CoChat
Sign Up
Cited by 101Mental Health Treatment and AccessPsychology and Mental HealthMigration, Health and Trauma

The DOI matches its Crossref record; 47 of the 48 references it cites were found in a registry or an index.

Access to mental health in primary care: A qualitative meta-synthesis of evidence from the experience of people from ‘hard to reach’ groups

Lamb, Jonathan, Bower, Peter, Rogers, Anne, Dowrick, Christopher, Gask, Linda·2012·Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine
DOI 10.1177/1363459311403945
Open this paper in CoChat — free account

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.

Overview

Integrity signals

Registry

Crossref · 10.1177/1363459311403945

Cites

47 of 47 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Verification

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

Citations

Cites

Show all 48 references

Research works printed but not linked: 3

  1. Blaxter M, 1996, Medical Sociology News, 22, 68
  2. Dixon-Woods M, 2005, Vulnerable Groups and Access to Health Care: A Critical Interpretive Review
  3. Gask L, Submitted BMC Health Services Research

Cited by

Sorted by citations

Related

See all

Metadata

Authors
Lamb, J., Bower, P., Rogers, A., Dowrick, C., & Gask, L.
Affiliations
  • University of Manchester (GB)
  • University of Liverpool (GB)
ORCID
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
DOI
10.1177/1363459311403945
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
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
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
  • Health Sciences › Medicine › Psychiatry and Mental health › 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