Predictors and barriers to minimally adequate treatment among treated individuals with mental disorders: results from the World Mental Health Surveys

While approximately two-thirds of treated cases meet MAT criteria, significant gaps remain involving both premature discontinuation and cases where respondents reported completing a 'full recommended course of treatment' that did not involve enough visits or medication duration to meet the MAT standards. Expanding access to mental health specialty providers and increasing patient education about disorder severity would be useful in increasing the proportion of treated cases that receive MAT. Future research should focus on validating MAT definitions against clinical outcomes, standardizing assessment frameworks, and exploring provider- and system-level determinants of treatment adequacy.

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Publication Details

Journal
International Journal of Mental Health Systems
Published
2025-12-18
DOI
https://doi.org/10.1186/s13033-025-00686-6
Citations
1
Primary Topic
Schizophrenia research and treatment
Type
article
Field-Weighted Citation Impact
1.47
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article

Predictors and barriers to minimally adequate treatment among treated individuals with mental disorders: results from the World Mental Health Surveys

Norito Kawakami, Jordi Alonso, José Miguel Caldas‐de‐Almeida, Louisa Degenhardt et al.
1 citations
International Journal of Mental Health Systems
Schizophrenia research and treatment
1.47
article

Predictors and barriers to minimally adequate treatment among treated individuals with mental disorders: results from the World Mental Health Surveys

Norito Kawakami, Jordi Alonso, José Miguel Caldas‐de‐Almeida, Louisa Degenhardt, Timothy L. Kessler, Giovanni de Girolamo, Cristina Domènech, Olatunde Olayinka Ayinde, Kate M. Scott, Evelyn J. Bromet, Aimée Karam, Viviane Kovess–Masféty, John Joseph McGrath, Juan Carlos Stagnaro, Nancy A. Sampson, Oye Gureje, Yasmin Altwaijri, Lukoye Atwoli, Guilherme Borges, Bogdan Wojtyniak, Andrzej Kiejna, Josep María Haro, Annelieke M. Roest, Julia R Pozuelo, Peter de Jonge, Siranoush Manoukian, Margreet ten Have, Miguel Xavier, Yolanda Torres, David R. Williams, Daniel Vigo, Alan E. Kazdin, Jacek Moskalewicz, Graça Cardoso, Ronny Bruffaerts, Fernando Navarro‐Mateu, Alan M. Zaslavsky, Corina Benjet, Sergio Aguilar-Gaxiola, Laura Helena Andrade, Nathan Tintle, Hristo Hinkov, Dan Joseph Stein, Cristian Vlădescu, María Carmen Viana, Meredith Harris, Stephanie Chardoul, María Elena Medina-Mora, Marina Piazza, Jose Miguel Caldas-de-Almeida, Brendan Bunting, Elie G. Karam, Irving Hwang, José Posada-Villa, Georges Karam, Alfredo H. Cía, Ronald C. Kessler, Daisuke Nishi, Chiyi Hu
article en
1 citations

Abstract

While approximately two-thirds of treated cases meet MAT criteria, significant gaps remain involving both premature discontinuation and cases where respondents reported completing a 'full recommended course of treatment' that did not involve enough visits or medication duration to meet the MAT standards. Expanding access to mental health specialty providers and increasing patient education about disorder severity would be useful in increasing the proportion of treated cases that receive MAT. Future research should focus on validating MAT definitions against clinical outcomes, standardizing assessment frameworks, and exploring provider- and system-level determinants of treatment adequacy.

International Journal of Mental Health SystemsVol. 19(1)
Titu Maiorescu University (RO), South African Medical Research Council (ZA), University of British Columbia Hospital (CA), Harvard University (US), University of Ulster (GB), University of Lisbon (PT), University of Cape Town (ZA), Universitat Pompeu Fabra (ES), University of Ibadan (NG), University of the Witwatersrand (ZA), Universidad Peruana Cayetano Heredia (PE), Université Paris Cité (FR), Stellenbosch University (ZA), Brown University (US), Park Centre for Mental Health (AU), Universitair Ziekenhuis Leuven (BE), University College Hospital, Ibadan (NG), Saint George Hospital (LB), Yale University (US), University of Oxford (GB), Departamento de Epidemiología (GT), Queensland Centre for Mental Health Research (AU), Agincourt Health and Socio-Demographic Surveillance System (ZA), Centro San Giovanni di Dio Fatebenefratelli (IT), Trimbos Institute (NL), Parc Sanitari Sant Joan de Déu (ES), Hospital Del Mar (ES), Municipal Institute for Medical Research (ES), Institute for Development, Research, Advocacy and Applied Care (LB), Instituto Murciano de Investigación Biosanitaria (ES), Servicio Murciano de Salud (ES), Clínica CES (CO), Istituti di Ricovero e Cura a Carattere Scientifico (IT), Institute of Psychiatry and Neurology (PL), Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (MX), Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (ES), Hospital del Mar Research Institute (ES), Harvard Global Health Institute (US), DSW University of Lower Silesia (PL), UC Davis Health (US), National School of Public Health, Management and Professional Development (RO), Institute for Social Research (NO), Universidade Federal do Espírito Santo (BR), The University of Tokyo (JP), University of Otago (NZ), Universidad Nacional Autónoma de México (MX), KU Leuven (BE)
Openalex Percentile: Top 13%
Schizophrenia research and treatment
1.47
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