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A Developmental Perspective in Mental Health Services Use Among Adults with Mental Disorders

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Abstract

This study examined factors associated with mental health services (MHS) use by individuals with mental disorders within a developmental perspective of adulthood. Bivariate and multivariate analyses were conducted separately for each developmental stage on independent variables using the Andersen’s behavioral health service model. For 18–29-year-old emerging adults (n = 141), autonomy, daily life/relations, Internet searching, alcohol dependence, cognitive impulsiveness, number of stressful events, and self-harm were associated with MHS use. For 30–49-year olds (n = 292), being female, country of origin, being on welfare, social integration, Internet searching, and number of stressful events were associated with MHS use. For 50–64-year-old middle-aged adults (n = 126), current occupation was associated with MHS use. Developing online resources for emerging adults may increase MHS use. For 30–49-year olds, outreach should target male, immigrants, and individuals less socially integrated and on welfare. For middle-aged adults, workplace programs that reduce stigma and offer psychological help could increase MHS use.

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Acknowledgements

The study was funded by the Canadian Institute of Health Research (CTP-79839) and by Mitacs (IT04457). The authors would like to thank these grant agencies and all individuals who participated in the research. They would also like to thank Guylaine Daoust, study coordinator, for the tremendous help in conducting this study. The authors would like to highlight the contribution of Louis-Vincent Guay and Cristina Lopez-Jimenez to the brainstorming process of revising the “Implications for Behavioral Health” section.

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Authors and Affiliations

  1. Institut universitaire sur les dépendances, Centre intégré universitaire de santé et des services sociaux du Centre-Sud-de-l’Île-de-Montréal, 950 rue de Louvain Est, Montreal, QC, H2M 2E8, Canada

    Christophe Huỳnh PhD, Marilou Pelletier MSc & Marie-Josée Fleury PhD

  2. Department of Psychiatry, Douglas Hospital Research Centre, Douglas Mental Health University Institute, McGill University, 6875 LaSalle Blvd, Montreal, QC, H4H 1R3, Canada

    Christophe Huỳnh PhD, Jean Caron PhD, Aihua Liu PhD & Marie-Josée Fleury PhD

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  1. Christophe Huỳnh PhD
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  2. Jean Caron PhD
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  3. Marilou Pelletier MSc
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  4. Aihua Liu PhD
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  5. Marie-Josée Fleury PhD
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Correspondence to Christophe Huỳnh PhD.

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Huỳnh, C., Caron, J., Pelletier, M. et al. A Developmental Perspective in Mental Health Services Use Among Adults with Mental Disorders. J Behav Health Serv Res 45, 389–420 (2018). https://doi.org/10.1007/s11414-017-9562-y

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