Public and private stigma, and help-seeking intent for mental health issues: A cross-country comparison between the U.S. and Philippines.

2021 ◽  
Author(s):  
Antover P. Tuliao
2018 ◽  
Author(s):  
Tyler S. Jones ◽  
Deborah Rupert

Medical student wellbeing is a topic of growing concern. Medical students experience high levels of stress and burnout and are at increased risk for depression and suicidal ideation compared to the general population. Even more concerning, medical students are disproportionately less likely to seek help for their mental health issues. Identifying and preventing these problems early can have lasting positive consequences over the course of a physician’s lifetime. We implemented a wellness program at our medical school in the spring of 2016 with the goals of decreasing burnout and depression, heightening awareness of mental health issues, and encouraging help-seeking behaviors. To analyze the impact of our program, we have implemented a quality assurance survey. Here we report lifestyle factors associated with positive screens for depression from that data and propose institutional initiatives that can be spearheaded by medical students for medical students to impact positive change.


Author(s):  
Victoria Morris ◽  
Hannah S. Scott

This article explores the victimizing experiences of individuals with mental illness using grounded inductive qualitative research methods, by extracting themes from 15 first-hand accounts of living with mental illness delivered on the TED Talks media platform. Emergent themes included (1) victimizing effects of the illness including the effects of medication and the effects of stigma, (2) normalcy, (3) the importance of help-seeking in the process of overcoming obstacles presented by mental health issues, and (4) victimization by others. We conclude that the speakers in our sample, even though they reflect an extraordinary level of functioning, still view themselves as what Becker (1991 [1963]) describes as outsiders, acting as moral entrepreneurs, crusading to normalize madness through a variety of strategies.


2005 ◽  
Vol 39 (6) ◽  
pp. 514-521 ◽  
Author(s):  
Sarah Wrigley ◽  
Henry Jackson ◽  
Fiona Judd ◽  
Angela Komiti

Objective: To examine the role of perceived stigma and attitudes to seeking care in predicting help-seeking from a general practitioner (GP) for mental health problems. Method: Across-sectional surveyin 2002 with self-repor t questionnaires assessing current levels of symptomatology, disability, attitudes towards mental illness, knowledge of prevalence and causes of mental illness, contact with mental illness and help-seeking behaviour and preferences and attitudes toward seeking professional psychological help. Results: No significant relationship was found between symptom measures and measures of disability and help-seeking. Variables positively associated with general attitudes to seeking professional psychological help were: lower perceived stigma, and biological rather than person-based causal attributions for schizophrenia. Willingness to discuss mental health issues with a GP was predicted by the perceived helpfulness of the GP and by no other variable. Conclusions: Causal attributions and perceivedstigma rather than participants' levels of symptomatology and disability influence attitudes to help-seeking for mental health issues. Efforts to improve attitudes to help-seeking should focus on reducing stigma and improving mental health literacy regarding the causes of disorders.


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.


2018 ◽  
Vol 63 (12) ◽  
pp. 826-833 ◽  
Author(s):  
Sandra E. Moll ◽  
Scott Patten ◽  
Heather Stuart ◽  
Joy C. MacDermid ◽  
Bonnie Kirsh

Objective: This study sought to evaluate whether a contact-based workplace education program was more effective than standard mental health literacy training in promoting early intervention and support for healthcare employees with mental health issues. Method: A parallel-group, randomised trial was conducted with employees in 2 multi-site Ontario hospitals with the evaluators blinded to the groups. Participants were randomly assigned to 1 of 2 group-based education programs: Beyond Silence (comprising 6 in-person, 2-h sessions plus 5 online sessions co-led by employees who personally experienced mental health issues) or Mental Health First Aid (a standardised 2-day training program led by a trained facilitator). Participants completed baseline, post-group, and 3-mo follow-up surveys to explore perceived changes in mental health knowledge, stigmatized beliefs, and help-seeking/help-outreach behaviours. An intent-to-treat analysis was completed with 192 participants. Differences were assessed using multi-level mixed models accounting for site, group, and repeated measurement. Results: Neither program led to significant increases in help-seeking or help-outreach behaviours. Both programs increased mental health literacy, improved attitudes towards seeking treatment, and decreased stigmatized beliefs, with sustained changes in stigmatized beliefs more prominent in the Beyond Silence group. Conclusion: Beyond Silence, a new contact-based education program customised for healthcare workers was not superior to standard mental health literacy training in improving mental health help-seeking or help-outreach behaviours in the workplace. The only difference was a reduction in stigmatized beliefs over time. Additional research is needed to explore the factors that lead to behaviour change.


Author(s):  
Marilyn Anne Campbell ◽  
Kevin Glasheen

A substantial group of young people experience mental health problems, which impact their educational development and subsequent wellbeing. Of those who do suffer from mental health issues, a minority of these seek appropriate professional assistance. This paucity of help seeking behaviours among young people is a challenge for counsellors. Whereas adults who suffer mental health issues have increasingly turned to the internet for assistance, it is interesting that when young people, whose social lives are increasingly dependent on the communication technologies, are not catered to as much as adults by online counselling. One small online counselling pilot program conducted at a Queensland secondary school for three years (from 2005-2007) (Glasheen & Campbell, 2009) offered anonymous live-time counselling from the school counsellor (via a secure chat room) to students through the school’s website. Findings indicated that boys were more likely to use the service than girls. All participants transitioned to face-to-face counselling, and all reported it was beneficial. This pilot study attested to the potential of online counselling. However, school counselors, as a professional group, have been hesitant to utilise online counselling as part of their service delivery to young people in schools. This chapter concludes by identifying reasons for this reluctance and possible initiatives to increase online support for young people in schools.


2017 ◽  
Vol 47 (11) ◽  
pp. 1880-1892 ◽  
Author(s):  
S. J. Coleman ◽  
S. A. M. Stevelink ◽  
S. L. Hatch ◽  
J. A. Denny ◽  
N. Greenberg

A recent quantitative review in the area of stigma and help seeking in the armed forces has questioned the association between these factors (Sharp et al. 2015). To date, the contribution of qualitative literature in this area has largely been ignored, despite the value this research brings to the understanding of complex social constructs such as stigma. The aim of the current systematic review of qualitative studies was to identify appropriate literature, assess the quality and synthesize findings across studies regarding evidence of stigma-related barriers and facilitators to help seeking for mental health issues within the armed forces. A multi-database text word search incorporating searches of PsycINFO, MEDLINE, Social Policy and Practice, Social Work Abstracts, EMBASE, ERIC and EBM Review databases between 1980 and April 2015 was conducted. Literature was quality assessed using the Critical Appraisal Skills Programme tool. Thematic synthesis was conducted across the literature. The review identified eight studies with 1012 participants meeting the inclusion criteria. Five overarching themes were identified across the literature: (1) non-disclosure; (2) individual beliefs about mental health; (3) anticipated and personal experience of stigma; (4) career concerns; and (5) factors influencing stigma. The findings from the current systematic review found that unlike inconsistent findings in the quantitative literature, there was substantial evidence of a negative relationship between stigma and help seeking for mental health difficulties within the armed forces. The study advocates for refinement of measures to accurately capture the complexity of stigma and help seeking in future quantitative studies.


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


2020 ◽  
Vol 11 ◽  
Author(s):  
Susanna Kola-Palmer ◽  
Kiara Lewis ◽  
Alison Rodriguez ◽  
Derrol Kola-Palmer

Sign in / Sign up

Export Citation Format

Share Document