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] | |||||||
Dateien: |
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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: | ![]() 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 |