Mental health treatment-related stigma and professional help seeking among student veterans.

2017 ◽  
Vol 14 (4) ◽  
pp. 531-542 ◽  
Author(s):  
Joseph M. Currier ◽  
Ryon C. McDermott ◽  
Wesley H. McCormick
Keyword(s):  
Mental Health ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Student Veterans ◽  
Professional Help ◽  
Health Treatment ◽  
Related Stigma

scholarly journals Mental health of young Brazilians: Barriers to professional help-seeking

2016 ◽  
Vol 33 (2) ◽  
pp. 355-365 ◽  
Author(s):  
Cláudia Cristina FUKUDA ◽  
Maria Aparecida PENSO ◽  
Deise Matos do AMPARO ◽  
Bruno Coimbras de ALMEIDA ◽  
Camila de Aquino MORAIS
Keyword(s):  
Mental Health ◽  
Young People ◽  
Private School ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Structural Barriers ◽  
Professional Help ◽  
Health Treatment ◽  
Major Barrier ◽  
Positive Effects

The present study investigated the perception of young Brazilians of professional help and barriers to seeking mental health services. A total of the 1,030 questionnaires were administered to young people aged 8-21 years of both genders attending public and private school or who had received or were receiving treatement at mental health facilities in three Brazilian cities. The data were evaluated using descriptive statistics, exploratory factor analysis, and comparison between means. The results showed fear of stigmatization as a major barrier to seeking mental health treatment, exerting greater impact than that of structural barriers. Regional differences influenced their perception of the treatment. Having undergone previous mental health treatment was found to be related to a greater perception of the positive effects of the treatment and the structural barriers to accessing care services. It was found that the onset of mental disorders usually occurs during early adolescence. School-related issues, anxiety, fear, and depression were the most common reasons for mental health treatment seeking among young people.

scholarly journals Individuals with currently untreated mental illness: causal beliefs and readiness to seek help

2018 ◽  
Vol 28 (04) ◽  
pp. 446-457 ◽  
Author(s):  
S. Stolzenburg ◽  
S. Freitag ◽  
S. Evans-Lacko ◽  
S. Speerforck ◽  
S. Schmidt ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Childhood Trauma ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Causal Beliefs ◽  
Professional Help ◽  
Health Treatment ◽  
Causal Explanations ◽  
Perceived Need

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.

scholarly journals Help-Seeking Stigma and Mental Health Treatment Seeking Among Young Adult Veterans

2015 ◽  
Vol 3 (4) ◽  
pp. 230-239 ◽  
Author(s):  
Magdalena Kulesza ◽  
Eric R. Pedersen ◽  
Patrick W. Corrigan ◽  
Grant N. Marshall
Keyword(s):  
Mental Health ◽  
Young Adult ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Treatment Seeking ◽  
Health Treatment

scholarly journals M241. MENTAL HEALTH TREATMENT-SEEKING IN INDIVIDUALS WITH HIGH LEVELS OF PSYCHOSIS-LIKE EXPERIENCES: IMPACT OF TRAUMA AND RACE

2020 ◽  
Vol 46 (Supplement_1) ◽  
pp. S227-S228
Author(s):  
Emily Petti ◽  
Pamela Rakhshan Rouhakhtar ◽  
Mallory J Klaunig ◽  
Miranda Bridgwater ◽  
Caroline Roemer ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Health Service Utilization ◽  
Psychiatric Treatment ◽  
Treatment Seeking ◽  
Mental Health Service Utilization ◽  
Health Treatment ◽  
Future Treatment

Abstract Background Despite increases in psychiatric treatment-seeking in the U.S., sociodemographic and racial inequalities in mental health service utilization and quality of care remain, particularly among Black/African-American populations. Factors including trauma and racial discrimination impact psychosis spectrum symptom severity, but little is known about how these factors uniquely impact treatment-seeking behaviors and attitudes among youth with psychosis-like experiences (PEs). The current study examined the associations between trauma, discrimination, self-reported PEs, race, and treatment-seeking among a racially diverse group of college-aged youth endorsing high levels of PEs. Methods Participants were college students between 18 - 25 years of age (N = 177). The sample included individuals with self-reported race of Asian, Black, or White who endorsed PEs at a “high-risk” cutoff level as per the Prime Screen or Prodromal Questionnaire (PQ), commonly used measures of PEs. Analyses included the PQ total score to measure PEs; trauma history was assessed with the Life Events Checklist (total number of lifetime traumatic experiences endorsed); discrimination was measured by the 9-item situation section of the Experiences of Discrimination questionnaire. Participants self-reported mental health service utilization in the past 2 months (current), before 3 months ago (past), as well as how strongly they were considering seeking mental health care (future). Binary logistic regressions were used to analyze the associations between past and current help-seeking and race, trauma, discrimination, and PEs. A multiple linear regression analysis was performed to evaluate the associations between future treatment-seeking and race, PEs, trauma, and discrimination. Results Participants with higher PQ scores were more likely to endorse past (b = 0.04, SE = 0.15, χ2[1] = 8.03, p < .01, OR = 1.04), current (b = 0.05, SE =0.02, χ2[1] = 8.99, p < .01, OR = 1.05), and future treatment (b = 0.04, t(1) = 3.32, p < .01, f2 = 0.07). Asian and Black participants were significantly less likely than their White peers to have received past treatment (bAsian = -1.94, SEAsian = 0.47, χ2Asian[1] = 17.15, pAsian < .001, ORAsian = 0.14; bBlack = -1.53, SEBlack = 0.48, χ2Black[1] = 10.04, pBlack < .01, ORBlack = 0.22), current treatment (bAsian = -1.56, SEAsian = 0.51, χ2Asian[1] = 9.41, pAsian < .01, ORAsian = 0.21; bBlack = -1.06, SEBlack = 0.52, χ2Black[1] = 4.20, pBlack < .05, ORBlack = 0.35), and to be considering future treatment (bAsian = -0.51, tAsian (1) = -1.94, pAsian = .06, f2Asian = 0.02; bBlack = -0.58, tBlack (1) = -2.02, pBlack < .05, f2Black = 0.03). Experiences of trauma significantly predicted past treatment (b = 0.30 SE = 0.12, χ2[1] = 6.44, p < .05, OR = 1.35), but not current or future treatment (ps > .05). Experiences of discrimination did not significantly predict self-reported treatment variables across all analyses (all ps > .05). Discussion The current study examined the associations between race, trauma, PEs, discrimination, and psychiatric treatment-seeking in college students with high levels of psychosis-like experiences. Self-reported PE scores and race were significantly associated with all treatment-seeking variables, while experiences of discrimination were not significantly associated with help-seeking. Results suggest race-related disparities in help-seeking patterns among college-educated youth and young adults. These findings have implications for engaging racial and ethnic minorities in mental health treatment who are experiencing psychosis-like symptoms to alleviate these symptoms and any associated functional impairments or distress.

scholarly journals Perceived Need for Mental Health Treatment in a Nationally Representative Canadian Sample

2005 ◽  
Vol 50 (10) ◽  
pp. 643-651 ◽  
Author(s):  
Jitender Sareen ◽  
Brian J Cox ◽  
Tracie O Afifi ◽  
Ian Clara ◽  
Bo Nancy Yu
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Social Supports ◽  
Health Treatment ◽  
Perceived Need ◽  
The Past ◽  
Dsm Iv

Objective: The optimal method of determining how many people in the general population need help for emotional problems remains unclear. This study aimed to examine the prevalence and correlates of self-perceived need for mental health services (that is, help seeking and perceived need) in a large, population-based sample. Methods: Data came from the Canadian Community Health Survey 1.2 ( n = 36 816, respondent age 15 years and over, and response rate 77%). Respondents were asked whether they had sought help in the past year from any professional for emotional problems and whether they felt they needed help for emotional symptoms but had not sought treatment. The Composite International Diagnostic Interview (CIDI) was used to make DSM-IV mental disorder diagnoses. Results: The past-year prevalences of help seeking and perceived need were 8.7% and 2.9%, respectively. After adjusting for the presence of DSM-IV disorders assessed in the survey, sociodemographic factors, illness severity, social supports, and the presence of physical health conditions were associated with help seeking and perceived need. Independent of DSM diagnoses, sociodemographics, and social supports, perceived need and help seeking were associated with increased levels of distress, disability, and suicidal ideation and attempts. Conclusions: This study illustrates that, in addition to the presence of a DSM diagnosis, the respondent's self-perceived need for mental health treatment is important in the assessment of need for mental health services in the community.

Broadcasting War Trauma: An Exploratory Netnography of Veterans’ YouTube Vlogs

2018 ◽  
Vol 29 (3) ◽  
pp. 357-370 ◽  
Author(s):  
Donna L. Schuman ◽  
Karen A. Lawrence ◽  
Natalie Pope
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Combat Veterans ◽  
War Trauma ◽  
Self Management ◽  
Health Treatment ◽  
Treatment Support ◽  
Motivation Loss

This exploratory netnographic study is among the first to investigate military video blogs (milvlogs) posted by Iraq and Afghanistan veterans who self-published stories on military-related trauma to YouTube. Studies have shown that self-published milvlogs provide benefits such as education, social support, and self-management of chronic physical and psychological illness. The aim of this study was to explore combat veterans’ milvlogs and to determine themes that emerged across the videos. We transcribed and analyzed content from 17 milvlogs. Our analysis yielded seven themes: motivation, loss, managing symptoms, help-seeking, guilt and shame, suicide, and connecting to other veterans. We concluded that veterans were initially drawn to vlogging to connect to others. Vlogging also served as a medium for combat veterans to tell their stories, position these stories against others’ experiences, and engage in outreach and advocacy. Finally, milvlogs may provide an easily accessible resource for developing preventive and/or mental health treatment/support links.

scholarly journals Mental Health Service Utilization and Perceived Barriers to Receiving Care in Deployed Soldiers

2020 ◽  
Vol 185 (5-6) ◽  
pp. e625-e631
Author(s):  
Katie L Nugent ◽  
Lyndon A Riviere ◽  
Maurice L Sipos ◽  
Joshua E Wilk
Keyword(s):  
Mental Health ◽  
Health Risk ◽  
Mental Health Treatment ◽  
Barriers To Care ◽  
Perceived Barriers ◽  
Treatment Utilization ◽  
Health Treatment ◽  
Organizational Barriers ◽  
Related Stigma ◽  
Combat Environment

Abstract Introduction Scant research has examined mental health treatment utilization and barriers to care in deployed U.S. soldiers. This study aims to assess mental health treatment utilization in deployed soldiers, including providers used and barriers to care. Materials and Methods U.S. Army soldiers (n = 2,412) in a combat environment were surveyed on psychiatric symptoms, mental health help received, sources of care, and perceived barriers to care by Mental Health Advisory teams from 2009 to 2013. Results Of the 25% of soldiers at mental health risk, 37% received mental health help, with 18% receiving help from a provider. Nonprovider sources of care were utilized significantly more frequently than providers. Soldiers at mental health risk reported significantly greater anticipated career-related stigma, organizational barriers to care, self-reliance views, and negative attitudes toward care, yet these constructs did not differ between who did or did not receive help. Soldiers who received help from providers exclusively reported significantly more anticipated career-related stigma and fewer organizational barriers to care than those that received no help. Soldiers who spent no time living outside the forward operating base and soldiers with six or more types of combat exposures were more likely to receive help. Conclusions Prevalence of common psychopathology and receipt of care in a combat environment was similar to previous reports from postdeployment settings. Nonprovider sources of care were more frequently utilized as compared to an in-Garrison report. Findings suggest important differences exist in sources of help and barriers to care in deployed vs. postdeployment environments. The hypothesized barriers to care did not preclude receiving any help, however, less than one-half of soldiers at mental health risk received help. Thus, future research should identify factors that have the greatest influence on help seeking behavior in both deployed and Garrison settings.

scholarly journals A Look at Culture and Stigma of Suicide: Textual Analysis of Community Theatre Performances

2019 ◽  
Vol 16 (3) ◽  
pp. 352 ◽  
Author(s):  
Sarah Keller ◽  
Vanessa McNeill ◽  
Joy Honea ◽  
Lani Paulson Miller
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Young Adults ◽  
Native American ◽  
Mental Health Treatment ◽  
Help Seeking ◽  
Textual Analysis ◽  
Adolescents And Young Adults ◽  
Health Treatment ◽  
Community Theatre

Stigma against suicidal ideation and help-seeking is a significant barrier to prevention. Little detail is provided on what types of stigma interfere with help-seeking, how stigma is expressed, and how to reduce it. Five groups of two ethnically diverse community theatre programs were formed to analyze differences in Eastern Montana Caucasian and Native American adolescents and young adults’ experiences with stigma about mental illness and mental health treatment that affect help-seeking for suicidal thoughts and experiences. Over a ten-week period, a grassroots theatre project was used to recruit members from the same population as the audience to write and perform a play on suicide and depression (n = 33; 10 males, 23 females; 12 Native American, 21 Caucasian, ages 14–24). Using textual analysis, the community- and campus-based performance scripts were coded for themes related to stigma. Both ethnic groups reported that stigma is a barrier to expressing emotional vulnerability, seeking help, and acknowledging mental illness. We found that Caucasians’ experiences were more individually oriented and Native Americans’ experiences were more collectively oriented. Understanding the cultural bases of experiences with stigma related to mental health treatment for suicide is necessary to create educational programs to reduce stigma for diverse groups of adolescents and young adults.

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