Perceived Stigma and Mental Health Care Seeking

Perceived Stigma and Help-Seeking Behavior: Longitudinal Evidence From the Healthy Minds Study

Initiation and Use of Public Mental Health Services by Persons With Severe Mental Illness and Limited English Proficiency

Predictors of Likelihood and Intensity of Past-Year Mental Health Service Use in an Active Canadian Military Sample

This study assessed patterns of mental health service use among adolescents who had attempted suicide and examined factors associated with their service use at individual, family, and community levels. Bivariate and multiple logistic regression analyses were conducted with data from 877 adolescents aged 12-17 who had attempted suicide in the past 12 months and who participated in the 2000 National Household Survey on Drug Abuse. Of the 877 adolescents, less than half (45%) reported that they had used mental health services in the past 12 months. Adolescents from racial-ethnic minority groups were less likely than whites to receive inpatient or outpatient mental health treatment, even when the analyses controlled for other demographic, individual, and family and community characteristics. Poor self-perceived health and living in a single-parent family were associated with use of inpatient services. Female gender, higher family income, participation in extracurricular activities, and the presence of symptoms of anxiety or disruptive disorders were associated with use of outpatient services. Use of school-based mental health services was associated only with participation in extracurricular activities. The mental health service needs of suicidal adolescents, especially those from ethnic minority groups and lower-income families, too frequently remain unmet. Larger racial-ethnic disparities were found in use of inpatient and outpatient mental health services than in use of school-based services. Mental health services offered within school settings can reach suicidal adolescents who need services but may experience barriers to standard types of care.

Rapid economic growth and social change in China in recent years have been accompanied by increased rates of mental health problems among the country's adolescents. This study examined rates of mental health service use and associated factors among Chinese adolescents. A survey of 1,891 high school students in grades ten through 12 from three high schools in Shantou, China, was conducted in 2009. Measures of mental health status, service need (perceived and objective), mental health service use, and informal help seeking were obtained. Twenty-five percent of the adolescents reported a perceived need for the services of a mental health professional. Only 5% of the sample had used school-based mental health services and only 4% had used non-school-based services. Three factors emerged as independently associated with adolescent use of both school-based and non-school-based services: perceiving a need for mental health services, having turned to a teacher for help, and having turned to a relative other than one's parents for help. Male gender, being a 12th grader, and being an only child were independently associated with use of school-based services only, whereas a suicide attempt and having turned to one's parents for help were independently associated with use of non-school-based services. Findings indicate a high level of unmet need for mental health services among Chinese adolescents and highlight the need to improve the mental health knowledge of parents, teachers, and other significant individuals in adolescents' lives to facilitate adolescents' access to the mental health services that they need.

A Prospective Examination of Service Use by Abused and Neglected Children Followed Up Into Adulthood

The Role of Social Network and Support in Mental Health Service Use: Findings From the Baltimore ECA Study

The COVID-19 pandemic has exacerbated existing health inequities for people with disabilities (PWD), including disparities in mental health needs and service use. The present study investigated prospective predisposing, enabling, and illness-related correlates of mental health service need and use among PWD during the COVID-19 pandemic. Data were collected online at two time points: October-December 2020 and October-December 2021. U.S. adults with disabilities completed self-report measures on demographic and disability characteristics, pandemic-related stressors (e.g., worries about COVID-19), depression, anxiety, barriers to service use, and perceived mental health needs and service use. Two logistic regressions were used to examine the effect of predisposing, enabling, psychosocial barriers, and illness-related factors on perceived mental health service need and service use. Perceptions of mental health service needs were significantly predicted by gender (female-identified, transgender and gender diverse [TGD]), younger age, increased depressive symptoms, and presence of a prepandemic mental health condition. Among those who reported a perceived need, mental health service use was predicted by gender (female-identified and TGD), greater income, lower frequency of anticipated provider disability bias, and presence of a prepandemic mental health condition. This study provides vital descriptive data on the pattern of mental health service utilization among PWD during the COVID-19 pandemic, a uniquely disruptive, challenging time. Findings further underscore the necessity of providing disability competency training and bias reduction interventions to mental health professionals, as anticipated provider disability bias was a key factor in nonservice use of PWD. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Perceived Need for Mental Health Care and Service Use Among Adults in Western Europe: Results of the ESEMeD Project

County-Level Estimates of Need for Mental Health Professionals in the United States

Do Canada and the United States Differ in Prevalence of Depression and Utilization of Services?

Health Beliefs and Help Seeking for Depressive and Anxiety Disorders Among Urban Singaporean Adults

The first nationwide Israel Survey of Mental Health Among Adolescents was conducted in 2004-2005 with a representative sample of 957 adolescents aged 14-17 and their mothers to assess 12-month mental health service use, unmet needs, and associated factors. Need for services was assessed by presence of a psychiatric disorder diagnosed with the Development and Well-Being Assessment inventory, plus clinicians' verification and additional questions on service use. In the past year, 22% of adolescents and 11% of their mothers consulted a service provider. Adolescents' help seeking in school was associated with residing in an Arab locality (odds ratio [OR]=1.6, 95% confidence interval [CI]=1.1-2.4) and with having single, divorced, or widowed parents (OR=2.9, CI=1.8-4.8); an employed father (OR=1.7, CI=1.0-2.8); and an internalizing disorder (OR=2.2, CI=1.2-3.9). Mothers' consultation was associated with residing in a Jewish or mixed locality (OR=18.1, CI=3.4-96.1); being single, divorced, or widowed (OR=3.1, CI=1.6-6.0); and having a child with an internalizing disorder (OR=6.4, CI=3.2-13.0), an externalizing disorder (OR=8.2, CI=2.9-23.0), or a learning disability (OR=4.5, CI=2.4-8.4). Overall, unmet needs were 66% and 60%, according to adolescents' and mothers' reports, respectively. According to mothers' reports, unmet needs were higher in Arab (91%) than in Jewish or mixed localities (54%). Adolescents and their mothers reported distinct service use patterns with particular implications for policy makers and health service providers. High rates of unmet needs, particularly among Arab-Israeli adolescents, need to be addressed.

Service Use for Mental Disorders and Unmet Need: Results From the Israel Survey on Mental Health Among Adolescents

Despite the rapid growth of the Latino population in the child welfare system and the high rate of mental health need among children involved with this system, little is known about the mental health needs or use of mental health services among Latino children of immigrants involved with this system. Further, little is known about how the need for mental health services or use of those services differs from children of U.S.-born Latinos. This study analyzes data from the National Survey of Child and Adolescent Well-being (NSCAW) to identify the need for mental health services, mental health service use, and unmet mental health needs among Latino children of immigrants involved in the child welfare system, and compares those factors to those of children in U.S.-born Latino families. Findings indicate that significant differences are present, both in the need for mental health services and the use of those services. Awareness of these differences is necessary to effectively respond to the unique needs and experiences of Latino immigrant children and families who come to the attention of the child welfare system.