Adolescents' preference towards self-help: implications for service development

Farrand, Paul; Perry, Jon; Lee, Chris; Parker, Maureen

doi:10.1185/135525706x121129

Cited by 25 publications

(17 citation statements)

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“…These youth reported that they believed their problems would improve over time and did not think that treatment would be beneficial or help alleviate their symptoms. This finding is consistent with research that shows youth are consistently more self-reliant during adolescence and this self-reliant behavior extends to mental health treatment (Farrand et al 2006). The third highest reported reason for not seeking treatment was that youth were not bothered or affected by their problem or symptoms at first.…”

Section: Discussionsupporting

confidence: 90%

“…A substantial portion of youth reported that the top reason for not wanting to seek treatment was their desire to handle the problem on their own. During adolescence, youth begin to establish autonomy and independence, often distancing themselves from outside help and attempting to solve problems without assistance (Farrand et al 2006). In the current study, youth reported not wanting to receive help for their problem, as they thought they would be able to manage it independently of treatment.…”

Section: Discussionmentioning

confidence: 98%

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Self-reported Barriers to Treatment Engagement: Adolescent Perspectives from the National Comorbidity Survey-Adolescent Supplement (NCS-A)

Sylwestrzak

Overholt

Ristau

et al. 2014

Community Ment Health J

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The objective of this study was to assess youth self-reported treatment barriers in the past 12 months to obtain youth's perspective on reasons they seek treatment, do not engage in treatment, or terminate treatment. The present study uses data from the National Comorbidity Survey-Adolescent Supplement (NCS-A), a nationally representative survey administered to youth ages 13-18 that was conducted between February 1, 2001 and January 30, 2004. A total of 10,123 youth participated in the NCS-A study and provided the information on which the current paper draws its data. Within the past 12 months over 63% of youth reported seeking treatment to manage and cope with emotions. The greatest percentage of youth reported that they did not seek treatment because they wanted to handle the problem on their own (59.3%). The greatest percentage of youth reported that treatment was terminated because they wanted to handle the problem on their own (57.5%). Findings suggest professionals need to educate youth about the importance of professional treatment to increase engagement. If providers can motivate youth to see the value of treatment and help them understand that there can be positive outcomes, they may be less likely to terminate prematurely.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 98%

Self-reported Barriers to Treatment Engagement: Adolescent Perspectives from the National Comorbidity Survey-Adolescent Supplement (NCS-A)

Sylwestrzak

Overholt

Ristau

et al. 2014

Community Ment Health J

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show abstract

“…This is consistent with a large body of international research demonstrating the primary importance paid by young people (and service users more generally) to 'non-specific' relational aspects of mental health care (Butler, 2007;Persson et al 2016;Van Os et al 2019). Relatedly, studies from high-income countries have shown that face-to-face therapy may be preferred by adolescents over pure self-help and remotely delivered formats (Farrand et al 2006;Bradford & Rickwood, 2014). In the current study, individual counselling was the most familiar and acceptable format outside the respondent group of mental health providers, whereas receptiveness to low-intensity, selfhelp approaches was mixed.…”

Section: Discussionsupporting

confidence: 80%

Priorities and preferences for school-based mental health services in India: a multi-stakeholder study with adolescents, parents, school staff, and mental health providers

et al. 2019

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Background.Schools are important settings for increasing reach and uptake of adolescent mental health interventions. There is limited consensus on the focus and content of school-based mental health services (SBMHSs), particularly in low-resource settings. This study elicited the views of diverse stakeholders in two urban settings in India about their priorities and preferences for SBMHSs.Methods.We completed semi-structured interviews and focus group discussions with adolescents (n = 191), parents (n = 9), teachers (n = 78), school counsellors (n = 15), clinical psychologists/psychiatrists (n = 7) in two urban sites in India (Delhi and Goa). Qualitative data were obtained on prioritized outcomes, preferred content and delivery methods, and indicated barriers.Results.All stakeholders indicated the need for and acceptability of SBMHSs. Adolescents prioritized resolution of life problems and exhibited a preference for practical guidance. Parents and teachers emphasized functional outcomes and preferred to be involved in interventions. In contrast, adolescents' favored limited involvement from parents and teachers, was related to widespread concerns about confidentiality. Face-to-face counselling was deemed to be the most acceptable delivery format; self-help was less frequently endorsed but was relatively more acceptable if blended with guidance or delivered using digital technology. Structured sensitization was recommended to promote adolescent's engagement. Providers endorsed a stepped care approach to address different levels of mental health need among adolescents.Conclusion.SBMHSs are desired by adolescents and adult stakeholders in this setting where few such services exist. Sensitization activities are required to support implementation. School counsellors have an important role in identifying and treating adolescents with different levels of mental health needs, and a suite of interventions is needed to target these needs effectively and efficiently.

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“…Many of today's young people prefer self-help, Internet-based information or support via people they know rather than seeking professional healthcare (Farrand, Perry, Lee, & Parker, 2006). Therefore finding ways to deliver acceptable treatments remains a considerable challenge.…”

Section: Why Is Addressing Depression In Adolescents Important?mentioning

confidence: 99%

The views of lesbian, gay and bisexual youth regarding computerised self-help for depression: An exploratory study

Lucassen

Hatcher

Stasiak

et al. 2013

Advances in Mental Health

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Adolescents' preference towards self-help: implications for service development

Cited by 25 publications

References 0 publications

Self-reported Barriers to Treatment Engagement: Adolescent Perspectives from the National Comorbidity Survey-Adolescent Supplement (NCS-A)

Self-reported Barriers to Treatment Engagement: Adolescent Perspectives from the National Comorbidity Survey-Adolescent Supplement (NCS-A)

Priorities and preferences for school-based mental health services in India: a multi-stakeholder study with adolescents, parents, school staff, and mental health providers

The views of lesbian, gay and bisexual youth regarding computerised self-help for depression: An exploratory study

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