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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

Persistent gaps in access to mental health care in high-income countries

Persistent gaps in access to mental health care in high-income countries

Even in well-resourced, high-income countries, 35–60% of individuals with mental disorders may not be receiving adequate treatment.

Although the treatment gap is often highlighted in low- and middle-income countries, unmet mental health needs persist even in high-income countries with well-resourced health systems; this study aims to synthesize epidemiological evidence on the prevalence of unmet needs in these countries and identify the main barriers to access. A systematic review and meta-analysis is being conducted in accordance with PRISMA guidelines; PubMed and Scopus are being searched for observational studies reporting treatment gaps in high-income countries, including community-based surveys and epidemiological studies involving adults with diagnosed or probable mental disorders. Approximately 40 studies have been identified as potentially eligible; pooled prevalence will be estimated using a random-effects model that accounts for heterogeneity, and subgroup analyses will examine differences by disorder type and geographical region. Preliminary screening has identified more than 30 studies from North America, Europe, and Australia, involving over 200,000 participants; the evidence suggests that 35–60% of individuals with mental disorders may not be receiving adequate treatment. Recurring barriers include structural factors (such as service availability and cost), attitudinal factors (such as stigma and low perceived need), and systemic issues (such as fragmented services and delays along care pathways). Identifying consistent patterns in treatment gaps and associated barriers provides targets for initiatives aimed at early recognition, access to care, and the integration of mental health services.

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