title: Barriers to Mental Health Service Use Among Workers With Depression and Work Productivity.
abstract: OBJECTIVE
  This article estimates the decrease in workplace productivity losses associated with removal of three types of barriers to mental health service use among workers with depression.
  
  
  METHODS
  A model of productivity losses based on the results of a population-based survey of Canadian workers was used to estimate the impact of three types of barriers to mental health service use among workers with depression.
  
  
  RESULTS
  Removing the service need recognition barrier is associated with a 33% decrease in work productivity losses. There is a 49% decrease when all three barriers are removed.
  
  
  CONCLUSIONS
  Our results suggest recognizing the need for treatment is only one barrier to service use; attitudinal and structural barriers should also be considered. The greatest decrease in productivity losses is observed with the removal of all three barriers.
authors.affiliation: From the Centre for Research on Employment and Workplace Health at the Centre for Addiction and Mental Health (Dr Dewa), University of Toronto, Department of Psychiatry and Institute of Health Policy, Management and Evaluation; and Centre for Excellence in Economic Analysis Research (Dr Hoch), St. Michael's Hospital, Institute of Health Policy, Management and Evaluation, University of Toronto, Ontario, Canada.
authors.forename: Carolyn S
authors.initials: CS
authors.lastname: Dewa
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Hoch
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003866:Depressive Disorder / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D004526:Efficiency; D005260:Female; D006297:Health Services Accessibility; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D008875:Middle Aged; D009864:Ontario / Q000453:epidemiology; D011795:Surveys and Questionnaires; D017132:Workplace