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To investigate the role of social factors, health status, and psychiatric disorders (DSM-III-R) on mental health services use, we utilized the National Comorbidity Survey (NCS), a nationally representative household survey (1990–1992) of the US (n=5877). Multivariate logistic regression allowed estimation of the adjusted odds ratios and 95% confidence intervals on the likelihood of visiting the health or the specialty mental/addictive service sectors. Significant determinants included: gender, race, household income, work status, and quality of community-level health care resources. Those with greater socioeconomic resources or comorbid psychiatric disorders were more likely to visit the specialty mental health sector.

The effects of distress and social networks on psychiatric help seeking were examined in an adult sample from a community survey of 3,481 adults in Baltimore, Maryland. Data were derived from the Johns Hopkins University site of the NIMH Epidemiologic Catchment Area program. Statistical adjustment for the independent effects of social (age, education, marital status, race, household composition, and sex), economic (employment, income, and insurance), and physical health factors were controlled for in estimating the relative odds of mental health service utilization. Subjects who were young, without full-time employment, or who reported one or more chronic medical problems were more likely to utilize mental health professionals. Married persons and the aging were less likely to seek psychiatric treatment. Social support and psychological distress interact to affect the use of mental health care. Persons with weak family ties were five times more likely to seek professional help than those with strong family ties, while persons with confiding social support were over four times as likely to use mental health services as those lacking confiding relationships. Interventions and other treatment efforts to encourage use of mental health services are recommended.

The last several decades have brought about a paradigm shift in the conceptualization of disability (Fougeyrollas & Beauregard, 2001; Williams, 2001). The traditional medical model considers disability to be a characteristic of the person, situated within the body. In the medical model view, disability, or difficulty functioning in major life domains, results from bodily impairments associated with a medical diagnosis or disorder, and a medical intervention or treatment is required to “correct” the problem of the individual. Alternatively, contemporary social models argue that disability is a social construction. In the social model view, disability is created by social policies, stigma and other barriers within the social and physical environment. Changes in attitudes and policies and the removal of barriers are needed to “correct” these environmental problems.

The need to alleviate poverty and achieve the United Nations (UN) 2030 Sustainable Development Goals (SDGs) through Universal Social Protection (USP) mechanisms is a high priority for governments and international organisations (IOs). This paper focuses on the recent introduction of a general minimum income (GMI) in Greece, in the context of the international diffusion of governing expertise. It examines whether the “universal” scheme being implemented constitutes a paradigm shift likely to offer solutions to the country's previous fragmented and unjust welfare system, and to problems the society has faced since the 2010s depression.

The paper uses critical grounded theory, with data gathering through iterative field observations and semi-structured interviews.

Results highlight the elusiveness of USP normative promises: rather than enhancing people's effective freedoms to act as self-determining agents, USP pushes the poor to adapt to current degraded socio-economic conditions. Participation in the shadow economy is a structural feature of USP; it is implicitly tolerated insofar as it is regarded, in the words of the World Bank (WB), an “engine for growth”. This constitutes an institutional and governance challenge for the implementation and expansion of social welfare programmes and could compromise the 2030 SDGs Agenda.

While research to date has examined the “modernisation” of the Greek welfare system in a national or comparative perspective, it adds to the literature by framing the study in the field of global social policy, shedding light on the discrepancies between internationally designed mechanisms and the normative aims of USP.

Characteristics of substance use disorders (SUDs) comorbid with mental health disorders (MHDs) are not completely clear in early population based studies. The objective of this paper is to examine the association of SUDs comorbid with MHDs and vice‐versa using a large inpatient dataset.

The data (1 July 2001 to 30 June 2007) were extracted from the New South Wales Inpatient Statistic Data Collection. Statistical analysis was performed using SAS.

There was a total of 10,211,596 (4,671,243 males (45.75 per cent) and 5,540,353 females (54.25 per cent)) admissions. Over the six years, between 9.4 per cent and 12.6 per cent of the patients with MHDs were diagnosed as having SUDs. Of the patients diagnosed with SUDs, between 42.5 per cent and 57.4 per cent also had a diagnosis of MHDs. Overall, the comorbidity for both MHDs and SUDs was between 8.4 per cent and 11.3 per cent. The odds ratio for either SUDs or MHDs compared to the general population was between 13.0 to 20.8.

Patients with SUDs are highly likely to have a mental health problem. This is the first largest study and the findings imply that different efforts towards the prevention, care and management of comorbidity may be warranted.