Patterns and predictors of the transition between minimally adequate treatment and effective treatment coverage for mental disorders: results from the World Mental Health Survey

Noteworthy limitations include the data being cross-sectional, the predictor set being restricted, and the outcome being defined in terms of structural characteristics rather than fidelity of implementation. Within the context of these limitations, results suggest that fewer than half of cases with minimally adequate treatment receive treatment meeting published guidelines for effective treatment coverage. This finding underscores the importance of improving treatment. Future research should focus on targets to improve each stage of the help-seeking process beginning with entry into treatment through receipt of ETC.

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Publication Details

Journal
International Journal of Mental Health Systems
Published
2026-02-24
DOI
https://doi.org/10.1186/s13033-026-00698-w
Primary Topic
Schizophrenia research and treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Patterns and predictors of the transition between minimally adequate treatment and effective treatment coverage for mental disorders: results from the World Mental Health Survey

Timothy L. Kessler, Kazdin Ae, Annelieke M. Roest, Julia R Pozuelo et al.
International Journal of Mental Health Systems
Schizophrenia research and treatment
article

Patterns and predictors of the transition between minimally adequate treatment and effective treatment coverage for mental disorders: results from the World Mental Health Survey

Timothy L. Kessler, Kazdin Ae, Annelieke M. Roest, Julia R Pozuelo, Sujit John, Andrzej Kiejna, HU Chiyi, Charlene Rapsey, Alan M. Zaslavsky, J. Alonso, Laura Helena Andrade, Hristo Hinkov, Zahari Zarkov, Stephanie Chardoul, Jacek Wciórka, Kate M. Scott, Oye Gureje, José Posada-Villa, Bogdan Wojtyniak, Sophie M. Manoukian, Maria Carmen Viana, Marina Piazza, Corina Benjet, Peter de Jonge, Miguel Xavier, Graça Cardoso, Nathan Tintle, Cristina Domenech, Irving Hwang, Daniel V. Vigo, Cristian Vladescu, Daisuke Nishi, Sergio Aguilar-Gaxiola, Alfredo H. Cía, Ronald C. Kessler, Norito Kawakami, Nancy A. Sampson, Olatunde O. Ayinde, Aimee Nasser Karam, World Mental Health Survey collaborators, Viviane Kovess-Masfety, Juan Carlos Stagnaro, Lukoye Atwoli, Ronny Bruffaerts, Giovanni de Girolamo, Ali Al-Hamzawi, Evelyn J. Bromet, Georges Karam, Yasmin A. Altwaijri, Maria Elena Medina-Mora, Jose Miguel Caldas-de-Almeida, Louisa Degenhardt, Elie G. Karam, Margreet ten Have, Brendan Bunting, Josep Maria Haro, Meredith G. Harris, Dan J. Stein
article en

Abstract

Noteworthy limitations include the data being cross-sectional, the predictor set being restricted, and the outcome being defined in terms of structural characteristics rather than fidelity of implementation. Within the context of these limitations, results suggest that fewer than half of cases with minimally adequate treatment receive treatment meeting published guidelines for effective treatment coverage. This finding underscores the importance of improving treatment. Future research should focus on targets to improve each stage of the help-seeking process beginning with entry into treatment through receipt of ETC.

International Journal of Mental Health Systems
Titu Maiorescu University (RO), South African Medical Research Council (ZA), University of British Columbia Hospital (CA), University Medical Center Groningen (NL), Harvard University (US), University of Ulster (GB), University of Lisbon (PT), The University of Queensland (AU), University of Groningen (NL), Universitat Pompeu Fabra (ES), Université Paris Cité (FR), Universidad de Buenos Aires (AR), Brown University (US), University of Michigan (US), Park Centre for Mental Health (AU), Universitair Ziekenhuis Leuven (BE), University College Hospital, Ibadan (NG), Instituto de Salud Carlos III (ES), Saint George Hospital (LB), Yale University (US), University of Oxford (GB), Departamento de Epidemiología (GT), Narodowy Instytut Zdrowia Publicznego PZH – Państwowy Instytut Badawczy (PL), Queensland Centre for Mental Health Research (AU), Parc Sanitari Sant Joan de Déu (ES), Hospital Del Mar (ES), Laboratoire Vision Action Cognition (FR), Institute for Development, Research, Advocacy and Applied Care (LB), Instituto Murciano de Investigación Biosanitaria (ES), Servicio Murciano de Salud (ES), Clínica CES (CO), National Center of Public Health and Analyses (BG), Institute of Psychiatry and Neurology (PL), Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz (MX), Harvard Global Health Institute (US), UC Davis Health (US), National School of Public Health, Management and Professional Development (RO), Universidade Federal do Espírito Santo (BR), The University of Tokyo (JP), University of Otago (NZ), KU Leuven (BE)
Openalex Percentile: Top 50%
Schizophrenia research and treatment
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