scholarly journals Improving Mental Health Treatment Utilization in Military Veterans: Examining the Effects of Perceived Need for Care and Social Support

2017 ◽  
Vol 29 (5) ◽  
pp. 359-369 ◽  
Author(s):  
Robert Graziano ◽  
Eric B. Elbogen
2016 ◽  
Vol 8 (3) ◽  
pp. 310-318 ◽  
Author(s):  
Jason C. DeViva ◽  
Christina M. Sheerin ◽  
Steven M. Southwick ◽  
Alicia M. Roy ◽  
Robert H. Pietrzak ◽  
...  

2018 ◽  
Vol 33 (4) ◽  
pp. E1-E9 ◽  
Author(s):  
Jacob A. Finn ◽  
Greg J. Lamberty ◽  
Xinyu Tang ◽  
Marie E. Saylors ◽  
Lillian Flores Stevens ◽  
...  

2015 ◽  
Vol 66 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Rebecca K. Sripada ◽  
Paul N. Pfeiffer ◽  
Sheila A. M. Rauch ◽  
Kipling M. Bohnert

2018 ◽  
Vol 28 (04) ◽  
pp. 446-457 ◽  
Author(s):  
S. Stolzenburg ◽  
S. Freitag ◽  
S. Evans-Lacko ◽  
S. Speerforck ◽  
S. Schmidt ◽  
...  

Aims.Many people with mental illness do not seek professional help. Beliefs about the causes of their current health problem seem relevant for initiating treatment. Our aim was to find out to what extent the perceived causes of current untreated mental health problems determine whether a person considers herself/himself as having a mental illness, perceives need for professional help and plans to seek help in the near future.Methods.In a cross-sectional study, we examined 207 untreated persons with a depressive syndrome, all fulfilling criteria for a current mental illness as confirmed with a structured diagnostic interview (Mini International Neuropsychiatric Interview). The sample was recruited in the community using adverts, flyers and social media. We elicited causal explanations for the present problem, depression literacy, self-identification as having a mental illness, perceived need for professional help, help-seeking intentions, severity of depressive symptoms (Patient Health Questionnaire – Depression), and whether respondents had previously sought mental healthcare.Results.Most participants fulfilled diagnostic criteria for a mood disorder (n = 181, 87.4%) and/or neurotic, stress-related and somatoform disorders (n = 120, 58.0%) according to the ICD-10. N = 94 (45.4%) participants had never received mental health treatment previously. Exploratory factor analysis of a list of 25 different causal explanations resulted in five factors: biomedical causes, person-related causes, childhood trauma, current stress and unhealthy behaviour. Attributing the present problem to biomedical causes, person-related causes, childhood trauma and stress were all associated with stronger self-identification as having a mental illness. In persons who had never received mental health treatment previously, attribution to biomedical causes was related to greater perceived need and stronger help-seeking intentions. In those with treatment experience, lower attribution to person-related causes and stress were related to greater perceived need for professional help.Conclusions.While several causal explanations are associated with self-identification as having a mental illness, only biomedical attributions seem to be related to increase perceived need and help-seeking intentions, especially in individuals with no treatment experiences. Longitudinal studies investigating causal beliefs and help-seeking are needed to find out how causal attributions guide help-seeking behaviour. From this study it seems possible that portraying professional mental health treatment as not being restricted to biomedical problems would contribute to closing the treatment gap for mental disorders.


Author(s):  
Melanie H. Jacobson ◽  
Christina Norman ◽  
Pablo Sadler ◽  
Lysa J. Petrsoric ◽  
Robert M. Brackbill

Following the World Trade Center (WTC) attacks in New York City (NYC) on 11 September 2001 (9/11), thousands in NYC experienced significant stress reactions and disorders, presenting an immediate need for counseling and treatment. While other studies documented post-9/11 mental health treatment utilization, none have data more than two years post-disaster. We used data from 35,629 enrollees of the WTC Health Registry, a longitudinal cohort study of those exposed to the WTC attacks, to examine predictors of counseling after 9/11, the types of practitioners seen, and the perceived helpfulness of therapy up to 15 years post-disaster. Among enrollees, 37.7% reported receiving counseling at some time after 9/11. Predictors of seeking counseling included race/ethnicity, age at 9/11, education level, exposure to the WTC attacks, other traumatic experiences, mental health symptomology, and pre-9/11 counseling. Whites and Hispanics, those who were children on 9/11, and those with high levels of exposure to the WTC attacks sought counseling soonest after 9/11. Among those who sought counseling, Blacks, Asians, and those with lower education and income were less likely to see mental health specialists and more likely to see general practitioners or religious advisors. Finally, among those who sought recent counseling, women, Blacks, those aged ≥65 years, and those with very high WTC exposures were more likely to rate their recent counseling as very helpful. This study used data up to 15 years post-disaster to document mental health treatment utilization patterns, trends, and disparities that have implications for future preparedness plans and needs assessments.


2011 ◽  
Vol 62 (11) ◽  
pp. 1353-1360 ◽  
Author(s):  
Amber M. Gum ◽  
Lindsay Iser ◽  
Bellinda L. King-Kallimanis ◽  
Andrew Petkus ◽  
Anne DeMuth ◽  
...  

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