Mental health problems in rural contexts: What are the barriers to seeking help from professional providers?
Abstract
The aim of this review was to determine which sociodemographic, illness-related and psychological/attitudinal factors impact on a person's decision to seek help and the factors associated with attitudes to help-seeking in rural contexts. A computer search of the literature for 1990 – 2006 using the terms “help-seeking” and “mental” found 350 studies. Examination of the abstracts by one of the authors (AK) identified 20 relevant studies, which we review under two major headings: those papers dealing with help-seeking studies not specific to (but which may have included) rural settings; and a second group of studies conducted specifically in rural locations or that directly compared rural with urban locations. A number of factors were found consistently to be predictive of both mental health utilisation and attitudes toward formal help-seeking. They included sociodemographic factors such as gender, age, and marital status; illness-related factors such as having a mental disorder, comorbidity, and psychological distress; and, to a much lesser extent, psychological/attitudinal factors, including stigma, stoicism, and self-efficacy. Psychological/attitudinal factors have been poorly investigated compared to sociodemographic and illness-related variables and are worthy of further investigation. Their impact and value may vary according to location. Proposed herein is the development of a comprehensive framework that has emerged from the health and place literature as one way of understanding barriers to accessing mental health care.
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The willingness of rehabilitants to implement treatment recommendations following psychodiagnostics is an important prerequisite for optimizing care of comorbid psychologically distressed patients.
“Neben einer adäquaten psychodiagnostischen Routine ist die Bereitschaft der Rehabilitanden, die auf die Psychodiagnostik folgenden Behandlungsempfehlungen auch umzusetzen, eine weitere wichtige Voraussetzung zur notwendigen Optimierung der Versorgung komorbid psychisch belasteter Patienten [ 22 -25 ] .”
From Inanspruchnahmebereitschaft und Inanspruchnahmeverhalten von Behandlungen aufgrund psychischer Belastungen bei Patienten der somatischen Rehabilitation (2012) · cites this paper as [25]
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- Authors
- Jackson, H., Judd, F., Komiti, A., Fraser, C., Murray, G., Robins, G., Pattison, P., & Wearing, A.
- Affiliations
- The University of Melbourne (AU)
- Bendigo Health (AU)
- Swinburne University of Technology (AU)
- Department of Psychology, School of Behavioural Science, University of Melbourne
- Venue
- Australian Psychologist
- Publisher
- Informa UK Limited
- Published
- 2007-06-01
- Volume
- 42
- Issue
- 2
- Pages
- 147-160
- ISSN
- 0005-0067 (ISSN-L)
- 1742-9544
- OpenAlex
- W2153509658
- Cited by
- 125
- References
- 40
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 4 · 2023: 7 · 2022: 6 · 2021: 10 · 2020: 11 · 2019: 7 · 2018: 3 · 2017: 10 · 2016: 8 · 2015: 7 · 2014: 5 · 2013: 10 · 2012: 8
- FWCI
- 7.34
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Australian Psychologist (publishedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › 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 health, rural mental health, barriers to care, help-seeking attitudes, sociodemographic factors, psychological distress, mental health stigma, Stoicism, self-efficacy, comorbidities, urban-rural differences, place and health
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