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HOW DEFINITION OF MENTAL HEALTH PROBLEMS CAN INFLUENCE HELP SEEKING IN RURAL AND REMOTE COMMUNITIES
Open accessAbstract
The present study sought to understand the rural and remote influences on people’s identification of, and response to, mental health problems. Twenty‐two key informants living in northern and western South Australia were interviewed. They included mental health and generalist health professionals, other human service workers and mental health consumers. Three themes are reported here: reluctance to acknowledge mental health problems and the avoidance of appropriate help; stigma and the avoidance of mental health services; and the influence of rural and remote circumstances. Most informants considered that many mental health problems were amenable to help from generalist workers, with backup support from mental health specialists. Informants thought this intervention to be appropriate because a common view of mental health problems as ‘insanity’ and a culture of self‐reliance created a reluctance to seek help from a mental health specialist. These themes need to be taken into account when designing mental health interventions for rural and remote communities.
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“Availability of services and trained mental health professionals are major barriers to access in rural and remote Australia [14,17].”
From Computerized cognitive behavior therapy for anxiety and depression in rural areas:a systematic review (2015) · cites this paper as [17]
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“Other barriers may include cultural norms around stoicism and not wanting to show vulnerability, denial, poor mental health literacy, stigma around mental illness and mental health service use, and the financial and personal demands required of treatment [6,17,19].”
From Computerized cognitive behavior therapy for anxiety and depression in rural areas:a systematic review (2015) · cites this paper as [17]
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“It has also been argued that rural residents are more 'stoic and self-reliant' 13 and prefer to manage their own health problems. 14-16”
From Internet-based mental health programs: A powerful tool in the rural medical kit (2007) · cites this paper as [13]
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Metadata
- Authors
- Fuller, J., Edwards, J., Procter, N., & Moss, J.
- Affiliations
- University of South Australia (AU)
- The University of Adelaide (AU)
- Venue
- Australian Journal of Rural Health
- Publisher
- Wiley
- Published
- 2000-06
- Volume
- 8
- Issue
- 3
- Pages
- 148-153
- ISSN
- 1038-5282 (ISSN-L)
- 1440-1584
- OpenAlex
- W1969370160
- Cited by
- 197
- References
- 7
- Citations by year
- 2026: 7 · 2025: 4 · 2024: 4 · 2023: 5 · 2022: 9 · 2021: 12 · 2020: 11 · 2019: 13 · 2018: 10 · 2017: 8 · 2016: 9 · 2015: 10 · 2014: 8 · 2013: 9 · 2012: 12
- FWCI
- 5.79
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Australian Journal of Rural Health (publishedVersion)
- PubMed (publishedVersion)
- Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Gender Studies › Gender Roles and Identity Studies
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- help-seeking, mental illness, remote rural areas, mental health stigma, mental health services, self-reliance, mental health interventions, South Australia
- MeSH terms
- Australia, Mental Disorders, Community Mental Health Services, Freedom, Humans, Patient Acceptance of Health Care, Rural Population, Stereotyping, Rural Health Services
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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