scholarly journals Relationships between anti-stigma programme awareness, disclosure comfort and intended help-seeking regarding a mental health problem

2017 ◽  
Vol 211 (5) ◽  
pp. 316-322 ◽  
Author(s):  
Claire Henderson ◽  
Emily Robinson ◽  
Sara Evans-Lacko ◽  
Graham Thornicroft

BackgroundAnti-stigma programmes should aim to increase disclosure to those who can support someone with a mental health problem and appropriate professional help-seeking.AimsWe investigated associations among public awareness of England's Time to Change anti-stigma campaign and: (a) comfort envisaged in disclosing a mental health problem to family and friends; (b) comfort in disclosing to an employer; and (c) intended professional help-seeking from a general practitioner, i.e. a physician working in primary care.MethodUsing data from a survey of a nationally representative sample of adults, we created separate logistic regression models to test for campaign awareness and other variables as predictors of comfort in disclosure and intended help-seeking.ResultsWe found positive relationships between campaign awareness and comfort in disclosing to family and friends (odds ratio (OR) = 1.27, 95% CI 1.14–1.43) and to a current or prospective employer (OR = 1.20, 95% CI 1.06–1.35); and likelihood of help-seeking (OR=1.18 95% CI 1.03–1.36).ConclusionsAwareness of an anti-stigma campaign was associated with greater comfort in disclosing a mental health problem and intended help-seeking.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Elena A. Manescu ◽  
Emily J. Robinson ◽  
Claire Henderson

Abstract Background Despite the increased attention given to improvement of mental health-related knowledge and attitudes, rates of help-seeking for mental illness remain low even in countries with well-developed mental health services. This study examines the relationships between attitudes to mental illness, symptoms of common mental disorder and seeking-help and receiving medication for a mental health problem. Methods We used data from the nationally representative Health Survey for England 2014 to design three logistic regression models to test for the effects of attitudes to mental illness (measured by a shortened version of the Community Attitudes toward the Mentally Ill, CAMI scale) on: recent contact with a doctor for a mental health problem; use of any type of mental health service in the last 12 months; and having antidepressants currently prescribed, while controlling for symptoms of common mental disorder (measured by the General Health Questionnaire, GHQ). We also tested for an interaction between attitudes to mental illness and symptoms of common mental disorder on the outcomes. Results A significant but very small effect of CAMI score was found on ‘antidepressants currently prescribed’ model (OR = 1.01(1.00, 1.02) but not on the two indicators of help-seeking. We also found a significant but very small interaction between CAMI and GHQ scores on recent contact with a doctor (OR = 0.99, 95% CI (0.990, 0.998); adjusted Wald test P = 0.01)). Knowing someone with a mental illness had a significant positive effect on help-seeking indicated by: (a) recent contact with a doctor (2.65 (1.01, 6.98)) and (b) currently prescribed antidepressant (2.67 (1.9, 3.75)) after controlling for attitudes to mental illness. Conclusions Our results suggest that knowing someone with a mental health problem seems to have a further positive effect on help-seeking, beyond improving attitudes to mental illness. Furthermore, multiple different types and aspects of stigma may contribute to help-seeking behaviours, consequently multi-faceted approaches are likely to be most efficient.


2017 ◽  
Vol 35 (2) ◽  
pp. 117-127 ◽  
Author(s):  
Latefa Ali Dardas ◽  
Susan G. Silva ◽  
Brittney van de Water ◽  
Ashlee Vance ◽  
Moria J. Smoski ◽  
...  

Little is known about help-seeking for depression among Jordanian adolescents who are a vulnerable population with high rates of depressive symptoms and few mental health services. The purpose of this study was to (1) explore Jordanian adolescents’ helpseeking intentions for depression and (2) examine whether depression stigma, depression severity, or their interaction are associated with Jordanian adolescents’ willingness to seek help for depression and the type of treatment they would seek. In collaboration with the Jordanian Ministry of Education, we conducted a nationally representative, school-based survey of adolescents aged 12–17 years ( N = 2,349). One fourth of the adolescents reported they would not seek professional help for depression, and those respondents had higher average depression scores. Among those adolescents willing to seek help, the most likely sources included family member (57%), school counselor (46%), psychiatrist (43%), religious leader (39%), and general health practitioner (28%). Lower stigma scores were associated with greater likelihood to seek psychotherapy or visit a psychiatrist, while higher stigma scores were associated with increased likelihood to seek help from a school counselor or a family member. Jordanian adolescents experience significant barriers to seeking professional help for depression. However, even among adolescents with greater depression severity and depression stigma, school counselors were identified as a key resource for help. These findings suggest that school-based interventions may fill a critical service need for adolescents with depression and other mental health problems. School nurses should be leveraged along with counselors to address mental health issues in this vulnerable population.


2020 ◽  
Author(s):  
Elena Andreea Manescu ◽  
Emily J. Robinson ◽  
Claire Henderson

Abstract Background: Despite the increased attention given to improvement of mental health-related knowledge and attitudes, rates of help-seeking for mental illness remain low even in countries with well-developed mental health services. This study examines the relationships between attitudes to mental illness, symptoms of common mental disorder and seeking-help and receiving medication for a mental health problem. Methods: We used data from the nationally representative Health Survey for England 2014 to design three logistic regression models to test for the effects of attitudes to mental illness (measured by a shortened version of the Community Attitudes toward the Mentally Ill, CAMI scale) on: recent contact with a doctor for a mental health problem; use of any type of mental health service in the last 12 months; and having antidepressants currently prescribed, while controlling for symptoms of common mental disorder (measured by the General Health Questionnaire, GHQ). We also tested for an interaction between attitudes to mental illness and symptoms of common mental disorder on the outcomes. Results: A significant but very small effect of CAMI score was found on ‘antidepressants currently prescribed’ model (OR=1.01(1.00, 1.02) but not on the two indicators of help-seeking. We also found a significant but very small interaction between CAMI and GHQ scores on recent contact with a doctor (OR= 0.99, 95% CI (0.990, 0.998); adjusted Wald test P=0.01)). Knowing someone with a mental illness had a significant positive effect on help-seeking indicated by: (a) recent contact with a doctor (2.65 (1.01, 6.98)) and (b) currently prescribed antidepressant (2.67 (1.9, 3.75)) after controlling for attitudes to mental illness. Conclusions: Our results suggest that knowing someone with a mental health problem seems to have a further positive effect on help-seeking, beyond improving attitudes to mental illness. Furthermore, multiple different types and aspects of stigma may contribute to help-seeking behaviours, consequently multi-faceted approaches are likely to be most efficient.


2021 ◽  
Author(s):  
Claire Goodfellow ◽  
Anna Macintyre ◽  
Lee Knifton ◽  
Edward Sosu

Background: Adolescence is a critical period for the development of mental health problems. However low mental health literacy (MHL) may impede help-seeking for these problems. Although MHL is a multidimensional construct and adolescent help-seeking can be through formal and informal means, little is known about how dimensions of MHL influence these help-seeking intentions. This study examines associations between dimensions of MHL and formal and informal help-seeking intentions among adolescents. It also investigates whether informal help-seeking mediates the association between dimensions of MHL and formal help-seeking, and whether these associations are moderated by gender. Methods: A cross-sectional survey including measures of MHL, and help-seeking intentions was distributed to participants in ten schools (12-18 years) across Scotland (n = 734). Data were analysed using Confirmatory Factor Analyses (CFA) and Structural Equation Modelling (SEM). Results: CFA identified two distinct dimensions of MHL: ability to identify a mental health problem, and knowledge of treatment efficacy. Only knowledge of treatment efficacy was associated with increased intention to seek formal and informal help. Ability to identify a mental health problem was negatively associated with both forms of help-seeking intention. Informal help-seeking mediated the association between both forms of MHL and formal help-seeking. Gender did not moderate associations between MHL and help-seeking. Conclusions: Distinct dimensions of MHL have disparate associations with adolescent help-seeking intention. Care should be taken when providing MHL interventions to ensure that adaptive forms of MHL are equally promoted. Future research should investigate possible mechanisms by which discrete forms of MHL influence adolescent help-seeking.


2006 ◽  
Vol 40 (1) ◽  
pp. 55-58 ◽  
Author(s):  
Nicole J. Highet ◽  
Georgina M. Luscombe ◽  
Tracey A. Davenport ◽  
Jane M. Burns ◽  
Ian B. Hickie

Objective: This report records the level of exposure to depression-related information across the Australian community and explores associations with recognition of depression and relevant sociodemographic factors. Method: A cross-sectional telephone survey was conducted with a representative community sample. Participants consisted of 3200 respondents (400 respondents across each Australian State/Territory). Results: Sixty-five point four per cent (n=2089/3193) of respondents indicated that they or someone close to them had experienced depression, of whom 18.7% (n=391/2089) reported a personal experience of this illness. Various measures of recent exposure to depression-related information were high with 69.0% (n=2207/3200) reporting that they had seen, read or heard something in the media in the last 12 months. Recognition of beyondblue: the national depression initiativewas also surprisingly high (61.9%, 1982/3200). Those with greater understanding that depression is common and debilitating were more likely to recall recent media stories, spontaneously recall relevant organizations such as beyondblue, to have had direct or family experiences, to be younger and to have achieved higher levels of education. Depression, however, is rarely mentioned (1.3%, 47/3720) as a major general health as distinct from a mental health problem. Conclusion: The active promotion of depression-related material to the community appears to have contributed to recognition of the commonality and impacts of this illness. Although depression is commonly recognized as a mental health problem, it is not yet considered a major general health problem. Further, like many public health campaigns, those initially reached appear more likely to be female, younger, better educated and residing in metropolitan areas.


2018 ◽  
Vol 59 (2) ◽  
pp. 200-214 ◽  
Author(s):  
Donna D. McAlpine ◽  
Ellen McCreedy ◽  
Sirry Alang

Self-rated health is a valid measure of health that predicts quality of life, morbidity, and mortality. Its predictive value reflects a conceptualization of health that goes beyond a traditional medical model. However, less is known about self-rated mental health (SRMH). Using data from the Medical Expenditure Panel Survey ( N = 2,547), we examine how rating your mental health as good—despite meeting criteria for a mental health problem—predicts outcomes. We found that 62% of people with a mental health problem rated their mental health positively. Persons who rated their mental health as good (compared to poor) had 30% lower odds of having a mental health problem at follow-up. Even without treatment, persons with a mental health problem did better if they perceived their mental health positively. SRMH might comprise information beyond the experience of symptoms. Understanding the unobserved information individuals incorporate into SRMH will help us improve screening and treatment interventions.


2020 ◽  
Author(s):  
Andreea Manescu ◽  
Emily J. Robinson ◽  
Claire Henderson

Abstract BackgroundDespite the increased attention given to improvement of mental health-related knowledge and attitudes, rates of help-seeking for mental illness remain low even in countries with well-developed mental health services. This study examines the relationships between attitudes to mental illness, symptoms of common mental disorder and seeking-help and receiving medication for a mental health problem. Methods: We used data from the nationally representative Health Survey for England 2014 to design three logistic regression models to test for the effects of attitudes to mental illness (measured by the Community Attitude to Mental Illness, CAMI scale) on: recent contact with a doctor for a mental health problem; use of any type of mental health service in the last 12 months; and having antidepressants currently prescribed, while controlling for symptoms of common mental disorder (measured by the General Health Questionnaire, GHQ). We also tested for an interaction between attitudes to mental illness and symptoms of common mental disorder on the outcomes. Results: A significant but very small effect of CAMI score was found on ‘antidepressants currently prescribed’ model (OR = 1.01(1.00, 1.02) but not on the two indicators of help-seeking. We also found a significant but very small interaction between CAMI and GHQ scores on recent contact with a doctor (OR = 0.99, 95% CI (0.990, 0.998); adjusted Wald test P = 0.01)). Knowing someone with a mental illness had a significant positive effect on help-seeking indicated by: (a) recent contact with a doctor (2.65 (1.01, 6.98)) and (b) currently prescribed antidepressant (2.67 (1.9, 3.75)) after controlling for attitudes to mental illness.ConclusionsOur results suggest that knowing someone with a mental health problem seems to have a further positive effect on help-seeking, beyond improving attitudes to mental illness. Furthermore, multiple different types and aspects of stigma may contribute to help-seeking behaviours, consequently multi-faceted approaches are likely to be most efficient.


2015 ◽  
Vol 2 (2) ◽  
pp. 107-118 ◽  
Author(s):  
Eva Tola ◽  
Petra Metzenthin ◽  
Claudia Mischke

Abstract Background: Early specialised care is important for those with mental health problems to prevent e.g. chronic progression. Targeted professionally initiated intervention to stabilise mental health status is only possible if affected individuals actively seek support. The reasons for inadequate use of qualified services have not been sufficiently investigated from the perspectives of those affected. There is only limited insight into the help-seeking behaviour of those with mental health issues. Aim: This study sheds light on the ‘experience’ of help-seeking to time of first contact with a psychiatric institution. It specifically concentrates on the perspective of those affected and their subjective problems. Method: Using a qualitative-inductive design, patients at a crisis centre were retrospectively interviewed using a guideline-supported approach. Interview results were analysed using Saldaña (2013) opening coding (two circles). Results: The patients’ experience can be categorised as ‘real’ problems as the cause, exacerbated mental health problems and utilising mental health services. Help-seeking is determined by the need to manage causal, ‘real’ (everyday, social) problems. Many mental health problem have long not been recognised as such, and thus help-seeking is initially focussed on ‘real’ problems. At all levels of help-seeking, from recognition of a mental health Problem to overcoming barriers preventing use of specialised help, affected persons require the support of third parties. Conclusions: The results indicate the need for a patient-orientated transformation of mental health primary care to provide for more easily accessible services that take into account the everyday and social problems of those with related problems.


2021 ◽  
Author(s):  
Harriet Hiscock ◽  
Marquelle Goods ◽  
Marquelle Goods

UNSTRUCTURED Introduction: Many children with a mental health problem do not receive professional help. Despite frequent use of digital health interventions (DHI) such as websites or online service navigation platforms for child mental health, their effects on parent’s mental health knowledge, help-seeking or uptake of professional services for their child are unclear. Methods: Systematic review and narrative synthesis to describe whether DHIs improve the above parental outcomes and whether they are cost-effective. CINAHL, EMBASE, Medline OVID, PsycInfo and PubMed were searched from 2000-2020. Studies were included if they evaluated quantitative changes in mental health literacy, help-seeking or uptake of services by parents of children with a mental health problem. Data extraction: Theoretical framework, sample size, participant demographics, recruitment, intervention, DHI usage, results and health economic measures. Results: From 11,379 search results, five studies met inclusion criteria. One randomized controlled trial found reduced uptake of services after using a DHI coupled with a telephone coach for a child’s behavioral problem. Two of three studies found statistically significant improvement in mental health literacy for attention-deficit/hyperactivity disorder but had no control group. One study found non-significant improvement in mental health literacy and help-seeking attitudes for anxiety and depression compared to an active control. No studies reported on cost-effectiveness. All studies were rated at least high or serious risk of bias. Discussion: Despite their use, there is no high-quality evidence that DHIs can improve parents’ mental health literacy, help-seeking or uptake of services. Limitations include a single reviewer screening articles and overall low-quality studies. More research is needed to evaluate DHIs using rigorous study designs, consistent measures and cost analyses.


2020 ◽  
Author(s):  
Elena Andreea Manescu ◽  
Emily J. Robinson ◽  
Claire Henderson

Abstract Background: Despite the increased attention given to improvement of mental health-related knowledge and attitudes, rates of help-seeking for mental illness remain low even in countries with well-developed mental health services. This study examines the relationships between attitudes to mental illness, symptoms of common mental disorder and seeking-help and receiving medication for a mental health problem. Methods: We used data from the nationally representative Health Survey for England 2014 to design three logistic regression models to test for the effects of attitudes to mental illness (measured by a shortened version of the Community Attitudes toward the Mentally Ill, CAMI scale) on: recent contact with a doctor for a mental health problem; use of any type of mental health service in the last 12 months; and having antidepressants currently prescribed, while controlling for symptoms of common mental disorder (measured by the General Health Questionnaire, GHQ). We also tested for an interaction between attitudes to mental illness and symptoms of common mental disorder on the outcomes. Results: A significant but very small effect of CAMI score was found on ‘antidepressants currently prescribed’ model (OR=1.01(1.00, 1.02) but not on the two indicators of help-seeking. We also found a significant but very small interaction between CAMI and GHQ scores on recent contact with a doctor (OR= 0.99, 95% CI (0.990, 0.998); adjusted Wald test P=0.01)). Knowing someone with a mental illness had a significant positive effect on help-seeking indicated by: (a) recent contact with a doctor (2.65 (1.01, 6.98)) and (b) currently prescribed antidepressant (2.67 (1.9, 3.75)) after controlling for attitudes to mental illness. Conclusions: Our results suggest that knowing someone with a mental health problem seems to have a further positive effect on help-seeking, beyond improving attitudes to mental illness. Furthermore, multiple different types and aspects of stigma may contribute to help-seeking behaviours, consequently multi-faceted approaches are likely to be most efficient.


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