scholarly journals 1220Barriers to care for people who use crystal methamphetamine

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Steph Kershaw ◽  
Cath Chapman ◽  
Louise Birrell ◽  
Katrina Champion ◽  
Hannah Deen ◽  
...  
Keyword(s):  
Lived Experience ◽  
Help Seeking ◽  
Online Survey ◽  
Barriers To Care ◽  
Health Workers ◽  
Structural Barriers ◽  
Crystal Methamphetamine ◽  
Loved One ◽  
Attitudinal Barriers ◽  
Receive Treatment

Abstract Background Crystal methamphetamine (‘ice’) causes significant societal harm in Australia and is perceived by the public to be the drug of most concern nationally. Although effective treatments exist, it is estimated that only a third of people dependent on amphetamine-type stimulants receive treatment each year. Barriers to care may for people who use ice can include psychosocial (e.g., knowledge, attitudinal) and structural barriers. This study aimed to look at the perceived and actual barriers to care for Australians, as well as help-seeking behaviours among people who use ice. Methods An online survey was conducted among 2,110 Australians including people with lived experience, health workers, affected family members/friends and community members. All participants were asked about perceived barriers to care. People with lived experience were asked additional questions about help seeking. Results Attitudinal reasons were the highest perceived barrier to care among 63.1% of participants, followed by knowledge (21.9%). People with lived experience were more likely to endorse attitudinal barriers (OR 1.35), whereas health workers were more likely to endorse knowledge related barriers (OR 0.69). Among people with lived experience who had sought help, 74.5% had visited a counsellor/psychologist and 60.6% had asked help from a family member/friend. Conclusions Understanding and reducing barriers to care is essential to reduce the harms associated with the drug. It is important to support families and friends as they are often asked to help or support a loved one using ice. Key messages It is important to understand and reduce the perceived and actual barriers to care for people who use ice. This is essential to reduce the harms associated with the drug.

scholarly journals Men’s Help-Seeking for Depression: Attitudinal and Structural Barriers in Symptomatic Men

2020 ◽  
Vol 11 ◽  
pp. 215013272092168
Author(s):  
Simon M. Rice ◽  
John L. Oliffe ◽  
David Kealy ◽  
Zac E. Seidler ◽  
John S. Ogrodniczuk
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Major Depression ◽  
Help Seeking ◽  
Suicide Risk ◽  
Online Survey ◽  
Family Doctor ◽  
Structural Barriers ◽  
Cross Sectional ◽  
Service Engagement

Objective: Men with depression are known to have significant challenges with health service engagement. The current study sought to better understand attitudinal and structural mental health care barriers among those men identified as symptomatic for symptoms of major depression. Design: Cross-sectional study with data provided by Canadian men via a nationally representative online survey. Outcomes examined depression, suicide risk, and barriers to mental health services. Participants: A total of 117 men (mean age = 42.36 years) reporting symptoms of major depression consistent with moderate severity as identified by the Patient Health Questionnaire–Depression Module (PHQ-9). Results: In all, 51.3% of the sample reported previously receiving counselling or psychotherapy for mental health concerns. The majority (63.2%) reported past 2-week suicide or self-harm ideation; however, only a small proportion (8.5%) were currently engaged with professional mental health support. Logistic regression indicated that men’s attitudinal barriers to mental health help-seeking had a greater predictive effect than structural barriers (33% vs 0% of items, respectively). In particular, lower likelihood of help-seeking was associated with men’s reluctance to disclose mood-related symptoms to their physician/family doctor (adjusted odds ratio [AOR] = 0.37), a tendency for self-reliance and solving one’s own problems (AOR = 0.34), and uncertainly about the process of psychotherapy (AOR = 0.29). Conclusion: Gender-transformative approaches to primary health care may be key to improving men’s rates of disclosure and increasing detection for depression and suicide risk.

Comparison of Perceived Barriers and Treatment Preferences Associated with Internet-Based and Face-to-Face Psychological Treatment of Depression

2014 ◽  
Vol 4 (4) ◽  
pp. 16-22 ◽  
Author(s):  
Leanne M. Casey ◽  
Marie-Ann Wright ◽  
Bonnie A. Clough
Keyword(s):  
Online Survey ◽  
Barriers To Care ◽  
Psychological Treatment ◽  
Treatment Preferences ◽  
Barriers To Treatment ◽  
Psychological Treatments ◽  
Face To Face ◽  
Treatment Of Depression ◽  
Participation Restrictions ◽  
Receive Treatment

One of the major reasons that internet-based psychological treatments are strongly advocated is the belief that they may enable consumers to overcome many of the barriers to treatment otherwise encountered in seeking face to face treatment. A corollary to this belief is the assumption that many consumers may then be more likely to prefer to receive treatment via the internet because of the reduced barriers to care offered by internet-based treatments. However, there has been no formal examination of the barriers perceived by consumers to internet-based treatments in comparison to face to face treatment to ascertain whether these hypothesized differences impact on treatment preferences. This study compared consumer perceptions of barriers to treatment for both internet and face-to-face psychological treatments for depression. Of interest was whether consumers continue to report a preference for face-to-face treatment over internet-based treatment, even if perceptions of barriers to care were deemed greater for traditional than internet based delivery of services. Potential consumers of a structured online psychological program for workplace depression were targeted. An online survey was accessed by fifty-three employed individuals (female = 35, male = 18) with ages ranging from 18 to 60 (M = 35.57, SD = 12.15). Results indicated that participants perceived that internet-based treatment was associated with fewer barriers than face-to-face treatment for depression. Participants perceived that time constraints and participation restrictions would make it more difficult to access face-to-face treatment than internet-based treatment. However, the participants reported that they would be more likely to access face-to-face treatment for depression than internet-based treatment. These results suggest that there is a need to further investigate ways in which consumers can be encouraged to consider engaging in internet-based treatment.

scholarly journals Alarming attitudinal barriers to help-seeking in drug-related emergency situations: Results from a Swedish online survey

2019 ◽  
Vol 36 (6) ◽  
pp. 532-541 ◽  
Author(s):  
Christophe Soussan ◽  
Anette Kjellgren
Keyword(s):  
Emergency Care ◽  
Help Seeking ◽  
Online Survey ◽  
Public Healthcare ◽  
Free Text ◽  
Negative Consequences ◽  
Structural Barriers ◽  
Drug Induced ◽  
Help Seeking Attitudes ◽  
Emergency Situations

Background: New troublesome drug trends constitute a challenge for public health. Sweden has the second highest drug-related mortality rate in Europe. This calls for an investigation into the help-seeking attitudes of young adults to early middle-aged individuals asking how they would act in acute drug-related emergency or overdose situations. Methods: In total, 1232 individuals completed an online survey promoted on Sweden’s largest discussion forum Flashback.org . Their free-text responses were analysed according to inductively generated categories. Results: Around 60% of the sample would act as expected and contact emergency care without hesitation. However, approximately 32% of the sample showed palpable resistance and would put off seeking help and use emergency care only as a last resort due to, for example, fear of legal repercussions and stigma. Moreover, 8% displayed a total lack of confidence in public healthcare and would avoid it at all costs or entirely disregard it as an option due to the alleged risk of negative consequences and experienced restrictions on their personal freedom. Conclusions: While the inevitable criminalisation and stigmatisation associated with Sweden’s “zero tolerance” drug policy putatively serve as deterrents to drug use, our results demonstrate that these measures may also contribute to attitudes which discourage help-seeking. Such attitudes may at least partly explain the growing and comparatively high number of drug-induced deaths. Therefore, attitudinal and structural barriers to acute help-seeking in drug-related emergency situations should be acknowledged and investigated further in order to minimise harm.

Suicide-Bereaved Individuals’ Attitudes Toward Therapists

Crisis ◽  
2015 ◽  
Vol 36 (2) ◽  
pp. 135-141 ◽  
Author(s):  
Erin F. Ward-Ciesielski ◽  
Madeline D. Wielgus ◽  
Connor B. Jones
Keyword(s):  
Mental Health Treatment ◽  
Online Survey ◽  
The United States ◽  
Limited Attention ◽  
Time Of Death ◽  
Loved One ◽  
Important Group ◽  
Positive Attitudes ◽  
Suicide Bereaved ◽  
Research Domain

Background: Suicide-bereaved individuals represent an important group impacted by suicide. Understanding their experiences following the suicide of a loved one is an important research domain, despite receiving limited attention. Although suicide-bereaved individuals may benefit from mental health treatment, their attitudes toward therapy and therapists are poorly understood. Aims: The present study aimed to understand the extent to which bereaved individuals’ attitudes toward therapy and therapists are impacted by whether their loved one was in therapy at the time of death. Method: Suicide-bereaved individuals (N = 243) from the United States were recruited to complete an online survey about their experience with and attitudes toward therapy and therapists following the suicide of a loved one. Results: Bereaved individuals whose loved one was in therapy at the time of death (N = 48, 19.8%) reported more negative and less positive attitudes toward the treating therapist than those whose loved one was not in therapy at the time of death (N = 81, 33.3%) or whose loved one was never in therapy/the deceased’s therapy status was unknown (N = 114, 46.9%). Conclusion: The deceased’s involvement with a therapist appears to be an important factor impacting the experience of bereaved individuals and should be considered when attempting to engage these individuals in postvention.

Cultural Values Influence Mental-Health Help-Seeking in Asian and Latinx College Students

2019 ◽  
Author(s):  
Elayne Zhou ◽  
Yena Kyeong ◽  
Cecilia Cheung ◽  
Kalina Michalska;Michalska
Keyword(s):  
Mental Health ◽  
College Students ◽  
Cultural Values ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Online Survey ◽  
Negative Attitudes ◽  
Help Seeking Behaviors ◽  
Seeking Behavior ◽  
Ethnic Group Membership

The current study examined the influence of cultural values on mental health attitudes and help-seeking behaviors in college students of diverse ethnic backgrounds. Asian and Latinx college students (N = 159) completed an online survey in which they reported their adherence to cultural values and general attitudes towards mental health and help-seeking behavior. Factor analysis revealed two common factors of cultural values irrespective of ethnic background: Interdependent Orientation (IO) and Cultural Obligation (CO). Regardless of ethnicity, the more students endorsed IO values, the less likely they were to perceive a need for mental health treatment. IO value adherence also predicted more negative attitudes towards mental health. CO values were not predictive of perceived need or help-seeking behaviors. Findings highlight the importance of assessing certain cultural values independently from ethnicity and considering how the multidimensionality of culture may help explain shared mental health behaviors across ethnic group membership.

scholarly journals Help-Seeking Behavior and Treatment Barriers in Anxiety Disorders: Results from a Representative German Community Survey

2021 ◽  
Author(s):  
Ingmar Heinig ◽  
Hans-Ulrich Wittchen ◽  
Susanne Knappe
Keyword(s):  
Anxiety Disorders ◽  
Help Seeking ◽  
Public Attitudes ◽  
Treatment Barriers ◽  
Help Seeking Behavior ◽  
Target Individual ◽  
Seeking Behavior ◽  
Seeking Help ◽  
Nationally Representative ◽  
Receive Treatment

AbstractAlthough effective therapies exist, treatment rates of anxiety disorders (AD) are low, raising the question why affected individuals do not receive treatment. We provide data from the nationally representative German Health Interview and Examination Survey-2011 (DEGS1) on the help-seeking behavior and perceived treatment barriers of 650 subjects with Diagnostic and Statistical Manual of Mental Disorders’ (DSM-IV AD). Only 26% of all cases with AD in the community reported having had contact with mental health services because of their anxiety problems in their lifetime. 16% were currently receiving professional help, most frequently by psychotherapists (8%), psychiatrists (5%) and general practitioners (5%). 40% of all cases never even considered seeking help and 31% reported barriers to treatment, such as self-reliance (18%) or beliefs that treatments were ineffective (9%), unavailable (8%) or too stigmatizing (7%). Measures to increase treatment rates should thus target individual as well as public attitudes and health literacy to increase awareness of and access to evidence-based interventions.

scholarly journals Critical incidents in anorexia nervosa: perspectives of those with a lived experience

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jenni Leppanen ◽  
Lara Tosunlar ◽  
Rachael Blackburn ◽  
Steven Williams ◽  
Kate Tchanturia ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Lived Experience ◽  
Life Events ◽  
Emotional Processing ◽  
Positive Emotions ◽  
Online Survey ◽  
Disease Model ◽  
Positive Outcomes ◽  
Critical Events ◽  
Social Emotional

Abstract Background Although social-emotional difficulties are believed play a key role in anorexia nervosa (AN), there is uncertainty regarding what these difficulties might look like. Previous research has largely focused on a “disease model” of social-emotional processing in AN with little attention paid to positive emotions and experiences. Therefore, the aim of the present study was to obtain a fuller picture of critical life events as identified by those with lived AN experience. Methods Thirty-four participants aged 16–48 with current or past AN completed an online survey describing self-defined positive and difficult critical events. Thematic analysis was used to assess patterns in participants narrative responses. Results Two major themes were identified in the descriptions of positive critical events: Moments of celebration and Unexpected positive outcomes. These major themes revealed increased external focus and some corrective experiences that challenged the participants pre-existing expectations leading to new positive outcomes. Difficult events clustered into life events that were identified as Eating disorder (ED) related and Non-ED related and included the dimensions of relational conflict and feeling unsupported. Discussion The findings suggest that although negative emotionality was identified in the accounts of those with lived experience of AN capacity for “big-picture” thinking with and explicit focus on others was also identified. Moreover, an openness to corrective experiences that worked to challenge negative expectations was evident for some participants. Together these findings have scope as targets for further clinical research and treatment interventions.

Posttraumatic Growth and Bereavement

2016 ◽  
Vol 75 (4) ◽  
pp. 311-336 ◽  
Author(s):  
Andrew B. Lumb ◽  
Myriam Beaudry ◽  
Celine Blanchard
Keyword(s):  
Posttraumatic Growth ◽  
Online Survey ◽  
Cognitive Appraisals ◽  
Autonomous Motivation ◽  
Survey Study ◽  
Cross Sectional ◽  
Loved One ◽  
Mediating Role ◽  
Controlled Motivation ◽  
Task Oriented

No research drawing from Self-Determination Theory has investigated the bereavement experience of individuals or how motivation can help facilitate posttraumatic growth (PTG) following the death of a loved one. In two cross-sectional studies, university students completed an online survey. Study 1 investigated the contribution of global autonomous and controlled motivation in statistically predicting PTG above and beyond previously researched correlates. Study 2 explored the mediating role of cognitive appraisals and coping in explaining the relationship between global motivation orientations and PTG. Results indicated that in comparison to controlled motivation, autonomous motivation was positively related PTG, even after controlling for previously researched correlates. Mediation results indicated an indirect effect of global autonomous motivation on PTG through task-oriented coping. Collectively, these findings suggest the importance of incorporating motivation into models of PTG. Clinical implications of these findings are also discussed.

scholarly journals Short report: Autistic parents’ views and experiences of talking about autism with their autistic children

Autism ◽  
2021 ◽  
pp. 136236132098131
Author(s):  
Laura Crane ◽  
Lok Man Lui ◽  
Jade Davies ◽  
Elizabeth Pellicano
Keyword(s):  
Lived Experience ◽  
Online Survey ◽  
Negative Impact ◽  
Professional Support ◽  
Short Report ◽  
Negative Consequences ◽  
Autistic Children ◽  
Personal Experiences ◽  
Current Sample ◽  
Experiential Expertise

Little is known about how parents talk about autism with their autistic children, particularly among families in which both a parent and child are autistic. Using an online survey, we gathered quantitative and qualitative data from 34 autistic parents (most of whom had told their children about their diagnosis) to address this knowledge gap. There was considerable overlap between the views and experiences of the autistic parents in this study and the largely non-autistic parent samples in previous research. Specifically, parents emphasised the importance of being open and honest about the diagnosis, disclosing the diagnosis as early as possible, individualising discussions to children’s needs and framing the diagnosis positively. There were, however, areas in which the views and experiences of the current sample differed from previous research on non-autistic samples. First, our sample of autistic parents outlined the benefits of their own experiential expertise, which they felt resulted in heightened understanding and empathy with their children. Second, our sample tended not to express concerns about disclosure potentially having a negative impact. Finally, our participants did not express a want or need for professional support with disclosure. Instead, they reported feeling well equipped to support their children using their own knowledge and lived experience. Lay abstract Previous research examining how parents talk about autism with their children has tended to focus on parents who are not autistic themselves. We collected information on this topic from 34 autistic parents of autistic children (most of whom had told their children about their diagnosis). We found similarities, but also differences, between the views and experiences of autistic parents in this research and those reported in previous research (in studies of largely non-autistic parents). Similarities include the following: it is important to be open and honest about the diagnosis; the diagnosis should be introduced/discussed as early as possible; discussions should be tailored to each individual child’s needs; and we should not overlook the challenges associated with autism, but it is important to focus on positive aspects too. Differences include the following: autistic parents used personal experiences in conversations about autism, which was felt to result in increased understanding and empathy with their children; autistic parents overwhelmingly focused on more positive aspects of an autism diagnosis; our sample did not express concerns that discussions could have negative consequences too (e.g. making children more anxious); and autistic parents did not want or need professional support to talk about autism with their children (instead, they felt confident in using their own knowledge/experiences to guide discussions).

Sign in / Sign up

Export Citation Format

Share Document