Publications by authors named "Whiteford H"

Objectives: This review aimed to 1) identify existing rural strengths in the literature that proposed a relationship to mental health, 2) classify strengths into a socioecological framework, and 3) identify which strengths make a conceptual link to improved mental health.

Methods: Literature was systematically reviewed using online databases (PubMed, PsycInfo, CINAHL, and Scopus). Applicable original research studies that met the inclusion criteria, published (1990-2022) from Australia, Canada, and the United States were thematically analysed.

View Article and Find Full Text PDF

Background: Access to effective treatment for major depressive disorder remains limited and difficult to track across place and time. We analysed the available data on minimally adequate treatment (MAT) for major depressive disorder globally with the aim of providing a useful metric against which to monitor national responses to the growing public health burden imposed by major depressive disorder.

Methods: MAT was defined as pharmacotherapy (1 month of medication, plus four visits to a medical doctor) or psychotherapy (eight visits with any professional).

View Article and Find Full Text PDF

The objective of this paper is to summarise the policy implications of key findings from the 2020-22 Australian National Study of Mental Health and Wellbeing (NSMHWB). We provide an analysis of policy implications of four papers in this issue of the journal from the 2020-22 NSMHWB ( = 15,893) and the 2007 NSMHWB ( = 8841). The 2020-2022 NSMHWB reported a lifetime prevalence rate of common mental disorders of 40.

View Article and Find Full Text PDF
Article Synopsis
  • - The purpose of the study was to evaluate and compile information on person-centred crisis support services as alternatives to emergency department (ED) support for mental health crises, focusing on their characteristics and outcomes.
  • - A systematic scoping review of 13 publications regarding 8 different crisis support services showed that while the overall methodological quality was low, there were positive outcomes like improved visitor experiences and reduced reliance on EDs.
  • - The review concluded that person-centred crisis support services are viewed as safe and effective options, but emphasized the need for higher-quality research to verify these findings and enhance service delivery.
View Article and Find Full Text PDF

Objective: The objective of this study was to determine regional variation in need for mental health care for Aboriginal and Torres Strait Islander adults (18+ years).

Methods: Three Australian Indigenous health surveys were analysed, and prevalence rates of high/very high psychological distress (as per the Kessler-5 tool) by the Index of Relative Socio-economic Disadvantage were computed and combined via meta-analysis. These estimates were applied to census population data to estimate regional needs and summed to geographic planning regions.

View Article and Find Full Text PDF

Background: Mental disorders are the leading global cause of health burden among adolescents. However, prevalence data for mental disorders among adolescents in low-income and middle-income countries are scarce with often limited generalisability. This study aimed to generate nationally representative prevalence estimates for mental disorders in adolescents in Kenya, Indonesia, and Viet Nam.

View Article and Find Full Text PDF

Purpose: Limited data exists on the relationship between sociodemographic and cultural variables and the prevalence of specific mental and substance use disorders (MSDs) among Indigenous Australians, using diagnostic prevalence data. This paper utilises data from the Queensland Urban Indigenous Mental Health Survey (QUIMHS), a population-level diagnostic mental health survey, to identify socioeconomic and cultural correlates of psychological distress and specific MSDs in an urban Indigenous Australian sample.

Methods: Using a mixture of household sampling (door-knocking) and snowball sampling (promotion of the survey in the community), 406 participants aged 18 to 89 were recruited across key locations in Southeast Queensland.

View Article and Find Full Text PDF

Background: The aim of this study was to demonstrate the application of a needs-based mental health service planning model in Tasmania, Australia to identify indicative directions for future service development that ensure the equitable provision of mental health services across the State.

Methods: The activity and capacity of Tasmania's 2018-19 mental health services were compared to estimates of required care by: (1) generating estimates of required care using the National Mental Health Service Planning Framework (NMHSPF); (2) collating administrative mental health services data; (3) aligning administrative data to the NMHSPF; and (4) comparing aligned administrative data and NMHSPF estimates to identify priority areas for service development. Findings were contextualised using information about service location, population demographics, and upcoming service development.

View Article and Find Full Text PDF

Services data are an important source of information for policymakers and planners. In Australia, significant work has been undertaken to develop and implement collections of mental health services data. Given this level of investment, it is important that collected data are fit for purpose.

View Article and Find Full Text PDF
Article Synopsis
  • Australia's Fifth National Mental Health Plan mandates that governments report on both the progress of mental health service changes and future service planning.
  • Predicting future treatment demand is difficult, but systems modelling can help decision-makers anticipate changes and choose effective responses.
  • The paper discusses the new capabilities in mental health modelling in Australia and how these approaches can assist health service planners in making informed decisions for the population.
View Article and Find Full Text PDF

Background: The Global Burden of Disease Study (GBD) estimates burden by cause with major relevance for resource allocators globally. Non-fatal burden estimates are influenced by disorder severity. However, for many disorders, global severity is sourced from a single high-income country survey.

View Article and Find Full Text PDF

Objective: To investigate the associations between low education and risk of mental disorders, substance use disorders and self-harm in different age-groups.

Methods: All subjects in Stockholm born between 1931 and 1990 were linked to their own or their parent's highest education in 2000 and followed-up for these disorders in health care registers 2001-2016. Subjects were stratified into four age-groups: 10-18, 19-27, 28-50, and 51-70 years.

View Article and Find Full Text PDF

Objective: The Composite International Diagnostic Interview 3.0 is a standardised diagnostic interview commonly used in population-based mental health surveys, but has not been used in community-residing Indigenous Australians. This paper seeks to determine whether the Composite International Diagnostic Interview 3.

View Article and Find Full Text PDF

Background: Mental disorders can affect workforce participation via a range of mechanisms. In this study, we aimed to estimate the association between different types of mental disorders and working years lost, defined as the number of years not actively working or enrolled in an educational programme.

Methods: In this population-based cohort study, we included all people aged 18-65 years (mean 38·0 [SD 13·9]) in the Danish Civil Registration System from Jan 1, 1995 to Dec 31, 2016.

View Article and Find Full Text PDF

Background: General medical conditions (GMCs) often co-occur with mental and substance use disorders (MSDs).

Aims: To explore the contribution of GMCs to the burden of disease in people with MSDs, and investigate how this varied by age.

Method: A population-based cohort of 6 988 507 persons living in Denmark during 2000-2015 followed for up to 16 years.

View Article and Find Full Text PDF

The aim of the study was to undertake a detailed analysis of healthcare cost, public transfer payments, and income loss associated with a broad range of mental disorders in Denmark. Based on all persons living in Denmark, we identified those with a hospital diagnosis of one of 18 types of mental disorders and 10 age- and sex-matched controls per case. For each mental disorder, the outcomes were nationwide totals, cost per case, and cost per capita, investigated by sex, age strata, and the number of years after diagnosis.

View Article and Find Full Text PDF

Background: The treatment coverage for major depressive disorder (MDD) is low in many parts of the world despite MDD being a major contributor to disability globally. Most existing reviews of MDD treatment coverage do not account for potential sources of study-level heterogeneity that contribute to variation in reported treatment rates. This study aims to provide a comprehensive review of the evidence and analytically quantify sources of heterogeneity to report updated estimates of MDD treatment coverage and gaps by location and treatment type between 2000 and 2019.

View Article and Find Full Text PDF

Purpose: In low- and middle-income countries, there are limited data on mental disorders among adolescents. To address this gap, the National Adolescent Mental Health Surveys (NAMHS) will provide nationally representative prevalence data of mental disorders among adolescents in Kenya, Indonesia, and Vietnam. This paper details the NAMHS study protocol.

View Article and Find Full Text PDF

The report of the Productivity Commission Inquiry into mental health was released in November 2020, estimating the economic cost of mental illness in Australia at over $200 billion a year. The report makes wide-ranging recommendations for improving the mental health of the population, reforming the mental health treatment system, and in the way mental health is managed in other sectors of society.

View Article and Find Full Text PDF

Background: Mental disorders account for a substantial proportion of the years lived with disability (YLDs) globally. These estimates have generally been calculated top down based on summary statistics. The aim for this study was to calculate YLDs and a novel related measure, Health Loss Proportion (HeLP), for 18 mental and substance use disorders, based on person-level register data (bottom up).

View Article and Find Full Text PDF