Cited by 27Telemedicine and Telehealth ImplementationMental Health Treatment and AccessDigital Mental Health Interventions

Barriers to Mental Health Care: Perceived Delivery System Differences

Lingley-Pottie, Patricia, McGrath, Patrick J., Andreou, Pantelis·2013·Advances in Nursing Science

Abstract

Treatment barriers have prompted the development of new models of care. Distance delivery systems bridge the access gap, increasing service availability. Understanding differences between systems can inform system improvements. Sixty participants from the Strongest Families telephone intervention for child behavior difficulties participated. Participants completed a questionnaire to explore differences in perceived treatment barriers (Treatment Barriers Index-TBI) and therapeutic processes (eg, therapeutic alliance, self-disclosure, health outcome) between face-to-face versus distance treatment. The TBI scale has strong internal reliability (Cronbach α: 0.95 [face-to-face]; 0.90 [distance]). Statistically significant differences were found between delivery system TBI mean scores, indicating fewer barriers with distance treatment. Therapeutic process differences between delivery modes suggest enhanced therapeutic alliance and self-disclosure scores with distance treatment. Increased access, convenience, and sense of privacy (visual anonymity) offered by a distance delivery system may provide an enhanced experience for some individuals.

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Crossref · 10.1097/ans.0b013e31828077eb

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Authors
Lingley-Pottie, P., McGrath, P. J., & Andreou, P.
Affiliations
Dalhousie University (CA)
Venue
Advances in Nursing Science
Published
2013-01
Volume
36
Issue
1
Pages
51-61
ISSN
0161-9268 (ISSN-L)
OpenAlex
W2016348254
Cited by
27
References
35
Citations by year
2025: 2 · 2024: 1 · 2023: 2 · 2021: 2 · 2020: 4 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 3 · 2014: 1 · 2013: 1
FWCI
3.40
Type
journal article
Language
en
Open access
closed
Locations
  • Advances in Nursing Science (publishedVersion)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Applied Psychology › Digital Mental Health Interventions
Keywords
barriers to treatment, telemedicine, access to mental health care, telephone-delivered intervention, therapeutic relationship, self-disclosure, health care access
MeSH terms
Mental Disorders, Delivery of Health Care, Humans, Nova Scotia, Pediatric Nursing, Surveys and Questionnaires, Telephone, Patient Satisfaction, Telemedicine, Remote Consultation

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