- Title
- Self-reported contacts for mental health problems by rural residents: predicted service needs, facilitators and barriers
- Creator
- Handley, Tonelle E.; Kay-Lambkin, Frances J.; Inder, Kerry J.; Lewin, Terry J.; Attia, John R.; Fuller, Jeffrey; Perkins, David; Coleman, Clare; Weaver, Natasha; Kelly, Brian J.
- Relation
- NHMRC.401241 | 631061
- Relation
- BMC Psychiatry Vol. 14
- Publisher Link
- http://dx.doi.org/10.1186/s12888-014-0249-0
- Publisher
- BioMed Central
- Resource Type
- journal article
- Date
- 2014
- Description
- Background: Rural and remote Australians face a range of barriers to mental health care, potentially limiting the extent to which current services and support networks may provide assistance. This paper examines self-reported mental health problems and contacts during the last 12 months, and explores cross-sectional associations between potential facilitators/barriers and professional and non-professional help-seeking, while taking into account expected associations with socio-demographic and health-related factors. Methods: During the 3-year follow-up of the Australian Rural Mental Health Study (ARMHS) a self-report survey was completed by adult rural residents (N = 1,231; 61% female; 77% married; 22% remote location; mean age = 59 years), which examined socio-demographic characteristics, current health status factors, predicted service needs, self-reported professional and non-professional contacts for mental health problems in the last 12 months, other aspects of help-seeking, and perceived barriers. Results: Professional contacts for mental health problems were reported by 18% of the sample (including 14% reporting General Practitioner contacts), while non-professional contacts were reported by 16% (including 14% reporting discussions with family/friends). Perceived barriers to health care fell under the domains of structural (e.g., costs, distance), attitudinal (e.g., stigma concerns, confidentiality), and time commitments. Participants with 12-month mental health problems who reported their needs as met had the highest levels of service use. Hierarchical logistic regressions revealed a dose-response relationship between the level of predicted need and the likelihood of reporting professional and non-professional contacts, together with associations with socio-demographic characteristics (e.g., gender, relationships, and financial circumstances), suicidal ideation, and attitudinal factors, but not geographical remoteness. Conclusions: Rates of self reported mental health problems were consistent with baseline findings, including higher rural contact rates with General Practitioners. Structural barriers displayed mixed associations with help-seeking, while attitudinal barriers were consistently associated with lower service contacts. Developing appropriate interventions that address perceptions of mental illness and attitudes towards help-seeking is likely to be vital in optimising treatment access and mental health outcomes in rural areas.
- Subject
- rural; mental health; service ultilisation; treatment barriers; attitudes
- Identifier
- http://hdl.handle.net/1959.13/1060269
- Identifier
- uon:16758
- Identifier
- ISSN:1471-244X
- Language
- eng
- Full Text
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