scholarly journals Voices from Minority Youth on Help-Seeking and Barriers to Mental Health Services: Partnering with School-Based Health Centers

2018 ◽  
Vol 28 (Supp) ◽  
pp. 437-444 ◽  
Author(s):  
Roya Ijadi-Maghsoodi ◽  
Kacy Bonnet ◽  
Sophie Feller ◽  
Kathleen Nagaran ◽  
Maryjane Puffer ◽  
...  

Objective: Schools and school-based health centers (SBHCs) play an important role in reducing disparities in access to mental health treatment. However, there is a need to increase student engagement in school mental health services. This study sought to understand the perceptions of low-income minority youth on help-seeking and barriers to mental health services at SBHC sites.Design: Descriptive, qualitative study.Setting: A network of SBHCs, called Well­ness Centers, developed as part of a strate­gic plan to serve students and community members in under-resourced areas of a large urban school district.Participants and Procedures: We conduct­ed focus groups with 76 middle and high school students at nine SBHC sites through a community-academic partnered approach from January to May 2014. The focus groups were audio-recorded, transcribed, and major themes coded with Atlas.ti.5.1.Results: Students identified teachers as a primary source of support for mental health issues, followed by peers and mental health counselors. Students felt that trust and con­nection were vital for help-seeking. Barriers to using SBHCs included: embarrassment; fear of judgment; concerns about confiden­tiality; a sense that they should keep things inside; and lack of awareness.Conclusions: Despite the resources avail­able at SBHCs, students face barriers to help-seeking. SBHCs can help teachers and school staff gain awareness of mental health issues and services available to students. The students’ recommendations—making SBHCs more comfortable, raising mental health awareness, and bolstering connec­tions with school and SBHC staff—may improve engagement in mental health services at schools with SBHCs. Ethn Dis. 2018;28(Suppl 2):437-444; doi:10.18865/ed.28.S2.437

2019 ◽  
Vol 89 (10) ◽  
pp. 839-846 ◽  
Author(s):  
Hilary Stempel ◽  
Matthew G. Cox‐Martin ◽  
Sonja O'Leary ◽  
Rachel Stein ◽  
Mandy A Allison

2008 ◽  
Vol 39 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Paula A. Madrid ◽  
Richard Garfield ◽  
Parham Jaberi ◽  
Maureen Daly ◽  
Georgina Richard ◽  
...  

2017 ◽  
Vol 87 (8) ◽  
pp. 584-592 ◽  
Author(s):  
Ranbir M. Bains ◽  
Regina Cusson ◽  
Jesse White-Frese ◽  
Stephen Walsh

Author(s):  
Sharon Lawn ◽  
Christine Kaine ◽  
Jeremy Stevenson ◽  
Janne McMahon

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.


Author(s):  
Yamam Abuzinadah ◽  
Bader Binhadyan ◽  
Nilmini Wickramasinghe

Mental health have become a very influential topic around the world due to the increase of mental health issues that have been reported through national research and surveys. Many studies have been done along the years around the barriers in regards to seeking help in deferent countries and communities. This research aims to look closely into these barriers targeting issues and potential solutions, specifically for Saudi Arabia. Recently, the use of e-mental health services have proven to be an effective method to improve is barriers to mental health treatment. However, this chapter addresses the application and suitably of e-mental health programs for Saudi Arabia mental health services. To do so, a case study of Australian e-mental health services was selected to assist with the investigations.


2008 ◽  
Vol 123 (6) ◽  
pp. 768-780 ◽  
Author(s):  
Jeff J. Guo ◽  
Terrance J. Wade ◽  
Kathryn N. Keller

Objectives. School-based health centers (SBHCs) play an increasingly major role in providing mental health services for students. This study evaluated the impact of SBHCs on mental health-care services and psychosocial health-related quality of life (HRQOL). Methods. Four SBHC intervention and two matched non-SBHC school districts were examined from 1997 to 2003. The SBHC intervention began in 2000. Data included child and parent pediatric HRQOL and Ohio Medicaid claims. A longitudinal quasi-experimental time-series repeated measures design was used for this study, involving analysis of covariance to assess health costs and regression analyses for HRQOL scores. Results. After the SBHC program, proportions of students accessing mental health-care services for urban and rural SBHC intervention schools increased 5.6% (χ2=39.361, p<0.0001) and 5.9% (χ2=5.545, p<0.0001), respectively, compared with increases of 2.6% (χ2=2.670, p=0.1023) and 0.2% (χ2=0.006, p=0.9361) for urban and rural non-SBHC schools, respectively. Using data from 109 students with mental health problems based on Medicaid claims, the study found SBHC students had significantly lower total health-care costs (F=5.524, p=0.005) and lower costs of mental health services (F=4.820, p=0.010) compared with non-SBHC students. While improvements over time in HRQOL for SBHC students compared with non-SBHC students and students from non-SBHC schools were observed, only some were statistically significant. Conclusions. SBHC programs increase the proportion of students who receive mental health services and may improve pediatric HRQOL. SBHC students with mental health problems had lower total Medicaid reimbursements compared with non-SBHC students.


2017 ◽  
Vol 47 (3) ◽  
pp. 136-151 ◽  
Author(s):  
Dimitris Giamos ◽  
Alex Young Soo Lee ◽  
Amanda Suleiman ◽  
Heather Stuart ◽  
Shu-Ping Chen

This study aimed to better understand campus mental health culture and student mental health coping strategies, and to identify the mental health needs of students as well as gaps in mental health services within postsecondary education. A videovoice method was used to identify and document health-related issues and advocate for change. Forty-one interviews were conducted with campus stakeholders at five universities. Five themes involving mental health emerged from the campus interviews: the stigma of mental illness; campus culture related to mental health; mental health services available and barriers to mental health services on campus; accommodations for students’ mental health needs; and student mental health coping strategies. A documentary was developed to advocate for better mental health. We conclude that although Canadian campuses are raising awareness about mental health issues, there is not enough mental health infrastructure support on campuses; in particular, accessibility to campus mental health resources needs improvement.


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