Dokument: Pathways to professional mental care in the Swiss young adult community: a case–control study

Titel:Pathways to professional mental care in the Swiss young adult community: a case–control study
URL für Lesezeichen:https://docserv.uni-duesseldorf.de/servlets/DocumentServlet?id=70371
URN (NBN):urn:nbn:de:hbz:061-20250728-114711-4
Kollektion:Publikationen
Sprache:Englisch
Dokumententyp:Wissenschaftliche Texte » Artikel, Aufsatz
Medientyp:Text
Autoren: Osmann, Naweed [Autor]
Michel, C. [Autor]
Schimmelmann, B.G. [Autor]
Schilbach, Leonhard [Autor]
Meisenzahl, Eva [Autor]
Schultze-Lutter, Frauke [Autor]
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Dateien vom 28.07.2025 / geändert 28.07.2025
Stichwörter:Community study, Point-of-contact, Active help-seeking behavior, Mental health problems/disorders
Beschreibung:Treatment success for mental health (MH) problems depends, among others, on the timeliness of help-seeking. Therefore, we studied the effect of symptoms and reasons for help-seeking on the point-of-contact and the most intensive professional treatment in a community sample. Participants were recruited as part of the ‘Bern Epidemiological At-Risk’ (BEAR) study on 16–40-year-old community persons of the Swiss canton Bern. Of the 2,683 participants, 615 (22.9%) reported at least one instance of help-seeking for MH problems and were selected for the presented analyses. Help-seeking behavior was assessed by a modified version of the ‘WHO pathway-to-care questionnaire’, from which the outcome ‘most intensive MH professional contact’ was generated. The effect of symptoms and reasons for help-seeking were analyzed in separate models using path analyses. Most help-seeking persons sought MH professional help (n = 405; 65.9%) with a high number of medical pre-contacts (n = 233; 37.9%). The ‘most intensive MH professional contact’ was provided after an average of 1.47 contacts. Both models showed negative associations between non-MH professional pre-contacts and the most intensive, likely most adequate MH treatment. In the symptom model, ‘substance misuse’ and ‘central-vegetative problems’ increased the general likelihood of MH professional contact. Our findings highlight the importance of the first point-of-contact in pathways to adequate MH care and, when seeking help from non-MH professional, of quick referrals to MH professionals. Awareness campaigns or training of health professionals, such as general practitioners, may support timely contact with MH professionals to improve diagnosis, prognosis, and outcome.
Rechtliche Vermerke:Originalveröffentlichung:
Osman, N., Michel, C., Schimmelmann, B. G., Schilbach, L., Meisenzahl-Lechner, E., & Schultze-Lutter, F. (2024). Pathways to professional mental care in the Swiss young adult community: a case–control study. European Archives of Psychiatry + Clinical Neuroscience, 275(5), 1509–1520. https://doi.org/10.1007/s00406-024-01757-4
Lizenz:Creative Commons Lizenzvertrag
Dieses Werk ist lizenziert unter einer Creative Commons Namensnennung 4.0 International Lizenz
Fachbereich / Einrichtung:Medizinische Fakultät
Dokument erstellt am:28.07.2025
Dateien geändert am:28.07.2025
english
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