Parental perceptions of barriers to mental health services for young people

Iskra, Wendy; Deane, Frank P.; Wahlin, Tim; Davis, Ed

doi:10.1111/eip.12281

Cited by 35 publications

(37 citation statements)

References 25 publications

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“…The problem lies in that households caring for a person with an MD require more information about the availability of health services and how to gain access to them (Iskra et al ., 2018). Likewise, if persons with MD are to have access to medical attention and financial equity, a comprehensive approach will be required in order to identify and address the social determinants that act to perpetuate unfavorable life conditions and incidence of CHE (Callander et al ., 2019).…”

Section: Discussionmentioning

confidence: 99%

Incidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorder

et al. 2021

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Background There are few studies on the impact of out-of-pocket mental health care expenditures and sociodemographic factors on the probability of Mexican households to incur catastrophic healthcare expenditures (CHE). Objective The goal of the present study was to estimate the incidence of CHE and its main determinants among the households of persons with mental disorders (MD) in Mexico. Methods A cross-sectional survey was conducted, including 387 households of persons with MD. The estimation of the CHE was obtained by the health expenditure distribution method. A Logistic Regression (LR) was used to identify the determinants of probability variation of CHE occurrence. Since we expected a proportion of CHE between 20% and 80%, we assume linearity in the probability function, therefore we additionally used an Ordinary Least Squares (OLS) model. Results In our sample, the incidence of CHE was 34.8%. The two mental illnesses most frequently associated with CHE were schizophrenia and hyperactive disorder (35.5% and 32.6% of CHE cases, respectively). The regression coefficients showed that for each unit (US$53.77) increase in income, the probability of CHE was reduced by 8.6%, while for each unit increase in hospitalization or medication expenditures, the probability of CHE increased by 12.9% or 19%, respectively. For each additional household member, the probability of CHE increased by 3%, and households with a male patient had a 7% greater probability of CHE. Conclusion Household income, household size, hospitalization and medication expenses, and sex of the patient were significant predictors of CHE for households caring for a person with MD.

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Section: Discussionmentioning

confidence: 99%

Incidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorder

et al. 2021

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“…Results of the present study fail to reveal any possible barriers to mental health care among SA children. A New South Wales survey of parents suggested that financial strain and accessibility of mental health services are important barriers to care [39] . Parental attitude towards diagnosis and family dysfunction also serve as barriers to mental health care of children and adolescents [40] .…”

Section: Discussionmentioning

confidence: 99%

Parent-reported Mental Health Problems and Mental Health Services Use in South Australian School-aged Children

Grande

Winefield

et al. 2016

AIMS Public Health

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BackgroundMonitoring and reporting childhood mental health problems and mental health services utilization over time provide important information to identify mental health related issues and to guide early intervention. This paper aims to describe the recent prevalence of parent-reported mental health problems among South Australian (SA) children; to identify mental health problems associated characteristics; and to describe mental health services utilization and its related characteristics among this population.MethodsParent-reported mental health problems were assessed against the first item of the Strength and Difficulties Questionnaire. School-aged children were randomly sampled monthly and data were collected using a surveillance system between 2005 and 2015. Associations between mental health problems and various factors were analysed using univariable analysis and multivariable logistic regression modelling.ResultsPrevalence of parent-reported mental health problems among children was 9.1% and 9.3% for children aged 5 to 11 years and children aged 12 to 15 years, respectively. No change in prevalence was observed during the past decade. Mental health problems were associated with male sex, long-term illness or pain, negative school experiences, not living with biological parents, and living in a rental dwelling. Less than half (48.7%) of the children with mental health problems received professional help. An increasing trend was found in mental health services utilisation among children aged 5 to 15 years. Utilization of mental health services was associated with male sex, older age, long-term illness or pain, and feeling unhappy at school.ConclusionThis study reports the prevalence of parent-reported mental and mental health services utilisation among SA school-aged children. Identified characteristics associated with mental health problems and mental health services utilisation provide useful information for the planning of catered population initiatives.

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“…Finally, various enabling factors may also encourage individuals to use services. These include parents' knowledge and understanding of the service system (Douma et al 2006;Weiss & Lunsky 2010), financial factors (MacNaughton & Rodrigue 2001), previous experience of seeking services (Cunningham & Freiman 1996) and availability of quality services (Iskra et al 2018). Such enabling factors may actually be available to a lower degree to minority ethnic groups as a result of the wider range of disadvantages experienced by them in society (Zeidner & Ben-Zur 2013).…”

Section: Service Use and Minority Ethnic Groupsmentioning

confidence: 99%

“…; Weiss & Lunsky ), financial factors (MacNaughton & Rodrigue ), previous experience of seeking services (Cunningham & Freiman ) and availability of quality services (Iskra et al . ). Such enabling factors may actually be available to a lower degree to minority ethnic groups as a result of the wider range of disadvantages experienced by them in society (Zeidner & Ben‐Zur ).…”

Section: Introductionmentioning

confidence: 97%

Service use and perceptions of service effectiveness by parents of individuals with intellectual disabilities: comparing Jewish and Arab Israeli parental caregivers

Werner

2019

J intellect Disabil Res

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Background The relationship between ethnicity, service use and perceptions of service effectiveness is inconclusive. This study examined differences in service use and perceptions of service effectiveness between Israeli Jewish (Jewish) and Israeli Arab (Arab) parental caregivers of individuals with intellectual disabilities and dual diagnosis of psychopathology. Methods Parental caregivers (n = 186) of individuals with intellectual disabilities or dual diagnosis, aged 10 to 30 years, completed a self‐report questionnaire. Results Arab parental caregivers perceived health services to be more accessible than did Jewish caregivers, but there was no difference between the two groups in the use of the services. Overall, greater enabling factors and accessibility were associated with higher use of education and social services. No differences were found between the groups in their perceptions of service effectiveness. Conclusion Arab family caregivers use education and social services less than do their Jewish peers, possibly because they have fewer enabling resources. The finding that both groups reported similar use of health services may be explained by a shared perception that informal help may not be suitable for dealing with situations of psychopathology. The similar perceptions of service effectiveness may be explained by extensive services available in Israel, to the satisfaction of both groups, or by the fact that participants perceived these services as their only alternative, and therefore fear losing them.

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Parental perceptions of barriers to mental health services for young people

Cited by 35 publications

References 25 publications

Incidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorder

Incidence of catastrophic healthcare expenditure and its main determinants in Mexican households caring for a person with a mental disorder

Parent-reported Mental Health Problems and Mental Health Services Use in South Australian School-aged Children

Service use and perceptions of service effectiveness by parents of individuals with intellectual disabilities: comparing Jewish and Arab Israeli parental caregivers

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