Student mental health profiles and barriers to help seeking: When and why students seek help for a mental health concern

Purpose: There is a potential link between the clinical education phase of a physical therapist’s education and increased incidence of student mental health challenges. The Director of Clinical Education (DCE) has a complex role in supporting students and clinical sites during clinical education experiences (CEEs.) The purposes of this study were to explore DCE’s experiences and perceptions with supporting students with mental health challenges during CEEs. Methods: Two-hundred-twenty DCEs from accredited Doctor of Physical Therapy programs were invited to participate in an electronic survey. Survey questions included demographics, institutional and curricular characteristics, and current perceptions/experiences with student mental health challenges. DCEs (n = 106; 48.2%) responded and were included in the analyses. Analyses included descriptive statistics, simple frequencies, and binary logistic regression. Incident coding processes analyzed responses of open-ended questions. Results: Seventy-four percent of respondents indicated awareness of a student(s) experiencing a mental health concern during a full-time clinical experience in the past 3 years. Regression analyses showed that length of terminal clinical experience, out-of-state placement, cohort size, and availability of online/video counseling were related to prevalence of DCE’s experience. Forty-six percent of DCEs indicated feeling prepared to deal with these issues, while 35% were ‘unsure’. DCEs indicated experience, training, and workload support as contributors to successfully supporting students. Conclusion: Results contribute to the emerging understanding of the prevalence of student mental health challenges in physical therapist education from the DCE’s perspective. Our findings suggest that institutional and curricular characteristics are potential contributors to the prevalence of this issue. We recommend training and institutional support for the DCE in these situations.

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Gendered Manifestations of Depression and Help Seeking Among Men

American Journal of Men s Health ◽

10.1177/1557988315623993 ◽

2015 ◽

Vol 12 (1) ◽

pp. 41-51 ◽

Cited By ~ 20

Author(s):

Jarrod B. Call ◽

Kevin Shafer

Keyword(s):

Mental Health ◽

Help Seeking ◽

Mental Health Problems ◽

Well Being ◽

Health Concern ◽

Medical Provider ◽

Help Seeking Behaviors ◽

Mental Health Concern ◽

Seeking Help ◽

Using Data

Men who do not seek help for mental health problems may experience unnecessary suffering which ultimately affects the well-being of themselves and others. Gendered manifestations of depressive symptoms may play an important role in why some men do not seek help for mental health issues. Using data from 2,382 male respondents in the National Comorbidity Survey Replication, the authors examined the relationship that both traditional and male-typical symptoms of depression had on the help-seeking behaviors of men. Traditional symptoms increased the odds of seeking help for depression for all men. Male-typical symptoms, however, did not increase the odds of seeking help for depression or another mental health concern. Both traditional and male-typical symptoms increased the odds of initially seeking help from a medical provider, and men with male-typical symptoms had an overall higher likelihood of seeking help from a medical provider. Consequently, it is important that medical professionals assess for depression even when it is not a presenting concern.

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What gets in the way? Men’s perspectives of barriers to mental health services

International Journal of Social Psychiatry ◽

10.1177/0020764019886336 ◽

2019 ◽

Vol 66 (2) ◽

pp. 105-110 ◽

Cited By ~ 1

Author(s):

Zac E Seidler ◽

Simon M Rice ◽

David Kealy ◽

John L Oliffe ◽

John S Ogrodniczuk

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Mental Health Treatment ◽

Help Seeking ◽

Treatment Process ◽

Health Concern ◽

Health Treatment ◽

Mental Health Concern ◽

Ease Of Access

Background: This study describes barriers to accessing mental health services among men currently experiencing a mental health concern. Methods: Mental health help-seeking survey data from 778 male respondents who self-reported experiencing a mental health concern were analyzed. Results: Of these men, 65% ( n = 513) wanted treatment and 35% ( n = 265) did not want treatment. The most frequently endorsed barriers to mental health treatment were believing that a lot of people feel sad and down (80%; n = 620), not knowing what to look for in a psychotherapist (counselor; 80%; n = 618) and needing to solve one’s own problems (73%; n = 569). Compared with men who wanted help for their mental health concern, those men who did not want help were significantly more likely to be unsure if psychotherapy (counseling) really works or is effective, not tell their physician if they were feeling down or depressed and prefer to solve their own problems. Conclusions: The high endorsement of both structural (e.g., cost) and attitudinal (e.g., beliefs) barriers by respondents suggests that service delivery must adapt to better respond to dominant masculine ideals while also improving men’s ease of access into a transparent treatment process.

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Assault associated with intergenerational and historical traumas and mental health concern in China

Asian Journal of Psychiatry ◽

10.1016/j.ajp.2021.102682 ◽

2021 ◽

pp. 102682

Author(s):

Shaohua Hu ◽

Jianzhong Yang

Keyword(s):

Mental Health ◽

Health Concern ◽

Mental Health Concern

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Educational needs of practice nurses in mental health

Journal of Primary Health Care ◽

10.1071/hc11142 ◽

2011 ◽

Vol 3 (2) ◽

pp. 142 ◽

Cited By ~ 4

Author(s):

Anne Prince ◽

Katherine Nelson

Keyword(s):

Mental Health ◽

Health Care ◽

Health Assessment ◽

Behavioural Therapy ◽

Postal Survey ◽

Health Concern ◽

Health Concerns ◽

Practice Nurses ◽

Mental Health Concern ◽

Mental Health Concerns

INTRODUCTION: Large numbers of patients see practice nurses (PNs) daily for their health care. Many of these patients will have a mental health need. International research suggests that practice nurses are undertaking mental health assessment and interventions without the requisite skills and knowledge. AIM: To describe the needs of PNs in mental health education and to explore any involvement with patients with mental health concerns. METHODS: Postal survey of PNs in Hawkes Bay and Tairawhiti regions. Analysis was by descriptive, correlation and inferential statistics and content analysis for open questions. RESULTS: Fifty-two respondents completed the survey (response rate 36%) and the results demonstrate that these PNs are caring for patients with an extensive range of mental health concerns daily. Most common are people with depression and anxiety. The nurses perform a variety of mental health interventions such as counselling and advice on medication and have minimal confidence in their skill level. Their expressed learning needs included education on many mental health conditions including suicidal ideation, all types of depression and bipolar disorder, and of therapies such as cognitive behavioural therapy and family therapy. DISCUSSION: PNs require education and support specifically designed to meet their identified needs in mental health to help improve care to patients. This will require collaboration between secondary mental health services, primary mental health nurses and tertiary institutions. With targeted education these nurses should become more confident and competent in their dealings with people who present to their practice with a mental health concern. KEYWORDS: Education; mental health; practice nurse; survey; primary health care

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31.1 MORE THAN A MENTAL HEALTH CONCERN

Journal of the American Academy of Child & Adolescent Psychiatry ◽

10.1016/j.jaac.2019.07.339 ◽

2019 ◽

Vol 58 (10) ◽

pp. S45

Author(s):

Vivien Chan

Keyword(s):

Mental Health ◽

Health Concern ◽

Mental Health Concern

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Australian R U OK?Day campaign: improving helping beliefs, intentions and behaviours

International Journal of Mental Health Systems ◽

10.1186/s13033-019-0317-4 ◽

2019 ◽

Vol 13 (1) ◽

Author(s):

Anna M. Ross ◽

Bridget Bassilios

Keyword(s):

Public Health ◽

Mental Health ◽

Help Seeking ◽

Online Survey ◽

Public Awareness ◽

Monitoring And Evaluation ◽

Health Concern ◽

Chi Square ◽

Life Problems ◽

Helping Behaviours

Abstract Background Suicide is a major public health concern and has been recognised as a public health priority. R U OK?Day aims to prevent suicide by encouraging and empowering Australians to reach out to friends and family who might be experiencing personal difficulties. This study aims to update the evaluation of the public awareness campaign ‘R U OK?Day’ that was conducted using 2014 data. Methods Data from 2013 participants were collected via an online survey following the R U OK?Day campaign implemented in 2017. Outcome measures included campaign awareness and participation, past 12-month help-seeking, helping beliefs, helping intentions and helping behaviours. Data were analysed using z-tests, Chi square and regression analyses in SPSS. Results Both campaign awareness and participation have increased since 2014, from 66% and 19% to 78% and 32%. Campaign exposure was associated with stronger beliefs in the importance and the ease of asking “Are you okay?”, and increased the likelihood of intentions to use recommended helping actions by two to three times compared to those not exposed to the campaign. Participants who were exposed to the R U OK?Day campaign were up to six times more likely to reach out to someone who might be experiencing personal difficulties compared to those not exposed to the campaign. Interestingly, those who had sought help from a mental health professional in the past 12 months were more likely to be aware of, and participate in, the campaign, suggesting people experiencing mental health issues recognise the value of seeking—and giving—social support. Conclusions The R U OK?Day campaign continues to be relevant and effective in spreading key messages about the importance of reaching out to others and empowering members of the community to have conversations about life problems. The campaign’s impact is increasing over time through increased campaign awareness and participation, and improving helping beliefs, intentions and behaviours. Ongoing monitoring and evaluation of the campaign’s impact is vital and may inform potential changes needed to further enhance its impact.

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An Emerging Mental Health Concern: Risk Factors, Symptoms, and Impact of Internet Gaming Disorder

Journal of Technology in Behavioral Science ◽

10.1007/s41347-019-00117-7 ◽

2019 ◽

Vol 5 (1) ◽

pp. 70-78 ◽

Cited By ~ 1

Author(s):

Georgekutty Kuriala Kochuchakkalackal ◽

Marc Eric S. Reyes

Keyword(s):

Mental Health ◽

Risk Factors ◽

Internet Gaming Disorder ◽

Health Concern ◽

Gaming Disorder ◽

Mental Health Concern ◽

Internet Gaming

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An Assessment of Existential Worldview Function among Young Women at Risk for Depression and Anxiety—A Multi-Method Study

Archive for the Psychology of Religion ◽

10.1163/15736121-12341337 ◽

2017 ◽

Vol 39 (2) ◽

pp. 165-203

Author(s):

Christina Sophia Lloyd ◽

Britt af Klinteberg ◽

Valerie DeMarinis

Keyword(s):

Mental Health ◽

At Risk ◽

Interpersonal Relations ◽

Public Mental Health ◽

Health Concern ◽

Depression And Anxiety ◽

Ontological Security ◽

Outpatient Psychotherapy ◽

Mental Health Concern ◽

Risk For Depression

Increasing rates of psychiatric problems like depression and anxiety among Swedish youth, predominantly among females, are considered a serious public mental health concern. Multiple studies confirm that psychological as well as existential vulnerability manifest in different ways for youths in Sweden. This multi-method study aimed at assessing existential worldview function by three factors: 1) existential worldview, 2) ontological security, and 3) self-concept, attempting to identify possible protective and risk factors for mental ill-health among female youths at risk for depression and anxiety. The sample comprised ten females on the waiting list at an outpatient psychotherapy clinic for teens and young adults. Results indicated that both functional and dysfunctional factors related to mental health were present, where the quality and availability of significant interpersonal relations seemed to have an important influence. Examples of both an impaired worldview function and a lack of an operating existential worldview were found. Psychotherapeutic implications are discussed.

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