Cited by 158Mental Health Treatment and AccessPsychology and Mental HealthGender Roles and Identity Studies

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Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults

Pepin, Renee, Segal, Daniel L., Coolidge, Frederick L.·2009·Aging & Mental Health

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Abstract

This study examined intrinsic and extrinsic barriers to mental health care among younger (n = 76; M age = 23 years) and older adults (n = 88; M age = 71 years) using a new 56 item self-report measure, Barriers to Mental Health Services Scale (BMHSS). The BMHSS was developed to examine 10 barriers to the utilization of mental health services: help-seeking attitudes, stigma, knowledge and fear of psychotherapy, belief about inability to find a psychotherapist, belief that depressive symptoms are normal, insurance and payment concerns, ageism, concerns about psychotherapist's qualifications, physician referral, and transportation concerns. Results indicated that younger adults perceived fear of psychotherapy, belief about inability to find a psychotherapist, and insurance concerns to be greater barriers than older adults. Men perceived stigma to be a greater barrier than women whereas women perceived finding a psychotherapist to be a greater barrier than men. The rank order of the BMHSS subscales was strongly similar for younger and older adults (r = 0.90, p = 0.000). These results also provide further evidence that stigma about receiving mental health services is not a primary barrier among younger or older adults.

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Authors: Pepin, R., Segal, D. L., & Coolidge, F. L.
Affiliations: a Department of Psychology , University of Colorado at Colorado Springs , Colorado Springs , CO 80933-7150 , USA
University of Colorado Colorado Springs (US)
Corresponding author: Segal, Daniel L.
ORCID: Segal, Daniel L.
Coolidge, Frederick L.
Venue: Aging & Mental Health
Publisher: Informa UK Limited
Published: 2009-09
Volume: 13
Issue: 5
Pages: 769-777
ISSN: 1360-7863 (ISSN-L)
1364-6915
DOI: 10.1080/13607860902918231
OpenAlex: W2104522373
Cited by: 158
References: 26
Citations by year: 2026: 4 · 2025: 10 · 2024: 14 · 2023: 11 · 2022: 11 · 2021: 22 · 2020: 15 · 2019: 14 · 2018: 7 · 2017: 5 · 2016: 5 · 2015: 11 · 2014: 9 · 2013: 7 · 2012: 5
FWCI: 5.66
Type: journal article
Language: en
Open access: closed
Locations: Aging & Mental Health (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
Social Sciences › Gender Studies › Gender Roles and Identity Studies
Keywords: barriers to mental health care, help-seeking attitudes, mental health stigma, ageism, gender differences, young adults, older adults, community-dwelling adults, physician referral, transportation barriers
MeSH terms: Adolescent, Adult, Aged, Aged, 80 and over, Attitude to Health, Community Health Services, Female, Health Services Accessibility, Health Services for the Aged, Humans, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Self Disclosure, Stereotyping, United States, Age Distribution, Sex Distribution, Young Adult

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Intrinsic and extrinsic barriers to mental health care among community-dwelling younger and older adults

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