scholarly journals Lost in space - an exploration of help-seeking among young people with mental health problems: a constructivist grounded theory study

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Katrin Häggström Westberg ◽  
Jens M. Nygren ◽  
Maria Nyholm ◽  
Ing-Marie Carlsson ◽  
Petra Svedberg
Keyword(s):  
Mental Health ◽  
Grounded Theory ◽  
Young People ◽  
Support Services ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Professional Support ◽  
Constructivist Grounded Theory ◽  
Health Concern

Abstract Background Mental health problems among young people is a worldwide public health concern. There has been an increase in mental health problems among young people in the Nordic countries in the last 25 years, particularly in Sweden. Despite this increase, international research has repeatedly shown that young people do not access or receive support when encountering mental health problems. The purpose of this study was to explore the process of help-seeking for professional support among young people with mental health problems. Methods The study used qualitative constructivist Grounded Theory and open-ended interviews. Thirteen young people between 15 and 23, recruited from two local support clinics, were interviewed. Results Lost in space emerged as the core category, capturing aspects of both the experience of self and mental health problems as well as the process of seeking and acquiring help from professional support systems. The study identified several prominent barriers for seeking and acquiring professional help for mental health problems. The young people expressed a lack of knowledge on mental health issues and support services and substantial efforts were made to try to cope with problems on one’s own. Lost in space involved Drifting - trying to make sense of own experiences and struggling to cope with problems, Navigating - searching for help through multiple attempts and contacts and Docking - finding support with something/somebody that feels right. Conclusions The theoretical model sheds light on how young people with mental health problems were met with fragmented support services. Society needs to provide encompassing, youth-friendly and flexible support services, so that attempts at help-seeking are not missed.

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 Stigma associated with mental health problems among young people in India: a systematic review of magnitude, manifestations and recommendations

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Shivani Mathur Gaiha ◽  
Tatiana Taylor Salisbury ◽  
Mirja Koschorke ◽  
Usha Raman ◽  
Mark Petticrew
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Young People ◽  
Mental Disorders ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Public Stigma ◽  
Targeted Interventions ◽  
Awareness Campaigns

Abstract Background Globally, 20% of young people experience mental disorders. In India, only 7.3% of its 365 million youth report such problems. Although public stigma associated with mental health problems particularly affects help-seeking among young people, the extent of stigma among young people in India is unknown. Describing and characterizing public stigma among young people will inform targeted interventions to address such stigma in India, and globally. Thus, we examined the magnitude and manifestations of public stigma, and synthesised evidence of recommendations to reduce mental-health-related stigma among young people in India. Method A systematic review and meta-analysis of observational studies was conducted. Nine electronic databases were searched and 30 studies (n = 6767) met inclusion criteria. Results Most studies (66%) focused on youth training to become health professionals. One-third of young people display poor knowledge of mental health problems and negative attitudes towards people with mental health problems and one in five had actual/intended stigmatizing behavior (I2>=95%). Young people are unable to recognize causes and symptoms of mental health problems and believe that recovery is unlikely. People with mental health problems are perceived as dangerous and irresponsible, likely due to misinformation and misunderstanding of mental health problems as being solely comprised of severe mental disorders (e.g. schizophrenia). However, psychiatric labels are not commonly used/understood. Conclusion Public education may use symptomatic vignettes (through relatable language and visuals) instead of psychiatric labels to improve young people’s understanding of the range of mental health problems. Recommended strategies to reduce public stigma include awareness campaigns integrated with educational institutions and content relevant to culture and age-appropriate social roles.

scholarly journals Is Knowledge Enough? The Relationship Between Mental Health Knowledge and Stigmatising Attitudes Among Australian Adolescents

2020 ◽  
Vol 9 (3) ◽  
pp. 206-219 ◽  
Author(s):  
Emmelin Teng ◽  
Venning Anthony ◽  
Winefield Helen ◽  
Crabb Shona
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Psychological Distress ◽  
Young People ◽  
Adolescent Girls ◽  
Health Behaviour ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Negative Relationship ◽  
Health Problems

Background: Young people carry mental health problems disproportionate to the size of their population, and rates of help-seeking are low. School mental health programs have been developed to address these issues, founded on an educational approach to target mental health literacy, and indirectly improve help-seeking. However, it has been suggested that knowledge does not necessarily predict health behaviour in young people. Objective/Methods: A cross-sectional study was conducted to explore whether knowledge about mental illness was related to attitudes towards mental illness and intentions to seek help in a sample of adolescent girls (N=327). Results: Results indicated a weak negative relationship between knowledge about mental health and stigmatising attitudes about mental illness, but no relationship between knowledge about mental health and intentions to seek help for mental health problems. When mental health was categorised (e.g., optimal vs. poorer mental health), a negative relationship between knowledge about and stigmatising attitudes toward mental health was shown in those with poor mental health, but not for adolescents categorised as having moderate or optimal mental health. Conclusion: Findings suggest that while the traditional adage - more information on mental health equals better attitude to mental health - may be true for those with ‘poorer’ levels of mental health (e.g., high levels of psychological distress), it may not reduce stigma associated with mental illness or motivate positive health behaviour in adolescent girls with ‘optimal’ mental health (e.g., low or no levels of psychological distress). .

scholarly journals Parental Involvement: A Grounded Theory of the Role of Parents in Adolescent Help Seeking for Mental Health Problems

SAGE Open ◽  
2018 ◽  
Vol 8 (4) ◽  
pp. 215824401880778 ◽  
Author(s):  
Alexander Hassett ◽  
Charis Green ◽  
Toby Zundel
Keyword(s):  
Mental Health ◽  
Grounded Theory ◽  
Parental Involvement ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Future Research ◽  
Semistructured Interviews ◽  
High Prevalence ◽  
Role Of Parents

There is a high prevalence of mental health problems within adolescent populations, but they are unlikely to seek help. Adults, including parents, are important within this help-seeking process. The study, therefore, is aimed to develop a theory of the influence of parents upon adolescent help seeking. Eighteen semistructured interviews were conducted with adolescents, their parents, and clinicians working within child and adolescent mental health services (CAMHS). A grounded theory analysis allowed for the in-depth exploration of participants’ experiences. A model was developed identifying help seeking as a family journey. Parents were highly influential, and parents who were able to be more available to their adolescents tended to be more involved in the help-seeking process. Other adults were utilized within the help-seeking process. Once adolescents were engaged with the help-seeking process, they were often able to then seek further help independently. The findings suggest that consideration should be given to making services accessible to adolescents. CAMH services should explore ways with adolescents to give control over parental involvement, and ways with parents to develop availability. Future research should consider the experiences of older and younger adolescents separately, and the transition into adult services.

Exploring older adults’ experiences seeking psychological services using the network episode model

2020 ◽  
pp. 1-24
Author(s):  
Brooke E. Beatie ◽  
Corey S. Mackenzie ◽  
Genevieve Thompson ◽  
Lesley Koven ◽  
Tyler Eschenwecker ◽  
...  
Keyword(s):  
Mental Health ◽  
Older Adults ◽  
Mental Health Service ◽  
Health Service ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Psychological Services ◽  
Health Concern ◽  
Service Utilisation

Abstract Older adults’ mental health problems are a growing public health concern, especially because their rate of mental health service use is particularly low. Decades of mental health service utilisation models have been developed, yet key assumptions from these models focus primarily on factors that facilitate or inhibit access into the treatment system without taking into considering the dynamics of how individuals respond to their mental health problems and engage in service utilisation. More recently, dynamic models like the Network Episode Model (NEM-II) have been developed to challenge the underlying, rational choice assumption of traditional utilisation models. Given the multifaceted and complex nature of older adults’ mental health problems, the objective of this study was to examine whether the NEM-II is a helpful and appropriate model for understanding the dynamic process of how older adults navigate the mental health system, including factors that advanced and delayed help-seeking. Our qualitative analyses from 15 interviews with older adults revealed that their backgrounds, social supports and treatment systems influence, and are influenced by, their illness careers. Factors that delayed help-seeking included: a lack of support, ‘inappropriate’ referrals/advice from treatment professionals and poor mental health literacy. This research suggests the NEM-II is a helpful and appropriate theory for understanding older adults’ pathways to treatment, and has implications to enhance older adults’ access to psychological services.

Prevalence of Mental Health Problems and Help-Seeking Behavior in a Hispanic-Serving Institution

2013 ◽  
Author(s):  
Hsiu-Lan Cheng ◽  
Richard Martinez ◽  
Jessica L. Jackson ◽  
Casey N. Durham ◽  
Jill K. Peters ◽  
...  
Keyword(s):  
Mental Health ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Help Seeking Behavior ◽  
Hispanic Serving Institution ◽  
Seeking Behavior ◽  
Hispanic Serving

Investigation of the “alternative” effects of an online support group for mental health problems among Japanese adults: A cross-sectional study (Preprint)

2020 ◽  
Author(s):  
Osamu Kobori ◽  
Naoki Yoshinaga
Keyword(s):  
Mental Health ◽  
Support Groups ◽  
Support Group ◽  
Help Seeking ◽  
Mental Health Problems ◽  
Health Problems ◽  
Online Support ◽  
Online Support Groups ◽  
Online Support Group ◽  
Usage Frequency

BACKGROUND Owing to the rapid development of social networking services, online support groups vary widely both in goal and structure. Several studies have shown the potential effectiveness of online support groups, such as reducing psychological distress (eg depression) among individuals with mental health problems. However, online support groups often do not aim at effectiveness regarding distress-relief-related outcomes. OBJECTIVE The U2plus.jp (hereinafter U2plus) is an online support group for individuals with depression; in it, people support each other in structured ways while engaging in simple cognitive behavioral therapy (CBT) exercises. This study aimed to examine if usage frequency of the U2plus functions are associated with decreased stigma and increased consumer. METHODS In total, 355 U2plus users took part in an online survey. They were asked what therapy they had ever received, how often they logged into it and used each of its functions, and completed the following questionnaires: The Patient Health Questionnaire-9 (PHQ-9), the Perceived Devaluation Discrimination Scale, and the General Help Seeking Scale. RESULTS Regarding the therapy they received, 89.3% (n=308) had been on medication for mental health problems, and 67.5% (n=233) had received psychotherapy or mental health counselling. Regarding the usage frequency, approximately 20% of the participants signed in to U2plus and used its functions more than once a week. The usage frequency of U2plus functions was not associated with perceived stigma. However, usage frequency of some functions was correlated to help seeking intentions from formal sources (eg doctors and psychologists). Moreover, 90% of the participants had a history of medication for their mental health. Additionally, the more depressed participants were, the more frequently they used U2plus. CONCLUSIONS It was suggested that online support groups may serve as an alternative treatment option for those who are already undergoing pharmacological treatment and are willing to seek help from whatever source they deem helpful.

scholarly journals POS1321 MENTAL HEALTH SCREENING IN PATIENTS WITH JUVENILE IDIOPATHIC ARTHRITIS

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 943.1-943
Author(s):  
S. Eulert ◽  
M. Niewerth ◽  
J. Hörstermann ◽  
C. Sengler ◽  
D. Windschall ◽  
...  
Keyword(s):  
Mental Health ◽  
Young People ◽  
Mental Health Problems ◽  
Functional Limitations ◽  
Health Problems ◽  
Health Screening ◽  
Mental Health Screening ◽  
Psychological Support ◽  
Web Based ◽  
Patient Health

Background:Mental disorders often begin in the vulnerable phase of adolescence and young adulthood. Young people with chronic diseases are particularly at risk. Early recognition of mental health problems is necessary in order to be able to support those affected in a timely and adequate manner. By implementing a web-based generic screening tool for mental health in routine care, patients with juvenile idiopathic arthritis (JIA) and mental health conditions can be identified and provided with targeted treatment.Objectives:To investigate the prevalence of mental health conditions in young people with JIA in routine rheumatology care.Methods:Mental health screening is implemented as an add-on module to the National Paediatric Rheumatology Database (NPRD). The current data was gathered over a period of 24 months. Patients complete the screening tool which includes the Patient Health Questionnaire1 (PHQ-9, score 0-27) and the Generalized Anxiety Disorder scale2 (GAD-7, score 0-21) via a web-based questionnaire. The cut-off for critical values in PHQ-9 and GAD-7 were defined as values ≥ 10. Simultaneously, other data, such as sociodemographic data, disease activity (cJADAS10, score 0-30), functional status (CHAQ, score 0-3) were collected as well.Results:The analysis included 245 patients (75% female) with a mean age of 15.7 years and a mean disease duration of 8.8 years. 38.8% of the patients had oligoarthritis (18.0% OA, persistent/20.8% OA, extended) and 23.3% RF negative polyarthritis. At the time of documentation 49 patients (30.6%) had an inactive disease (cJADAS10 ≤ 1) and 120 (49.4%) no functional limitations (CHAQ = 0). In total, 53 patients (21.6%) had screening values in either GAD-7 or PHD-9 ≥10. Patients with critical mental health screening values showed higher disease activity and more frequent functional limitations than inconspicuous patients (cJADAS10 (mean ± SD): 9.3 ± 6 vs. 4.9 ± 4.9; CHAQ: 0.66 ± 0.6 vs. 0.21 ± 0.42). When compared to males, females were significantly more likely to report either depression or anxiety symptoms (11.7% vs. 24.9%, p = 0.031).17.6% of all patients with valid items for these data reported to receive psychological support, meaning psychotherapeutic support (14.5%) and/or drug therapy (8.6%). Among those with a critical mental health screening score, 38.7% received psychological support (psychotherapeutic support (35.5%) and/or drug therapy (16.1%)).Conclusion:Every fifth young person with JIA reported mental health problems, however, not even every second of them stated to receive psychological support. The results show that screening for mental health problems during routine adolescent rheumatology care is necessary to provide appropriate and targeted support services to young people with a high burden of illness.References:[1]Löwe B, Unützer J, Callahan CM, Perkins AJ, Kroenke K. Monitoring depression treatment outcomes with the patient health questionnaire-9. Med Care. 2004 Dec;42(12):1194-201.[2]Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22; 166(10):1092-7.[3]The screening data were collected as part of COACH (Conditions in Adolescents: Implementation and Evaluation of Patient-centred Collaborative Healthcare), a project supported by the Federal Ministry of Education and Research (FKZ: 01GL1740F).Disclosure of Interests:Sascha Eulert: None declared, Martina Niewerth: None declared, Jana Hörstermann: None declared, Claudia Sengler: None declared, Daniel Windschall: None declared, Tilmann Kallinich: None declared, Jürgen Grulich-Henn: None declared, Frank Weller-Heinemann Consultant of: Pfizer, Abbvie, Sobi, Roche, Novartis, Ivan Foeldvari Consultant of: Gilead, Novartis, Pfizer, Hexal, BMS, Sanofi, MEDAC, Sandra Hansmann: None declared, Harald Baumeister: None declared, Reinhard Holl: None declared, Doris Staab: None declared, Kirsten Minden: None declared

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