Literasi Kesehatan Mental Orang Dewasa dan Penggunaan Pelayanan Kesehatan Mental

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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Coping with stigma and discrimination: evidence from mental health service users in England

Epidemiology and Psychiatric Sciences ◽

10.1017/s204579601700021x ◽

2017 ◽

Vol 27 (6) ◽

pp. 577-588 ◽

Cited By ~ 11

Author(s):

A. Isaksson ◽

E. Corker ◽

J. Cotney ◽

S. Hamilton ◽

V. Pinfold ◽

...

Keyword(s):

Mental Health ◽

Mental Health Service ◽

Health Service ◽

Mental Health Problems ◽

Health Problems ◽

Mental Health Stigma ◽

Service Users ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Stigma And Discrimination

Aims.Mental health stigma and discrimination are significant problems. Common coping orientations include: concealing mental health problems, challenging others and educating others. We describe the use of common stigma coping orientations and explain variations within a sample of English mental health service users.Methods.Cross-sectional survey data were collected as part of the Viewpoint survey of mental health service users’ experiences of discrimination (n = 3005). Linear regression analyses were carried out to identify factors associated with the three stigma coping orientations.Results.The most common coping orientation was to conceal mental health problems (73%), which was strongly associated with anticipated discrimination. Only 51% ever challenged others because of discriminating behaviour, this being related to experienced discrimination, but also to higher confidence to tackle stigma.Conclusions.Although stigma coping orientations vary by context, individuals often choose to conceal problems, which is associated with greater anticipated and experienced discrimination and less confidence to challenge stigma. The direction of this association requires further investigation.

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Gendering Neighbourhood Marginalization Metrics in Mental Health Services Research: A Cross-Sectional Exploration of a Rural and Small Urban Population

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182111197 ◽

2021 ◽

Vol 18 (21) ◽

pp. 11197

Author(s):

Neeru Gupta ◽

Dan Lawson Crouse ◽

Ismael Foroughi ◽

Thalia Nikolaidou

Keyword(s):

Mental Health ◽

Mental Health Service ◽

Mental Health Services ◽

Health Service ◽

Health Services ◽

Service Use ◽

Mental Health Service Use ◽

Health Service Use ◽

Cross Sectional ◽

Neighbourhood Characteristics

Background: Little is known about the extent to which socioenvironmental characteristics may influence mental health outcomes in smaller population centres or differently among women and men. This study used a gender-based analysis approach to explore individual- and neighbourhood-level sex differences in mental health service use in a context of uniquely smaller urban and rural settlements. Methods: This cross-sectional analysis leveraged multiple person-based administrative health datasets linked with geospatial datasets among the population aged 1 and over in the province of New Brunswick, Canada. We used multinomial logistic regression to examine associations between neighbourhood characteristics with risk of service contacts for mood and anxiety disorders in 2015/2016, characterizing the areal measures among all residents (gender neutral) and by males and females separately (gender specific), and controlling for age group. Results: Among the province’s 707,575 eligible residents, 10.7% (females: 14.0%; males: 7.3%) used mental health services in the year of observation. In models adjusted for gender-neutral neighbourhood characteristics, service contacts were significantly more likely among persons residing in the most materially deprived areas compared with the least (OR = 1.09 [95% CI: 1.05–1.12]); when stratified by individuals’ sex, the risk pattern held for females (OR = 1.13 [95% CI: 1.09–1.17]) but not males (OR = 1.00 [95% CI: 0.96–1.05]). Residence in the most female-specific materially deprived neighbourhoods was independently associated with higher risk of mental health service use among individual females (OR = 1.08 [95% CI: 1.02–1.14]) but not among males (OR = 1.02 [95% CI: 0.95–1.10]). Conclusion: These findings emphasize that research needs to better integrate sex and gender in contextual measures aiming to inform community interventions and neighbourhood designs, notably in small urban and rural settings, to reduce socioeconomic inequalities in the burden of mental disorders.

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Mental Health Service Use Among Adult Cancer Survivors: Analyses of the National Health Interview Survey

Journal of Clinical Oncology ◽

10.1200/jco.2002.03.077 ◽

2002 ◽

Vol 20 (23) ◽

pp. 4581-4590 ◽

Cited By ~ 123

Author(s):

Maria Hewitt ◽

Julia H. Rowland

Keyword(s):

Mental Health ◽

Mental Health Service ◽

Mental Health Services ◽

Health Service ◽

Health Services ◽

Cancer Survivors ◽

Service Use ◽

Mental Health Problems ◽

Mental Health Service Use ◽

Health Service Use

PURPOSE: Analyses were conducted to obtain national estimates of mental health service use, unmet need for such services, and the prevalence of mental health problems among individuals reporting a cancer history. METHODS: Of a nationally representative sample of 95,615 adults in the United States interviewed as part of the 1998, 1999, and 2000 National Health Interview Survey, 4,878 reported a history of cancer (excluding superficial skin cancer). Analyses assessed whether cancer survivors relative to those without a self-reported history of cancer had increased use of mental health services and had increased reports of unmet need for such services. Analyses were also conducted to ascertain demographic and health characteristics associated with service use and unmet need. RESULTS: Compared with individuals without a cancer history, cancer survivors reported significantly greater contact in the past year with a mental health provider (7.2% v 5.7%). Cancer survivors were more likely to have used mental health services (odds ratio, 1.60 among those without other chronic illnesses and 3.04 among those with other chronic illnesses), and mental health service use was significantly greater among those who were under age 65 and diagnosed at younger ages, were formerly married, or had other comorbid chronic conditions. If all cancer survivors with mental health problems or who needed but could not access mental health services due to cost had received such care, mental health service use would have increased from 7.2% to 11.7%, a 62% increase in use. CONCLUSION: Cancer seems to be one of several chronic illnesses that precipitates the need for and use of mental health services. Improvements are needed in recognizing mental health problems among cancer survivors and reducing barriers to psychosocial service use.

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Barriers to Accessing Mental Health Services Among Syrian Refugees in Ankara

10.21203/rs.3.rs-461860/v2 ◽

2021 ◽

Author(s):

Cengiz Kilic ◽

Edip Kaya ◽

Ozge Karadag ◽

Sarp Uner

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Mental Health Problems ◽

Population Sample ◽

Mental Healthcare ◽

Health Problems ◽

Syrian Refugees ◽

Cross Sectional ◽

Perceived Need

Abstract Background: Syrian refugees are seriously traumatized by the conflict in their country. Consequently, mental health problems, particularly depression and PTSD, are prevalent among refugees. Despite this fact, they make little use of mental health services. Using a population sample of Syrian refugees living in Ankara, we assessed the perceived need for and contact with mental health services, as well as the barriers to access these services.Methods: This was a cross-sectional study of 420 Syrian refugees living in Ankara city center, using face to face interviews administered at the respondents’ home by trained, Arabic-speaking interviewers. The data were collected in October–November 2016 in two neighborhoods of Ankara, where most of Syrian refugees were concentrated. PTSD and depression were assessed using Harvard Trauma Questionnaire and Beck Depression Inventory, respectively. Both measures have been validated in Arabic.Results: Of all the refugees in our sample, 14.8% (N=62) stated that they felt the need for mental healthcare since arriving in Turkey. The actual number contacting any mental health service, however, was very low (N=6). Multivariate analyses revealed that traumatic stress scores predicted the perceived need for contacting services. Though women reported much higher need for contact with mental health services than men, there was no gender effect on actual contact. Speaking Turkish seemed to increase contact with services, which is in line with language being listed as the most important barrier to accessing care. Conclusions: Our results show that, although refugees with mental health problems are more likely to contact services than others, most of those who need mental health care go untreated, and there is a significant gender inequity in this regard. To address this treatment gap, and to provide adequate care for refugees with mental health problems, common barriers (language, stigma, and awareness) should be identified and dealt with.

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Use of mental-health services by Australian medical students: a cross-sectional survey

Australasian Psychiatry ◽

10.1177/1039856217715990 ◽

2017 ◽

Vol 25 (4) ◽

pp. 407-410 ◽

Cited By ~ 7

Author(s):

Geoffrey Ryan ◽

Ian Marley ◽

Melanie Still ◽

Zaza Lyons ◽

Sean Hood

Keyword(s):

Mental Health ◽

Medical Students ◽

Mental Health Services ◽

Health Services ◽

Mental Health Problems ◽

Well Being ◽

Health Problems ◽

Perceived Usefulness ◽

Cross Sectional ◽

Health Services Needs

Objective: Medical students have higher rates of mental illness compared to the general population. Little is known about services accessed by medical students for mental-health problems. This study aimed to assess the use of mental-health services by Australian medical students and to identify barriers that may prevent students from using mental-health services. Method: A cross-sectional online survey was designed and administered to medical students at the University of Western Australia. Questions focused on self-reported psychological well-being, use of mental-health services, the perceived usefulness of services and barriers to the use of services. Results: The response rate was 41% ( n=286). Sixty-two per cent self-reported experiencing mental-health problems, and of these, 75% had used at least one service. General practitioners and psychiatrists were rated as the most effective service type. The main barriers to seeking help were not enough time, affordability and concerns regarding stigma, including disclosure and peer judgement. Conclusion: A high proportion of students with self-reported mental-health problems had accessed services. However, barriers were also identified. Access to mental-health services needs to be improved, and strategies aimed at reducing stigma and raising awareness of mental-health issues should be encouraged by medical faculties.

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Barriers to Accessing Mental Health Services among Syrian Refugees in Ankara

10.21203/rs.3.rs-461860/v1 ◽

2021 ◽

Author(s):

Cengiz Kilic ◽

Edip Kaya ◽

Ozge Karadag ◽

Sarp Uner

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Mental Health Problems ◽

Population Sample ◽

Mental Healthcare ◽

Health Problems ◽

Syrian Refugees ◽

Cross Sectional ◽

Perceived Need

Abstract Background Syrian refugees are seriously traumatized by the conflict in their country. Consequently, mental health problems, particularly depression and PTSD, are prevalent among refugees. Despite this fact, they make little use of mental health services. Using a population sample of Syrian refugees living in Ankara, we assessed the perceived need for and contact with mental health services, as well as the barriers to access these services. Methods This was a cross-sectional study of 420 Syrian refugees living in Ankara city center, using face to face interviews administered at the respondents’ home by trained, Arabic-speaking interviewers. The data were collected in October–November 2016 in two neighborhoods of Ankara, where most of Syrian refugees were concentrated. PTSD and depression were assessed using Harvard Trauma Questionnaire and Beck Depression Inventory, respectively. Both measures have been validated in Arabic. Results Of all the refugees in our sample, 14.8% (N = 62) stated that they felt the need for mental healthcare since arriving in Turkey. The actual number contacting any mental health service, however, was very low (N = 6). Multivariate analyses revealed that traumatic stress scores predicted the perceived need for contacting services. Though women reported much higher need for contact with mental health services than men, there was no gender effect on actual contact. Speaking Turkish seemed to increase contact with services, which is in line with language being listed as the most important barrier to accessing care. Conclusions Our results show that, although refugees with mental health problems are more likely to contact services than others, most of those who need mental health care go untreated, and there is a significant gender inequity in this regard. To address this treatment gap, and to provide adequate care for refugees with mental health problems, common barriers (language, stigma, and awareness) should be identified and dealt with.

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School Settings

10.1093/oxfordhb/9780190634841.013.40 ◽

2018 ◽

Author(s):

Melissa K. Holt ◽

Jennifer Greif Green ◽

Javier Guzman

Keyword(s):

Mental Health ◽

Mental Health Service ◽

Mental Health Services ◽

Health Service ◽

Health Services ◽

Service Provision ◽

Community Mental Health Service ◽

Health Service Provision ◽

School Settings ◽

Mental Health Service Provision

Schools are a primary setting for mental health service provision to youth and are also main sources of referral to community mental health service providers. This chapter examines the school context and its key role in the child and adolescent mental health services system. The chapter first provides information about the association of emotional and behavioral disorders with school experiences, including academic performance. Next, the chapter presents a framework for mental health service provision and assessment in schools, including describing methods for identifying students who might need mental health services and tracking their progress. Further, several evidence-based interventions are highlighted as examples of effective practices in schools. The chapter concludes with recommendations for clinical practice in school settings.

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Changes in rehabilitation actors’ mental health literacy and support to employers: An evaluation of the SEAM intervention

Work ◽

10.3233/wor-213535 ◽

2021 ◽

pp. 1-9

Author(s):

Annika Lexén ◽

Maria Emmelin ◽

Lars Hansson ◽

Bengt Svensson ◽

Susann Porter ◽

...

Keyword(s):

Mental Health ◽

Health Literacy ◽

Return To Work ◽

Mental Health Literacy ◽

Mental Health Problems ◽

Health Problems ◽

Service Users ◽

Rehabilitation Professionals ◽

Knowledge And Beliefs ◽

The Impact

BACKGROUND: Lack of mental health literacy among rehabilitation professionals and employers in the return-to-work of persons with mental health problems resulted in the development of a three-day group training program, the Support to Employers from rehabilitation Actors about Mental health (SEAM) intervention. OBJECTIVE: To evaluate the impact of SEAM on rehabilitation professionals’ knowledge and beliefs, attitudes, and supporting behaviors towards people with mental health problems and employers as part of the return-to-work process. METHODS: In this longitudinal study, 94 rehabilitation professionals were included. Data were collected prior to (T1), immediately after (T2) and 6 months after SEAM training (T3) using knowledge and attitude scales and a questionnaire on supporting behaviors. SEAM includes training in Mental Health First Aid, presentations and discussions on current research on work and mental health, and strategies and communication guidelines to use when meeting service users and employers as part of the return-to-work of persons with mental health problems. SEAM also includes a homepage with targeted employer information. Data were analyzed using non-parametric statistics. RESULTS: SEAM significantly increased rehabilitation professionals’ knowledge of mental health (T1-T2: z = –2.037, p = 0.042; T2-T3: z = –5.093, p = 0.001), and improved their attitudes towards persons with mental health problems (T1-T2: z = 4.984, p = 0.001). Professionals (50–60%) also estimated that they had increased their use of supporting strategies towards service users and employers. CONCLUSIONS: The study suggests that SEAM can increase mental health literacy among rehabilitation professionals and lead to a greater focus on service users’ resources and work ability, as well as on employers’ support needs.

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Higher Rates of Untreated Distress in Older Versus Younger Adults With Indolent Lymphoma

Innovation in Aging ◽

10.1093/geroni/igaa057.1510 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 466-466

Author(s):

Kelly Trevino ◽

Peter Martin ◽

John Leonard

Keyword(s):

Mental Health ◽

Older Adults ◽

Mental Health Service ◽

Mental Health Services ◽

Health Service ◽

Health Services ◽

Service Use ◽

Mental Health Service Use ◽

Health Service Use ◽

Younger Adults

Abstract Indolent lymphomas are incurable but slow-growing cancers, resulting in a large number of older adults living with these diseases. Patients typically live with their illness for years with the knowledge that disease progression is likely. Yet, little is known about psychological distress in this population. This study examined rates of and the relationship between distress and mental health service use in older and younger adults with indolent lymphomas. Adult patients diagnosed with an indolent lymphoma (e.g., follicular lymphoma, marginal zone lymphoma) within the past six months completed self-report surveys of distress (Hospital Anxiety and Depression Scale; HADS) and mental health service use since the cancer diagnosis (yes/no). Descriptive statistics, t-tests, and chi-square analyses were used to examine study questions. The sample (n=84) included 35 patients 65 years or older. Across the entire sample, 21.4% screened positive for distress on the HADS; 58.8% of these patients did not receive mental health services. Older adults reported lower distress levels than younger adults (17.1% v. 24.5%; p=.038). Among younger adults, 50% of distressed patients received mental health services; only 20% of distressed older adults received mental health services. Distress was associated with mental health service use in younger adults (p=.004) but not in older adults (p=.17). Older adults with indolent lymphomas have higher levels of untreated distress than younger adults. Research on the mechanisms underlying these age differences (e.g., stigma toward mental health services, ageism) would inform interventions to increase rates of mental health service use and reduce care disparities due to age.

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