Service use for mental disorders and unmet need: results from the Israel Survey on Mental Health Among Adolescents

Psychiatr Serv. 2010 Mar;61(3):241-9. doi: 10.1176/ps.2010.61.3.241.


Objective: The first nationwide Israel Survey of Mental Health Among Adolescents was conducted in 2004-2005 with a representative sample of 957 adolescents aged 14-17 and their mothers to assess 12-month mental health service use, unmet needs, and associated factors.

Methods: Need for services was assessed by presence of a psychiatric disorder diagnosed with the Development and Well-Being Assessment inventory, plus clinicians' verification and additional questions on service use.

Results: In the past year, 22% of adolescents and 11% of their mothers consulted a service provider. Adolescents' help seeking in school was associated with residing in an Arab locality (odds ratio [OR]=1.6, 95% confidence interval [CI]=1.1-2.4) and with having single, divorced, or widowed parents (OR=2.9, CI=1.8-4.8); an employed father (OR=1.7, CI=1.0-2.8); and an internalizing disorder (OR=2.2, CI=1.2-3.9). Mothers' consultation was associated with residing in a Jewish or mixed locality (OR=18.1, CI=3.4-96.1); being single, divorced, or widowed (OR=3.1, CI=1.6-6.0); and having a child with an internalizing disorder (OR=6.4, CI=3.2-13.0), an externalizing disorder (OR=8.2, CI=2.9-23.0), or a learning disability (OR=4.5, CI=2.4-8.4). Overall, unmet needs were 66% and 60%, according to adolescents' and mothers' reports, respectively. According to mothers' reports, unmet needs were higher in Arab (91%) than in Jewish or mixed localities (54%).

Conclusions: Adolescents and their mothers reported distinct service use patterns with particular implications for policy makers and health service providers. High rates of unmet needs, particularly among Arab-Israeli adolescents, need to be addressed.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adolescent Psychiatry*
  • Female
  • Health Care Surveys
  • Health Services Needs and Demand*
  • Humans
  • Israel
  • Male
  • Mental Disorders*
  • Mental Health Services / statistics & numerical data*