Abstract

There is a high prevalence of mental health problems within adolescent populations, but they are unlikely to seek help. Adults, including parents, are important within this help-seeking process. The study, therefore, is aimed to develop a theory of the influence of parents upon adolescent help seeking. Eighteen semistructured interviews were conducted with adolescents, their parents, and clinicians working within child and adolescent mental health services (CAMHS). A grounded theory analysis allowed for the in-depth exploration of participants’ experiences. A model was developed identifying help seeking as a family journey. Parents were highly influential, and parents who were able to be more available to their adolescents tended to be more involved in the help-seeking process. Other adults were utilized within the help-seeking process. Once adolescents were engaged with the help-seeking process, they were often able to then seek further help independently. The findings suggest that consideration should be given to making services accessible to adolescents. CAMH services should explore ways with adolescents to give control over parental involvement, and ways with parents to develop availability. Future research should consider the experiences of older and younger adolescents separately, and the transition into adult services.

Highlights

  • Mental Health Needs in the Adolescent Population and Levels of Service UseWithin the adolescent population, there is a high prevalence of mental health problems

  • This study aimed to develop a theory of the role of parents within adolescent help seeking for a mental health problem, and the influence of parents upon adolescents seeking help for their mental health

  • For young people, whose parents were able to be highly available to them, it seemed more likely that help seeking would be a collaborative process between the parent and adolescent, or that the parent would be more forceful in facilitating help

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Summary

Introduction

Mental Health Needs in the Adolescent Population and Levels of Service Use. Within the adolescent population, there is a high prevalence of mental health problems. It has been suggested that half of the people with a long-term mental health problem first experience difficulties by the age of 14 years (Kim-Cohen et al, 2003). Mental health problems within adolescence are argued to have a major negative effect upon adult life (Rickwood, Deane, Wilson, & Ciarrochi, 2005). Despite this high level of need, few adolescents access help from mental health services (Boldero & Fallon, 1995; Pandiani, Banks, Simon, Van Vleck, & Pomeroy, 2005).

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