scholarly journals Perinatal mental health around the world: priorities for research and service development in China

2020 ◽  
Vol 17 (3) ◽  
pp. 50-53 ◽  
Author(s):  
Simone Eliane Schwank ◽  
Qiongjie Zhou ◽  
Yanling He ◽  
Ganesh Acharya
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Perceived Risk ◽  
Help Seeking ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Service Development ◽  
Community Healthcare ◽  
Help Seeking Behaviour

China's healthcare is improving together with rapid economic growth. Yet, mental healthcare is lagging behind. Prevalence of perinatal depression is high among women of the one-child generation, but access to qualified care is limited. Chinese healthcare professionals, policy makers and patients alike express concerns about insufficient knowledge among the public as well as healthcare providers regarding mental disorders. There appears to be a general lack of help-seeking behaviour for mental disorders owing to perceived risk of social stigmatisation. Social support through family and friends, use of online resources and community healthcare services are preferred, rather than seeking help from mental health specialists.

scholarly journals Understanding barriers to accessing mental health services for newcomers to Canada using Peterborough, Ontario, as an illustrative example

2021 ◽  
Author(s):  
Nurun Layla Chowdhury
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Mental Illnesses ◽  
Cultural Barriers ◽  
Accurate Information

The quality of an individual’s mental health has a significant impact on their quality of life, as well as on the cost to society. Regular access to mental health services can help mitigate the risk factors of developing mental illnesses. This paper examines barriers to accessing mental health services, using the community of Peterborough, Ontario, as an example. Social, economic, and cultural barriers impact help-seeking amongst immigrants, putting them at a higher risk of developing mental disorders. The social determinants of mental health can be useful when developing policies aimed at improving utilization of mental healthcare services. Policy makers need to first focus on collecting accurate information on the population, and then developing targeted solutions to eliminate barriers such as language and employment that prevent help-seeking in immigrants.

scholarly journals Australian Mental Health Consumers’ Experiences of Service Engagement and Disengagement: A Descriptive Study

2021 ◽  
Vol 18 (19) ◽  
pp. 10464
Author(s):  
Sharon Lawn ◽  
Christine Kaine ◽  
Jeremy Stevenson ◽  
Janne McMahon
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Online Survey ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Health Issues ◽  
Mental Health Issues ◽  
Service Engagement

Mental health issues are a severe global concern with significant personal, social, and economic consequences and costs. This paper reports results of an online survey disseminated across the Australian community investigating why people with mental health issues choose particular mental health services over others, what causes them to disengage from services, and what factors and qualities of services are important to consumers to support their continued engagement or re-engagement with mental health services. The importance of GPs was evident, given their key role in providing mental healthcare, especially to those referred to as “the missing middle”—consumers with mental health issues who fall through the gaps in care in other parts of the healthcare system. The study found that many respondents chose to engage with mental healthcare providers primarily due to accessibility and affordability, but also because of the relational qualities that they displayed as part of delivering care. These qualities fostered consumers’ sense of trust, feeling listened to, and not being stigmatized as part of help seeking and having their mental health needs met. Implications for education and practice are offered.

Veteran help-seeking behaviour for mental health issues: a systematic review

2021 ◽  
pp. bmjmilitary-2021-001903
Author(s):  
Rebecca Randles ◽  
A Finnegan
Keyword(s):  
Mental Health ◽  
Military Personnel ◽  
Help Seeking ◽  
Mental Healthcare ◽  
Armed Forces ◽  
Barriers And Facilitators ◽  
Mental Health Issue ◽  
Male Veterans ◽  
Help Seeking Behaviour ◽  
The Usa

IntroductionServing military personnel and veterans have been identified to have a high prevalence of mental health disorders. Despite this, only a significantly small number seek mental healthcare. With the UK beginning to invest further support to the armed forces community, identification of barriers and facilitators of help-seeking behaviour is needed.MethodsCorresponding literature search was conducted in PsycINFO, PsycArticles, Medline, Web of Science and EBSCO. Articles which discussed barriers and facilitators of seeking help for mental health concerns in the veteran population were included. Those which discussed serving personnel or physical problems were not included within this review. A total of 26 papers were analysed.ResultsA number of barriers and facilitators of help-seeking for a mental health issue within the veteran population were identified. Barriers included stigma, military culture of stoicism and self-reliance, as well as deployment characteristics of combat exposure and different warzone deployments. Health service difficulties such as access and lack of understanding by civilian staff were also identified. Facilitators to help combat these barriers included a campaign to dispel the stigma, including involvement of veterans and training of military personnel, as well as more accessibility and understanding from healthcare staff.ConclusionsWhile some barriers and facilitators have been identified, much of this research has been conducted within the USA and on male veterans and lacks longitudinal evidence. Further research is needed within the context of other nations and female veterans and to further indicate the facilitators of help-seeking among veterans.

General aspects of care: settings of care

Psychiatry ◽  
2019 ◽  
Author(s):  
Rebecca McKnight ◽  
Jonathan Price ◽  
John Geddes
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Mental Disorders ◽  
Health Services ◽  
Mental Healthcare ◽  
The Elderly ◽  
Healthcare Services ◽  
Provision Of Services ◽  
Specific Disorders ◽  
General Aspects

Current mental healthcare services in most of the de­veloped world are unrecognizable compared with those of the mid twentieth century. There has been a major shift from long- term institutional to community care. This chapter describes current approaches to pro­viding mental health services, particularly for people between the ages of 18 and 65 (services for children are discussed in Chapter 17, and services for the elderly in Chapter 18). It is important for all doctors to have a basic understanding of the structure of services for three main reasons: … 1 It will help you to get the most out of clinical rotations in psychiatry, either at undergraduate or postgraduate level. 2 All clinicians need to know when and how to refer their patient to appropriate services. 3 Patients being treated by other medical specialties may have psychiatric co- morbidities. Effective management and liaison with mental health services requires a working knowledge of common conditions and their treatment. … Mental health services are organized in different ways from country to country. This chapter describes mainly the provision of services in the UK, but the prin­ciples apply generally. To understand the range of psychiatric services that are required for a specific community it is necessary to know: … 1 the frequency of mental disorders in the population; 2 the severity of these conditions and the impact they have upon a person’s ability to function; 3 how patients with these disorders come into contact with the health services; 4 what type of services people engage with and find effective. … The local prevalence of mental disorders will vary, but approximate estimates can be obtained from national surveys (Table 11.1). Approximately 20 per cent of adults and 10 per cent of children experi­ence a mental health problem in any given year. A more detailed discussion of the epidemiology of mental health as a whole can be found in Chapter 2, p. 5, and for specific disorders in their individual chapters. The basic principles of the provision of mental health services are the same as for any other health ser­vice. Services should be accessible, comprehensive, appropriate to the needs of the community, offer up- to- date treatments, effective, and economical. Patients should be offered a choice in the treatment they receive, although the caveat to this is when an individual is being treated under the Mental Health Act.

scholarly journals Understanding barriers to accessing mental health services for newcomers to Canada using Peterborough, Ontario, as an illustrative example

2021 ◽  
Author(s):  
Nurun Layla Chowdhury
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Help Seeking ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
Mental Illnesses ◽  
Cultural Barriers ◽  
Accurate Information

The quality of an individual’s mental health has a significant impact on their quality of life, as well as on the cost to society. Regular access to mental health services can help mitigate the risk factors of developing mental illnesses. This paper examines barriers to accessing mental health services, using the community of Peterborough, Ontario, as an example. Social, economic, and cultural barriers impact help-seeking amongst immigrants, putting them at a higher risk of developing mental disorders. The social determinants of mental health can be useful when developing policies aimed at improving utilization of mental healthcare services. Policy makers need to first focus on collecting accurate information on the population, and then developing targeted solutions to eliminate barriers such as language and employment that prevent help-seeking in immigrants.

scholarly journals Competitive Athletes' Experiences With Mental Illness And Psychological Treatment

2021 ◽  
Author(s):  
Rachel Jewett
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Race And Ethnicity ◽  
Help Seeking ◽  
Sport Participation ◽  
Psychological Treatment ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Future Research ◽  
Sport Culture

The purpose of the study was to explore the role of sport culture in athlete mental health, the importance of mental healthcare providers having an understanding of this context, and how athletes tend to access mental healthcare. Ten athletes with personal experience in these domains were interviewed and a thematic analysis was used. Athletes who attributed their mental health challenges to their sport participation thought it was important for their mental healthcare providers to have experience with sport. Normalization and validation of mental illness within the sport context and understanding competitive sport culture were identified as important. Facilitators of care access included a supportive cultural environment and influential individuals. Barriers included stigma and the financial cost of treatment. Coaches influenced athletes’ attitudes toward help-seeking. Implications for assessment and treatment of mental illness in athletes are discussed. Future research should explore gender, race, and ethnicity in athletes’ experiences with mental illness.

scholarly journals Help-seeking behaviors among Chinese people with mental disorders: a cross-sectional study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Huifang Yin ◽  
Klaas J. Wardenaar ◽  
Guangming Xu ◽  
Hongjun Tian ◽  
Robert A. Schoevers
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Low Income ◽  
Help Seeking ◽  
Mental Healthcare ◽  
Female Gender ◽  
Health Concern ◽  
Cross Sectional ◽  
Healthcare Settings ◽  
Axis I

Abstract Background Failure to seek treatment for mental health disorders is a serious public health concern. Unfortunately, there is little insight into help-seeking and its associated factors in China which has undergone rapid economic development in the past 30 years and has an increasing prevalence of mental disorder. Therefore, this study aimed to (1) investigate help-seeking rates in healthcare and non-healthcare settings and (2) investigate the correlates of help-seeking behavior in a large Chinese survey. Methods Data came from the Tianjin Mental Health Survey (TJMHS), a representative sample of adult community residents in the Chinese municipality of Tianjin (n = 11,748). Of these, 1759 individuals had ≥1 axis-I diagnosis according to the Diagnostic and Statistical manual– fourth edition (DSM-IV) and were administered a Help-Seeking Questionnaire. Results 15.7% of patients reported that they had ever sought help during their entire lifetime before the interview, with 4.5% seeking help in mental healthcare, 3.2% in other healthcare and 8.1% in non-healthcare settings (e.g., family, friends, and spiritual advisor). Among help-seekers, the first help was mostly sought in non-healthcare settings (58.4%), followed by healthcare (27.5%) and mental healthcare settings (24.5%). Female gender, younger age, having 7–9 years vs 0–6 years of education, a low income, a psychotic disorder and having ≥2 disorders were associated with increased help-seeking. Older age, being married and having a psychotic or organic disorder were associated with increased help-seeking in healthcare vs. non-healthcare settings. Conclusion A small percentage of persons with mental disorders in the Tianjin region seek help and among those who do, variations in the types of help-seeking may be partially explained by demographic and clinical characteristics.

scholarly journals Competitive Athletes' Experiences With Mental Illness And Psychological Treatment

2021 ◽  
Author(s):  
Rachel Jewett
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Race And Ethnicity ◽  
Help Seeking ◽  
Sport Participation ◽  
Psychological Treatment ◽  
Healthcare Providers ◽  
Mental Healthcare ◽  
Future Research ◽  
Sport Culture

The purpose of the study was to explore the role of sport culture in athlete mental health, the importance of mental healthcare providers having an understanding of this context, and how athletes tend to access mental healthcare. Ten athletes with personal experience in these domains were interviewed and a thematic analysis was used. Athletes who attributed their mental health challenges to their sport participation thought it was important for their mental healthcare providers to have experience with sport. Normalization and validation of mental illness within the sport context and understanding competitive sport culture were identified as important. Facilitators of care access included a supportive cultural environment and influential individuals. Barriers included stigma and the financial cost of treatment. Coaches influenced athletes’ attitudes toward help-seeking. Implications for assessment and treatment of mental illness in athletes are discussed. Future research should explore gender, race, and ethnicity in athletes’ experiences with mental illness.

scholarly journals Preferences and barriers to mental help seeking among students attending the University of Dschang, West region, Cameroon

2020 ◽  
Author(s):  
Martial Sonkoue Pianta ◽  
Linda Evans Eba Ze ◽  
Baame Esong Miranda ◽  
Rene Mih Tah ◽  
Benjamin Momo Kadia
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Problem ◽  
Help Seeking ◽  
Mental Healthcare ◽  
Cross Sectional Study ◽  
Health Coverage ◽  
Health Seeking ◽  
Cross Sectional ◽  
Services Implementation

ABSTRACTBackgroundMental disorders are a major source of disability and receive little attention in developing countries in general and particularly in Cameroon. Students are at a higher risk of developing mental disorders. The aim of this study was to assess students’ mental help seeking preferences and the barriers to mental health seeking.MethodsWe conducted a cross sectional study. Participants were selected using a multistage sampling method. A self-administered questionnaire was used to collect data on sociodemographic characteristics preferences and barriers to mental health seeking.ResultsOf the 84.23%[534/634, CI :81.18%- 86.86%] who consider depression a serious health problem 34.14%[183/534, CI : 30,25%- 38.26%] will go to a psychologist, in case of a mental health problem.. Most of the participants 47.32% [300/634,CI : 43,46%- 51.21%] prefer a private hospital for healthcare. The greatest barrier to health access is the inability to pay 38.64%[245/634, CI : 34.93%- 42.49%].ConclusionInterventions to increase awareness on available health services, implementation of universal health coverage and the promotion of mental health could greatly improve health seeking behaviour and access to mental healthcare.

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