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Table 2 Distributions of treatment and distributions of perceived helpfulness across service sectors and treatment profiles, among respondents with 12-month DSM-IV disorders who reported 12-month use of providers for mental health (N = 3221)

From: Perceived helpfulness of service sectors used for mental and substance use disorders: Findings from the WHO World Mental Health Surveys

 

Distribution of treatment

Perceived helpfulness (maximum)a

 

‘A lot’

‘Some’

‘A little’

‘Not at all’

Test for Equal Proportions

 

n

%

SE

%

SE

%

SE

%

SE

%

SE

X2

df

p-value

I. Service sectorsb

 General medical

1920

60.9

0.9

58.1

1.3

24.7

1.2

10.8

0.1

6.5

0.7

765.98*

3

 < 0.001

 Psychiatrist

968

29.7

0.9

62.6

1.6

22.8

1.5

9.0

1.1

5.7

0.9

466.30*

3

 < 0.001

 Other mental health speciality

1187

37.0

1.0

64.7

1.6

22.5

1.4

8.3

1.0

4.6

0.6

646.17*

3

 < 0.001

 Other health provider

72

2.2

0.3

70.2

5.7

22.1

5.3

5.5

1.3

2.4

2.4

23.89*

3

 < 0.001

 Spiritual/healer

566

17.5

0.9

77.3

2.3

16.6

2.1

4.6

0.9

1.5

0.5

553.61*

3

 < 0.001

II. Treatment profilesc

 General medical-only

1111

35.2

1.1

48.8

1.7

27.3

1.5

14.7

1.4

9.3

1.1

249.46*

3

 < 0.001

 Psychiatrist-only

386

11.6

0.7

51.3

3.0

24.6

2.5

13.7

1.9

10.4

2.0

91.84*

3

 < 0.001

 Other mental health specialty-only

458

13.8

0.7

55.5

2.5

24.3

2.2

11.4

1.6

8.9

1.5

145.42*

3

 < 0.001

 Spiritual/healer-only

265

7.8

0.6

66.7

3.6

22.6

3.5

7.9

1.6

2.8

0.9

150.98*

3

 < 0.001

 General medical with Psychiatrist

170

5.1

0.4

64.1

4.3

24.6

3.8

6.7

1.8

4.6

1.8

89.08*

3

 < 0.001

 General medical with Other mental health specialty

317

10.3

0.6

67.6

3.0

22.5

2.9

7.6

1.8

2.3

0.8

192.13*

3

 < 0.001

 General medical with Spiritual/healer

102

3.3

0.4

82.7

4.2

12.6

3.0

3.4

3.0

1.3

1.3

112.91*

3

 < 0.001

 Psychiatrist with Other mental health specialty

192

5.9

0.5

68.6

4.0

20.3

3.3

9.4

2.8

1.7

0.4

123.55*

3

 < 0.001

 General medical with Psychiatrist and Other mental health specialty

220

7.0

0.6

75.0

2.9

20.6

2.6

2.5

1.1

1.9

1.0

192.13*

3

 < 0.001

III. Total (all profiles combined)

3221

100.0

-

58.2

1.0

24.2

0.9

10.9

0.7

6.7

0.5

1257.42*

3

 < 0.001

 Perceived helpfulness (4 categories) across all profiles

           

102.86*

24

 < 0.001

 Helped 'a lot' vs. 'some'/'a little'/'not at all' across all profiles

           

78.97*

8

 < 0.001

 Helped 'a lot'/'some' vs. 'a little'/'not at all' across all profiles

           

68.90*

8

 < 0.001

 Helped 'a lot'/'some'/'a little' vs. 'not at all' across all profiles

           

36.98*

8

 < 0.001

  1. *Significant at .05 level, two-sided test
  2. aThe maximum rating of how much the patient said they were helped by any type of provider seen
  3. bService sectors: General medical (general practitioner/primary care doctor or other medical doctor); Psychiatrist; Other mental health specialty (psychologist, any other mental health professional in any setting, a social worker or counselor in a mental health specialized setting); Other health provider (social worker or counselor in a human services setting, or a non-medical health professional); and Spiritual/healer (spiritual advisor or healer)
  4. cTreatment profiles represent the 9 most commonly used combinations of service sectors. These 9 profiles accounted for 91.8% of respondents; rare combinations of indvidual sectors were recoded into one of the 9 profiles (see Additional file 1: Table A1)
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International Journal of Mental Health Systems

ISSN: 1752-4458