Early access and help seeking: practice implications and new initiatives
Abstract
Aim: Seeking appropriate help for early signs and symptoms of psychological distress can reduce the long‐term impact of many mental disorders. This article describes practice implications and new initiatives for promoting early access and help‐seeking among young people. Methods: Relevant help‐seeking research is reviewed, and prominent help‐seeking barriers are discussed. Results: Prominent barriers for young people include: incomplete mental health and emotional literacy, beliefs about having little need for help versus having a need for autonomy, and the process of help‐negation for different symptoms of psychological distress. Conclusions: To improve early access to appropriate help and mental health services, barriers that can be reduced, and in particular, psychological distress symptoms that promote the help‐negation process, must be reduced as soon as they can be. Strategies that can be used by clinicians, parents and others, including young people, to encourage appropriate help‐seeking are provided. Examples of how these strategies are implemented in several innovative programs and approaches are discussed.
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Preference for self-reliance is among the most frequently mentioned barriers for adolescents to seek treatment.
“preference for self-reliance (Rickwood et al., 2007; Rickwood and Braithwaite, 1994; Wilson et al., 2011; Booth et al., 2004)”
From Internet-based cognitive behavioral therapy for adolescents with anxiety disorders: A feasibility study (2018) · cites this paper as Wilson et al., 2011
Young people have a strong desire for autonomy, believing they should solve problems for themselves.
“Wilson and colleagues [21] identified that young people have a strong desire for autonomy, believing they should solve problems for themselves.”
From Do online mental health services improve help-seeking for young people? A systematic review (2014) · cites this paper as [21]
Participants with and without mental health problems were typically included in the studies.
“Participants with and without mental health problems were typically included, which aligns with an early intervention approach to mental health care [87].”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [87]
The inclusion of participants with and without mental health problems aligns with an early intervention approach to mental health care.
“Participants with and without mental health problems were typically included, which aligns with an early intervention approach to mental health care [87].”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [87]
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- Authors
- Wilson, C. J., Bushnell, J. A., & Caputi, P.
- Affiliations
- University of Wollongong (AU)
- Corresponding author
- Wilson, Coralie J.
- ORCID
- Caputi, Peter
- Venue
- Early Intervention in Psychiatry
- Publisher
- Wiley
- Published
- 2011-01-06
- Volume
- 5
- Issue
- s1
- Pages
- 34-39
- ISSN
- 1751-7885 (ISSN-L)
- 1751-7893
- OpenAlex
- W1556737508
- Cited by
- 79
- References
- 53
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 3 · 2023: 3 · 2022: 7 · 2021: 3 · 2020: 6 · 2019: 5 · 2018: 5 · 2017: 7 · 2016: 10 · 2015: 9 · 2014: 6 · 2013: 4 · 2012: 3
- FWCI
- 7.83
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Early Intervention in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Research Online (University of Wollongong) (submittedVersion)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- help-seeking, youth, psychological distress, help-seeking barriers, mental health literacy, emotional literacy, autonomy, early intervention, mental health promotion programs
- MeSH terms
- Adolescent, Attitude to Health, Health Services Accessibility, Humans, Health Knowledge, Attitudes, Practice, Mental Health Services, Patient Acceptance of Health Care, Stress, Psychological, Adolescent Health Services, Young Adult, Health Literacy
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