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Little is known about the perceived helpfulness of the combinations of service sectors that patients use.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Respondents 18\u2009+\u2009years with 12-month DSM-IV mental or substance use disorders who saw a provider for mental health problems in the year before interview were identified from WHO World Mental Health surveys in 17 countries. Based upon the types of providers seen, patients were grouped into nine mutually exclusive single-sector or multi-sector \u2018treatment profiles\u2019. Perceived helpfulness was defined as the patient\u2019s maximum rating of being helped (\u2018a lot\u2019, \u2018some\u2019, \u2018a little\u2019 or \u2018not at all\u2019) of any type of provider seen in the profile. Logistic regression analysis was used to examine the joint associations of sociodemographics, disorder types, and treatment profiles with being helped \u2018a lot\u2019.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Across all surveys combined, 29.4% (S.E. 0.6) of respondents with a 12-month disorder saw a provider in the past year (N\u2009=\u20093221). Of these patients, 58.2% (S.E. 1.0) reported being helped \u2018a lot\u2019. Odds of being helped \u2018a lot\u2019 were significantly higher (odds ratios [ORs]\u2009=\u20091.50\u20131.89) among the 12.9% of patients who used specialized multi-sector profiles involving both\u00a0psychiatrists and other mental health specialists, compared to other patients, despite their high comorbidities. Lower odds of being helped \u2018a lot\u2019 were found among patients who were seen only in the general medical, psychiatrist, or other mental health specialty sectors (ORs\u2009=\u20090.46\u20130.71). Female gender and older age were associated with increased odds of being helped \u2018a lot\u2019. In models stratified by country income group, having 3 or more disorders (high-income countries only) and state-funded health insurance (low\/middle-income countries only) were associated with increased odds of being helped \u2018a lot\u2019.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Patients who received specialized, multi-sector care were more likely than other patients to report being helped \u2018a lot\u2019. This result is consistent with previous research suggesting that persistence in help-seeking is associated with receiving helpful treatment. Given the nonrandom sorting of patients by types of\u00a0providers seen and persistence in help-seeking, we cannot discount that selection bias may play some role in this pattern.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13033-022-00516-z","type":"journal-article","created":{"date-parts":[[2022,1,29]],"date-time":"2022-01-29T10:03:38Z","timestamp":1643450618000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Perceived helpfulness of service sectors used for mental and substance use disorders: Findings from the WHO World Mental Health Surveys"],"prefix":"10.1186","volume":"16","author":[{"given":"Meredith G.","family":"Harris","sequence":"first","affiliation":[]},{"given":"Alan E.","family":"Kazdin","sequence":"additional","affiliation":[]},{"given":"Richard J.","family":"Munthali","sequence":"additional","affiliation":[]},{"given":"Daniel V.","family":"Vigo","sequence":"additional","affiliation":[]},{"given":"Irving","family":"Hwang","sequence":"additional","affiliation":[]},{"given":"Nancy A.","family":"Sampson","sequence":"additional","affiliation":[]},{"given":"Ali","family":"Al-Hamzawi","sequence":"additional","affiliation":[]},{"given":"Jordi","family":"Alonso","sequence":"additional","affiliation":[]},{"given":"Laura Helena","family":"Andrade","sequence":"additional","affiliation":[]},{"given":"Guilherme","family":"Borges","sequence":"additional","affiliation":[]},{"given":"Brendan","family":"Bunting","sequence":"additional","affiliation":[]},{"given":"Silvia","family":"Florescu","sequence":"additional","affiliation":[]},{"given":"Oye","family":"Gureje","sequence":"additional","affiliation":[]},{"given":"Elie G.","family":"Karam","sequence":"additional","affiliation":[]},{"given":"Sing","family":"Lee","sequence":"additional","affiliation":[]},{"given":"Fernando","family":"Navarro-Mateu","sequence":"additional","affiliation":[]},{"given":"Daisuke","family":"Nishi","sequence":"additional","affiliation":[]},{"given":"Charlene","family":"Rapsey","sequence":"additional","affiliation":[]},{"given":"Kate M.","family":"Scott","sequence":"additional","affiliation":[]},{"given":"Juan Carlos","family":"Stagnaro","sequence":"additional","affiliation":[]},{"given":"Maria Carmen","family":"Viana","sequence":"additional","affiliation":[]},{"given":"Bogdan","family":"Wojtyniak","sequence":"additional","affiliation":[]},{"given":"Miguel","family":"Xavier","sequence":"additional","affiliation":[]},{"given":"Ronald C.","family":"Kessler","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2022,1,29]]},"reference":[{"key":"516_CR1","unstructured":"Ritchie H, Roser M. 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