Journal articles on the topic 'Help-seeking from services'
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Gould, Madelyn S., Ted Greenberg, Jimmie Lou Harris Munfakh, Marjorie Kleinman, and Keri Lubell. "Teenagers' Attitudes about Seeking Help from Telephone Crisis Services (Hotlines)." Suicide and Life-Threatening Behavior 36, no. 6 (December 2006): 601–13. http://dx.doi.org/10.1521/suli.2006.36.6.601.
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Stimpson, Jim P., Fernando A. Wilson, and Shawn K. Jeffries. "Seeking Help for Disaster Services After a Flood." Disaster Medicine and Public Health Preparedness 2, no. 3 (October 2008): 139–41. http://dx.doi.org/10.1097/dmp.0b013e318183cfbb.
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ABSTRACTObjectives: This article describes how the frequency of exposure to a flood is associated with the probability of seeking help from agencies (eg, Federal Emergency Management Agency, Red Cross) that provide disaster-related services. The article also describes the population characteristics for the people who are most likely to seek help for disaster services.Methods: Prospective cohort data from 1735 respondents of the Iowa Health Poll were used. Multivariate logistic regression was used to model the odds of seeking help from any agency for flood-related problems.Results: Overall, most people, regardless of flood exposure, did not seek help from disaster service agencies. Disaster services were sought by 23% of respondents who experienced 1 flood, 31% who have experienced 2 floods, and 26% who have experienced 3 or more floods. Multivariate adjusted odds of seeking help were associated with number of flood experiences (odds ratio [OR] 1.58), white race (OR 0.24), economic hardship (OR 1.43), urban residence (OR 0.43), and social support (OR 0.55).Conclusions: On average, the probability of seeking disaster relief services increases with the number of flood experiences. Racial/ethnic minorities, rural residents, economically challenged individuals, and people with low levels of perceived social support may be more likely than people without these characteristics to seek services. (Disaster Med Public Health Preparedness. 2008;2:139–141)
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Ron, Pnina. "Seeking Help From Health and Welfare Services Among Elderly Single Women." Journal of Women & Aging 21, no. 4 (October 30, 2009): 279–92. http://dx.doi.org/10.1080/08952840903284602.
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Cheung, Chau-Kiu, and Suk-Ching Liu. "Factors Underlying Junior High School Students’ Seeking Help from Social Services." Childhood 12, no. 1 (February 2005): 55–69. http://dx.doi.org/10.1177/0907568205049892.
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Bayer, Jordana K., and Marilyn Y. Peay. "Predicting Intentions to Seek Help from Professional Mental Health Services." Australian & New Zealand Journal of Psychiatry 31, no. 4 (August 1997): 504–13. http://dx.doi.org/10.3109/00048679709065072.
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Objective: This study investigates the factors related to the intention to seek professional help for psychological problems utilising Ajzen and Fishbein's theory of reasoned action [1,2]. Many of the variables identified in previous studies can be subsumed within this theory, which emphasises the importance of the subjective point of view of the individual. Method: One hundred and forty-two patients waiting for consultations at a community based general practice completed a questionnaire designed to assess the components of this theory as they relate to seeking help from mental health professionals. Results: The results of this study supported the prediction of the intention to seek help from a mental health professional from the variables ‘attitude toward the behaviour’ and ‘subjective norm’. However, personal attitudes toward seeking help were found to be more important than the approval or disapproval of significant others in predicting help-seeking intentions. Conclusions: Overall, the findings indicate that a significant factor influencing people's decisions to utilise professional mental health services in Australia may be the belief that mental health professionals are not actually able to provide a great deal of help or support for people's difficulties.
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Vanheusden, Kathleen, Cornelis L. Mulder, Jan van der Ende, Frank J. van Lenthe, Johan P. Mackenbach, and Frank C. Verhulst. "Young adults face major barriers to seeking help from mental health services." Patient Education and Counseling 73, no. 1 (October 2008): 97–104. http://dx.doi.org/10.1016/j.pec.2008.05.006.
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Hassett, Alexander, and Chloe Isbister. "Young Men’s Experiences of Accessing and Receiving Help From Child and Adolescent Mental Health Services Following Self-Harm." SAGE Open 7, no. 4 (October 2017): 215824401774511. http://dx.doi.org/10.1177/2158244017745112.
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Given the high rates of completed suicide and poor help-seeking among young men, this research explored how young men, who had successfully sought help from a Child and Adolescent Mental Health Service (CAMHS), experienced help-seeking. The study focused on the factors that facilitated initial access and ongoing engagement in services. Eight young men between the ages of 16 to 18, who had entered CAMHS following self-harm or suicidal ideation, and who were engaged in ongoing therapy, were recruited. Each young man was interviewed to elicit his personal experiences of help-seeking and help-receiving. Interviews were transcribed and subjected to Interpretative Phenomenological Analysis. Four superordinate themes, which overarched participant’s individual experiences, emerged from the data: Role of external adult in recognizing, normalizing, and initiating help-seeking; challenging and renegotiating perception of need for help and meaning behind this need; maintaining an independent self; and mechanisms of engagement. Help-seeking was described as a journey of two stages: (a) initial access and (b) ongoing engagement, during which the presence and timing of external influences (parents, teachers) and internal influences (personal beliefs and attitudes) were crucial. A model of help-seeking in young men who self-harmed was developed, which considered both access and engagement to help, and combined a consideration of internal and external influences on their ability to access help.
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Abavi, Rebecca, Allison Branston, Robin Mason, and Janice Du Mont. "An Exploration of Sexual Assault Survivors' Discourse Online on Help-Seeking." Violence and Victims 35, no. 1 (February 1, 2020): 126–40. http://dx.doi.org/10.1891/0886-6708.vv-d-18-00148.
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Although sexual assault is associated with significant negative psychological health outcomes, few survivors seek support from formal providers. This study explored the barriers to accessing and benefitting from services for sexual assault, as disclosed in narrative posts on social media, using qualitative methodology. Of the 1,179 narratives posted to the subreddit‘r/rapecounseling’ that were reviewed, 81 data extracts from 52 women were included in this study based on predefined inclusion/exclusion criteria. Six themes were identified that prevented survivors from accessing or benefitting from help. Internal barriers included feeling overwhelmed and avoidance-based coping. External barriers included availability of services, suitability of services, and therapist-caused harms. Stigma was the only barrier that was experienced both internally and externally. These findings suggest a need for more supportive mental health services.
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Wang, JianLi, Scott B. Patten, Jeanne VA Williams, Shawn Currie, Cynthia A. Beck, Colleen J. Maxwell, and Nady El-Guebaly. "Help-Seeking Behaviours of Individuals with Mood Disorders." Canadian Journal of Psychiatry 50, no. 10 (August 1, 2005): 652–59. http://dx.doi.org/10.1177/070674370505001012.
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Objectives: This study had the following objectives: 1) to estimate the 12-month prevalence of conventional and unconventional mental health service use by individuals with major depressive disorder (MDD) or mania in the past year, and 2) to identify factors associated with the use of conventional mental health services by individuals with MDD or mania in the past year. Methods: We examined data from the Canadian Community Health Survey: Mental Health and Well-Being (CCHS 1.2). Respondents with MDD ( n = 1563) or manic episodes ( n = 393) in the past 12 months were included in this analysis. Results: An estimated 63.9% of respondents with MDD and 59.0% of those with manic episodes reported having used some type of help in the past 12 months; 52.9% of those with MDD and 49.0% of those with manic episodes used conventional mental health services. Approximately 21% of respondents with either MDD or manic episodes used natural health products specifically for emotional, mental health, and drug or alcohol use problems. Respondents who reported comorbid anxiety disorders and long-term medical conditions were more likely to have used conventional mental health services. Conclusions: Relative to previous Canadian literature, our analysis suggests that the frequency of conventional mental health service use among persons with MDD has not increased significantly in the past decade. Further, the rate of conventional mental health service use by persons with manic episodes is unexpectedly low. These findings may reflect the lack of national initiatives targeting mood disorders in Canada. They have important implications for planning future education, promotion, and research efforts.
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Isacco, Anthony, Richard Hofscher, and Sonia Molloy. "An Examination of Fathers’ Mental Health Help Seeking." American Journal of Men's Health 10, no. 6 (July 8, 2016): NP33—NP38. http://dx.doi.org/10.1177/1557988315581395.
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Fathers’ mental health help seeking is an understudied area. Using participants ( N = 1,989) from the Fragile Families and Child Wellbeing Study, this study hypothesized that few fathers would seek mental health services; and increases in anxiety, depression, and parental stress would predict less mental health help seeking. Only 3.2% of the participants reported seeking mental health counseling. Among the three independent variables, only depression emerged as a significant factor that predicted less mental health help-seeking behaviors in fathers. Future research and clinical efforts need to better understand the low rates of help seeking and to identify pathways that facilitate positive mental health help seeking among fathers.
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Burnes, David, Ron Acierno, and Melba Hernandez-Tejada. "FACILITATORS AND BARRIERS FOR ELDER ABUSE VICTIMS SEEKING HELP: FINDINGS FROM THE NATIONAL ELDER MISTREATMENT STUDY." Innovation in Aging 3, Supplement_1 (November 2019): S476—S477. http://dx.doi.org/10.1093/geroni/igz038.1774.
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Abstract Understanding help-seeking among victims of elder abuse is a critical challenge in the field. The vast majority of elder abuse victims remain hidden from formal support/protective response systems, such as adult protective services, legal/justice, law enforcement, or other agencies responsible for addressing this issue in the community. Guided by the Behavioral Model of Health Services Use, this study examined factors that facilitate or impede formal help-seeking among victims of elder emotional, physical and sexual abuse, represented by a call for help in the form of a report to police or other authorities. Data came from a national, population-based elder abuse study in the U.S. with a representative sample (n=304) of victims reporting abuse in the past year. Gold-standard measurement strategies were used to assess each elder abuse subtype. Multivariable logistic regression was conducted to identify help-seeking facilitators/barriers. Help-seeking through reporting to police or other authorities occurred among only 15.4% of elder abuse victims nationwide. Help-seeking was predicted by factors attached to the victim (abuse type, poly-victimization), perpetrator (prior police trouble, social network size), and victim-perpetrator relationship (victim dependence on perpetrator). This study highlights the extremely hidden nature of elder abuse in our society, as well as the need to develop strategies that incorporate victim, perpetrator, and victim-perpetrator relationship factors to promote greater help-seeking among victims.
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Ramdass, Mala, Roland Birbal, Gail Joseph-Alleyne, and Cyril Harripaul. "Students' Attitudes Towards Psychological Help-Seeking." Journal of Education and Development 4, no. 3 (November 3, 2020): 11. http://dx.doi.org/10.20849/jed.v4i3.818.
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This study examined factors that may influence students' willingness to seek professional psychological help from the counselling services provided at a university. The study further investigated the relationship between sex, age, status of students (part-time, full-time), place of residence (urban, rural) and ethnicity and perceived barriers to seeking psychological help.The study used a sequential explanatory mixed methods research design conducted across two phases. In Phase One, a questionnaire survey was used to measure barriers to seeking professional help from a random sample of 925 students. In the second qualitative phase, focus group interviews were conducted with students to explore in a more in-depth way reasons put forward in the survey for not seeking professional psychological help.Statistical tests for the first phase were means, t-tests, ANOVA and Pearson Moment Product Correlation. Results showed that students viewed privacy, access, and trust issues as the most important barriers to seeking psychological help. There were also significant differences with regard to stigma, privacy and trust issues based on sex, age, year group, full-time/part-time status and ethnicity. Significant high to moderate correlations were found between all four factors. Qualitative findings supported factors examined in the first phase. However, other themes emerged such as lack of time, preference for solving one's own problems and preference for other sources of support.
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Hinchliff, Sharron, Ana Alexandra Carvalheira, Aleksandar Štulhofer, Erick Janssen, Gert Martin Hald, and Bente Træen. "Seeking help for sexual difficulties: findings from a study with older adults in four European countries." European Journal of Ageing 17, no. 2 (October 11, 2019): 185–95. http://dx.doi.org/10.1007/s10433-019-00536-8.
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Abstract Sexual well-being is an important part of life for many people aged 60 and older. However, older adults often face barriers to seeking and receiving help for sexual difficulties. This study used data from a probability survey (n = 3820) on sexuality and ageing to examine help-seeking in 60–75-year-olds in Norway, Denmark, Belgium, and Portugal. More men (12.2%) than women (6.8%) had sought professional help for a sexual difficulty in the past 5 years. The main reason for help-seeking was that sex was important to the participant and/or their relationship. The main source of professional help was the primary care physician. Of those who had sought professional help, 48% were satisfied or very satisfied with the help received, 31.6% were neither satisfied nor dissatisfied, and 20.4% were dissatisfied or very dissatisfied. Others had sought help from informal sources, particularly partners, friends, or websites. The main reasons for not seeking professional help included not being distressed by the symptoms, and thinking that the difficulty would clear up on its own. Multivariable regression analysis revealed that significant correlates of seeking professional help for women and men were level of distress about the sexual difficulty. With regard to women, those who were married, and/or from Portugal were more likely to have sought help. And regarding men, those who attended religious services were more likely to have sought professional help. These results have important implications for healthcare and can be used to inform the development and delivery of services for older adults who experience sexual difficulties.
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Hansen, Anna Sofie, Gry Kjaersdam Telléus, Emil Færk, Christina Mohr-Jensen, and Marlene Briciet Lauritsen. "Help-seeking pathways prior to referral to outpatient child and adolescent mental health services." Clinical Child Psychology and Psychiatry 26, no. 2 (February 16, 2021): 569–85. http://dx.doi.org/10.1177/1359104521994192.
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Aim: To investigate parental help-seeking patterns prior to referral to outpatient child and adolescent mental health services (CAMHS), and whether type of symptoms or duration of mental health problems prior to referral influence help-seeking. Setting: Child mental health services in Denmark involve several sectors collaborating based on stepped-care principles. Access to CAMHS is free of charge but requires a formal referral. Methods: In this cross-sectional observational study, parents of 250 children were interviewed about pathways to outpatient CAMHS using the Children’s Services Interview. Results: The median parent-reported duration of mental health problems prior to referral to CAMHS was 6.0 (IQR 3.4–8.5) years for children referred for neurodevelopmental disorders compared to 2.8 (IQR 1.0–6.5) years for children referred for emotional disorders. Educational services were the first help-seeking contact for the majority (57.5%) but referrals to CAMHS were most frequently from healthcare services (56.4%), predominantly general practitioners. Educational services played a greater part in help-seeking pathways for children referred for neurodevelopmental disorders. Conclusion: The majority of children referred to CAMHS have mental health problems for years before referral. The delay in time-to-referral was most pronounced for children referred for neurodevelopmental disorders. Help-seeking pathways differ by symptom duration and type of symptoms.
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Roh, Soonhee, Catherine E. Burnette, Kyoung Hag Lee, Yeon-Shim Lee, James I. Martin, and Michael J. Lawler. "Predicting Help-Seeking Attitudes Toward Mental Health Services Among American Indian Older Adults." Journal of Applied Gerontology 36, no. 1 (July 7, 2016): 94–115. http://dx.doi.org/10.1177/0733464814558875.
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American Indian (AI) older adults are vulnerable to mental health disparities, yet very little is known about the factors associated with help-seeking for mental health services among them. The purpose of this study was to investigate the utility of Andersen’s Behavioral Model in explaining AI older adults’ help-seeking attitudes toward professional mental health services. Hierarchical regression analysis was used to examine predisposing, enabling, and need variables as predictors of help-seeking attitudes toward mental health services in a sample of 233 AI older adults from the Midwest. The model was found to have limited utility in the context of older AI help-seeking attitudes, as the proportion of explained variance was low. Gender, perceived stigma, social support, and physical health were significant predictors, whereas age, perceived mental health, and health insurance were not.
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Simning, Adam, Thomas M. Richardson, Bruce Friedman, Lisa L. Boyle, Carol Podgorski, and Yeates Conwell. "Mental distress and service utilization among help-seeking, community-dwelling older adults." International Psychogeriatrics 22, no. 5 (May 18, 2010): 739–49. http://dx.doi.org/10.1017/s104161021000058x.
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ABSTRACTBackground: This study aimed to characterize healthcare and human services utilization among mentally distressed and non-distressed clients receiving in-home care management assessment by aging services provider network (ASPN) agencies in the U.S.A.Methods: A two-hour research interview was administered to 378 English-speaking ASPN clients aged 60+ years in Monroe County, NY. A modified Cornell Services Index measured service utilization for the 90 days prior to the ASPN assessment. Clients with clinically significant anxiety or depressive symptoms were considered distressed.Results: ASPN clients utilized a mean of 2.93 healthcare and 1.54 human services. The 42% of subjects who were distressed accessed more healthcare services (e.g. mental health, intensive medical services) and had more outpatient visits and days hospitalized than the non-distressed group. Contrary to expectations, distressed clients did not receive more human services. Among those who were distressed, over half had discussed their mental health with a medical professional in the past year, and half were currently taking a medication for their emotional state. A far smaller proportion had seen a mental health professional.Conclusions: In the U.S.A., aging services providers serve a population with high medical illness burden and medical service utilization. Many clients also suffer from anxiety and depression, which they often have discussed with a medical professional and for which they are receiving medications. Few, however, have seen a mental health specialist preceding intake by the ASPN agency. Optimal care for this vulnerable, service intensive group would integrate primary medical and mental healthcare with delivery of community-based social services for older adults.
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Dehingia, Nabamallika, Arnab K. Dey, Lotus McDougal, Julian McAuley, Abhishek Singh, and Anita Raj. "Help seeking behavior by women experiencing intimate partner violence in india: A machine learning approach to identifying risk factors." PLOS ONE 17, no. 2 (February 3, 2022): e0262538. http://dx.doi.org/10.1371/journal.pone.0262538.
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Background Despite the low prevalence of help-seeking behavior among victims of intimate partner violence (IPV) in India, quantitative evidence on risk factors, is limited. We use a previously validated exploratory approach, to examine correlates of help-seeking from anyone (e.g. family, friends, police, doctor etc.), as well as help-seeking from any formal sources. Methods We used data from a nationally-representative health survey conducted in 2015–16 in India, and included all variables in the dataset (~6000 variables) as independent variables. Two machine learning (ML) models were used- L-1, and L-2 regularized logistic regression models. The results from these models were qualitatively coded by researchers to identify broad themes associated with help-seeking behavior. This process of implementing ML models followed by qualitative coding was repeated until pre-specified criteria were met. Results Identified themes associated with help-seeking behavior included experience of injury from violence, husband’s controlling behavior, husband’s consumption of alcohol, and being currently separated from husband. Themes related to women’s access to social and economic resources, such as women’s employment, and receipt of maternal and reproductive health services were also noted to be related factors. We observed similarity in correlates for seeking help from anyone, vs from formal sources, with a greater focus on women being separated for help-seeking from formal sources. Conclusion Findings highlight the need for community programs to reach out to women trapped in abusive relationships, as well as the importance of women’s social and economic connectedness; future work should consider holistic interventions that integrate IPV screening and support services with women’s health related services.
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Tomasi, Ana-Marija, Shameran Slewa-Younan, Renu Narchal, and Pilar Rioseco. "Professional Mental Health Help-Seeking Amongst Afghan and Iraqi Refugees in Australia: Understanding Predictors Five Years Post Resettlement." International Journal of Environmental Research and Public Health 19, no. 3 (February 8, 2022): 1896. http://dx.doi.org/10.3390/ijerph19031896.
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The current longitudinal study sought to identify predictors of professional help seeking for mental health problems amongst Afghan and Iraqi refugees five years post-settlement utilising the Building a New Life in Australia dataset (BNLA). Data were collected via face-to-face or phone interviews across five waves from October 2013 to March 2018. Afghan and Iraqi born refugees numbering 1180 and over 18 years of age with a permanent humanitarian visa were included in this study. The results suggest differences in help-seeking behaviors amongst the two ethnic groups. Amongst the Afghan sample, older adults with high psychological distress were more likely to seek help, while living in regional Australia, not requiring interpreters, and knowing how to find out information about government services were related to lower likelihood of help-seeking. Within the Iraqi sample, poor overall health and knowing how to find out about services were related to a greater likelihood of help-seeking, while fewer financial hardships decreased the likelihood of help-seeking. Amongst those with probable PTSD, disability was associated with an increased likelihood of help-seeking while experiencing fewer financial hardships and living in regional Australia resulted in a lower likelihood of help-seeking in this group. These results have implications for promotional material and mental health interventions, suggesting that more integrated services tailored to specific characteristics of ethnic groups are needed.
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Alvarez, Carmen, and Gina Fedock. "Addressing Intimate Partner Violence With Latina Women: A Call for Research." Trauma, Violence, & Abuse 19, no. 4 (September 20, 2016): 488–93. http://dx.doi.org/10.1177/1524838016669508.
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Latina women, especially those who are immigrants, have an increased vulnerability to intimate partner violence, yet they also have a low rate of using formal services (i.e. health care and legal services). Existing research focused on Latina women’s help seeking for intimate partner violence has identified multiple factors, such as the presence of children, cultural values, and type of victimization, that influence women’s formal help seeking. Immigrant Latina women in particular commonly report many barriers to formal services; however, heterogeneity and nuanced patterns of help seeking exist across Latina survivors. While research has focused mainly on understanding factors that are barriers to help seeking by Latina women, there is an overwhelming dearth of research about interventions and factors that facilitate effective help-seeking experiences for Latina IPV survivors. In an effort to improve Latina IPV survivors’ access to services, we examine the gaps in research across dimensions of access to care (i.e. availability, affordability, accessibility, accommodation, and acceptability of services). Research within each of these facets of access to services for Latina survivors is lacking. This brief commentary illustrates the sparse data to inform evidence based interventions for Latina IPV survivors and is a call for research in order to determine best practices and to move the knowledge base from the vast descriptive base to evidence-based, culturally appropriate and acceptable interventions.
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Wales, Jackie, Nicola Brewin, Raghu Raghavan, and Jon Arcelus. "Exploring barriers to South Asian help-seeking for eating disorders." Mental Health Review Journal 22, no. 1 (March 13, 2017): 40–50. http://dx.doi.org/10.1108/mhrj-09-2016-0017.
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Purpose Referrals to specialist eating disorder (ED) services from the South Asian (SA) community are under-represented, despite research suggesting that disordered eating attitudes and behaviours of SA people are similar to the population in general. The purpose of this paper is to identify the reasons for this and sought to inform ways to encourage help-seeking. Design/methodology/approach A qualitative methodology was used to investigate barriers to help-seeking for EDs among the SA community. A key informant focus group was conducted with clinicians working within the local specialist ED service (participants n=16, 12 female, 4 male). Six focus groups were conducted with members of the SA community in Leicester, UK (participants n=28, 23 female, 5 male), recruited from a local university, two charities and Children, Young People and Family Centres. Findings A number of themes emerged as possible factors for delaying early access to help: lack of knowledge about EDs and their potential seriousness, ideals regarding body shape, family living circumstances and the role of food in the community. Participants acknowledged stigma among their community associated with mental health issues, including EDs and concerns about confidentiality when approaching services, particularly primary care. Originality/value General practitioners and specialist services need to be aware of the potential barriers to help-seeking for EDs as early specialist help is recommended for effective treatment. An educational campaign around EDs specifically designed with the SA community in mind may improve awareness, reduce stigma and promote early help-seeking.
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Tola, Eva, Petra Metzenthin, and Claudia Mischke. "Help-seeking for mental health problems from the patient perspective – A qualitative study / Das Hilfe(auf)suchen bei psychischen Gesundheitsproblemen aus der Betroffenenperspektive – Eine qualitative Studie." International Journal of Health Professions 2, no. 2 (December 1, 2015): 107–18. http://dx.doi.org/10.1515/ijhp-2015-0012.
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Abstract Background: Early specialised care is important for those with mental health problems to prevent e.g. chronic progression. Targeted professionally initiated intervention to stabilise mental health status is only possible if affected individuals actively seek support. The reasons for inadequate use of qualified services have not been sufficiently investigated from the perspectives of those affected. There is only limited insight into the help-seeking behaviour of those with mental health issues. Aim: This study sheds light on the ‘experience’ of help-seeking to time of first contact with a psychiatric institution. It specifically concentrates on the perspective of those affected and their subjective problems. Method: Using a qualitative-inductive design, patients at a crisis centre were retrospectively interviewed using a guideline-supported approach. Interview results were analysed using Saldaña (2013) opening coding (two circles). Results: The patients’ experience can be categorised as ‘real’ problems as the cause, exacerbated mental health problems and utilising mental health services. Help-seeking is determined by the need to manage causal, ‘real’ (everyday, social) problems. Many mental health problem have long not been recognised as such, and thus help-seeking is initially focussed on ‘real’ problems. At all levels of help-seeking, from recognition of a mental health Problem to overcoming barriers preventing use of specialised help, affected persons require the support of third parties. Conclusions: The results indicate the need for a patient-orientated transformation of mental health primary care to provide for more easily accessible services that take into account the everyday and social problems of those with related problems.
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Pham, Ngoc Cindy, Yuanqing Li, Tofazzal Hossain, Claudio Schapsis, Huan Henry Pham, and Michael Minor. "Understanding Mental Health Services and Help-Seeking Behaviors Among College Students in Vietnam." Asia Pacific Journal of Health Management 15, no. 3 (July 26, 2020): 58–71. http://dx.doi.org/10.24083/apjhm.v15i3.353.
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Objective: Due to the significant higher prevalence, yet less attention of mental health problems among Asian college students, we decided to investigate the effectiveness and efficiency of mental health services and help-seeking behaviors in Vietnamese universities. By conducting this study, we hope to contribute to current literature on the factors that contribute to professional mental health taking behavior of college students in Vietnam as well as suggest strategies to reduce possible barriers that prevent them from seeking professional help.
Design: We first conducted a pilot study to test the reliability and validity of our measurements. We then made necessary adjustments and distributed the final questionnaires to a university in Ho Chi Minh City, Vietnam. Collected data was analyzed through exploratory factor analysis.
Results: Among the three measurements of psychological openness, help-seeking propensity, and indifference to stigma, results indicated that the model explains students’ help-seeking intention reasonably well than others.
Conclusions: Using theory of planned behavior, this study aims at examining predictors of professional mental health seeking behavior among college students in Vietnam. Our findings indicate that help-seeking propensity significantly influences Vietnamese students’ intention to seek professional healthcare. Through this study, we suggest some guidance to the school administrators the factors that encourage students to take professional mental care.
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van den Berk-Clark, Carissa, and David Patterson Silver Wolf. "Mental Health Help Seeking Among Traumatized Individuals." Trauma, Violence, & Abuse 18, no. 1 (July 8, 2016): 106–16. http://dx.doi.org/10.1177/1524838015596344.
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Objective: Prior research has suggested that competing neurobehavioral decision-making processes might affect health outcomes among traumatized populations. Regulatory imbalances to impulsive and executive decision systems are affected by high levels of stress, including stress resulting from traumatic events. Such regulatory imbalances have been associated with addictive behaviors. However, it is not well known whether addictive behavior increases or decreases the likelihood of utilization of behavioral health services among traumatized populations. The aim of this study is to systematically review mental health utilization studies targeting traumatized populations to determine the direction of association between substance use and behavioral health utilization. Method: Databases of literature were searched in a systematic manner, and 37 relevant studies were recovered and analyzed. Findings: Of the 37 relevant studies that included addictive behaviors as a predictor of utilization, 16 showed a positive significant relationship and 6 showed a negative significant relationship. Studies showing a negative significant relationship used younger samples with more recent trauma exposure. Conclusion: Studies have shown that for the most part, substance abuse increases the likelihood of utilization, except among younger populations with more recent trauma. Longitudinal studies that access how utilization evolves over time among traumatized populations and interacts with posttraumatic stress disorder (PTSD) and substance abuse severity are necessary to better understand how decision-making processes of traumatized individuals may increase the likelihood of chronic PTSD.
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Nada-Raja, Shyamala, Dianne Morrison, and Keren Skegg. "A Population-Based Study of Help-Seeking for Self-Harm in Young Adults." Australian & New Zealand Journal of Psychiatry 37, no. 5 (October 2003): 600–605. http://dx.doi.org/10.1046/j.1440-1614.2003.01252.x.
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Objective: To examine help-seeking for self-harm in a population-based sample of young adults. Method: Nine hundred and sixty-five participants aged 26 years were interviewed about help-seeking and barriers to help-seeking for a range of self-harmful behaviours. Self-harm included the traditional methods of suicide (ICD-9 self-harm) and other self-harmful behaviours such as self-battery and self-biting. Results: Just over half of the 25 in the ICD-self-harm group (based on ICD-9 self-harm criteria) and one-fifth of the 119 in the other self-harmful behaviour group had sought professional help. Counsellors, psychologists, and general practitioners were the commonest sources of help. Most participants rated help received from health services favourably, however, emergency services were rated less favourably than other health services. Among 77 self-harm participants who did not seek help, just over one-third reported attitudinal barriers. Conclusions: To encourage help-seeking by young adults who self-harm, especially young men who are at high risk for self-harm and suicide, it may be necessary to identify ways to reduce attitudinal barriers.
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Han, Jin, Philip J. Batterham, Alison L. Calear, and Rebecca Randall. "Factors Influencing Professional Help-Seeking for Suicidality." Crisis 39, no. 3 (May 2018): 175–96. http://dx.doi.org/10.1027/0227-5910/a000485.
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Abstract. Background: Evidence suggests that the majority of people with suicidality do not seek help. Little systematic evaluation of factors influencing professional help-seeking has been done. Aims: To systematically evaluate the factors that influence professional help-seeking for suicidality. Method: Published quantitative and qualitative studies in Medline and PsycInfo databases were reviewed following PRISMA. Results: In all, 55 relevant studies were identified. Of these, 15 studies examined professional help-seeking intentions for perceived suicidal ideation, among people with or without suicidality; 21 studies examined professional help-seeking behavior among people with suicidality; and 19 studies examined suicidal decedents' health services use. Several potential important barriers were identified including high self-reliance, lack of perceived need for treatment, and stigmatizing attitudes toward suicide, toward mental health issues, and toward seeking professional treatment. The presence of suicidality and mental health issues was found to generally decrease help-seeking intentions for perceived suicidal ideation while facilitating actual service use. Social support and informal support from family and friends also played an important role in professional help-seeking. Limitations: Although the majority of the included studies were of sound quality, some of the factors identified in the review were assessed in relatively few studies, and most of the included studies were conducted in industrialized countries. Conclusion: Further quantitative and qualitative studies examining the potential important factors in broader community samples, especially in developing countries, are needed.
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Thompson, Anne E., and Richard Blennerhassett. "Mental health needs for children of parents seeking help for substance abuse." Psychiatric Bulletin 20, no. 3 (March 1996): 137–39. http://dx.doi.org/10.1192/pb.20.3.137.
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A survey of 101 new attenders at a regional drug and alcohol service found that 46 adults had a total of 88 children at home. Twenty-three children were considered by their carers to show signs of emotional or behavioural disturbance. Difficulties had only been discussed with professionals in a minority of cases. Help for troubled children from primary care services was preferred to secondary services. Closer liaison between child psychiatry and primary health care workers should be considered.
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Lynch, Louise, Maggie Long, and Anne Moorhead. "Young Men, Help-Seeking, and Mental Health Services: Exploring Barriers and Solutions." American Journal of Men's Health 12, no. 1 (June 29, 2016): 138–49. http://dx.doi.org/10.1177/1557988315619469.
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International research has identified young men as reluctant to seek help for mental health problems. This research explored barriers and solutions to professional help seeking for mental health problems among young men living in the North West of Ireland. A qualitative approach, using two focus groups with six participants each and five face-to-face interviews, was conducted with men aged 18 to 24 years (total N = 17). Data were analyzed using thematic analysis. Seven key themes of barriers to professional help seeking were identified: “acceptance from peers,” “personal challenges,” “cultural and environmental influences,” “self-medicating with alcohol,” “perspectives around seeking professional help,” “fear of homophobic responses,” and “traditional masculine ideals.” Five key themes of solutions to these barriers included “tailored mental health advertising,” “integrating mental health into formal education,” “education through semiformal support services,” “accessible mental health care,” and “making new meaning.” Interesting findings on barriers include fear of psychiatric medication, fear of homophobic responses from professionals, the legacy of Catholic attitudes, and the genuine need for care. This study offers an in-depth exploration of how young men experience barriers and uniquely offers solutions identified by participants themselves. Youth work settings were identified as a resource for engaging young men in mental health work. Young men can be encouraged to seek help if services and professionals actively address barriers, combining advertising, services, and education, with particular attention and respect to how and when young men seek help and with whom they want to share their problems.
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Song, Xiaoxia, Timothy Anderson, Lina Himawan, Andrew McClintock, Yan Jiang, and Shannon McCarrick. "An Investigation of a Cultural Help-Seeking Model for Professional Psychological Services With U.S. and Chinese Samples." Journal of Cross-Cultural Psychology 50, no. 9 (October 2019): 1027–49. http://dx.doi.org/10.1177/0022022119878506.
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Help-seeking processes for participants in the People’s Republic of China and the United States were modeled in the present study. The decision to seek professional services for mental health problems (e.g., psychotherapy) has been primarily studied by applying principles from the theory of planned behavior and reasoned action (TPB). Application of the TPB has commonly been used with a three-level empirical model of help-seeking, whereby expectations/barriers to help-seeking predict attitudes toward therapy, which in turn predicts intentions and behaviors to seek professional help. Informed by the TPB, the present study added a cultural-contextual level to the model to account for the role of cultural identity variables, which included independent and interdependent self-construal as well as gender. The resulting four-level model, the cultural help-seeking (CHS) model, was compared with the conventional three-level help-seeking model using data collected from 296 college students from Mainland China and 334 college students from the United States. Separate analyses were conducted for the Chinese group and American group. Chinese versions of the questionnaires were developed for the present study using translation and back-translation procedures. Using structural regression modeling, the four-level CHS model provided a better fit than the three-level traditional model for both the U.S. and Chinese samples. However, the specific decisional pathways within this four-level model were structurally different for the U.S. and Chinese samples. Findings suggest that including cultural-contextual variables as a first level of the professional help-seeking model is supported by both samples.
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Roškar, S., M. Bračič, U. Kolar, N. Konec Juričič, K. Lekić, T. G. Alenka, B. Dobnik, V. Poštuvan, and M. Vatovec. "Attitudes towards help seeking behaviour and professional psychiatric help in Slovenia." European Psychiatry 41, S1 (April 2017): S183—S184. http://dx.doi.org/10.1016/j.eurpsy.2017.01.2098.
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IntroductionKnowledge about signs and treatment of mental illnesses is often not enough to seek professional help. Hence, it is important to gain understanding of other determinants, i.e. attitudes, stigma, which influence help-seeking behaviour.ObjectivesBased on Ajzen's theory of planned behaviour, we aimed at collecting data of determinants known to be related to behavioural action, in our case help seeking.AimsTo examine how attitudes, stigma and normative believes influence help seeking behaviour and whether these determinants differ in relation to demographic data and mental health indicators of the respondents’ region.MethodsA representative sample of adult Slovene population (n = 594) was recruited via an on-line invitation. They were asked to (i) provide basic demographic data (region, age, gender, mental health history…) and (ii) to complete the inventory of attitudes toward seeking mental health services. The inventory variables (attitudes, knowledge and stigma) were linked to demographic data and mental health indicators in Slovenia.ResultsThe respondents dispose of good knowledge of where and when to seek help either for themselves or others. However, the readiness to seek help was significantly lower, in particular so in men, younger, single persons and respondents from regions with lower mental health indicators. Accordingly, stigma was significantly higher pronounced in the same groups. More than 50% of respondents have already experienced mental distress, however only 25% have sought help.ConclusionsReasons for this “help seeking gap” should be further scrutinized. Future interventions shall be focused on changing attitudes and destigmatization mental health issues.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Watling, David, Samantha Batchelor, Brian Collyer, Sharna Mathieu, Victoria Ross, Susan H. Spence, and Kairi Kõlves. "Help-Seeking from a National Youth Helpline in Australia: An Analysis of Kids Helpline Contacts." International Journal of Environmental Research and Public Health 18, no. 11 (June 3, 2021): 6024. http://dx.doi.org/10.3390/ijerph18116024.
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Counselling helplines or hotlines are key support services for young people with mental health concerns or in suicide and self-harm crises. We aimed to describe young peoples’ use of a national youth helpline (Kids Helpline, Australia, KHL) to understand how usage changed over time. A descriptive analysis was conducted on 1,415,228 answered contacts between 2012–2018. We described the trend of service usage over the observed period, the types of youth who used the service, and the problems young people contacted the service about. Phone (APC = −9.1, KHL: −10.4 to −7.8, p < 0.001) and email (APC = −13.7, 95%CI: −17.1 to −10.2, p < 0.001) contacts decreased over time whereas webchat contacts increased (APC = 16.7, 95%CI: 11.7 to 22.0, p < 0.001). With this increase in webchat contacts, there was an associated increase in total webchat contact duration. Concerns raised in contacts to the service were primarily related to emotional wellbeing and mental health concerns (53.2% phone, 57.3% webchat, 58.2% email) followed by social relationship issues (20.4% phone, 20.3% webchat, 16.8% email) and family relationships (19.4% phone, 17.2% webchat, 21.8% email). The increased preference for online text-based information and counselling services can help inform development of services for young people and allocation of staff/service training and resources.
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Nguyen, Peter, Rosalie Corona, Matthew Peter DeCarlo, Anna Yaros, Anh Thuy Le, and Kimberly Compton. "Help Seeking Behavior in a Diverse Sample of Asian American Adults." Journal of Ethnic and Cultural Studies 5, no. 2 (December 9, 2018): 1. http://dx.doi.org/10.29333/ejecs/124.
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We sought to characterize the help-seeking behavior of Asian Americans living in a Southeastern community in the U.S. by examining different types of services sought, help-seeking preferences, and how demographic characteristics and mental health problems (including domestic violence) predicted these behaviors. 610 Asian Americans (mean age = 39.43 years; 59.6% female; 75% immigrants) completed an anonymous, community survey that included measures of different types of help-seeking behaviors and preferences, mental health symptoms, and exposure to domestic violence. The two most-frequently help-seeking behaviors included seeking advice from friends, family members, or relatives (66.7%), and visiting a medical doctor (46.4%). In logistic regression models, older age, sex, immigrant status and symptomatic depression predicted different types of help-seeking behaviors and preferences. Neither domestic violence experience or symptomatic anxiety significantly predicted help-seeking.
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Shannon, Lisa, TK Logan, Jennifer Cole, and Karen Medley. "Help-Seeking and Coping Strategies for Intimate Partner Violence in Rural and Urban Women." Violence and Victims 21, no. 2 (April 2006): 167–81. http://dx.doi.org/10.1891/vivi.21.2.167.
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Women experiencing intimate partner violence may use a variety of help-seeking resources and coping strategies. The purpose of this study was to examine rural (n = 378) and urban (n = 379) women’s help seeking, coping, and perceptions of the helpfulness of resources used in dealing with partner violence. Overall, results suggest that women from both areas utilized a variety of help-seeking resources and coping strategies in significantly different ways. Urban women used more help-seeking resources than rural women. Urban and rural women used different types of resources. Rural women perceived the justice system services as less helpful than urban women. Coping strategies and help seeking are related, with problem-focused coping associated with the use of more formalized help-seeking resources. Implications for research and practice are discussed.
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Roe, Brenda, Helen Doll, and Kate Wilson. "Help seeking behaviour and health and social services utilisation by people suffering from urinary incontinence." International Journal of Nursing Studies 36, no. 3 (June 1999): 245–53. http://dx.doi.org/10.1016/s0020-7489(99)00020-6.
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Smith, Lisa D., Patrick L. Peck, and Rene J. McGovern. "Comparison of Medical Students, Medical School Faculty, Primary Care Physicians, and the General Population on Attitudes toward Psychological Help-Seeking." Psychological Reports 91, no. 3_suppl (December 2002): 1268–72. http://dx.doi.org/10.2466/pr0.2002.91.3f.1268.
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This study is a preliminary comparison of the attitudes of osteopathic medical students, medical school faculty, primary care providers, and the general population toward seeking professional psychological help. Attitudes were also studied in the former three groups for those who had and had not previously received mental health services. 103 medical students, 22 faculty, 31 primary care providers, and 395 people from the general population responded to the mail-out survey. Attitudes toward help-seeking were more negative among the general population group than among students and providers. For these students, faculty, and providers, attitudes toward seeking help were more positive if they reported having received mental health services in the past.
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Díaz-Castro, L., M. Márquez-Caraveo, H. Cornú-Rojas, M. Martínez Jaimes, M. García-Andrade, and H. Cabello-Rangel. "Children’s mental health needs and access to specialized services in Mexico." European Psychiatry 64, S1 (April 2021): S87—S88. http://dx.doi.org/10.1192/j.eurpsy.2021.259.
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IntroductionThe prevalence of mental disorders (MD) is greater in children; however, they are the population with less help-seeking and access to mental health-care services (MHS).ObjectivesTo explore the characteristics of help-seeking and access to specialized MHS in children with MD.MethodsA cross-sectional study was carried out from 2018 to 2019, in the Children’s Psychiatric Hospital and National Institute of Psychiatry in Mexico City. Sample 397 children and 397 caregivers. The project was approved by the Ethics Committee of both institutions. The patient’s family member was questioned on sociodemographic data and help-seeking to MHS. Sample’s descriptive statistics applying measures of central tendency, Inferential statistics with t-test for differences in means between groups (diagnosis), and one-way ANOVA to variables associated with the help-seeking to MHS.ResultsChildren´s sample: 37% female, average age 12 years (SD± 3.6), 51% had diagnosis of hyperkinetic disorder (HD), 34% depressive disorder (DD). The children´s age at the time of seeking healthcare was different according to the diagnosis: DD 10.1 (SD ± 4.5) and HD 6.95 (SD ± 3.4), (T = -3.18, p = 0.000); and by sex: girls 10.9 (SD ± 4.5), boys 7.85 (SD ± 4.0); (T = -3.07, p = 0.000). The mother was the first person to notice the symptoms.ConclusionsThe search for MHS differs by sex, diagnosis and family history; it is necessary to design mental health interventions considering gender-based differences, namely, to integrate a gender perspective.DisclosureNo significant relationships.
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Woodhall-Melnik, Julia, Sarah Hamilton-Wright, Eden Hamilton-Wright, Sara J. T. Guilcher, and Flora I. Matheson. "Getting Help: Findings from Two World Cafés with Youth who Experience Homelessness." Canadian Journal of Family and Youth / Le Journal Canadien de Famille et de la Jeunesse 14, no. 3 (April 11, 2022): 52–77. http://dx.doi.org/10.29173/cjfy29797.
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Studies indicate that youth who experience homelessness are more likely than their peers to have mental health and substance use concerns. The objective of this study was to investigate youth views of ideal services and service provision environments that facilitate help seeking. Data were collected from two World Café events in Canada where youth (n=14) were asked to discuss their experiences with housing, mental health and addictions services. The discussions were captured visually by a graphic recorder and on paper tablecloths that were drawn and written on by the youth. These visual data, along with field notes prepared by the research team, were analyzed. The findings indicated that barriers to help seeking included stigma, institutional distrust and fear, negative relationships, and the lack of self-awareness. Facilitators included positive therapeutic relationships, services with the capacity to offer care, and non-judgmental environments. Youth wanted services that provide peer support, allow them to participate more in their care decisions, and use self-directed healing strategies. Service providers and policymakers should offer programming that facilitates youth access. They should consider the barriers that youth experience and seek to construct interventions for youth that are judgement free, confidential, and actively engage youth in their own care.
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Ijadi-Maghsoodi, Roya, Kacy Bonnet, Sophie Feller, Kathleen Nagaran, Maryjane Puffer, and Sheryl Kataoka. "Voices from Minority Youth on Help-Seeking and Barriers to Mental Health Services: Partnering with School-Based Health Centers." Ethnicity & Disease 28, Supp (September 6, 2018): 437–44. http://dx.doi.org/10.18865/ed.28.s2.437.
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Objective: Schools and school-based health centers (SBHCs) play an important role in reducing disparities in access to mental health treatment. However, there is a need to increase student engagement in school mental health services. This study sought to understand the perceptions of low-income minority youth on help-seeking and barriers to mental health services at SBHC sites.Design: Descriptive, qualitative study.Setting: A network of SBHCs, called Wellness Centers, developed as part of a strategic plan to serve students and community members in under-resourced areas of a large urban school district.Participants and Procedures: We conducted focus groups with 76 middle and high school students at nine SBHC sites through a community-academic partnered approach from January to May 2014. The focus groups were audio-recorded, transcribed, and major themes coded with Atlas.ti.5.1.Results: Students identified teachers as a primary source of support for mental health issues, followed by peers and mental health counselors. Students felt that trust and connection were vital for help-seeking. Barriers to using SBHCs included: embarrassment; fear of judgment; concerns about confidentiality; a sense that they should keep things inside; and lack of awareness.Conclusions: Despite the resources available at SBHCs, students face barriers to help-seeking. SBHCs can help teachers and school staff gain awareness of mental health issues and services available to students. The students’ recommendations—making SBHCs more comfortable, raising mental health awareness, and bolstering connections with school and SBHC staff—may improve engagement in mental health services at schools with SBHCs. Ethn Dis. 2018;28(Suppl 2):437-444; doi:10.18865/ed.28.S2.437
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Hanschmidt, Franz, Rahel Hoffmann, Johanna Klingner, Anette Kersting, and Holger Stepan. "Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event." Geburtshilfe und Frauenheilkunde 78, no. 02 (February 2018): 160–66. http://dx.doi.org/10.1055/s-0044-100380.
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Abstract Introduction Diagnosis of fetal anomaly and the difficult circumstances involved in the decision to terminate an affected pregnancy can go along with severe psychological distress. However, little is known about womenʼs help-seeking for emotional problems following an abortion after diagnosis of fetal anomaly. Methods 148 women who had been treated for abortion after diagnosis of fetal anomaly at the University Hospital Leipzig responded to self-report questionnaires 1 to 7 years after the event. Main outcomes were help-seeking intentions and actual help-seeking behavior. Logistic regression was used to explore the associations between participantsʼ sociodemographic characteristics and help-seeking intentions. Results Most women reported that they would seek help from their partner (91.7%), friends/family (82.8%) or the internet (62.2%). With regard to health services, 50.0% of women would seek help from gynecologists and between 43.8 and 47.9% from counseling services and mental health professionals. Intentions to seek help from support groups were lowest (21.7%). Age, income, region, and religion were associated with help-seeking intentions. Among participants with elevated levels of current psychological distress, 23.8% indicated that they had not discussed their emotional problems with a health service ever. Conclusion Gynecologists are among the most preferred health professionals for women to discuss psychological problems in the aftermath of an abortion after diagnosis of fetal anomaly. They should be actively involved in screening, diagnostic assessment, and referral of affected women.
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Crockett, Marcelo A., Vania Martínez, and Patricio Caviedes. "Barriers and Facilitators to Mental Health Help-Seeking and Experiences with Service Use among LGBT+ University Students in Chile." International Journal of Environmental Research and Public Health 19, no. 24 (December 9, 2022): 16520. http://dx.doi.org/10.3390/ijerph192416520.
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Barriers limiting access to mental health care for lesbian, gay, bisexual, trans, and other sexual and gender minority (LGBT+) university students have not yet been explored in depth. The aim of this study was to explore the barriers and facilitators to mental health help seeking and experiences with service use among LGBT+ university students. Participants were 24 LGBT+ students between 18 and 23 years of age from a university in Chile. Individual semi-structured interviews were conducted and analysed using thematic content analysis. Multiple barriers and facilitators influence mental health help-seeking of LGBT+ students, with some of these barriers being explicitly related to LGBT+ issues (e.g., fear of discrimination or accessing specialised services). Perceived effectiveness of services was closely related to access safe/affirming care. Trans students reported more barriers to help-seeking and negative experiences with professionals than their cisgender peers. Perceptions of university mental health services as safe spaces for LGBT+ students were related to a positive perception of the university regarding LGBT+ issues. Knowing the factors that either hinder or facilitate help-seeking and characterising service use experiences in this population is useful for improving access to mental health services and for the development of policies that promote affirmative care for LGBT+ people.
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Bristow, K., S. Edwards, E. Funnel, L. Fisher, L. Gask, C. Dowrick, and C. Chew Graham. "Help Seeking and Access to Primary Care for People from “Hard-to-Reach” Groups with Common Mental Health Problems." International Journal of Family Medicine 2011 (July 6, 2011): 1–10. http://dx.doi.org/10.1155/2011/490634.
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Background. In the UK, most people with mental health problems are managed in primary care. However, many individuals in need of help are not able to access care, either because it is not available, or because the individual's interaction with care-givers deters or diverts help-seeking. Aims. To understand the experience of seeking care for distress from the perspective of potential patients from “hard-to-reach” groups. Methods. A qualitative study using semi-structured interviews, analysed using a thematic framework. Results. Access to primary care is problematic in four main areas: how distress is conceptualised by individuals, the decision to seek help, barriers to help-seeking, and navigating and negotiating services. Conclusion. There are complex reasons why people from “hard-to-reach” groups may not conceptualise their distress as a biomedical problem. In addition, there are particular barriers to accessing primary care when distress is recognised by the person and help-seeking is attempted. We suggest how primary care could be more accessible to people from “hard-to-reach” groups including the need to offer a flexible, non-biomedical response to distress.
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Yeung, Y. W. "Help Seeking Behaviour of Chinese Living in Belfast, Northern Ireland." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)71230-1.
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Aims:British Chinese have a low uptake of mental health servcies. Poor symptom recognition, language difficulty and mental illness stigma are the key barriers to accessing services. This study aims to explore their help seeking behaviours when they experience mental illness.Methods:About 96% of Chinese in Northern Ireland worked in catering business. Questionnaires (both in Chinese and English) were sent to ninety-one addresses occupied by catering businesses in Belfast. A bilingual covering letter was enclosed to encourage recipients to ask their families and friends to return the questionnaires.Results:Twenty-four questionnaires were returned. 66.6% reported that they visited their GP within the year prior to the study. Only one person visited the GP becasue of a mental / psychological problem. All others visited their GP for their physical illness. Racism (58.3%), physical ill health (50%) and lack of social support (41.7%) were the key stressors. 21% would visit their GP if they had a mental health problem and 45.8% would contact the GP if someone they knew became mentally unwell. Poor recognition of mental illness (41.7%) and mental illness stigma (25%) were the reasons for not seeking medical advice.Conclusion:Findings revealed that the Chinese do seek help from their GP. However, little evidence suggests that the community will approach their GP when they or someone they know actually become mentally unwell. Further investigation is needed to explore diifferent ways to provide information about mental illness symptoms and mental health services for the community.
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Pedersen, Annette, Helle Haslund-Thomsen, Tine Curtis, and Mette Grønkjær. "Talk to Me, Not at Me: An Ethnographic Study on Health-Related Help-Seeking Behavior Among Socially Marginalized Danish Men." Qualitative Health Research 30, no. 4 (August 20, 2019): 598–609. http://dx.doi.org/10.1177/1049732319868966.
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Research shows that men tend to have delayed health-related help-seeking behavior. In this ethnographic study, we explored influential factors related to health-related help-seeking behavior among socially marginalized men who seem not to benefit from existing municipal health care services in a large Danish municipality. The study included 200 hours of participant observations and 25 ethnographic interviews with men between 45 and 65 years of age in their own homes and in public parks among their peers. In this study, we found that the men had several complex and interacting social- and health-related conditions, which seemed to affect their health-related help-seeking behavior. We conclude that collaborative initiatives between the outreach team who occasionally visits bench sites in the public parks and the municipal health care services in the local areas could lay the groundwork for encouraging men’s health-related help-seeking behavior and aid men in supporting each other.
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Lu, Chia-Min, Yin-Ju Lien, Hsing-Jung Chao, Hui-Shin Lin, and I.-Chuan Tsai. "A Structural Equation Modeling of Mental Health Literacy in Healthcare Students." International Journal of Environmental Research and Public Health 18, no. 24 (December 16, 2021): 13264. http://dx.doi.org/10.3390/ijerph182413264.
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Background: There is a high prevalence of mental illness among healthcare students, and most students with mental health problems are reluctant to seek help from mental health professionals. Help-seeking is a component of mental health literacy (MHL). Although MHL is conceptualized as multi-dimensional, a theory-based multi-construct of MHL is still lacking. We aimed to build a theory-based multi-construct of MHL to explore the pathways of help-seeking. Methods: The data were obtained from a survey on MHL among healthcare students in 2018 (n = 1294). The Mental Health Literacy Scale for Healthcare Students was used to measure the maintenance of positive mental health, recognition of mental illness, mental illness stigma attitudes, help-seeking efficacy, and help-seeking attitudes. Descriptive analysis and structural equation modeling (SEM) were conducted. Results: The findings of the SEM model indicated recognition of mental illness had a positive direct effect on both help-seeking efficacy and maintenance of positive mental health. Additionally, help-seeking efficacy fully mediated the relationship between recognition of mental illness and help-seeking attitudes. Conclusions: Help-seeking efficacy plays a significant role in healthcare students’ willingness to seek professional help when mental health care is needed. Accordingly, improving help-seeking efficacy strategies would increase the use of mental health services and contribute to the prevention of mental health problems.
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Lui, P. Priscilla, Shefali Katedia, Savannah Pham, Westley Giadolor, Sarah Gobrial, Makenzie Stonebarger, Nicole Adams, and Olivia Garcia. "Short-Term Changes in Internalizing Symptoms and Help-Seeking Attitudes During the Coronavirus Pandemic." Journal of Social and Clinical Psychology 40, no. 5 (October 2021): 448–80. http://dx.doi.org/10.1521/jscp.2021.40.5.480.
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Introduction: Existing data suggest that American adults experience added emotional difficulties amid the coronavirus disease outbreak. Psychotherapy can help mitigate mental health concerns; still, many individuals with unmet mental health needs refrain from professional help-seeking. According to theory of reasoned action, negative help-seeking attitudes are key barriers to engagement with mental health services. Given that individuals with severe distress are more likely to seek therapy than individuals with mild psychopathology symptoms, greater initial and increasing levels of internalizing symptoms amid the coronavirus outbreak likely are linked to increasingly favorable attitudes toward professional help-seeking. Method: In the early months of the coronavirus pandemic, American community adults, N = 831 [49.0% Asian Americans], Mage = 46.78, 50.2% women, were recruited for a panel survey study conducted over the course of three weeks. At each time point, participants completed questionnaires to assess their internalizing symptoms associated with depression and anxiety as well as their openness to and perceived value/need in treatment seeking. Results: Very few participants—especially Asian Americans —were seeking counseling during the study period. Latent growth curve results showed a general decline in internalizing symptoms, and no changes in openness to and perceived need in professional help-seeking. Whereas there were no time-varying correlations between internalizing symptoms and help-seeking attitudes, individuals with greater baseline internalizing symptoms generally were more open to seeking professional help and perceived less value in mental health services. Sensitivity analyses showed patterns in the Asian American subsample similar to those in the overall sample. Discussion: Implications for research and clinical practice are discussed.
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Mukadam, Naaheed, Claudia Cooper, Behzad Basit, and Gill Livingston. "Why do ethnic elders present later to UK dementia services? A qualitative study." International Psychogeriatrics 23, no. 7 (February 24, 2011): 1070–77. http://dx.doi.org/10.1017/s1041610211000214.
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ABSTRACTBackground: Western policy initiatives prioritize early diagnosis of dementia, but minority ethnic (ME) people currently present later to dementia specialist care than their indigenous counterparts. In order to allow the development of rational interventions, we completed this first study to explore the link between attitudes to help-seeking for dementia and the help-seeking pathway in the ME and indigenous population.Methods: We purposively recruited a maximum variation sample comprising 18 family carers of people with dementia from the major UK ethnic groups. We used semi-structured interviews to determine the barriers to and facilitators of help-seeking, and the pathways to diagnosis. Two researchers independently coded interviews and recruitment continued until theoretical saturation was reached.Results: ME carers, in contrast to the indigenous population, tended to delay help-seeking until they could no longer cope or until others commented on the problems. They often thought that families should look after their own elders and a diagnosis alone was purposeless. This appeared to relate to beliefs about the etiology of cognitive impairment, negative beliefs about psychiatry and their sense of familial responsibility.Conclusions: ME carer beliefs were an important barrier to early diagnosis. Further work should explore whether an intervention can modify these attitudes, so that families understand that a diagnosis may allow planning and avoidance of crises; rather than signifying a failure in duty, disloyalty, or relinquishing of the caring role. Further research should focus on developing interventions to tackle barriers to help-seeking in ethnic minorities so that healthcare access can be equitable for all.
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Cane, Tam Chipawe, Paul Newton, and John Foster. "Understanding women’s help-seeking for problematic and unhealthy alcohol use through the lens of complexity theory." Advances in Dual Diagnosis 15, no. 2 (April 12, 2022): 119–39. http://dx.doi.org/10.1108/add-12-2021-0019.
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Purpose It is well established that women face multiple barriers accessing treatment for problematic and unhealthy alcohol use, but less is known about how their interconnected problems affect how they seek help from, and access, alcohol-treatment services. This study aims to explore the dynamic nature of women’s help-seeking for problematic and unhealthy alcohol use and how this can be compounded by unsuitable treatment services, especially when women present with complex needs. Design/methodology/approach Thirteen semi-structured interviews with women who had accessed alcohol-support services were conducted, audio-recorded, transcribed and analysed thematically using the complexity theory. Findings For women with complex needs, the process of seeking help may trigger unpredictable behaviours, health or social problems and intermittent serial access to treatment. Current services do not always address women’s holistic needs. Unless services focus on addressing interconnected problems – including historic trauma – they may compound the complexity of women’s problems. Complexity theory offers novel insights into this process, a concept not applied to problematic and unhealthy alcohol use treatment previously. Research limitations/implications Services should adopt the complexity-focused perspective featured in this study. While the authors acknowledge the increase in gender-responsive provision, the limitations of this study include a small sample size, the self-selecting nature of the sample and retrospective reporting. Participants were recruited and selected by service staff resulting in gatekeeping and possible sampling bias. Practical implications Services should adopt non-linear approaches to treatment. Implementing complexity approaches to treating women’s problematic and unhealthy alcohol use should capture the dynamics, complexity and non-linear nature of women’s help-seeking journeys as well as their internal and external responses that may result in relapse. The authors recommend complexity-focused, multiple-component and integrated collaborative strategies to address not only addiction but also all components of women’s needs, including past trauma. Originality/value Applying complexity-thinking to help-seeking experiences for alcohol treatment and recovery services is novel and proved useful in understanding the variety of women’s experiences and how these interact with their help-seeking behaviours, including treatment environments.
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Morgan, Craig, Rosemarie Mallett, Gerard Hutchinson, Hemant Bagalkote, Kevin Morgan, Paul Fearon, Paola Dazzan, et al. "Pathways to care and ethnicity. 2: Source of referral and help-seeking." British Journal of Psychiatry 186, no. 4 (April 2005): 290–96. http://dx.doi.org/10.1192/bjp.186.4.290.
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BackgroundPrevious research has found that African–Caribbean and Black African patients are likely to come into contact with mental health services via more negative routes, when compared with White patients. We sought to investigate pathways to mental health care and ethnicity in a sample of patients with a first episode of psychosis drawn from two UK centres.MethodWe included all White British, other White, African–Caribbean and Black African patients with a first episode of psychosis who made contact with psychiatric services over a 2-year period and were living in defined areas. Clinical, socio-demographic and pathways to care data were collected from patients, relatives and case notes.ResultsCompared with White British patients, general practitioner referral was less frequent for both African–Caribbean and Black African patients and referral by a criminal justice agency was more common. With the exception of criminal justice referrals for Black African patients, these findings remained significant after adjusting for potential confounders.ConclusionsThese findings suggest that factors are operating during a first episode of psychosis to increase the risk that the pathway to care for Black patients will involve non-health professionals.
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Stain, Nolan, Anna Cheshire, Catherine Ross, and Damien Ridge. "An Exploration of the help-seeking experiences of patients in an allied professions-led rapid access chest pain pathway: a qualitative study." BMJ Open 10, no. 11 (November 2020): e040468. http://dx.doi.org/10.1136/bmjopen-2020-040468.
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ObjectiveA number of studies have explored delayed help-seeking practices for acute coronary syndrome (ACS) and have indentified multiple intersecting factors which may play a role, for example, attributing symptoms, age, gender, ethnicity and contextual influences. However, the pathway to diagnosis for suspected coronary heart disease (CHD) symptoms in a rapid access chest pain clinic (RACPC) context is underexplored. The objective of this study was to examine patients’ help-seeking experiences of accessing RACPC services, from the point at which they notice and interpret symptoms, to their decision to seek help from their general practitioner.DesignQualitative study.SettingInterviews were conducted in the RACPC at Queen Mary’s Roehampton Hospital, London, UK.ParticipantsMaximum variation sampling was used to recruit 30 participants (15 men and 15 women) referred to a RACPC, using sampling dimensions of age, ethnicity and occupation.MethodsSemi-structured interviews focussed on the patient experience of their pathway to the RACPC. Thematic analysis was used to analyse the interview data.ResultsParticipant interpretation of symptoms was shaped by multiple influences; reluctance to seek help contributed to delay; various factors acted as drivers as well as barriers to help-seeking; and GP referrals to RACPC were based on symptoms as well as patients’ need for reassurance.ConclusionWe found complex issues shaped the patient’s decision-making when accessing the RACPC, including making sense of symptoms and help-seeking practices. These findings can be used to develop health promotion literature to encourage early help-seeking and improve RACPC services.
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Olaya, Beatriz, Lourdes Ezpeleta, Nuria de la Osa, Roser Granero, and Josep Maria Doménech. "Mental health needs of children exposed to intimate partner violence seeking help from mental health services." Children and Youth Services Review 32, no. 7 (July 2010): 1004–11. http://dx.doi.org/10.1016/j.childyouth.2010.03.028.
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Idris, Deeni Rudita, Nur Shazwana Hassan, and Norashikin Sofian. "MASCULINITY, ILL HEALTH, HEALTH HELP-SEEKING BEHAVIOR AND HEALTH MAINTENANCE OF DIABETIC MALE PATIENTS: PRELIMINARY FINDINGS FROM BRUNEI DARUSSALAM." Belitung Nursing Journal 5, no. 3 (June 13, 2019): 123–29. http://dx.doi.org/10.33546/bnj.702.
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Background: Literature revealed that men tends to use healthcare services much lesser and visit much later, resulting in poor health outcomes. This is often regarded as a way of exhibiting masculinity. In Brunei, there is an increasing number of mortality resulting from the complication of diabetes mellitus, a non-communicable disease, which arguably can be prevented.Objectives: To explore their health-help seeking behavior and health maintenance pattern of male diabetic patients in Brunei.Methods: Qualitative research guided by phenomenology research design. COREQ Checklist was used to prepare the report of this study. Individual semi-structured interview on eleven men were conducted from February to November 2018. Interviews were audio-recorded, transcribed and analyzed thematically.Results: Three themes were developed: “Maintaining health to enable the performance of masculine roles”, “Men delay seeking healthcare services”, and “Maintaining control and self reliance in looking after own sick body”. Conclusion: Health is perceived as important - it enables men to perform their ‘masculine responsibilities’. When men are in ill-health and realized how this could jeopardize their masculine roles, they would actively involve in taking care of their own body. This suggested how masculinity is in fact context –dependent. Level of knowledge and experiences with healthcare services and treatments also influenced men decision in health-help. Despite evidence that suggests how men often decline involvement with health promoting activities and delay seeking health from healthcare professionals, it was found that being able to continue supporting their family act as a legitimate reason for them to access healthcare services.