The British Journal of Psychiatry (2007) 191: 158-163. doi: 10.1192/bjp.bp.106.027458
© 2007 The Royal College of Psychiatrists
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Associations between common mental disorders and the Mental Illness Needs Index in community settings

Multilevel analysis*

DAVID L. FONE, MD, FFPH

Department of Primary Care and Public Health, Centre for Health Sciences Research, Cardiff University, Cardiff, and National Public Health Service for Wales, Pontypool

FRANK DUNSTAN, MA, DPhil

Department of Primary Care and Public Health, Centre for Health Sciences Research, Cardiff University, Cardiff

ANN JOHN, MPH, MRCGP

School of Medicine, Swansea University and National Public Health Service for Wales, Pontypool

KEITH LLOYD, MD, MRCPsych

School of Medicine, Swansea University, Swansea, UK

Correspondence: Professor Keith Lloyd, School of Medicine, Swansea Univeristy, Swansea SA2 8PP, UK. Email: k.r.lloyd{at}swansea.ac.uk

Declaration of interest None.

* Freely available online through the British Journal of Psychiatry open access option.

Background The relationship between the Mental Illness Needs Index (MINI) and the common mental disorders is not known.

Aims To investigate associations between the small-area MINI score and common mental disorder at individual level.

Method Mental health status was measured using the Mental Health Inventory of the Short Form 36 instrument (SF–36). Data from the Caerphilly Health and Social Needs population survey were analysed in multilevel models of 10 653 individuals aged 18–74 years nested within the 2001 UK census geographies of 110 lower super output areas and 33 wards.

Results The MINI score was significantly associated with common mental disorder after adjusting for individual risk factors. This association was stronger at the smaller spatial scale of the lower super output area and for individuals who were permanently sick or disabled.

Conclusions The MINI is potentially useful for small-area needs assessment and service planning for common mental disorder in community settings.


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