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Table 3 A framework to guide review of service use components

From: Assessing service use for mental health by Indigenous populations in Australia, Canada, New Zealand and the United States of America: a rapid review of population surveys

Component Summary of content
Hospital admissions Questions about hospital admissions for mental health asked respondents about: • number of admissions • date of admission • age at time of admission • duration of admission • (medical reason for admission)
Medications Questions about medications taken or prescribed for mental health asked about: • prescriptions received from a physician • age at time of receipt of prescription or length of time they had been taking the medication • herbal medicines; ‘recommended/prescribed’ herbal medicines • the professional who recommended the herbal medicine • (types of medication taken in the past 2 weeks – up to five types of medication could be recorded) • (number of medications taken) • (whether medications were taken according to the recommended dose)
Health professionals consulted Most surveys asked which professionals had been consulted in the past 12 months; commonly listed professionals were: • psychiatrist • psychologist • social worker • counsellor • other mental health professional • general practitioner or family doctor • other medical doctor • nurse, occupational therapist or other health professional • religious or spiritual advisor • other healer Some surveys asked about the modality of the consultation, including whether the health professional was: • seen in person • talked to over the phone
Number, duration, payment and location of health professional consultations Surveys collected specific information about the respondents’ consultations with health professionals, asking for: • age at first and last visit • frequency and duration of visits • (how many different doctors or clinics were visited) • location of visits • total money spent on mental health treatment in the past 12 months out-of-pocket • payment method
Interventions received Survey questions asked about types of interventions received, options included: • telephone psychic or telephone counsellor, including duration and topic of call • counselling • alternative therapies (e.g. acupuncture, biofeedback, hypnosis, massage therapy, etc.) • (psychotherapy) • (cognitive behavioural therapy) • (help to sort out housing or money problems) • (help to improve your ability to work, or to use your time in other ways) • (help to improve your ability to look after yourself or your home) • (help to meet people for support or company)
Support services or self-management strategies Several different support services or self-management strategies were listed as options, including: • the internet for information • support group or chat room • self-help group • hotline or telephone counselling service • psychological counselling or therapy • (self-coping strategies) • (services provided by employer)
Perceived need for care Surveys asked respondents: • whether or not they felt they received as much help as they needed for problems related to mental health in the past 12 months • what specific treatments they felt that they did not receive, e.g. not enough medicine or tablets or not enough talk therapy
Barriers to mental healthcare Surveys inquired about barriers to care. Themes included: • financial barriers • self-reliance • knowledge and beliefs about treatment • stigma from others and discrimination • practical barriers and availability • (spirituality and faith)
Treatment dropout Surveys also asked participants if they completed the recommended course of treatment and barriers to continuing care; listed reasons for dropout included: • self-reliance • stigma • beliefs about treatment • practical reasons and cost
  1. Sources: [1, 23, 27, 42]
  2. Parentheses indicate content specific to one survey; all other content was present in at least two surveys