2004Global burden of depressive disorders in the year 2000 2004The treatment gap in mental health care.1997The National Depressive and Manic-Depressive Association Consensus Statement on the Undertreatment of Depression 2000Recent care of common mental disorders in the united states 2000Does old age reduce the risk of anxiety and depression? A review of epidemiological studies across the adult life span 2002Adequacy of Treatment for Serious Mental Illness in the United States

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2014Gender differences in general and specialty outpatient mental health service use for depression 2015Gender-related patterns and determinants of recent help-seeking for past-year affective, anxiety and substance use disorders: findings from a national epidemiological survey 2008Guideline concordance of treatment for depressive disorders in Canada 2009Use of Administrative Data for the Surveillance of Mental Disorders in 5 Provinces 2016

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