Informal Support Networks Research Articles

Aging in Place in a Depopulated, Mountainous Area: The Role of Hometown-Visiting Family Members in Shimogo, Japan

In this study, we examined the factors that contribute to successful aging in place in the town of Shimogo, a depopulated mountainous area in Japan, focusing on the interplay between household support types, the performance of daily activities, and the involvement of geographically dispersed family members. A mixed-methods approach was used, combining survey data with multiple correspondence analysis and cluster analysis. The resident household findings reveal significant differences in community engagement and reliance on community support across three household support types: self-help, mutual aid, and combined support. The self-help households demonstrated high self-sufficiency and community participation, while the mutual-aid and combined-support households exhibited greater reliance on family and community resources. An analysis of the activities of out-migrated relatives uncovered diverse engagement profiles, motivated by both providing practical support and strengthening family bonds. The visit frequencies and activity types of the relatives were significantly influenced by both their own characteristics and the levels of self-reliance and community support needs of the resident households. Four distinct relative engagement clusters emerged, reflecting varying levels of support, community involvement, and visit frequency. Our findings underscore the crucial role of both informal (family) and formal (community) support networks in facilitating successful aging in place in rural depopulated areas. Policy implications include strategies supporting both self-reliance and the diverse mechanisms of family- and community-based support to ensure the sustainability of life in these challenging environments.

Challenges of Providing Transitional Care and Empowerment for Individuals with Intellectual Disabilities (ID): A Qualitative Study of Families’ Experiences through Guardian Interviews

This study aimed to explore the challenges and strategies associated with transitional care for individuals with intellectual disabilities (ID) through interviews with 12 guardians. The research identified key issues including system fragmentation, the inadequacy of tailored services, and the critical role of informal support networks. Findings reveal that guardians experience significant difficulties navigating a fragmented care system and face challenges in accessing services that meet their loved ones' specific needs. Despite these obstacles, guardians employ proactive strategies, such as developing personalized care plans and fostering independence and self-advocacy, to manage the transition effectively. The study emphasizes the need for integrated care models and tailored support services, as well as support for guardians in care planning. It also highlights the importance of strengthening informal support networks. Limitations include the small sample size and reliance on self-reported data, which may impact the generalizability of the findings. Future research should explore broader populations and conduct longitudinal studies to assess the long-term effectiveness of transitional care interventions. Overall, this study has provided valuable insights for improving transitional care programs and supports the development of more coordinated, responsive, and personalized care strategies for individuals with ID.

Exploring mental health literacy and formal and informal help-seeking intentions among Palestinian adolescents in Israel: insights from the MHLS-Arabic-adolescents tool.

Mental health literacy (MHL) is a crucial concept in mental health because it promotes positive mental health outcomes and behaviors across various demographics, including adolescents. This study utilized the MHLS-Arabic-Adolescents tool to investigate MHL among Palestinian adolescents in Israel, aiming to explore its significance in determining intentions to seek formal and informal mental health help separately. A cohort of 172 adolescents (with a mean age of 16.25 ± 1.25 years, comprising 64% females) completed assessments measuring their intention for both formal and informal help-seeking, levels of psychological distress, MHL, and various sociodemographic and clinical characteristics. This study uses the same dataset from previous research on formal help-seeking, with an expanded focus on informal help-seeking and MHL using an adapted tool. Participants reported medium to high levels of MHL factors, demonstrating stronger intentions to seek informal help compared to formal. "Knowledge of where to seek information" and "Attitude toward mental illness" emerged as the significant MHL factors determining formal help-seeking intentions, whereas 'attitudes toward mental illness' was identified as the sole determinant of intentions to seek informal help. This study highlights the importance of MHL factors in shaping adolescents' intentions to seek formal and informal mental health help. It emphasizes the need to strengthen informal support networks, improve adolescents' attitudes toward mental illness, and facilitate access to mental health information. These insights offer valuable guidance for intervention programs aimed at promoting both formal and informal help-seeking behaviors among Palestinian Arab adolescents in Israel and similar groups.

Navigating policing and work-life balance in the South Pacific

ABSTRACT Policing in the South Pacific is influenced by a myriad of factors including cultural norms, historical legacies, socio-economic disparities, and geopolitical dynamics. Against this backdrop, law enforcement officers face multifaceted challenges in reconciling the demands of their profession with personal and familial obligations. This article discusses the challenges faced by police officers as they attempt to balance their professional and personal lives. Interviews were conducted with male (N = 50) and female (N = 50) constables from the Royal Solomon Islands Police Force (RSIPF) to gain insight into the challenges they face as RSIPF officers, the support available to them and the further resources they see as necessary to improve their work-life balance. Findings reveal a complex interplay of factors shaping officers’ work-life dynamics, including shift work schedules, high-pressure environments, community expectations, and the emotional toll of policing in small, tight-knit societies. It also highlights the significance of informal support networks, cultural values, and adaptive coping mechanisms in mediating the impact of work-related stressors on officers’ well-being. Notably, data suggest that RSIPF work-life balance, wellness and workplace structures are highly gendered. These findings offer insights that can inform the development of more effective support mechanisms and policies aimed at enhancing the holistic wellbeing of police officers. They further substantiate the need for greater formal support systems within the RSIPF to assist employees with managing their work-life balance.

Swinging Pendulum: The Social Adaptation of Returnees from Universities

College teachers now have more opportunities to engage in transnational education as people enter a new era of globalization and the shift toward a knowledge-based society. However, they also face various challenges in social adaptation. It has become a critical issue to enhance the sense of belonging and career resilience of the returnees from universities. By using a qualitative research method with the data from a respective provincial university in China, this study aims to explore the process and influencing factors of the social adaptation of returnees and finds that the social adaptation of returnees has gone through the process of longing, division, adjustment, and integration, which varies with individual and cultural differences. Social adaptation is similar to the swing and vibration of a clock. The working environment is the primary source of adverse cultural impact and ones social network support is negatively associated with social adaptation. Also, self-efficacy and informal social support networks play key roles in the adaptation process. To mitigate the re-entry shock, recommendations include optimizing work environments, providing emotional counseling, and enhancing organizational structures.

Enabling Emergency Department Staff to Support Domestic Violence Victims of Strangulation

ABSTRACT The study reported here investigated what enables emergency department (ED) staff to support domestic violence victim-survivors of strangulation, which poses potentially life-threatening medical and psychosocial risks. Informed by Appreciative Inquiry, interviews were conducted with twelve staff from eight emergency departments in New South Wales, Australia. Doctors, nurses, and social workers with experience in supporting victim-survivors of domestic violence-related strangulation were interviewed. De-identified transcripts were analysed using inductive thematic analysis. Themes identified from the data were the importance of recognising strangulation injuries, that understanding experiences of violence improves ED staff’s responses to victim-survivors of strangulation, the value of social work in multidisciplinary response, and that informal support sustains staff in this work. These themes highlight the need for emergency department staff education in identifying and responding to domestic violence and strangulation, which enables informed responses, positive patient engagement, and effective multidisciplinary care. IMPLICATIONS Multidisciplinary care for health and safety assessments are essential for domestic violence victim-survivors of strangulation presenting to emergency departments. 24-hour access to social workers in emergency departments facilitates safety planning and may mitigate the risks of escalating violence. Strangulation and domestic violence education is essential for emergency department staff. There is an evident need for increased social work roles in EDs, especially in rural hospitals, to support victim-survivors and to apply a social work approach to train ED staff to respond appropriately. Formalising supportive structures through enhancing social work and domestic violence education in emergency departments whilst encouraging informal support networks for staff may enhance safety for victims-survivors and maximise staff emotional wellbeing.

People discuss the men who can't get it up, but what about the women who can't get it in? Women's help-seeking experiences for sexual pain-penetration disorder

PurposeWhile it is common to hear of men who ‘can't get it up’ due to erectile dysfunction, people rarely discuss the women who ‘can't get it in’. These women often meet the criteria for sexual pain-penetration disorder (SPPD), which makes vaginal penetration painful or difficult. Lacking awareness of SPPD and the changing terminology from vaginismus to SPPD complicates help-seeking. Yet, there is lacking research on women's help-seeking experiences for SPPD. Therefore, this study aimed to examine Australian women's subjective experiences of formal and informal help-seeking for their SPPD to gain information, diagnosis, treatment, and support. MethodsHelp-seeking theory informed the study. Semi-structured interviews were conducted with 21 participants who sought help for their SPPD, which were inductively thematically analysed. ResultsFive major themes were developed. (1) Recognition that help-seeking is necessary varied depending on participants' presentation of SPPD. (2) Initiating help-seeking included accessing first points of contact and gaining diagnosis. (3) Management of symptoms with treatment involved conventional, complementary, and alternative treatments. Women discussed using sex toys as alternatives to vaginal trainers, the correlation between negotiating pain thresholds and treatment progress, and their perceptions towards Botox and nerve blocks. (4) Traverse formal healthcare networks facilitated or hindered help-seeking. (5) Navigation of un/supportive informal networks included women's partners, family, friends, and online communities. ConclusionsThe benefit of self-help kits, and complementary and alternative treatments for SPPD should be evaluated. Recommendations involve improving health professionals' approaches, including in online spaces. Women's immediate informal support networks should be engaged in healthcare management.

Mental Health Needs of Older People in LMIC in a Connected World: a Latin America Perspective

The mental health of older people in Latin America has become increasingly significant due to population ageing and changes in social structures across the region. Older adults in the region, as in many parts of the world, face significant challenges that can impact their mental health, including poverty, social isolation, limited access to healthcare, and the stigma associated with both mental health issues and ageing.Access to mental healthcare services in the region is particularly limited for older adults, with a shortage of geriatric specialists and mental health professionals trained to address their specific needs. Changes in family structures, and the lack of support received by informal caregivers, can influence the availability and quality of informal support and caregiving networks, affecting both older people and caregivers’ mental health.While the mental health of older people in Latin America is a subject that is gaining attention, significant gaps persist in terms of healthcare access, social support, and effective policy implementation. We will explore some of the key factors influencing the mental health of older adults in the region, alongside the current efforts and challenges in developing innovative policies and programs aimed at promoting their mental health and well-being.

An Exploration of the Peri-Diagnostic Experiences of Lesbian, Gay and Bisexual People With Dementia Using the Candidacy Framework.

How dementia affects lesbian, gay, bisexual, trans, queer people or those with other minoritised sexual/gender identities (LGBTQ+) is not well understood. Furthermore, existing research often excludes the voices of LGBTQ+ people living with dementia and focuses instead on their care partners. This study addresses this evidence gap by drawing on the ESRC/NIHR funded DETERMIND cohort, consisting of 940 newly diagnosed people with dementia, to explore the peri-diagnostic experiences of people living with dementia who identify as LGBTQ+. We recruited five people (who identified as lesbian, gay or bisexual [LGB]) and completed semi-structured interviews with them and their partner caregivers (n=3) discussing their experiences of (1) engaging with dementia health care services, (2) receiving a dementia diagnosis, and (3) the support they were offered after diagnosis. Interviews were shaped by the Candidacy Framework, a theoretical model for understanding accessibility of health services, and an inductive thematic analysis was employed to develop common themes. Participants did not routinely disclose their LGBTQ+ identities to health service professionals, despite feeling this was an essential aspect of who they are. They relied on their resilience of overcoming previous experiences of lifetime discrimination to navigate complicated dementia care systems. The importance of 'chosen families' as informal support networks for LGBTQ+ people living with dementia was highlighted, particularly given the lack of formal care services they felt comfortable accessing. All participants were concerned about their future care needs and whether they would receive home-based or community-based support that respected their LGBTQ+ identities. This study adds to the limited evidence base that can be used to inform future research, policy and practice seeking to address inequalities across the dementia care pathway. We only interviewed people who identified as LGB so generalizability to the whole LGBTQ+ population is limited, however our data suggest dementia health care professionals should encourage and support disclosures of LGBTQ+ identities so that inclusive care and support planning can be provided to LGBTQ+ people at every stage of dementia.

Uncovering Reproductive Injustice Toward Women With Disabilities

Abstract: For centuries, the reproductive agency of women with disabilities have been challenged and often undermined by informal and formal support networks. Evidence illustrates that women with disabilities face disproportionately higher rates of reproductive violence compared to their nondisabled peers (i.e., long-term contraception or forced sterilization). However, little is known about the specific nature, type, and impact of reproductive violence on women with disabilities. This scoping review examined the literature related to the reproductive violence against women with disabilities. We used Arksey and O’Malley’s framework, and based on our inclusion criteria, 28 empirical articles were included. Most studies were published in the disciplines of health (i.e., nursing and medicine) within the North American context and used qualitative research designs. Main findings within the scoping review included themes related to imposed contraception, rationalization of sterilization, barriers to sexual and reproductive health services, and the discourses underpinning reproductive injustice toward women with disabilities. The findings of the study have implications for future disability community-based research, peer-led supports, practice guidelines for professionals, and intersectoral policy provision aiming at supporting the reproductive agency of women with disabilities.

Cultivating Resilience and Success: Support Systems for Novice Teachers in Diverse Contexts

This qualitative study explores the support systems that foster resilience and success among novice teachers in diverse sociocultural contexts within Israeli teacher training colleges. Semistructured interviews were conducted with a sample of 51 novice teachers from various educational backgrounds. The findings reveal a complex network of support encompassing formal institutional structures, such as mentorship programs and induction workshops, as well as informal networks of familial support and cultural connections. Utilizing a holistic framework that integrates social support theory, social connection theory, and self-determination theory, the study highlights the interplay between external support and novice teachers’ intrinsic motivations, which drive their pursuit of autonomy, competence, and relatedness. The key findings underscore the crucial role of comprehensive induction and mentoring programs that address novice teachers’ emotional, psychological, and professional needs. These programs should provide emotional support, opportunities for collaboration and peer learning, and personalized guidance from experienced mentors. The study also emphasizes the significance of supportive school cultures, meaningful mentoring relationships, and the strength of informal support networks in promoting novice teachers’ well-being and effectiveness. The implications of this research are far-reaching, offering valuable insights for the global educational community on developing supportive ecosystems that enhance novice teachers’ resilience, job satisfaction, and retention rates. By articulating the essential role of both formal and informal support systems, this study contributes significantly to the discourse on teacher education and addresses a crucial gap in the literature on support mechanisms across diverse educational settings.

Factors affecting parental role adaptation in parents of preterm infants after discharge: a cross-sectional study.

Parenting a preterm infant can be incredibly challenging and stressful, particularly in the first year after discharge. Desirable parental role adaptation leads to appropriate parenting behaviors and parent-infant interaction, which are essential to child health and development. To investigate the level of parental role adaptation and its influencing factors among parents of preterm infants in the first year after hospital discharge according to Belsky's parenting process model among parents of preterm infants in the first year after hospital discharge. A cross-sectional study design was adopted using convenience sampling. Data were collected using the Parental Role Adaptation Scale (PRAS) in parents with preterm infants, the Perceived Social Support Scale (PSSS), the Coping Adaptation Processing Scale (CAPS-15), and a sociodemographic questionnaire. Descriptive statistics, non-parametric tests, Spearman correlation analyses, and multivariate linear regression were used to analyze the data. In total, 300 Chinese parents were included in the analysis. In the multivariate analysis, first-time parent (p = 0.003), master's degree and above (p = 0.042), coping adaptation processing (p = 0.000), residence location (towns: p = 0.019, city: p = 0.028), monthly family income (6000-10,000: p = 0.000, >10,000: p = 0.000), and perceived social support (p = 0.001) were all significant predictors of parental role adaptation and collectively accounted for 56.8% of the variation in parental role adaptation of parents with preterm infants (F = 16.473, p < 0.001). Coping adaptation processing mediated the relationship between perceived social support and parental role adaptation (95% bootstrap CI = 0.022, 0.130). Chinese parents of preterm infants experience a moderate level of parental role adaptation when their child is discharged from the hospital to home. Parents who are not first-time parents, have master's degrees or above, live in towns or cities, have higher coping and adaptation abilities, have high monthly family income, and greater perceived social support have a higher level of parental role adaptation. Healthcare providers should pay more attention to parents with low socioeconomic status and encourage them to improve their coping and adaptation abilities and to utilize their formal and informal social support networks.

Understanding the needs and perspectives of young adults with recent suicidal ideation: insights for suicide prevention

IntroductionSuicide rates among adolescents and young people are increasing, especially in Western countries. Suicidal ideation often precedes suicide attempts and suicide. Yet, research involving individuals with lived experience in suicide prevention, especially among young adults, remains scarce. Understanding their needs is crucial for effective interventions. This qualitative study aims to explore the needs and perspectives of young adults with lived experience to provide tailored recommendations for suicide prevention.MethodsSemi-structured interviews were carried out with 19 young adults who had experienced suicidal ideation within the past two years. Open-ended questions addressed the needs for help and support regarding suicide prevention. Data was thematically analyzed and, through an iterative process involving discussion among all authors, categorized into six themes.ResultsThe results indicated needs around more openness and understanding of suicide among the general public, advocating mental health education starting from a young age, reducing barriers in mental health care such as long waiting lists and enhancing informal support systems by facilitating online and offline peer connections. Participants also highlighted contemporary concerns such as social welfare, academic pressure, and social media as significant needs in the current time.ConclusionThis study highlights the necessity for comprehensive suicide prevention approaches catering to the diverse needs of young adults with recent suicidal ideation. It highlights the urgency of societal awareness, early mental health education, and improved access to services. Informal support networks and addressing societal stressors are also deemed crucial. Structural changes are urged to create supportive environments.

Immigration-Related Factors and Depression Help-Seeking Behaviors Among Older Chinese Americans

ABSTRACT Objectives Asian Americans have the lowest mental health service utilization rate among all racial/ethnic groups. This study investigates how immigration-related factors shape the depression help-seeking behaviors of older Chinese Americans. Methods Data were collected from participants who reported experiencing any depressive symptoms in the Population-based Study of Chinese Elderly in Chicago (n = 907). Multinomial logistic regressions were conducted to examine the associations between immigration-related factors and help-seeking behaviors, including not seeking help (23.5%), seeking help from informal source(s) only (40%), seeking help from both informal and formal sources (28.7%), and seeking help from formal source(s) only (8.8%). Results Older Chinese Americans with lower levels of acculturation (OR = 0.88, 95% CI = 0.79–0.97) and those who lived in Chinatown (OR = 2.34, 95% CI = 1.21–4.52) were more likely to seek help from formal sources only (relative to not seeking any help). Conclusions Older Chinese Americans with depressive symptoms predominately relied on informal sources of help, either solely or in combination with formal sources, to address their depressive symptoms. Clinical Implications Leveraging informal support networks and ethnicity-specific resources represents a promising approach for this population.

Cancer Survivors’ and Care Partners’ Audio Diaries on Stress and Social Support Resources During the COVID-19 Pandemic

ObjectivesTo describe cancer survivors’ and care partners’ perceived stress and social support during the COVID-19 pandemic and assess the feasibility of audio diaries for assessing role-related needs and resources. MethodsParticipants (N = 51; n = 28 survivors, n = 23 care partners) recorded three monthly audio diaries reporting stress and support experiences. Diaries were transcribed and content-analyzed using a hybrid approach. Stress-related content was inductively coded, and social support content was deductively coded by type (instrumental, information, emotional, companionship, appraisal; κ = 0.75) then inductively coded. Descriptive statistics summarized sociodemographic data and compared coding frequencies by role. We developed narrative summaries of stress and support categories and selected quotes for contextual detail. ResultsCancer-related stressors were most prevalent (28.8%), followed by work (26.8%), family (23.1%), social isolation (13.4%), and finances (8.0%). While no significant difference in reporting frequency was observed between roles, cancer-related stress was more prevalent for survivors while work-related stress was mentioned more by care partners. Emotional support was the most prevalent support type (32.1%), followed by companionship (25.3%), appraisal (17.9%), instrumental (16.67%), and informational support (8%). Survivors reported more appraisal support than care partners (χ2 = 6.48, df = 1, P = .011) and more support for self-care, while care partners expressed more other-oriented concerns and focused more on managing responsibilities and interactions outside the household. ConclusionsThe pandemic complicated and intensified role-based stressors already present in the survivorship context. Our findings highlight the importance of informal social support networks, particularly when access to formal services is limited, and suggest that audio diaries can be an effective tool for assessing support needs and resources. Implications for Nursing PracticeNurses and healthcare providers should tailor social support assessments to address the distinct support needs and individual resources of cancer survivors and their care partners. This is especially critical in contexts that limit access to care and formal services.

An Investigation of the Professional Resilience Strategies Used by Experienced Occupational Therapists.

There is a paucity of research into the strategies occupational therapists use to maintain career longevity professional resilience. The objective of the study was to identify the strategies used by occupational therapists to maintain their professional resilience. Descriptive statistics were used to analyze data from a cross-sectional survey that investigated the professional resilience strategies used by experienced occupational therapists. Valid responses were received from 489 occupational therapists from 29 countries. The most used professional resilience strategies were maintaining a belief in the value of occupational therapy, taking time for reflection on positive outcomes, using personal time management strategies, and engagement in informal and formal professional support networks. A range of professional resilience strategies are used by experienced occupational therapists in health and social care settings. The findings can be used by managers and workplace organizations to support their occupational therapy workforce.

Social Experiences and Health Needs of Patients with Severe Mental Illness and their Caregivers during the first year of the COVID-19 pandemic in Spain

Background The strict isolation measures for the population imposed by the health authorities caused a prolonged disruption of informal social support networks. Both this new social situation and the decrease in accessibility to health care have generated new needs in people with severe mental illness (SMI) and their caregivers. Objectives This study provides insight into life experiences and health needs of a population with SMI during the first year of the COVID-19 pandemic in Spain. Methods Qualitative design using semi-structured dyadic interviews, conducted from January through December 2022. A purposive sampling of patients with SMI and their caregivers was carried out through key informants in rural and urban localities in southern Spain. Verbatims were identified and classified by triangulation after the evaluation of the interview transcripts. The codes were defined through content analysis using the NVivo software. Results Semi-structured dyadic interviews (21), identifying three main categories: 1. Social isolation: increased, causing greater personal vulnerability, exacerbation of psychiatric symptoms and exhaustion in caregivers. 2. Accessibility to Health Services : decreased with fewer face-to-face consultations, with difficulty in managing urgent situations and telephone attention in decompensated and disabled patients. 3. Continuity of healthcare: decreased with distrust in health professionals due to lack of communication between primary care and the hospital Conclusion COVID-19 confinement exacerbated loneliness and worse health self-perception in SMI people. Greater formal social support was required. GPs role is key to avoiding delays in appointments and lack of coordination between primary and specialised care.

Help-seeking intentions of UK construction workers: a cross-sectional study.

In response to the high rates of poor mental health in the construction industry, numerous workplace interventions have been designed to address the known and suspected risk factors to employee mental health and well-being. A key challenge of these strategies is low engagement in support services. The goals of this research were to investigate the help-seeking intentions of employees in the construction industry, explore levels of mental well-being in this population and provide insight into employee engagement with mental health support strategies. Employees from two UK construction companies completed an online cross-sectional questionnaire (n = 119), designed to measure help-seeking intentions, levels of mental well-being and worker attitudes towards workplace mental health support strategies. One-third of the sample reported experiencing an episode of mental health difficulties in the past 6 months. Employees reported a greater preference for seeking support from informal versus formal help sources. Participants were most likely to seek help from a partner and least likely to seek help from a Mental Health First Aider/ Champion. The study also showed some association between help-seeking intention and age of employees. Given the poor levels of mental well-being in this population, it is essential that adequate workplace support is provided. Whilst formal help sources are important for this population, our study highlights the potential benefits of informal help sources to support employees. Future interventions may therefore wish to consider developing tailored, informal workplace support networks and programmes.

The Online Help-Seeking Behaviors of Middle Adolescent Students with Migrant Mothers

The relevance of accessing care and support has been found to be valuable in sustaining well-being among adolescents. However, only a few studies have been conducted to understand the online help-seeking behaviors of middle adolescent students whose mothers work abroad. Thus, the study aimed to uncover the nature of online help-seeking behaviors and explore the facilitators and barriers to these behaviors. Ten (10) middle adolescent students were interviewed, and their experiences revealed several key themes using the phenomenological method. The findings revealed that the online help-seeking behaviors of left-behind adolescents include the availability of a helper, reaching out, self-reliance, and coping strategies. Additionally, facilitating factors include convenience and safe space, and hindering factors consist of the unavailability of helpers and negative perceptions toward help sources. The results highlighted the importance of leveraging informal support networks, seeking professional help, and maintaining communication with migrant mothers among middle adolescents.

Coping Strategies and Help-Seeking Behaviors among Survivors of Intimate Partner Violence: A Qualitative Study of Spouses of Men with Heavy Drinking in India

Background. Despite the high prevalence of intimate partner violence (IPV) against women in India (33%), there are persistently low rates of disclosure and help-seeking amongst survivors. The aim of this study was to explore both coping strategies employed by survivors and the perceived barriers and facilitators to seeking support from informal and formal resource networks. Methods. We conducted semistructured, in-depth qualitative interviews with thirty-five women survivors of IPV in Goa, India, in secure, private locations, utilizing flipcharts and vignettes to elicit deeper insights into efficacies of support resources. The data were transcribed, translated, and analyzed utilizing qualitative content analysis. Results. The most common coping mechanisms cited by survivors involved passive resistance, such as self-distraction, keeping quiet during violent outbursts, and leaving the home temporarily. Generally, survivors sought support from informal support networks (the natal family, in-laws, neighbors/community members, and close friends) before approaching formal support structures (medical/legal professionals, professors, police, and nongovernment organizations). In fact, informal structures were often facilitators of formal help-seeking. Survivors sought help at various stages of their marital relationship. Primary deterrents to help-seeking included the normalization of IPV by survivors and providers alike, resulting in the stigmatization of disclosing experiences of IPV and ostracism of survivors and close relatives; another barrier was a general lack of awareness of existing support resources. Conclusion. Our findings reveal that there are numerous barriers to help-seeking and shortcomings of support resources. Survivors’ evaluations of support resources reveal that robust, community-level, and meso-level structural changes are required to promote help-seeking behaviors, including the destigmatization of IPV amongst providers and broader society and raising awareness of available support resources.