Use of Mental Health Services in Chile

Sandra Saldivia · Benjamín Vicente · Robert Kohn · Pedro Rioseco · Silverio Torres

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Mental Health Treatment and Access Psychiatric care and mental health services Psychology and Mental Health

Abstract

OBJECTIVE: S: To address the growing burden of mental illness in Latin America, a better understanding of mental health service use and barriers to care is needed. Although many Latin American countries have nationalized health care systems that could potentially improve access to care, significant barriers to care remain. The authors report the results of a study examining mental health service utilization in the general population of Chile. METHODS: The data were drawn from the Chile Psychiatric Prevalence Study, a national household survey of 2,987 persons aged 15 years and older conducted in 1992-1999. As part of the survey, psychiatric diagnoses were obtained by using the Composite International Diagnostic Interview, and respondents were asked about their use of general and mental health care services in the past six months and about their experience of barriers to treatment. RESULTS: More than 44 percent of respondents reported use of any health care services in the past six months, and 20 percent reported use of mental health services. Of the respondents who met criteria for a psychiatric disorder, a large proportion (62 percent) did not receive mental health care. Increasing severity of the psychiatric disorder correlated with increasing frequency of overall help seeking, but only a small proportion of the respondents with a psychiatric disorder sought specialized mental health services. Regional disparities and inequities in access to care were found. In addition, indirect barriers to mental health care, such as stigma and misconceptions about the course of psychiatric disorders, were important deterrents to service utilization, particularly among persons with lower socioeconomic status. CONCLUSIONS: To reduce the burden of mental illness in Chile, additional efforts are needed to address both the direct and the indirect barriers to mental health care, including regional inequities in access to care.

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References

1981National Institute of Mental Health Diagnostic Interview Schedule 2001The world health report 2001 - Mental health: new understanding, new hope 1988The Composite International Diagnostic Interview 1999Past-Year Use of Outpatient Services for Psychiatric Problems in the National Comorbidity Survey 1994Translation of Health Status Instruments 2003The Prevalence Of Treated And Untreated Mental Disorders In Five Countries 2002Prevalence of ICD-10 mental disorders in a catchment area in the city of São Paulo, Brazil 1997Brazilian multicentric study of psychiatric morbidity

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2016Prevalencias y brechas hoy: salud mental mañana 2010Perceived need for mental health care and barriers to care in the Netherlands and Australia 2005Plan Nacional de Salud Mental en Chile: 10 años de experiencia 2009Mental health service use in a nationwide sample of Korean adults 2008Capital social y salud mental en comunidades urbanas de nivel socioeconómico bajo, en Santiago, Chile: Nuevas formas de entender la relación comunidad-salud

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