Analysis of Consultation Demand in a Mental Health Centre during the Recent Economic Recession

Psychiatr Q. 2021 Mar;92(1):15-29. doi: 10.1007/s11126-020-09770-1.

Abstract

The economic recession that recently affected most European countries has led to a worsening of the mental health situation in the general population and an associated rise in outpatient psychiatric care. The aim of this study was to analyse the socio-demographic, clinical and assistential features of the demand for specialist mental health attention. A descriptive and analytical study was conducted in the period 2011-2015 (N = 1252). The principal relations among variables were analysed by an χ2 test, followed by a Z test with Bonferroni's correction. For a global perspective a Multiple Correspondence Analysis was performed. 2 The most frequent disorders were adjustment, anxiety and mood disorders, and in addition there were a large number of patients without diagnosis. The percentage of unemployed or inactive patients was high, as it was for those with a low academic level. The younger patients were more prone to have adjustment disorders, especially among the unemployed ones, while anxiety disorders were more frequent in the patients with jobs. A close association seems to exist between unemployment, low academic level and mental health problems. The high demand for mental health attention reveals a clear need to optimize the utilization of specialized care in mental health.

Keywords: Academic level; Community mental health services; Mental disorders; Unemployment.

MeSH terms

  • Adult
  • Aged
  • Anxiety Disorders / epidemiology
  • Anxiety Disorders / therapy
  • Economic Recession*
  • Female
  • Humans
  • Male
  • Mental Disorders / epidemiology
  • Mental Disorders / therapy*
  • Mental Health / economics*
  • Mental Health / statistics & numerical data*
  • Mental Health Services / statistics & numerical data*
  • Middle Aged
  • Referral and Consultation*
  • Unemployment / psychology