Urbanoski Karen, Inglis Dakota, Veldhuizen Scott
1 Centre for Addictions Research of British Columbia, Victoria, British Columbia.
2 School of Public Health and Social Policy, University of Victoria, Victoria, British Columbia.
Can J Psychiatry. 2017 Aug;62(8):551-559. doi: 10.1177/0706743717714467. Epub 2017 Jun 15.
To investigate patterns and predictors of help seeking and met/unmet needs for mental health care in a national population health survey.
Participants were respondents to the 2012 Canadian Community Health Survey on Mental Health (CCHS-MH; n = 25,133). We used regression to identify the diagnostic and sociodemographic predictors of the use of informal supports, primary care, and specialist care, as well as perceived unmet needs.
Eleven percent of Canadians reported using professionally led services for mental health or substance use in 2012, while another 9% received informal supports. Two-thirds of people with substance use disorders did not receive any care, and among those who did, informal supports were most common. Seventy-four percent of people with mood/anxiety disorders and 88% of those with co-occurring disorders did access services, most commonly specialist mental health care. Men, older people, members of ethnocultural minorities, those not born in Canada, those with lower education, and those with higher incomes were less likely to receive care. Unmet needs were higher among people with substance use disorders.
Gaps in services continue to exist for some potentially vulnerable population subgroups. Policy and practice solutions are needed to address these unmet needs. In particular, the convergence of research pointing to gaps in the availability and accessibility of high-quality services for substance use in Canada demands attention.
在一项全国性人口健康调查中，研究寻求心理健康护理帮助的模式及预测因素，以及已满足/未满足的需求。
参与者为2012年加拿大心理健康社区健康调查（CCHS-MH；n = 25,133）的受访者。我们使用回归分析来确定使用非正式支持、初级保健和专科护理的诊断及社会人口学预测因素，以及感知到的未满足需求。
2012年，11%的加拿大人报告使用过专业心理健康或物质使用服务，另有9%获得过非正式支持。三分之二的物质使用障碍患者未接受任何护理，而在接受护理的患者中，非正式支持最为常见。74%的情绪/焦虑障碍患者和88%的共病患者获得了服务，最常见的是专科心理健康护理。男性、老年人、少数族裔成员、非加拿大出生者、受教育程度较低者和收入较高者接受护理的可能性较小。物质使用障碍患者的未满足需求更高。
一些潜在弱势群体亚组在服务方面仍存在差距。需要政策和实践解决方案来满足这些未满足的需求。特别是，多项研究均指出加拿大在高质量物质使用服务的可获得性和可及性方面存在差距，这一问题需引起关注。
