A qualitative study exploring experiences of discrimination associated with mental-health problems in Ireland

2012 ◽  
Vol 21 (3) ◽  
pp. 271-279 ◽  
Author(s):  
R. Lakeman ◽  
P. McGowan ◽  
L. MacGabhann ◽  
M. Parkinson ◽  
M. Redmond ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Structured Interviews ◽  
Health Practitioners ◽  
Help Seeking Behaviour ◽  
The Republic ◽  
The Impact

Aims.Stigma and discrimination related to mental-health problems impacts negatively on people's quality of life, help seeking behaviour and recovery trajectories. To date, the experience of discrimination by people with mental-health problems has not been systematically explored in the Republic of Ireland. This study aimed to explore the experience impact of discrimination as a consequence of being identified with a mental-health problem.Methods.Transcripts of semi-structured interviews with 30 people about their experience of discrimination were subject to thematic analysis and presented in summary form.Results.People volunteered accounts of discrimination which clustered around employment, personal relationships, business and finance, and health care. Common experiences included being discounted or discredited, being mocked or shunned and being inhibited or constrained by oneself and others.Conclusions.Qualitative research of this type may serve to illustrate the complexity of discrimination and the processes whereby stigma is internalised and may shape behaviour. Such an understanding may assist health practitioners reduce stigma, and identify and remediate the impact of discrimination.

scholarly journals Impact of clinical pharmacist’s interventions on pharmacotherapy management in elderly patients on polypharmacy with mental health problems including quality of life: A prospective non-randomized study

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Matej Stuhec ◽  
Nika Bratović ◽  
Aleš Mrhar
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Elderly Patients ◽  
Mental Health Problems ◽  
Randomized Study ◽  
The Elderly ◽  
Health Problems ◽  
Potentially Inappropriate Medications ◽  
The Impact

AbstractMental health problems (MHPs) are very common in the elderly and can have an important influence on their quality of life (QoL). There is almost no data on the impact of clinical pharmacists’ (CPs) interventions on the QoL including elderly patients and MHPs. The main aim of this study was to determinate the impact of (CP’s) interventions on the QoL and quality of pharmacotherapy. A prospective non-randomized pre-post study was designed which included residents of a nursing home aged 65 age or more with at least one MHP. Each patient also filled out the EQ-5D questionnaire. The medical review MR included drug-related problems (DRPs) and potentially drug-drug interactions (pDDIs), as well as potentially inappropriate medications (PIMs). After 2 months, the participants were interviewed again. The mean number of medications before the intervention was 12,2 ± 3,1 per patient and decreased to 10,3 ± 3,0 medications per patient (p < 0,05) (n = 24). The total number of PIMs and pDDIs was also reduced and QoL was also significantly higher (p < 0,05). A collaborative care approach with a CP led to a decrease of DRPs, pDDIs, PIMs, the total number of medications and to an improvement in the patients’ QoL.

scholarly journals Help Seeking and Access to Primary Care for People from “Hard-to-Reach” Groups with Common Mental Health Problems

2011 ◽  
Vol 2011 ◽  
pp. 1-10 ◽  
Author(s):  
K. Bristow ◽  
S. Edwards ◽  
E. Funnel ◽  
L. Fisher ◽  
L. Gask ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Structured Interviews ◽  
Care Givers ◽  
Common Mental Health Problems ◽  
Access To Primary Care ◽  
The Uk

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.

scholarly journals Help-seeking behaviour in men and women with common mental health problems: cross-sectional study

2005 ◽  
Vol 186 (4) ◽  
pp. 297-301 ◽  
Author(s):  
Maria Isabel Oliver ◽  
Nicky Pearson ◽  
Nicola Coe ◽  
David Gunnell
Keyword(s):  
Mental Health ◽  
Young People ◽  
Help Seeking ◽  
Mental Health Problems ◽  
General Health Questionnaire ◽  
Health Problems ◽  
Cross Sectional ◽  
Professional Help ◽  
Men And Women ◽  
Help Seeking Behaviour

BackgroundMany people with mental health problems do not seek professional help but their use of other sources of help is unclear.AimsTo investigate patterns of lay and professional help-seeking in men and women aged 16–64 years in relation to severity of symptoms and sociodemographic variables.MethodPostal questionnaire survey, including the 12-item General Health Questionnaire (GHQ–12), sent to a stratified random sample (n=15222) of the population of Somerset.ResultsThe response rate was 76%. Only 28% of people with extremely high GHQ–12 scores (⩾8) had sought help from their general practitioner but most (78%) had sought some form of help. Males, young people and people living in affluent areas were the least likely to seek help.ConclusionsHealth promotion interventions to encourage appropriate help-seeking behaviour in young people, particularly in men, may lead to improvements in the mental health of this group of the population.

scholarly journals Predictors of help-seeking behaviour in people with mental health problems: a 3-year prospective community study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Carolin M. Doll ◽  
Chantal Michel ◽  
Marlene Rosen ◽  
Naweed Osman ◽  
Benno G. Schimmelmann ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Community Study ◽  
People With Mental Illness ◽  
Help Seeking Behaviour ◽  
Anticipated Stigma

Abstract Background The majority of people with mental illness do not seek help at all or only with significant delay. To reduce help-seeking barriers for people with mental illness, it is therefore important to understand factors predicting help-seeking. Thus, we prospectively examined potential predictors of help-seeking behaviour among people with mental health problems (N = 307) over 3 years. Methods Of the participants of a 3-year follow-up of a larger community study (response rate: 66.4%), data of 307 (56.6%) persons with any mental health problems (age-at-baseline: 16–40 years) entered a structural equation model of the influence of help-seeking, stigma, help-seeking attitudes, functional impairments, age and sex at baseline on subsequent help-seeking for mental health problems. Results Functional impairment at baseline was the strongest predictor of follow-up help-seeking in the model. Help-seeking at baseline was the second-strongest predictor of subsequent help-seeking, which was less likely when help-seeking for mental health problems was assumed to be embarrassing. Personal and perceived stigma, and help-seeking intentions had no direct effect on help-seeking. Conclusions With only 22.5% of persons with mental health problems seeking any help for these, there was a clear treatment gap. Functional deficits were the strongest mediator of help-seeking, indicating that help is only sought when mental health problems have become more severe. Earlier help-seeking seemed to be mostly impeded by anticipated stigma towards help-seeking for mental health problems. Thus, factors or beliefs conveying such anticipated stigma should be studied longitudinally in more detail to be able to establish low-threshold services in future.

scholarly journals Mental health problems of undocumented migrants (UMs) in the Netherlands: a qualitative exploration of help-seeking behaviour and experiences with primary care: Table 1

BMJ Open ◽  
2014 ◽  
Vol 4 (11) ◽  
pp. e005738 ◽  
Author(s):  
Erik Teunissen ◽  
Jamilah Sherally ◽  
Maria van den Muijsenbergh ◽  
Chris Dowrick ◽  
Evelyn van Weel-Baumgarten ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
The Netherlands ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Undocumented Migrants ◽  
Help Seeking Behaviour ◽  
Qualitative Exploration

scholarly journals What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies

2014 ◽  
Vol 45 (1) ◽  
pp. 11-27 ◽  
Author(s):  
S. Clement ◽  
O. Schauman ◽  
T. Graham ◽  
F. Maggioni ◽  
S. Evans-Lacko ◽  
...  
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Qualitative Studies ◽  
Deterrent Effect ◽  
Related Stigma ◽  
Health Related ◽  
The Impact

BackgroundIndividuals often avoid or delay seeking professional help for mental health problems. Stigma may be a key deterrent to help-seeking but this has not been reviewed systematically. Our systematic review addressed the overarching question: What is the impact of mental health-related stigma on help-seeking for mental health problems? Subquestions were: (a) What is the size and direction of any association between stigma and help-seeking? (b) To what extent is stigma identified as a barrier to help-seeking? (c) What processes underlie the relationship between stigma and help-seeking? (d) Are there population groups for which stigma disproportionately deters help-seeking?MethodFive electronic databases were searched from 1980 to 2011 and references of reviews checked. A meta-synthesis of quantitative and qualitative studies, comprising three parallel narrative syntheses and subgroup analyses, was conducted.ResultsThe review identified 144 studies with 90 189 participants meeting inclusion criteria. The median association between stigma and help-seeking was d = − 0.27, with internalized and treatment stigma being most often associated with reduced help-seeking. Stigma was the fourth highest ranked barrier to help-seeking, with disclosure concerns the most commonly reported stigma barrier. A detailed conceptual model was derived that describes the processes contributing to, and counteracting, the deterrent effect of stigma on help-seeking. Ethnic minorities, youth, men and those in military and health professions were disproportionately deterred by stigma.ConclusionsStigma has a small- to moderate-sized negative effect on help-seeking. Review findings can be used to help inform the design of interventions to increase help-seeking.

scholarly journals Stakeholder's perceptions of help-seeking behaviour among people with mental health problems in Uganda

2011 ◽  
Vol 5 (1) ◽  
pp. 5 ◽  
Author(s):  
James R Nsereko ◽  
Dorothy Kizza ◽  
Fred Kigozi ◽  
Joshua Ssebunnya ◽  
Sheila Ndyanabangi ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Help Seeking Behaviour

scholarly journals Examining mental health literacy, help seeking behaviours, and mental health outcomes in UK university students

2017 ◽  
Vol 12 (2) ◽  
pp. 111-120 ◽  
Author(s):  
Paul Gorczynski ◽  
Wendy Sims-schouten ◽  
Denise Hill ◽  
Janet Clare Wilson
Keyword(s):  
Mental Health ◽  
Health Literacy ◽  
University Students ◽  
Help Seeking ◽  
Mental Health Literacy ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Content Type ◽  
Help Seeking Behaviour

Purpose Many university students in the UK experience mental health problems and little is known about their overall mental health literacy and help-seeking behaviours. The purpose of this paper is to ascertain levels of mental health literacy in UK university students and to examine whether mental health literacy is associated with better mental health outcomes and intentions to seek professional care. Design/methodology/approach A total of 380 university students at a university in the south of England completed online surveys measuring multiple dimensions of mental health literacy, help-seeking behaviour, distress, and well-being. Findings Mental health literacy in the students sampled was lower than seen in previous research. Women exhibited higher levels of mental health literacy than men and postgraduate students scored higher than undergraduate students. Participants with previous mental health problems had higher levels of mental health literacy than those with no history of mental health problems. Individuals were most likely to want to seek support from a partner or family member and most participants indicated they would be able to access mental health information online. Mental health literacy was significantly positively correlated with help-seeking behaviour, but not significantly correlated with distress or well-being. Practical implications Strategies, such as anonymous online resources, should be designed to help UK university students become more knowledgeable about mental health and comfortable with seeking appropriate support. Originality/value This study is the first to examine multiple dimensions of mental health literacy in UK university students and compare it to help-seeking behaviour, distress, and well-being.

Mental health problems in the Gomel region (Belarus): an analysis of risk factors in an area affected by the Chernobyl disaster

1996 ◽  
Vol 26 (4) ◽  
pp. 845-855 ◽  
Author(s):  
J. M. Havenaar ◽  
W. Van Den Brink ◽  
J. Van Den Bout ◽  
A. P. Kasyanenko ◽  
N. W. Poelijoe ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
General Health Questionnaire ◽  
Population Sample ◽  
Health Problems ◽  
General Anxiety Disorder ◽  
General Anxiety ◽  
Nuclear Disaster ◽  
The Republic ◽  
The Impact

SynopsisThe epidemiology of mental problems in the Gomel region in the republic of Belarus was studied in a two-stage survey of a broad based population sample (N = 1617), using the General Health Questionnaire (12-item version) and the Munich Diagnostic Checklist for DSM-III-R. The Gomel region is one of the areas that was most severely affected by the Chernobyl nuclear diaster in 1986. In the studied population sample 64·8% had a GHQ-score above the threshold of 2. A DSM-III-R psychiatric disorder was present in 35·8%, with especially high rates for affective (16·5%) and anxiety disorders (12·6%). Dysthymia, general anxiety disorder, adjustment disorders and ‘not otherwise specified syndromes’ made up almost two-thirds of the observed morbidity (22·9%). A higher prevalence of mental health problems, both in terms of the GHQ and the DSM-III-R was observed among people who have been evacuated and in mothers with children under 18 years of age. These data indicate that the Chernobyl nuclear disaster may be partly responsible for the high prevalence of (milder) psychiatric disorders and psychological distress in the Gomel region, even 6 years after the event. Future studies comparing the data from Gomel region with an unexposed area will have to provide a more definite answer concerning the impact of this nuclear disaster on mental health.

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