Abstract
Only 30-35% of people with mental health problems seek help from professionals. Informal help, usually from friends, family and religious leaders, is often sought but is under-researched. This study aimed to contrast patterns of informal and formal help-seeking using data from a community psychiatric morbidity survey (n=1692) (South East London Community Health (SELCOH) Study). Patterns of help-seeking were analysed by clinical, sociodemographic and socioeconomic indicators. Factors associated with informal and formal help-seeking were investigated using logistic regression. Cross-tabulations examined informal help-seeking patterns from different sources. ‘Cases’ (n = 386) were participants who had scores of ≥ 12 on the Revised Clinical Interview Schedule (CIS-R), indicating a common mental disorder. Of these, 40.1% had sought formal help, (of whom three-quarters (29%) had also sought informal help), 33.6% had sought informal help only and only 26.3% had sought no help. When controlling for non-clinical variables, severity, depression, suicidal ideas, functioning and longstanding illnesses were associated with formal rather than informal help-seeking. Age and ethnic group influenced sources of informal help used. Younger people most frequently sought informal help only whereas older people tended to seek help from their family. There were ethnic group differences in whether help was sought from friends, family or religious leaders. This study has shown how frequently informal help is used, whether in conjunction with formal help or not. Among the ‘cases’, over 60% had sought informal help, whether on its own or together with formal help. Severity was associated with formal help-seeking. Patterns of informal help use have been found. The use and effectiveness of informal help merit urgent research.
Highlights
30-35% of people with mental health problems seek help from professionals
Members of the public have been found to rate the helpfulness of informal help from friends and family more highly than that of professionals ([4,5])
Hypotheses We set out to test the following hypotheses: 1. Compared to those who use formal help, exclusive use of informal help would be associated with less severe mental disorder
Summary
30-35% of people with mental health problems seek help from professionals. Usually from friends, family and religious leaders, is often sought but is under-researched. It has been consistently found that only a third of individuals with diagnosable mental health problems seek formal help from health service providers [1,2,3] despite the availability of effective treatments [1]. The role of informal help from friends, families or other non-medical sources has been much less frequently researched. Friends and family as well as religious leaders, or other non-health professionals usually offer informal help. It can include self-help with other people with similar problems. The World Health Organisation (WHO) assert that primary care services should be supported by self-care and informal community care in their optimal mix of services [6]
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