Perceived Barriers And Facilitators To Access Mental Health Services Among Pakistani Adolescents
DOI:
https://doi.org/10.46568/bios.v2i2.46Keywords:
mental health services, adolescents, barriers, facilitatorsAbstract
Introduction: Mental health problems have a high rate of prevalence among adolescents in Pakistan, however, the tendency to access mental health professionals for the treatment has been low due to some barriers. The current review focuses on those barriers and identifies the relevant facilitators in reducing the barriers to enhance the well-being of adolescents. Methodology: By considering the objective of the study, the adolescents whose age ranged between 10-19 years were included, the research work done during 2012-2018 was accessed through Pub Med, Science Direct, Google Scholar and SAGE articles. The key terms mental health services, adolescents, barriers, facilitators were used to locate the articles. Result: Most prevailing barriers were found as stigmatizing belief, lack of awareness, preference for other sources and scarcity of mental health services. Social support from significant others, finding an expression for the problems, customized mental health advertisements, increased awareness about mental health and providing online services for mental health problems can facilitate for reducing reluctance in adolescents for accessing mental health help services. Discussion: Mental health awareness programs can facilitate in reducing the above-mentioned barriers. This review can make it easier to lower down the perceived barriers among adolescents which consequently encourage them to seek help they require. Recommendations for future research are further discussed.
References
S.L. Gray, C.L. Culpepper, D.P. Welsh. Encyclopedia of Human Behavior (Second Edition),Academic Press. 2012: 22-29,
Laski, Laura, and Expert Consultative Group for Every Woman Every Child on Adolescent Health. “Realising the health and wellbeing of adolescents.” BMJ (Clinical research ed.) vol. 351 h4119. 14 Sep. 2015, doi:10.1136/bmj.h4119
Cummings, C. M., Caporino, N. E., & Kendall, P. C. Comorbidity of anxiety and depression in children and adolescents: 20 years after. Psychological Bulletin. 2014; 140(3): 816–45.
Thapar, A., Collishaw, S., Pine, D., & Thapar, A. Depression in adolescence. Lancet. 2012; 379(9820): 1056–67.
Benjamin L Hankin, Depression from childhood through adolescence: risk mechanisms across multiple systems and levels of analysis, Current Opinion in Psychology, Volume 4. 2015: 13-20, ISSN 2352-250X,
World Drug Report 2018 (United Nations publication, Sales No. E.18.XI.9).
Adams, S.H., Knopf, D.K., & Park, M.J. Prevalence and Treatment of Mental Health and Substance Use Problems in the Early Emerging Adult Years in the United States: Findings from the 2010 National Survey on Drug Use and Health. Emerging Adulthood, (2). 2013: 163-72. Retrieved from http://eax.sagepub.com/content/2/3/163
United Nations Children’s Fund (UNICEF). The State of the World’s Children 2014 in Numbers: Every Child Counts, revealing disparities, advancing children’s rights. New York: January 2014.
Abeid, M., Muganyizi, P., Olsson, P., Darj, E., Axemo, P. Community perceptions of rape and child sexual abuse: A qualitative study in rural Tanzania. BMC International Health and Human Rights. 2014; 14: 23.
WHO. Adolescents: health risks and solutions. Geneva: World Health Organization; 2018. Available from: http://www.who.int/en/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions Accessed 09 May 2018
Rowe S, French R, Henderson C, Ougrin D, Slade M, Moran P. Help-seeking behavior and adolescent self-harm: a systematic review. Aust N Z J Psychiatry. 2014;48(12):1083–95.
World Health Organization (WHO). Global strategy on diet, physical activity and health. 2013.
World Health Organization. “Investing in mental health”. Retrieved 29 June 2012.
Thornicroft G., et al. Undertreatment of people with major depressive disorder in 21 countries. Br J Psychiatry. 2017 Feb; 210(2):119-24.
Pescosolido, B. A., & Lafsdottir, S. O. Beyond dichotomies: Confronting the complexity of how and why individuals come or do not come to mental health care. World J. Psychiatry (WPA). 2013; 12(3): 269-71. doi:10.1002/wps.20072
Global and Cultural Mental Health. 2013. Retrieved from http://cimh.unimelb.edu.au/knowledge_translation_exchange/movement_for_global_mental_health/3rd_mgmh_summit/gbd_2010_and_the_comprehensive_mental_health_action_plan
Rickwood, D., Thomas, K., & Bradford, S. Review of help-seeking measures in mental health: An Evidence Check rapid review brokered by the Sax Institute. 2012. https://www.saxinstitute. org.au/wp-content/uploads/02_Help-seeking-measures-in-mentalhealth.pdf. Accessed 12 Oct 2017.
Salaheddin, K, and Barbara M. Identifying barriers to mental health help-seeking among young adults in the UK: a cross-sectional survey. J. R. Coll. Gen. Pract. 2016. vol. 66,651 e686-92. doi:10.3399/bjgp16X687313
World Health Report. Shaping the future. Geneva, World Health Organization, 2003.
Mahmood A. Mental illness in Pakistan: The toll of neglect. Dawn [Internet]. 2014 Sep 20 [cited 2014 Sep 20]; Available from: https://www.dawn.com/news/1133196.
Zhu N, Allen E, Atun R. Lady health workers in Pakistan: improving access to health care for rural women and families. 2014. https://cdn2.sph.harvard.edu/wp-content/uploads/sites/32/2014/09/HSPH-Pakistan5.pdf
Humayun, A. Mental health priorities. 2016. November 19. Dawn. Retrieved from https://www.dawn.com/news/1297151
Shaikh, M.A. Bullying victimization among school-attending adolescents in Pakistan.. JPMA. J. Pak. Med. Assoc. 2013; 63(9): 1202.
Sultan, S. Perceived public stigma and attitude towards seeking Psychological help among Turkish and Pakistani people. Pak J Psychol. 2012; 43(1): 41-53
Ali A., Hassiotis A., Strydom A., King M. Self-stigma in people with intellectual disabilities and courtesy stigma in family carers: A systematic review. Research in Developmental Disabilities. 2012; 33 (6): 2122-40.
Gulliver A, Griffiths KM, Christensen H. Barriers and facilitators to mental health help-seeking for young elite athletes: a qualitative study. BMC Psychiatry. 2012: 12(1): 157
Clement S, Schauman O, Graham T, et al. What is the impact of mental health-related stigma on help-seeking? A systematic review of quantitative and qualitative studies. Psychol. Med. 2015; 45(1): 11-27.
Ciftci, A., Jones, N., & Corrigan, P. W. Mental health stigma in the Muslim community. J. Muslim Ment. Health. 2012; 7(1): 17-32.
Iftikhar B, Bashirullah N, Ishtiaq M, Subhan M, Khan SA. Perception and attitude of adolescents regarding adolescence related health issues in Peshawar Pakistan. J. Med. Sci. 2016; 24 (4): 241-46.
Ali, N., McLachlan, N., Kanwar, S., & Randhawa, G. Pakistani young people’s views on barriers to accessing mental health services. Int. J. Cult. Ment. 2017; 10(1): 33-43. doi:10.1080/17542863.2016.1248456
Hussain SS; Khan M; Gul R; Asad N. Integration of mental health into primary healthcare: perceptions of stakeholders in Pakistan. East Mediterr Health J. 2018. 24(2):146-153. https://doi.org/10.26719/2018.24.2.146.
Ali, Tahir & Gul, Sana. Community Mental Health Services in Pakistan: Review Study from Muslim World 2000-2015. PCH. Psychol. Comm. Health. 2018; 7: 57-71. 10.5964/pch. v7i1.224.
Tharani, A., Farooq, S., & Naveed, A. Community mental health services: A way forward to rehabilitate chronic mentally ill client. J Ayub Med Coll Abbottabad. 2012; 24(2): 140-43.
Muhammad. Mental health most neglected field in Pakistan. 2012 October 9. thenews.com.pk. Retrieved March 30, 2014, from:
http://www.thenews.com.pk/Todays-News-6-136490-Mental-health-most-neglectedfield-in-Pakistan
Irfan, M. Integration of mental health in primary care in Pakistan. J. Postgrad. Med. Inst. 2013; 27(4): 349-51.
Ali, G., Lalani, N. S., & Charania, N. A. M. A. Community mental health initiatives in Pakistan. Nurs Stand. 2015; 29(22): 44-48. doi:10.7748/ns.29.22.44. e9250
Taj, R. Mental health in Pakistan. In D. Bhurga, S. Tse, R. Ng, & N. Takei (Eds.), Routledge handbook of psychiatry in Asia. 2016: 101-14. London, United Kingdom: Routledge.
Lynch, L., Long, M., & Moorhead, A. Young Men, Help-Seeking, and Mental Health Services: Exploring Barriers and Solutions. Am. J. Men's Health. 2018; 12(1): 138–49. http://doi.org/10.1177/1557988315619469
Jorm AF. Mental health literacy: empowering the community to take action for better mental health. Am. Psychol. 2012 Apr;67(3):231–43. doi: 10.1037/a0025957.
Li TM, Chau M, Wong PW, Lai ES, Yip PS. Evaluation of a Web-based social network electronic game in enhancing mental health literacy for young people. J Med Internet Res. 2013; 15(5): e80. doi: 10.2196/jmir.2316. http://www.jmir.org/2013/5/e80/
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