Increasing demand and persistent gaps in perceived need for mental health care: National findings from 2007 to 2021.
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| Title: | Increasing demand and persistent gaps in perceived need for mental health care: National findings from 2007 to 2021. |
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| Authors: | Tian, Yuan (AUTHOR), Rajit, Darren (AUTHOR), Shawyer, Frances (AUTHOR), Ozols, Ingrid (AUTHOR), Price, Karen (AUTHOR), Callander, Emily (AUTHOR), Inder, Brett (AUTHOR), Rosenberg, Sebastian (AUTHOR), Lakra, Vinay (AUTHOR), Fossey, Ellie (AUTHOR), Meadows, Graham (AUTHOR), Enticott, Joanne (AUTHOR) |
| Source: | Australian & New Zealand Journal of Psychiatry. Feb2026, Vol. 60 Issue 2, p171-183. 13p. |
| Subjects: | Substance abuse, Cross-sectional method, Patient compliance, Psychotherapy, Mental health services, Australians, Research funding, Questionnaires, Interviewing, Statistical sampling, Affective disorders, Anxiety, Descriptive statistics, Surveys, Medical needs assessment, Drugs, Counseling, Data analysis software, Access to information, Social skills education, Evaluation |
| Geographic Terms: | Australia |
| Abstract: | Aims: To examine self-perceived need for mental health care in the Australian adult population between 2007 and 2021. Methods: The Perceived Need for Care Questionnaire in the 2007 and 2021 National Study of Mental Health and Wellbeing captures types of help needed in five mental health care categories: medication, information, counselling, social interventions and skills training. Needs are rated as unmet, partially met, or fully met. Twelve-month affective, anxiety and substance use disorders are assessed using WHO's Composite International Diagnostic Interview. Results: Demand for mental health care (composite of need categories) among adult Australians increased from 14% (2007) to 20% (2021). It also increased in those with common disorders (43.3–58.9%) and without (6.5–9.9%). Highest 2021 demand was in those with affective (76%), followed by anxiety (61%) and substance use (43%) disorders. Rates of demands being fully met remained stable (45% in 2007; 48% in 2021), with rates among those with substance use (24% in 2021), affective or anxiety (38%) disorders, and those without a common disorder (63%). In 2021, needed supports were counselling (16%), information (11%), medication (10%), skills training (6%) and social interventions (5%). Fully met needs were highest for medication (81%), then counselling (57%), information (54%), skills training (41%) and social interventions (15%). Conclusions: Despite service expansion, less than half of people with demand had fully met needs. Attention is needed on the causes, population-level prevention as well as treatment strategies to address this burgeoning mental health crisis. [ABSTRACT FROM AUTHOR] |
| Copyright of Australian & New Zealand Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 191101781 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Increasing demand and persistent gaps in perceived need for mental health care: National findings from 2007 to 2021. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Tian%2C+Yuan%22">Tian, Yuan</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rajit%2C+Darren%22">Rajit, Darren</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Shawyer%2C+Frances%22">Shawyer, Frances</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ozols%2C+Ingrid%22">Ozols, Ingrid</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Price%2C+Karen%22">Price, Karen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Callander%2C+Emily%22">Callander, Emily</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Inder%2C+Brett%22">Inder, Brett</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Rosenberg%2C+Sebastian%22">Rosenberg, Sebastian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Lakra%2C+Vinay%22">Lakra, Vinay</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fossey%2C+Ellie%22">Fossey, Ellie</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Meadows%2C+Graham%22">Meadows, Graham</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Enticott%2C+Joanne%22">Enticott, Joanne</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Australian+%26+New+Zealand+Journal+of+Psychiatry%22">Australian & New Zealand Journal of Psychiatry</searchLink>. Feb2026, Vol. 60 Issue 2, p171-183. 13p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Cross-sectional+method%22">Cross-sectional method</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Psychotherapy%22">Psychotherapy</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health+services%22">Mental health services</searchLink><br /><searchLink fieldCode="DE" term="%22Australians%22">Australians</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Anxiety%22">Anxiety</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Surveys%22">Surveys</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Drugs%22">Drugs</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+information%22">Access to information</searchLink><br /><searchLink fieldCode="DE" term="%22Social+skills+education%22">Social skills education</searchLink><br /><searchLink fieldCode="DE" term="%22Evaluation%22">Evaluation</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Australia%22">Australia</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Aims: To examine self-perceived need for mental health care in the Australian adult population between 2007 and 2021. Methods: The Perceived Need for Care Questionnaire in the 2007 and 2021 National Study of Mental Health and Wellbeing captures types of help needed in five mental health care categories: medication, information, counselling, social interventions and skills training. Needs are rated as unmet, partially met, or fully met. Twelve-month affective, anxiety and substance use disorders are assessed using WHO's Composite International Diagnostic Interview. Results: Demand for mental health care (composite of need categories) among adult Australians increased from 14% (2007) to 20% (2021). It also increased in those with common disorders (43.3–58.9%) and without (6.5–9.9%). Highest 2021 demand was in those with affective (76%), followed by anxiety (61%) and substance use (43%) disorders. Rates of demands being fully met remained stable (45% in 2007; 48% in 2021), with rates among those with substance use (24% in 2021), affective or anxiety (38%) disorders, and those without a common disorder (63%). In 2021, needed supports were counselling (16%), information (11%), medication (10%), skills training (6%) and social interventions (5%). Fully met needs were highest for medication (81%), then counselling (57%), information (54%), skills training (41%) and social interventions (15%). Conclusions: Despite service expansion, less than half of people with demand had fully met needs. Attention is needed on the causes, population-level prevention as well as treatment strategies to address this burgeoning mental health crisis. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Australian & New Zealand Journal of Psychiatry is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1177/00048674251393164 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 171 Subjects: – SubjectFull: Substance abuse Type: general – SubjectFull: Cross-sectional method Type: general – SubjectFull: Patient compliance Type: general – SubjectFull: Psychotherapy Type: general – SubjectFull: Mental health services Type: general – SubjectFull: Australians Type: general – SubjectFull: Research funding Type: general – SubjectFull: Questionnaires Type: general – SubjectFull: Interviewing Type: general – SubjectFull: Statistical sampling Type: general – SubjectFull: Affective disorders Type: general – SubjectFull: Anxiety Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Surveys Type: general – SubjectFull: Medical needs assessment Type: general – SubjectFull: Drugs Type: general – SubjectFull: Counseling Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Access to information Type: general – SubjectFull: Social skills education Type: general – SubjectFull: Evaluation Type: general – SubjectFull: Australia Type: general Titles: – TitleFull: Increasing demand and persistent gaps in perceived need for mental health care: National findings from 2007 to 2021. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Tian, Yuan – PersonEntity: Name: NameFull: Rajit, Darren – PersonEntity: Name: NameFull: Shawyer, Frances – PersonEntity: Name: NameFull: Ozols, Ingrid – PersonEntity: Name: NameFull: Price, Karen – PersonEntity: Name: NameFull: Callander, Emily – PersonEntity: Name: NameFull: Inder, Brett – PersonEntity: Name: NameFull: Rosenberg, Sebastian – PersonEntity: Name: NameFull: Lakra, Vinay – PersonEntity: Name: NameFull: Fossey, Ellie – PersonEntity: Name: NameFull: Meadows, Graham – PersonEntity: Name: NameFull: Enticott, Joanne IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 02 Text: Feb2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 00048674 Numbering: – Type: volume Value: 60 – Type: issue Value: 2 Titles: – TitleFull: Australian & New Zealand Journal of Psychiatry Type: main |
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