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Title: Perceived helpfulness of treatment for alcohol use disorders: Findings from the World Mental Health Surveys
Authors: Degenhardt, Louisa
Bharat, Chrianna
Chiu, Wai Tat
Harris, Meredith G
Kazdin, Alan E
Vigo, Daniel V
Sampson, Nancy A
Alonso, Jordi
Andrade, Laura Helena
Bruffaerts, Ronny
Bunting, Brendan
Cardoso, Graça
de Girolamo, Giovanni
Florescu, Silvia
Gureje, Oye
Haro, Josep Maria
Hu, Chiyi
Karam, Aimee N
Karam, Elie G.
Kovess-Masfety, Viviane
Lee, Sing
Makanjuola, Victor
McGrath, John J
Medina-Mora, Maria Elena
Moskalewicz, Jacek
Navarro-Mateu, Fernando
Posada-Villa, José
Rapsey, Charlene
Stagnaro, Juan Carlos
Tachimori, Hisateru
Ten Have, Margreet
Torres, Yolanda
Williams, David R
Zarkov, Zahari
Kessler, Ronald C
Affiliations: Faculty of Medicine 
Keywords: Alcohol use disorder
Issue Date: 2021
Part of: Drug and Alcohol Dependence
Volume: 229
We examined prevalence and factors associated with receiving perceived helpful alcohol use disorder (AUD) treatment, and persistence in help-seeking after earlier unhelpful treatment.

Data came from 27 community epidemiologic surveys of adults in 24 countries using the World Health Organization World Mental Health surveys (n = 93,843). Participants with a lifetime history of treated AUD were asked if they ever received helpful AUD treatment, and how many professionals they had talked to up to and including the first time they received helpful treatment (or how many ever, if they had not received helpful treatment).

11.8% of respondents with lifetime AUD reported ever obtaining treatment (n = 9378); of these, 44% reported that treatment was helpful. The probability of obtaining helpful treatment from the first professional seen was 21.8%; the conditional probability of subsequent professionals being helpful after earlier unhelpful treatment tended to decrease as more professionals were seen. The cumulative probability of receiving helpful treatment at least once increased from 21.8% after the first professional to 79.7% after the seventh professional seen, following earlier unhelpful treatment. However, the cumulative probability of persisting with up to seven professionals in the face of prior treatments being unhelpful was only 13.2%.

Fewer than half of people with AUDs who sought treatment found treatment helpful; the most important factor was persistence in seeking further treatment if a previous professional had not helped. Future research should examine how to increase the likelihood that AUD treatment is found to be helpful on any given contact.
ISSN: 03768716
DOI: 10.1016/j.drugalcdep.2021.109158
Ezproxy URL: Link to full text
Type: Journal Article
Appears in Collections:Faculty of Medicine

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