scholarly journals Help-Seeking Intention During COVID-19 Pandemic: A Nationwide Web-Based Survey in Indonesia

2020 ◽  
Author(s):  
Aprezo Pardodi Maba ◽  
Mulawarman ◽  
Ma'rifatin Indah Kholili ◽  
Anugrah Intan Cahyani ◽  
kushendar ◽  
...  

Background: This study was conducted based on many studies on mental health problems during the Covid-19 pandemic and the urgency for the availability of mental health services. Unfortunately, research related to help-seeking intention for mental health in general public, particularly in Indonesia, is very limited. Meanwhile, several studies have shown that help-seeking intention is a good predictor whether someone will attend mental health services or not.Objective: The aims of this study are to determine the sources of help that are most soughtafter and the factors predicting help-seeking intention during the COVID-19 pandemic.Methods: Online instruments consist of demographical questions, 11 items of General Helpseeking Questionnaire (GHSQ) (Wilson, Deane, Ciarrochi, & Rickwood, 2005), 7 items of Fear of COVID-19 Scale (FCV-19S) (Ahorsu et al., 2020), and 5 items of Coronavirus Anxiety Scale (CAS) (Lee, 2020) were distributed via email, Facebook messenger, and Whatsapp during August 11 – 21, 2020. The data were analyzed using multiple linear regression and multivariate logistic regression.Results: The results showed that parents were the most sought-after source of help during the COVID-19 pandemic. While age, education, occupation, living in infected area, and fear significantly predict help-seeking intention. Meanwhile, the factors significantly predict the level of help-seeking intention are anxiety and fear.Limitations: This research uses a cross-sectional design. Therefore, it cannot test help-seeking intention after data collection. Furthermore, data was obtained using the self-report method which depends on the participants' ability to understand the items of the questionnaire. Conclusion: The results showed that parents were the main choice of the participants if they seek for help. Therefore, it is important for parents to be equipped with skills in providing mental health help for their children or relatives. Moreover, all parties should be equipped and trained to provide mental health help. Mental health services should be provided to various demographical background of general public during of COVID-19 pandemic. The attention of mental health services should be directed to the not infected area as well rather than infected area only.

2012 ◽  
Vol 2012 ◽  
pp. 1-7
Author(s):  
Kar C. Chan ◽  
Joel Sadavoy

Ethnic elders are commonly reluctant to access mental health services and their mental health problems are often overlooked and detected late in the course of illness. Prior studies identified major barriers to ethnic seniors accessing appropriate mental health care demonstrating that language and cultural beliefs cannot be ignored if effective mental health services are to be provided to patients from diverse cultural groups. These are particularly important when care is needed by less acculturated immigrant ethnic seniors for whom language barriers are often greatest. Differences in conceptions of mental distress affect ethnic seniors' choice of help-seeking and often discourage or divert aged persons from utilizing mainstream conventional psychiatric care. Despite the extensive need for appropriate service models for ethnic populations, there have been limited data and models to illustrate how these programs can be systematically and effectively integrated within the mainstream mental health service framework. This paper describes an innovative, mainstream, community-based psychogeriatric service delivery model developed for Chinese seniors in Toronto, Canada, aiming at improving their access to care and enhancing earlier mental health problem detection. The important concepts and strategies of designing and operating a culturally acceptable program are illustrated supported by program data and the challenges analyzed.


2020 ◽  
Author(s):  
Anna Sofie Hansen ◽  
Gry Kjærsdam Telléus ◽  
Christina Mohr-Jensen ◽  
Marlene Briciet Lauritsen

Abstract Background: Many children and adolescents with impairing mental health disorders are not in contact with specialized child and adolescent mental health services (CAMHS). In order to close the service gap, it is important to increase our knowledge of barriers to access. The aim of this study was to investigate parent perceived barriers to accessing services for their child’s mental health problems to identify potential areas for improvement of access to CAMHS. Method: In this cross-sectional observational study 244 parents of children and adolescents referred to outpatient psychiatric assessment were interviewed using the Children’s services interview regarding barriers to accessing child mental health services across healthcare, educational services and social services. Parent reported barriers were analyzed in relation to the child’s age, referral reason, symptom duration and impairment of the child. Results: The most commonly reported barriers were lack of information about were to seek help (60.3%), the perception that professionals did not listen (59.8%) and professionals refusing to initiate interventions or provide referral to services (53.7%). Lack of knowledge, stigmatization and unavailability of services were common themes across barriers to help-seeking. Long symptom duration and parent rated impairment was associated with increased risk of reporting several barriers to help-seeking. Conclusion: Parents seeking help for their child’s mental health encounter numerous barriers that could explain part of the treatment gap and long duration of mental health problems in children prior to referral to CAMHS.


2021 ◽  
Author(s):  
Anna Sofie Hansen ◽  
Gry Kjaersdam Telléus ◽  
Christina Mohr-Jensen ◽  
Marlene Briciet Lauritsen

Abstract Background Many children and adolescents with impairing mental health disorders are not in contact with specialized child and adolescent mental health services (CAMHS). In order to close the service gap, it is important to increase our knowledge of barriers to access. The aim of this study was to investigate parent perceived barriers to accessing services for their child’s mental health problems to identify potential areas for improvement of access to CAMHS. Method In this cross-sectional observational study 244 parents of children and adolescents referred to outpatient psychiatric assessment were interviewed using the Children’s services interview regarding barriers to accessing child mental health services across healthcare, educational services and social services. Parent reported barriers were analyzed in relation to the child’s age, referral reason, symptom duration and impairment of the child. Results The most commonly reported barriers were lack of information about were to seek help (60.3%), the perception that professionals did not listen (59.8%) and professionals refusing to initiate interventions or provide referral to services (53.7%). Lack of knowledge, stigmatization and unavailability of services were common themes across barriers to help-seeking. Long symptom duration and parent rated impairment was associated with increased risk of reporting several barriers to help-seeking.Conclusion Parents seeking help for their child’s mental health encounter numerous barriers that could explain part of the treatment gap and long duration of mental health problems in children prior to referral to CAMHS.


2020 ◽  
Author(s):  
Anna Sofie Hansen ◽  
Gry Kjaersdam Telléus ◽  
Christina Mohr-Jensen ◽  
Marlene Briciet Lauritsen

Abstract Background: Many children and adolescents with impairing mental health disorders are not in contact with specialized child and adolescent mental health services (CAMHS). In order to close the service gap, it is important to increase our knowledge of barriers to access. The aim of this study was to investigate parent perceived barriers to accessing services for their child’s mental health problems to identify potential areas for improvement of access to CAMHS. Method: In this cross-sectional observational study 244 parents of children and adolescents referred to outpatient psychiatric assessment were interviewed using the Children’s services interview regarding barriers to accessing child mental health services across healthcare, educational services and social services. Parent reported barriers were analyzed in relation to the child’s age, referral reason, symptom duration and impairment of the child. Results: The most commonly reported barriers were lack of information about were to seek help (60.3%), the perception that professionals did not listen (59.8%) and professionals refusing to initiate interventions or provide referral to services (53.7%). Lack of knowledge, stigmatization and unavailability of services were common themes across barriers to help-seeking. Long symptom duration and parent rated impairment was associated with increased risk of reporting several barriers to help-seeking. Conclusion: Parents seeking help for their child’s mental health encounter numerous barriers that could explain part of the treatment gap and long duration of mental health problems in children prior to referral to CAMHS.


2019 ◽  
Author(s):  
Antonia Aguirre ◽  
Ignacio Silva ◽  
Jo Billings ◽  
Magdalena Jimenez ◽  
Sarah Rowe

Abstract Background: Increasing rates of mental health problems among adolescents are alarming. Teens who are most in need of mental health attention are reluctant to seek help. A better understanding of the help-seeking in this population is crucial to overcome this gap. Methods: Five databases were searched to identify the principal barriers, facilitators and interventions targeting help-seeking for common mental health problems in adolescents aged 10-19 years. The search was performed in June 2018 and updated in March 2019. Two independent screening processes were made using the eligibility criteria. Quality assessment of each study was performed and findings summarised using a narrative synthesis. Results: 90 studies meet the inclusion criteria for this review for barrier and facilitators (n=54) and interventions (n=36). Stigma and negative beliefs towards mental health services and professionals were the most cited barriers. Facilitators included previous positive experience with health services and mental health literacy. Most interventions were based on psychoeducation, which focused on general mental health knowledge, suicide and self-harm, stigma and depression. Other types of interventions included the use of multimedia and online tools, peer training and outreach initiatives. Overall, the quality of studies was low to medium and there was no general agreement regarding help-seeking definition and measurements. Conclusion: Most of interventions took place in an educational setting however, it is important to consider adolescents outside the educational system. Encouraging help-seeking should come with the increased availability of mental health support for all adolescents in need, but this is still a major challenge for Child and Adolescent Mental Health Services. There is also a need to develop shared definitions, theoretical frameworks and higher methodological standards in research regarding help-seeking behaviours in adolescents. This will allow more consistency and generalisability of findings, improving the development of help-seeking interventions and ensuring timely access to mental health treatments.


2021 ◽  
Author(s):  
◽  
Michelle Bembridge

People who reside in rural areas are faced with ongoing barriers to accessing mental health services. A number of aspects of rural life such as the rural community, social networks, and limited access to service all have particular implications for people experiencing mental health issues. Additional issues such as the effect of rural culture on help-seeking for mental illness, the lack of anonymity in small communities and the difficulty to maintain confidence, and mental health and addictions stigma may further impact the recognition, treatment, and maintenance of mental health problems for people in rural and remote locations. Providing mental health services to residents in these places requires creative and flexible service delivery options. This practicum report details my experience with the Virtual Mental Health Program at Alberta Health Services and highlights the role that social workers play in delivering mental health services in underserved locations as well as the potentials for further developing these services.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e025674 ◽  
Author(s):  
Elizabeth M Scott ◽  
Joanne S Carpenter ◽  
Frank Iorfino ◽  
Shane P M Cross ◽  
Daniel F Hermens ◽  
...  

ObjectivesTo report the distribution and predictors of insulin resistance (IR) in young people presenting to primary care-based mental health services.DesignCross-sectional.SettingHeadspace-linked clinics operated by the Brain and Mind Centre of the University of Sydney.Participants768 young people (66% female, mean age 19.7±3.5, range 12–30 years).Main outcome measuresIR was estimated using the updated homeostatic model assessment (HOMA2-IR). Height and weight were collected from direct measurement or self-report for body mass index (BMI).ResultsFor BMI, 20.6% of the cohort were overweight and 10.2% were obese. However, <1% had an abnormally high fasting blood glucose (>6.9 mmol/L). By contrast, 9.9% had a HOMA2-IR score >2.0 (suggesting development of IR) and 11.7% (n=90) had a score between 1.5 and 2. Further, there was a positive correlation between BMI and HOMA2-IR (r=0.44, p<0.001). Participants in the upper third of HOMA2-IR scores are characterised by younger age, higher BMIs and depression as a primary diagnosis. HOMA2-IR was predicted by younger age (β=0.19, p<0.001) and higher BMI (β=0.49, p<0.001), together explaining 22% of the variance (F(2,361)=52.1, p<0.001).ConclusionsEmerging IR is evident in a significant subgroup of young people presenting to primary care-based mental health services. While the major modifiable risk factor is BMI, a large proportion of the variance is not accounted for by other demographic, clinical or treatment factors. Given the early emergence of IR, secondary prevention interventions may need to commence prior to the development of full-threshold or major mood or psychotic disorders.


Author(s):  
Anna Sofie Hansen ◽  
Gry Kjaersdam Telléus ◽  
Christina Mohr-Jensen ◽  
Marlene Briciet Lauritsen

Abstract Background Many children and adolescents with impairing mental health disorders are not in contact with specialized child and adolescent mental health services (CAMHS). In order to close the service gap, it is important to increase our knowledge of barriers to access. The aim of this study was to investigate parent perceived barriers to accessing services for their child’s mental health problems to identify potential areas for improvement of access to CAMHS. Method In this cross-sectional observational study 244 parents of children and adolescents referred to outpatient psychiatric assessment were interviewed using the Children’s services interview regarding barriers to accessing child mental health services across healthcare, educational services and social services. Parent reported barriers were analyzed in relation to the child’s age, referral reason, symptom duration and impairment of the child. Results The most commonly reported barriers were lack of information about were to seek help (60.3%), the perception that professionals did not listen (59.8%) and professionals refusing to initiate interventions or provide referral to services (53.7%). Lack of knowledge, stigmatization and unavailability of services were common themes across barriers to help-seeking. Long symptom duration and parent rated impairment was associated with increased risk of reporting several barriers to help-seeking. Conclusion Parents seeking help for their child’s mental health encounter numerous barriers that could explain part of the treatment gap and long duration of mental health problems in children prior to referral to CAMHS.


10.2196/18514 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e18514
Author(s):  
Chelsea Stunden ◽  
Julie Zasada ◽  
Nicole VanHeerwaarden ◽  
Elisa Hollenberg ◽  
Alexxa Abi-Jaoudé ◽  
...  

Background Transition-aged youth are particularly vulnerable to mental health problems, yet they are one of the least likely demographic groups to seek help. Objective The aim of this study is to explore the influences on and patterns in help-seeking for mental health concerns among transition-aged youth who attend postsecondary schools in Canada. Methods A qualitative research design was used, involving 12 semistructured focus groups with transition-aged youth (17-29 years) who attended postsecondary schools in Canada. A thematic analysis was conducted to code the transcripts and develop themes. Results Four main themes and subthemes regarding the process and experience of help-seeking were generated: (1) the influence of formal service providers (accessibility and experiences), (2) the influence of social factors (system navigation and stigma), (3) the influence of health literacy (symptom recognition, acting on symptoms, digital tools and the internet, and mental health awareness campaigns), and (4) the influence of low-intensity sources of support, namely, self-help. Conclusions Transition-aged youth seek help for mental health problems in different ways. Despite efforts to improve access to mental health services, transition-aged youth continue to face barriers to accessing these services, especially formal sources of support. The factors identified in this study that either hinder or facilitate help-seeking have pragmatic implications for developing help-seeking interventions and delivering mental health services for this population. In addition to other facilitators, family physicians are an important resource in the help-seeking process. Furthermore, digital help-seeking tools have unique characteristics that may make them an important source of support for transition-aged youth.


Author(s):  
Trisni Handayani ◽  
Dian Ayubi ◽  
Dien Anshari

ABSTRAK Latar belakang. Prevalensi penduduk Indonesia yang menderita gangguan mental emosional mengalami peningkatan, dimana prevalensi sebesar 6% pada tahun 2013 meningkat menjadi 9,8% pada tahun 2018. Pelayanan kesehatan jiwa bagi setiap orang dengan masalah kejiwaan (ODMK) belum diwujudkan secara optimal di wilayah Kecamatan Bogor Timur. Masih sedikit ODMK yang memanfaatkan pelayanan kesehatan jiwaTujuan. Penelitian ini bertujuan untuk mengetahui hubungan literasi kesehatan mental dengan pemanfaatan pelayanan kesehatan jiwa.Metode. Penelitian ini menggunakan desain cross-sectional dengan pendekatan kuantitatif. Responden adalah orang dengan masalah kejiwaan yang bertempat tinggal di Kecamatan Bogor Timur. Teknik multistage random sampling digunakan untuk memilih 139 responden. Pengumpulan data dilakukan dengan wawancara menggunakan kuesioner. Data dianalisis menggunakan uji regresi logistik ganda.Hasil. Nilai rerata literasi kesehatan mental sebesar 73,08 (skala 100). Sebanyak 56,1% ODMK telah memanfaatkan pelayanan kesehatan jiwa dan 57,6% responden berumur ≥30 tahun. Pada mereka yang mempunyai literasi kesehatan mental tinggi, sebanyak 64,9% telah memanfaatkan pelayanan kesehatan jiwa. Hasil analisis multivariat menunjukkan hubungan signifikan antara literasi kesehatan mental dengan perilaku pemanfaatan pelayanan kesehatan jiwa pada ODMK setelah variabel jenis kelamin dan ketersediaan pelayanan kesehatan jiwa dikendalikan.Kesimpulan. Orang dengan literasi kesehatan mental yang tinggi cenderung memanfaatkan pelayanan kesehatan jiwa dibanding dengan mereka dengan literasi rendah.  ABSTRACTBackground. In Indonesia, prevalence of emotional mental disorder has increased from 6% in 2013 to 9.8% in 2018. Mental health service has not optimally utilized by people with mental health problems in East Bogor sub-district. Objective. This study aimed to determine the relationship of mental health literacy with mental health service use. Method. This study used a cross sectional design with a quantitative approach. Respondents were people with mental health problems who lived in East Bogor Sub-District. A total of 139 respondents were selected using multistage random sampling technique. Data were collected by in-person interview using a questionnaire. Data were analysed using a multiple logistic regression test for multivariate model selection. Results. The results of this study showed that the mean score of mental health literacy was 73.08 (scale of 100). There were 56.1% respondents utilized mental health services. As many as 57.6% respondents aged ≥30 years. Among those who have high mental health literacy, 64.9% of them have utilized mental health services.  Results from multivariate analysis showed that there was a significant relationship between mental health literacy and the use of mental health service in people with mental health problems, after adjustment with gender and mental health service availability.Conclusion. People with high mental health literacy tended to use mental health services compared to those with low literacy.


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