Access to mental health in primary care: A qualitative meta-synthesis of evidence from the experience of people from ‘hard to reach’ groups
Abstract
Knowledge about depression, access and help-seeking has increasingly been influenced from a range of disciplines including clinical and applied social science. A range of interventions can improve outcomes of depression and anxiety. However, many in need do not seek help, or their interaction with care-givers does not address their needs. We carried out a systematic search for qualitative articles focusing on the experiences of eight exemplar groups with exceptional problems in access (the homeless, long-term unemployed, adolescents with eating disorders, depressed elderly people, advanced cancer sufferers, patients with medically unexplained symptoms, asylum seekers and people from black and minority ethnic groups). Twenty articles representing these groups were selected, findings were then developed using qualitative meta-synthesis, this suggested a range of mechanisms accounting for poor access among these groups. Many regarded their mental health problems as rooted in social problems and employed a variety of self-management strategies to maintain function. These strategies could involve social withdrawal, focusing available resources on close family relationships and work roles. Over-investment in these roles could result in a sense of insecurity as wider networks were neglected. Material disadvantage affected both the resources people could bring to performing social roles and influenced help-seeking. A tacit understanding of the material, psychological and social ‘costs’ of engagement by patients and health professionals could influence decisions to seek and offer help. These costs were felt to be proportionally higher in deprived, marginalized and minority communities, where individual resources are limited and the stigma attached to mental ill-health is high.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Commonalities across groups include the impact of chronicity, social isolation, stigma and a lack of identification with routine biomedical understandings of mental health.
“While there are many differences commonalities include the impact of chronicity, social isolation, stigma and a lack of identification with routine biomedical understandings of mental health [20].”
From Development and evaluation of culturally sensitive psychosocial interventions for under-served people in primary care (2014) · cites this paper as [20]
Cites
Lincoln, Y. S., Guba, E. G., & Pilotta, J. J. (1985) · International Journal of Intercultural Relations · doi:10.1016/0147-1767(85)90062-8 · Cited by 45,787 · see citing works
The Presentation of Self in Everyday Life.
Naegele, K. D., & Goffman, E. (1956) · American Sociological Review · doi:10.2307/2089106 · Cited by 26,021 · see citing works
The Presentation of Self in Everyday Life
Goffman, E. (2023) · Routledge eBooks · doi:10.4324/9781003320609-59 · Cited by 17,564 · see citing works
The Postmodern Condition: A Report on Knowledge
Lyotard, J.-F., Bennington, G., & Massumi, B. (1984) · Poetics Today · doi:10.2307/1772278 · Cited by 15,028 · see citing works
Journal of Clinical Psychiatry
(2018) · Journal of Clinical Psychiatry · doi:10.5505/kpd · Cited by 13,703 · see citing works
Modernity and Self-Identity: Self and Society in the Late Modern Age
Giddens, A. (2020) · Routledge eBooks · doi:10.4324/9781003060963-59 · Cited by 13,393 · see citing works
Modernity and self-identity: self and society in the late modern age
(1992) · Choice Reviews Online · doi:10.5860/choice.29-3618 · Cited by 5,667 · see citing works
The Constant Comparative Method of Qualitative Analysis
Glaser, B. G. (1965) · Social Problems · doi:10.2307/798843 · Cited by 4,937 · see citing works
Noblit, G., & Hare, R. (1988) · doi:10.4135/9781412985000 · Cited by 2,723 · see citing works
Meta-Ethnography: Synthesizing Qualitative Studies
Noblit, G. W., & Hare, R. D. (1988) · Medical Entomology and Zoology · Cited by 2,191 · see citing works
Methods for the synthesis of qualitative research: a critical review
Barnett-Page, E., & Thomas, J. (2009) · BMC Medical Research Methodology · doi:10.1186/1471-2288-9-59 · Cited by 2,087 · see citing works
Thoits, P. A. (1983) · American Sociological Review · doi:10.2307/2095103 · Cited by 1,361 · see citing works
Resisting medicines: a synthesis of qualitative studies of medicine taking
Pound, P., Britten, N., Morgan, M., Yardley, L., Pope, C., Daker-White, G., & Campbell, R. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2004.11.063 · Cited by 868 · see citing works
Qualitative Metasynthesis: Reflections on Methodological Orientation and Ideological Agenda
Thorne, S., Jensen, L., Kearney, M. H., Noblit, G., & Sandelowski, M. (2004) · Qualitative Health Research · doi:10.1177/1049732304269888 · Cited by 749 · see citing works
(2001) · PubMed · Cited by 713 · see citing works
Meta-Study of Qualitative Health Research
Paterson, B., Thorne, S., Canam, C., & Jillings, C. (2001) · doi:10.4135/9781412985017 · Cited by 664 · cited 1× · see citing works
“Meta-synthesis was identified as the most appropriate method to further conceptual understanding (Paterson et al., 2001; Thorne et al., 2004).”
MethodMeta-Study of Qualitative Health Research: A Practical Guide to Meta-Analysis and Meta-Synthesis
Canam, C., & Thorne, S. (2001) · International Journal of Health Care Quality Assurance · doi:10.1108/ijhcqa.2001.06214fae.007 · Cited by 536 · see citing works
The Challenges of Searching for and Retrieving Qualitative Studies
Barroso, J., Gollop, C. J., Sandelowski, M., Meynell, J., Pearce, P. F., & Collins, L. J. (2003) · Western Journal of Nursing Research · doi:10.1177/0193945902250034 · Cited by 272 · see citing works
Burroughs, H. (2006) · Family Practice · doi:10.1093/fampra/cmi115 · Cited by 220 · see citing works
Peters, S., Stanley, I. M., Rose, M., & Salmon, P. (1998) · Social Science & Medicine · doi:10.1016/s0277-9536(97)00200-1 · Cited by 196 · see citing works
Townsend, A. F., Wyke, S., & Hunt, K. (2006) · Chronic Illness · doi:10.1177/17423953060020031301 · Cited by 194 · see citing works
Luoma, M., & Hakamies‐Blomqvist, L. (2004) · Psycho-Oncology · doi:10.1002/pon.788 · Cited by 166 · see citing works
Understanding the narratives of people who live with medically unexplained illness
Nettleton, S., Watt, I. S., O’Malley, L., & Duffey, P. (2004) · Patient Education and Counseling · doi:10.1016/j.pec.2004.02.010 · Cited by 162 · see citing works
Rogers, A., Kennedy, A., Nelson, E., & Robinson, A. (2005) · Qualitative Health Research · doi:10.1177/1049732304272048 · Cited by 162 · see citing works
Self-citationAn Exploration of Psychological Well-being with Young Somali Refugee and Asylum-seeker Women
Whittaker, S., Hardy, G., Lewis, K., & Buchan, L. (2005) · Clinical Child Psychology and Psychiatry · doi:10.1177/1359104505051210 · Cited by 159 · see citing works
Warfa, N., Bhui, K., Craig, T., Curtis, S., Mohamud, S., Stansfeld, S., McCrone, P., & Thornicroft, G. (2006) · Health & Place · doi:10.1016/j.healthplace.2005.08.016 · Cited by 151 · see citing works
Gately, C., Rogers, A. E., & Sanders, C. (2007) · Social Science & Medicine · doi:10.1016/j.socscimed.2007.04.018 · Cited by 133 · see citing works
Self-citationMothers experiencing homelessness: mental health, support and social care needs
Tischler, V., Rademeyer, A., & Vostanis, P. (2006) · Health & Social Care in the Community · doi:10.1111/j.1365-2524.2006.00678.x · Cited by 129 · see citing works
Edge, D., & Rogers, A. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2004.11.047 · Cited by 128 · see citing works
Self-citationSouth Asian women, psychological distress and self-harm: lessons for primary care trusts
Chew-Graham, C. A., Bashir, C., Chantler, K., Burman, E., & Batsleer, J. (2002) · Health & Social Care in the Community · doi:10.1046/j.1365-2524.2002.00382.x · Cited by 122 · see citing works
Khan, N., Bower, P., & Rogers, A. (2007) · British Journal of Psychiatry · doi:10.1192/bjp.bp.106.032011 · Cited by 116 · see citing works
Self-citationDemanding patients? Analysing the use of primary care.
Stott, N. (2000) · Family Practice · doi:10.1093/fampra/17.3.277 · Cited by 111 · see citing works
‘Lost’: listening to the voices and mental health needs of forced migrants in London
Palmer, D., & Ward, K. (2007) · Medicine Conflict & Survival · doi:10.1080/13623690701417345 · Cited by 103 · see citing works
(1999) · Research Explorer (The University of Manchester) · Cited by 103 · see citing works
Self-citationKoffman, J., Morgan, M., Edmonds, P. J., Speck, P. W., & Higginson, I. J. (2008) · Palliative Medicine · doi:10.1177/0269216308090168 · Cited by 97 · see citing works
Health and Social Research in Multiethnic Societies
(2006) · Routledge eBooks · doi:10.4324/9780203969939 · Cited by 94 · see citing works
Tierney, S. (2007) · Journal of the American Psychiatric Nurses Association · doi:10.1177/1078390307309215 · Cited by 84 · see citing works
Researching the mental health needs of hard-to-reach groups: managing multiple sources of evidence
Dowrick, C., Gask, L., Edwards, S., Aseem, S., Bower, P., Burroughs, H., Catlin, A., Chew-Graham, C., Clarke, P., Gabbay, M., et al. (2009) · BMC Health Services Research · doi:10.1186/1472-6963-9-226 · Cited by 70 · see citing works
Self-citationGask, L., Bower, P., Lamb, J., Burroughs, H., Chew-Graham, C., Edwards, S., Hibbert, D., Kovandžić, M., Lovell, K., Rogers, A., et al. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-249 · Cited by 61 · see citing works
Self-citationDepression and the perpetuation of an incapacitated identity as an inhibitor of return to work
Millward, L. J., LUTTE, A., & Purvis, R. G. (2005) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2005.00875.x · Cited by 61 · see citing works
Burr, J. A., & Chapman, T. (2004) · Sociology of Health & Illness · doi:10.1111/j.0141-9889.2004.00398.x · Cited by 50 · see citing works
Chew-Graham, C. A., & May, C. R. (1997) · Family Practice · doi:10.1093/fampra/14.6.461 · Cited by 45 · see citing works
Stories from Frequent Attenders: A Qualitative Study in Primary Care
Hodgson, P. (2005) · The Annals of Family Medicine · doi:10.1370/afm.311 · Cited by 41 · see citing works
Perron, N. J., & Hudelson, P. M. (2006) · BMC Family Practice · doi:10.1186/1471-2296-7-10 · Cited by 39 · see citing works
Is the English National Health Service meeting the needs of mentally distressed Chinese women?
Green, G., Bradby, H., Chan, K. W. A. 陳., Lee, M., & Eldridge, K. (2002) · Journal of Health Services Research & Policy · doi:10.1258/135581902320432741 · Cited by 36 · see citing works
Rogers, A. E., & Allison, T. (2004) · Journal of Psychosomatic Research · doi:10.1016/s0022-3999(03)00570-1 · Cited by 36 · see citing works
Self-citationExperience of service provision for adolescents with eating disorders
Rother, S., & Buckroyd, J. (2004) · Primary Health Care Research & Development · doi:10.1191/1463423604pc192oa · Cited by 17 · see citing works
Flagged first, then by citations
1 of the 48 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Memon, A., Taylor, K., Mohebati, L. M., Sundin, J., Cooper, M., Scanlon, T., & de Visser, R. (2016) · BMJ Open · doi:10.1136/bmjopen-2016-012337 · Cited by 401 · see citing works
Rubio-Valera, M., Pons‐Vigués, M., Martínez-Andrés, M., Moreno-Peral, P., Berenguera, A., & Fernández, A. (2014) · PLoS ONE · doi:10.1371/journal.pone.0089554 · Cited by 229 · see citing works
Beliefs and perception about mental health issues: a meta-synthesis
Choudhry, F. R., Mani, V., Ming, L. C., & Khan, T. M. (2016) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s111543 · Cited by 230 · see citing works
Arday, J., Belluigi, D. Z., & Thomas, D. (2020) · Educational Philosophy and Theory · doi:10.1080/00131857.2020.1773257 · Cited by 212 · see citing works
Rae, B., & Rees, S. (2015) · Journal of Advanced Nursing · doi:10.1111/jan.12675 · Cited by 156 · see citing works
Arday, J. (2018) · Social Sciences · doi:10.3390/socsci7100196 · Cited by 141 · see citing works
Brown, J. S., Evans-Lacko, S., Aschan, L., Henderson, M. J., Hatch, S. L., & Hotopf, M. (2014) · BMC Psychiatry · doi:10.1186/s12888-014-0275-y · Cited by 140 · see citing works
Hughes-Morley, A., Young, B., Waheed, W., Small, N., & Bower, P. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.10.005 · Cited by 132 · see citing works
Self-citationMossabir, R., Morris, R., Kennedy, A. P., Blickem, C., & Rogers, A. E. (2014) · Health & Social Care in the Community · doi:10.1111/hsc.12176 · Cited by 108 · see citing works
Self-citationFord, J. A., Wong, G., Jones, A., & Steel, N. (2016) · BMJ Open · doi:10.1136/bmjopen-2015-010652 · Cited by 95 · see citing works
Self-harm and ethnicity: A systematic review
Al-Sharifi, A., Krynicki, C. R., & Upthegrove, R. (2015) · International Journal of Social Psychiatry · doi:10.1177/0020764015573085 · Cited by 84 · see citing works
Prajapati, R., & Liebling, H. (2021) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-021-00993-x · Cited by 87 · see citing works
Mental health literacy and help-seeking among unemployed people with mental health problems
Waldmann, T., Staiger, T., Oexle, N., & Rüsch, N. (2019) · Journal of Mental Health · doi:10.1080/09638237.2019.1581342 · Cited by 79 · see citing works
Arday, J. (2021) · Higher Education · doi:10.1007/s10734-020-00636-w · Cited by 69 · see citing works
Person-centred mental health care: the challenge of implementation
Gask, L., & Coventry, P. A. (2012) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796012000078 · Cited by 69 · see citing works
Self-citationGask, L., Bower, P., Lamb, J., Burroughs, H., Chew-Graham, C., Edwards, S., Hibbert, D., Kovandžić, M., Lovell, K., Rogers, A., et al. (2012) · BMC Health Services Research · doi:10.1186/1472-6963-12-249 · Cited by 61 · see citing works
Self-citationArundell, L.-L., Greenwood, H., Baldwin, H., Kotas, E., Smith, S., Trojanowska, K., & Cooper, C. (2020) · Systematic Reviews · doi:10.1186/s13643-020-01333-6 · Cited by 53 · see citing works
Lovell, K., Lamb, J., Gask, L., Bower, P., Waheed, W., Chew-Graham, C., Lamb, J., Aseem, S., Beatty, S., Burroughs, H., et al. (2014) · BMC Psychiatry · doi:10.1186/s12888-014-0217-8 · Cited by 53 · see citing works
Self-citationLamb, J., Dowrick, C., Burroughs, H., Beatty, S., Edwards, S., Bristow, K., Clarke, P., Hammond, J., Waheed, W., Gabbay, M., et al. (2015) · Health Expectations · doi:10.1111/hex.12272 · Cited by 48 · see citing works
Self-citationGarrett, C., Gask, L., Goulding, R., Cherrington, A., Bundy, C., Dickens, C. M., Waheed, W., & Coventry, P. A. (2012) · Chronic Illness · doi:10.1177/1742395312441631 · Cited by 46 · see citing works
Self-citationFactors affecting general practice collaboration with voluntary and community sector organisations
Southby, K., & Gamsu, M. (2018) · Health & Social Care in the Community · doi:10.1111/hsc.12538 · Cited by 47 · see citing works
Siersbaek, R., Ford, J. A., Burke, S., Cheallaigh, C. N., & Thomas, S. (2021) · BMJ Open · doi:10.1136/bmjopen-2020-043091 · Cited by 44 · see citing works
Melendez‐Torres, G. J., Grant, S., & Bonell, C. (2015) · Research Synthesis Methods · doi:10.1002/jrsm.1161 · Cited by 39 · see citing works
Graham, T., Rose, D. S., Murray, J., Ashworth, M. J., & Tylee, A. T. (2014) · BMJ Quality & Safety · doi:10.1136/bmjqs-2014-002842 · Cited by 38 · see citing works
Assessing and treating complex mental health needs among homeless youth in a shelter-based clinic
Winiarski, D. A., Rufa, A. K., Bounds, D. T., Glover, A. C., Hill, K., & Karnik, N. S. (2020) · BMC Health Services Research · doi:10.1186/s12913-020-4953-9 · Cited by 41 · see citing works
Kapadia, D., Brooks, H. L., Nazroo, J. Y., & Tranmer, M. (2015) · Health & Social Care in the Community · doi:10.1111/hsc.12305 · Cited by 37 · see citing works
Treatment experiences of males with an eating disorder: a systematic review of qualitative studies
Thapliyal, P., & Hay, P. J. (2014) · Translational Developmental Psychiatry · doi:10.3402/tdp.v2.25552 · Cited by 47 · see citing works
Dowrick, C. F., Bower, P., Chew-Graham, C. A., Lovell, K., Edwards, S., Lamb, J. N., Bristow, K., Gabbay, M., Burroughs, H., Beatty, S., et al. (2016) · BMC Health Services Research · doi:10.1186/s12913-016-1298-5 · Cited by 34 · see citing works
Self-citation“It exists”: An exploratory study of treatment experiences in men with eating disorders
Thapliyal, P., Conti, J., Bandara, R. S. L., & Hay, P. (2020) · Australian Psychologist · doi:10.1111/ap.12455 · Cited by 34 · see citing works
Awan, H., Mughal, F., Kingstone, T., Chew-Graham, C., & N. Corp (2021) · The British journal of general practice : the journal of the Royal College of General Practitioners · doi:10.3399/bjgp.2021.0345 · Cited by 32 · see citing works
Brooks, H. L., Lovell, K., Bee, P., Fraser, C., Molloy, C., & Rogers, A. E. (2018) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-018-1603-1 · Cited by 32 · see citing works
Self-citationDowrick, C., Chew-Graham, C., Lovell, K., Lamb, J., Aseem, S., Beatty, S., Bower, P., Burroughs, H., Clarke, P., Edwards, S., et al. (2013) · Programme Grants for Applied Research · doi:10.3310/pgfar01020 · Cited by 27 · see citing works
Self-citationChristodoulou, V., Fortune, L., Arslan, G., & Koç, C. (2018) · The Qualitative Report · doi:10.46743/2160-3715/2018.2324 · Cited by 6 · see citing works
Behavioural health consultants in integrated primary care teams: a model for future care
Dale, H., & Lee, A. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0485-0 · Cited by 24 · see citing works
Thapliyal, P., Mitchison, D., & Hay, P. (2017) · Behavioral Sciences · doi:10.3390/bs7020038 · Cited by 24 · see citing works
McEvoy, P., Williamson, T., Kada, R., Frazer, D., Dhliwayo, C., & Gask, L. (2017) · BMC Health Services Research · doi:10.1186/s12913-017-2509-4 · Cited by 24 · see citing works
Self-citationWhat is it like to live with medically unexplained physical symptoms? A qualitative meta-summary
Polakovská, L., & Řiháček, T. (2021) · Psychology and Health · doi:10.1080/08870446.2021.1901900 · Cited by 22 · see citing works
Finazzi, E., & MacBeth, A. M. (2021) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2650 · Cited by 19 · see citing works
Berenzon, S., Reyes, J. G., Solano, N. S., Bernal-Pérez, P., Mellor-Crummey, L., & Tiburcio, M. (2014) · Salud Mental · doi:10.17711/sm.0185-3325.2014.036 · Cited by 17 · see citing works
Faheem, A. (2023) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x22000642 · Cited by 17 · see citing works
Chew-Graham, C. A., Burroughs, H., Hibbert, D., Gask, L. L., Beatty, S., Gravenhorst, K. C., Waheed, W., Kovandzic, M., Gabbay, M., & Dowrick, C. F. (2014) · BMC Family Practice · doi:10.1186/1471-2296-15-68 · Cited by 16 · see citing works
Self-citationThe key components of a clinical psychology formulation: A consensus study
Thrower, N. E., Bucci, S., Morris, L., & Berry, K. (2024) · British Journal of Clinical Psychology · doi:10.1111/bjc.12455 · Cited by 15 · see citing works
Asthana, S., Gibson, A., Bailey, T., Moon, G., Hewson, P., & Dibben, C. J. L. (2016) · Health Services and Delivery Research · doi:10.3310/hsdr04140 · Cited by 15 · see citing works
McKeague, L., Morant, N. J., Blackshaw, E., & Brown, J. S. L. (2017) · Child and Adolescent Mental Health · doi:10.1111/camh.12234 · Cited by 15 · see citing works
Developing a European research network to address unmet needs in anxiety disorders
Baldwin, D. S., Pallanti, S., & Zwanzger, P. (2013) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.01.009 · Cited by 14 · see citing works
van der Sluijs, J. V. E., ten Have, M., Rijnders, C. A. T., van Marwijk, H., de Graaf, R., & Feltz-Cornelis, C. M. V. D. (2016) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s109504 · Cited by 13 · see citing works
Paula, C. S., Ziebold, C., Ribeiro, W. S., Pan, P. M., Mari, J. D. J., Bressan, R. A., Miguel, E. C., Rohde, L. A., Salum, G. A., & Evans-Lacko, S. E. (2022) · European Psychiatry · doi:10.1192/j.eurpsy.2022.24 · Cited by 13 · see citing works
The Nurse’s Role in Primary Care Antidepressant Medication Adherence
Heise, B. A., & van Servellen, G. M. (2014) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20131126-08 · Cited by 13 · see citing works
Faheem, A. (2023) · The Cognitive Behaviour Therapist · doi:10.1017/s1754470x22000599 · Cited by 12 · see citing works
Sackeïm, H. A., Rush, A. J., Greco, T., Jiang, M., Badejo, S., Bunker, M. T., Aaronson, S. T., Conway, C. R., Demyttenaere, K., Young, A. H., et al. (2023) · Psychological Medicine · doi:10.1017/s0033291722003798 · Cited by 12 · see citing works
Athié, K., Dowrick, C. F., Menezes, A. L. D. A., Cruz, L., Lima, A. C. C., Delgado, P. G. G., Favoretto, C., & Fortes, S. (2017) · Ciência & Saúde Coletiva · doi:10.1590/1413-81232017221.11732016 · Cited by 12 · see citing works
Self-citationClark, E., Player, E., Gillam, T. B., Hanson, S., & Steel, N. (2020) · BJGP Open · doi:10.3399/bjgpopen20x101049 · Cited by 11 · see citing works
Welch, L., Sadler, E., Austin, A. R., & Rogers, A. (2021) · Health Expectations · doi:10.1111/hex.13340 · Cited by 9 · see citing works
Self-citationRandom Sampling for a Mental Health Survey in a Deprived Multi-Ethnic Area of Berlin
Mundt, A. P., Aichberger, M. C., Kliewe, T., Ignatyev, Y., Yayla, S., Heimann, H., Schouler‐Ocak, M., Busch, M. A., Rapp, M. A., Heinz, A., et al. (2012) · Community Mental Health Journal · doi:10.1007/s10597-012-9483-4 · Cited by 11 · see citing works
Refining Program Theory for a Place-Based Integrated Care Initiative in Sydney, Australia
Eastwood, J. G., Barmaky, S., Hansen, S., Millere, E., Ratcliff, S., Fotheringham, P., Coupland, H., & de Souza, D. (2020) · International Journal of Integrated Care · doi:10.5334/ijic.5422 · Cited by 11 · see citing works
Toledo‐Chávarri, A., Ramos‐García, V., Torres‐Castaño, A., Trujillo‐Martín, M. M., Castro, W. P., del Cura-González, I., Serrano‐Aguilar, P., & Perestelo‐Pérez, L. (2020) · BMC Family Practice · doi:10.1186/s12875-020-01307-6 · Cited by 11 · see citing works
Ridge, D., Pilkington, K., Donovan, S., Moschopoulou, E., Gopal, D. P., Bhui, K. S., Chalder, T., Khan, I. U., Korszun, A., Taylor, S. J., et al. (2023) · PLoS ONE · doi:10.1371/journal.pone.0284878 · Cited by 11 · see citing works
Liao, L., Elliott, C., Ahmed, F., & Creighton, S. M. (2013) · Journal of Obstetrics and Gynaecology · doi:10.3109/01443615.2012.758695 · Cited by 10 · see citing works
CHOICE: Choosing Health Options In Chronic Care Emergencies
Guthrie, E., Afzal, C., Blakeley, C., Blakemore, A., Byford, R. C., Camacho, E. M., Chan, T., Chew-Graham, C. A., Davies, L. M., de Lusignan, S., et al. (2017) · Programme Grants for Applied Research · doi:10.3310/pgfar05130 · Cited by 8 · see citing works
Lin, J., Bates, S. M., Allen, L. N., Wright, M., Mao, L., Chomik, R., Dietz, C., & Kidd, M. R. (2025) · BMC Family Practice · doi:10.1186/s12875-025-02779-0 · Cited by 7 · see citing works
Müller, M. J., & Koch, E. (2016) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0000000000000535 · Cited by 7 · see citing works
Tho’ Much is Taken, Much Abides: Asylum Seekers’ Subjective Wellbeing
Hocking, D. (2018) · Journal of Immigrant and Minority Health · doi:10.1007/s10903-017-0664-7 · Cited by 7 · see citing works
Kara, H., & Arvidson, M. (2014) · Perspectives in Public Health · doi:10.1177/1757913914536155 · Cited by 7 · see citing works
Fagundes, N. C. F., Young, R., Flores‐Mir, C., Heo, G., & Perez, A. J. (2024) · Orthodontics and Craniofacial Research · doi:10.1111/ocr.12789 · Cited by 6 · see citing works
Suicide of a close family member through the eyes of a child
Jackson, D. W., Peters, K., & Murphy, G. (2014) · Journal of Child Health Care · doi:10.1177/1367493513519297 · Cited by 6 · see citing works
Cucciniello, C., & Melia, Y. (2024) · Journal of Public Child Welfare · doi:10.1080/15548732.2024.2343685 · Cited by 6 · see citing works
Yoeli, H., & Macnaughton, J. (2020) · Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine · doi:10.1177/1363459320978520 · Cited by 6 · see citing works
Programme Grants for Applied Research
Library, N. J. (2012) · Cited by 5 · see citing works
Patients’ experience of their general practitioner’s follow-up of serious eating disorders
Halvorsen, T. F., Haavet, O. R., Rydså, B. J., Skarbø, T., & Rosvold, E. O. (2014) · Tidsskrift for Den norske legeforening · doi:10.4045/tidsskr.13.1222 · Cited by 4 · see citing works
Help-seeking for young rural males disengaged from education
Clark, J. C., Bartik, W. J., Smith, P., & Rice, K. (2024) · Australian Journal of Psychology · doi:10.1080/00049530.2024.2430624 · Cited by 4 · see citing works
Pavez, F., Saura, E., & Marset, P. (2022) · BJPsych Bulletin · doi:10.1192/bjb.2022.4 · Cited by 4 · see citing works
Special Olympics athletes’ experiences of mental health and help-seeking
Kim, J., Ellard, C., Tamminen, K. A., & Arbour‐Nicitopoulos, K. P. (2024) · Journal of Applied Sport Psychology · doi:10.1080/10413200.2024.2437185 · Cited by 3 · see citing works
Healthcare Needs, Barriers, and Practices among Refugee Older Adults: A Scoping Review
Yasin, Y. M., Al‐Hamad, A., Guruge, S., Metersky, K., Catallo, C., Wang, L., Yang, L., Zhuang, Z. C., Salma, J., MacKenzie-Ede, F., et al. (2025) · Ageing International · doi:10.1007/s12126-025-09631-x · Cited by 3 · see citing works
Kitione, L., Ryan, D., Tanuvasa, A. F., & Gray, B. V. (2025) · Journal of Primary Health Care · doi:10.1071/hc24151 · Cited by 3 · see citing works
Mental ill health in the elderly: medical students’ social representations in the United Kingdom
Medeiros, B., & Foster, J. (2014) · Revista da Escola de Enfermagem da USP · doi:10.1590/s0080-623420140000800020 · Cited by 3 · see citing works
Exploring the Effectiveness of Integrated Care Models for Managing Mental Health Issues
ADINDU, K. N., Akubuiro, C. O., Onochie, E. D., Nwonye, U. C., Adesina, O., Otaniyen, P. N., & Okorie, C. D. (2024) · British journal of healthcare and medical research · doi:10.14738/bjhmr.116.17820 · Cited by 2 · see citing works
Mulalint, T., Seeherunwong, A., Wanitkun, N., & Tongsai, S. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-08250-5 · Cited by 2 · see citing works
A Sociological View of Mental Health and Illness
Rogers, A. E., & Pilgrim, D. M. (2018) · Cambridge University Press eBooks · doi:10.1017/9781911623038.004 · Cited by 2 · see citing works
Self-citationLi, Y., & Han, F. (2022) · BioMed Research International · doi:10.1155/2022/9910841 · Cited by 2 · see citing works
RetractedClinical outcomes in first-episode schizophrenia: identifying predictors of relapse
Kelebie, M. A., Kibralew, G., Fentahun, S., Rtbey, G., Aderaw, M., Endeshaw, W., Belachew, M., Muche, M., Nakie, G., Tesfaw, K., et al. (2025) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-025-03018-8 · Cited by 1 · see citing works
Blanchard, M. P., Pad, R. A., Groh, C. J., & Huprich, S. K. (2022) · Journal of Clinical Psychology in Medical Settings · doi:10.1007/s10880-022-09846-z · Cited by 1 · see citing works
Help-Seeking for Australian Youth who experience Disadvantage: A Systematic Review
Clark, J. C., Bartik, W. J., Davies, R. L., & Rice, K. (2025) · Child & Youth Care Forum · doi:10.1007/s10566-025-09864-6 · Cited by 1 · see citing works
Advances in the Prevention and Management of Obesity and Eating Disorders
Sainsbury, A., & da Luz, F. Q. (2018) · MDPI eBooks · doi:10.3390/books978-3-03842-854-1 · Cited by 1 · see citing works
Jordaan, C. (2015) · SUNScholar (Stellenbosch University)
AlKhatib, A. H. (2012) · The Meducator
Harris, E., Baum, F. E., Wise, M., Furler, J., Lawless, A. P., Harris, P. J., Harris‐Roxas, B., Kemp, L., Haig, F., & Hurley, C. J. (2014) · ANU Open Research (Australian National University)
Willis, C. (2015) · UEA Digital Repository (University of East Anglia)
Villatoro, A. P. (2014) · eScholarship (California Digital Library)
Chau, F. L. W. (2017) · cIRcle (University of British Columbia) · doi:10.14288/1.0340338
Mental health care use in medically unexplained and explained physical symptoms
van der Sluijs, J. F. V. E., Have, M. T., Rijnders, C. A. T., van Marwijk, H., de Graaf, R., & Feltz-Cornelis, C. M. V. D. (2016)
Learners’ Perspectives of Professionalism: Protocol for a Mixed Methods Systematic Review
Khan, N., van Mook, W., Dave, S., Ha, S., Sagisi, J., Davi, N., Aftab, C., Tiwari, S., Hickman, M., & Gilliar, W. G. (2022) · JMIR Research Protocols · doi:10.2196/37473
Chen, X., Winterowd, C., Li, M., & Kreps, G. L. (2025) · Public Health · doi:10.1016/j.puhe.2025.105786
Dong, T. V., Thi, H. L. D., Tran, A. K., Thanh, P. N. T., & Nguyen, T. V. (2025) · Multidisciplinary Science Journal · doi:10.31893/multiscience.2025635
Hyder, S., Peters, S., Edge, D., & Speer, S. A. (2025) · SSM - Qualitative Research in Health · doi:10.1016/j.ssmqr.2025.100660
Hyder, S., Peters, S., Edge, D., & Speer, S. A. (2025) · Research Explorer (The University of Manchester)
Childhood Stress and Depression in Native American Emerging Adults Raised in Stepfamilies
Martinez, A. A., & Limb, G. E. (2026) · Families in Society The Journal of Contemporary Social Services · doi:10.1177/10443894251390005
Demographic Insights from a Mental Health Telephone Helpline for the Punjabi and Sikh Community
Kaur, A., Makan, H. K., Mann, M., & Kaur, G. (2025) · Journal of Mental Health Disorders · doi:10.33696/mentalhealth.5.055
Exploring perceptions of ethnic terminology: A mixed methods study
Clarke-Jeffers, P., Akhtar, A., Aldrovandi, S., & Rentzelas, P. (2026) · Educational and Child Psychology · doi:10.53841/bpsecp.2026.43.3.5
Play as epistemic practice: neuroaffirming therapeutic knowing
Perri, N. (2026) · Subjectivity · doi:10.1057/s41286-026-00258-0
- Authors
- Lamb, J., Bower, P., Rogers, A., Dowrick, C., & Gask, L.
- Affiliations
- University of Manchester (GB)
- University of Liverpool (GB)
- Venue
- Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine
- Publisher
- SAGE Publications
- Published
- 2012-01
- Volume
- 16
- Issue
- 1
- Pages
- 76-104
- ISSN
- 1363-4593 (ISSN-L)
- 1461-7196
- OpenAlex
- W2119715782
- Cited by
- 101
- References
- 48
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 6 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 9 · 2019: 1 · 2018: 6 · 2017: 7 · 2016: 9 · 2015: 6 · 2014: 17 · 2013: 3 · 2012: 6
- FWCI
- 11.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Funders
- National Institute for Health and Care Research (RP-PG-0606-1071)
- University of Manchester
- NIHR School for Primary Care Research
- 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 › Migration, Health and Trauma
- Keywords
- access to mental health care, help-seeking, hard-to-reach populations, depression, anxiety, homelessness, long-term unemployment, eating disorders, geriatric depression, advanced cancer, medically unexplained symptoms, asylum seekers, Black and minority ethnic communities, stigma, social roles, self-management strategies, material disadvantage, primary care, marginalized communities
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Mental Disorders, Female, Health Services Accessibility, Humans, Male, Mental Health Services, Middle Aged, Patient Acceptance of Health Care, Primary Health Care, Young Adult
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.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
