Do people living in disadvantaged circumstances receive different mental health treatments than those from less disadvantaged backgrounds?

Giebel, Clarissa ORCID: 0000-0002-0746-0566, Corcoran, Rhiannon ORCID: 0000-0001-8900-9199, Goodall, Mark ORCID: 0000-0002-4880-998X, Campbell, Niall, Gabbay, Mark ORCID: 0000-0002-0126-8485, Daras, Konstantinos ORCID: 0000-0002-4573-4628, Barr, Ben ORCID: 0000-0002-4208-9475, Wilson, Tim and Kullu, Cecil (2020) Do people living in disadvantaged circumstances receive different mental health treatments than those from less disadvantaged backgrounds? BMC PUBLIC HEALTH, 20 (1). 651-.

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	Text Giebel, Corcoran et al (2020) BMC Public Health MH treatments_BMC_Revisions.docx - Author Accepted Manuscript Download (45kB)

Abstract

<h4>Background</h4>Socio-economic status (SES) has been linked to treatment outcomes for mental health problems, whilst little to no literature has explored the effects of SES on access to both medication and psychological therapy. The aim of this study was to explore whether access to mental health treatments differed by SES.<h4>Methods</h4>The North West Coast Household Health Survey (HHS) collected data from residents aged 18+ from across 20 disadvantaged and 8 less disadvantaged neighbourhoods in 2015, and from 20 disadvantaged neighbourhoods in 2018. Logistic regression was used to explore the effects of SES on access to treatment (medication, psychological therapy) for people who had experienced mental health problems in the past 12 months.<h4>Results</h4>Of 6860 participants, 2932 reported experiencing mental health problems in the past 12 months. People from more disadvantaged backgrounds experienced greater rates of anxiety and depression. Anti-depressant and anti-psychotic medication treatment was significantly more common in residents with lower SES, as well as counselling. Regression analysis showed that residents from more disadvantaged neighbourhoods who reported mental distress were more likely to receive medication.<h4>Conclusions</h4>This appears to be the first study showing higher levels of treatment with medication and psychological therapy in people from disadvantaged backgrounds. Future research needs to address the underlying factors associated with increased mental health treatment uptake in people from lower socio-economic backgrounds.

Item Type:	Article
Uncontrolled Keywords:	Mental health, Health inequalities, Deprivation, Socio-economic status, Medication, therapy, Health care access
Depositing User:	Symplectic Admin
Date Deposited:	01 May 2020 09:46
Last Modified:	18 Jan 2023 23:53
DOI:	10.1186/s12889-020-08820-4
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3085519

Available Versions of this Item

• Do people living in disadvantaged circumstances receive different mental health treatments than those from less disadvantaged backgrounds? (deposited 01 May 2020 08:49)
  • Do people living in disadvantaged circumstances receive different mental health treatments than those from less disadvantaged backgrounds? (deposited 01 May 2020 09:46) [Currently Displayed]