1,151
Views
2
CrossRef citations to date
0
Altmetric
Research Article

Perceived barriers to accessing mental health services for rural and small city Cape Breton youth

, MSW, , PhD & , PhD

References

  • Boydell, K., Pong, R., Volpe, T., Tilleczek, K., Wilson, E., & Lemieux, S. (2004). The rural perspective on continuity of care: Pathways and barriers to care for children with emotional and behavioural disorders. Retrieved from http://www.cfhi-fcass.ca/SearchResultsNews/04-05-01/ecd2cb0b-a1a5-41ff-805a-3cb668b0641a.aspx
  • Canadian Institutes of Health Research. (2010). Access and wait times in child and youth mental health services. A background paper. Retrieved from http://www.excellenceforchildandyouth.ca/sites/default/files/policy_access_and_wait_times.pd
  • Canadian Mental Health Association. (2014). Fast facts about mental illness. Retrieved from http://www.cmha.ca/media/fast-facts-about-mental-illness/#.VIUU4V6D1jY
  • Chandra, A., & Minkovitz, C. (2006). Stigma starts early: Gender differences in teen willingness to use mental health services. Journal of Adolescent Health, 38(6), 754.e1–754.e8. doi:10.1016/j.jadohealth.2005.08.011
  • Cheung, A. H., & Dewa, C. S. (2007). Mental health service use among adolescents and young adults with major depressive disorder and suicidality. Canadian Journal of Psychiatry, 52(4), 228–232. doi:10.1177/070674370705200404
  • Curtis, A. C., Waters, C. M., & Brindis, C. (2011). Rural adolescent health: The importance of prevention services in the rural community. The Journal of Rural Health, 27(1), 60–71. doi:10.1111/j.1748-0361.2010.00319.x
  • Davidson, S., & Manion, I. G. (1996). Facing the challenge: Mental health and illness in canadian youth. Psychology, Health & Medicine, 1(1), 41–56. doi:10.1080/13548509608400005
  • Eisenberg, D., Downs, M., Golberstein, E., & Zivin, K. (2009). Stigma and help seeking among college students. Medical Care Research and Review, 66(5), 522–541. doi:10.1177/1077558709335173
  • Ellenbogen, S., Hair, H. J., Kirkland Smith, J., & Wilton, P. (2019). The change clinic counselling service: Blending client-centred and strength-based practices to improve mental health services to families. Canadian Journal of Community Mental Health, 38(1), 1–8. doi:10.7870/cjcmh-2018-021
  • Ellenbogen, S., Trocmé, N., Wekerle, C., & McLeod, K. (2015). An exploratory study of physical abuse–related shame, guilt, and blame in a sample of youth receiving child protective services: Links to maltreatment, anger, and aggression. Journal of Aggression, Maltreatment & Trauma, 24(5), 532–551. doi:10.1080/10926771.2015.1029183
  • Francis, B., Boyd, C., Aisbett, D., Newnham, K., & Newnham, K. (2006). Rural adolescents’ attitudes to seeking help for mental health problems. Youth Studies Australia, 25(4), 42–49.
  • Gardner, W., Pajer, K., Cloutier, P., Zemek, R., Currie, L., Hatcher, S., … Lima, I. (2019). Changing rates of self-harm and mental disorders by sex in youths presenting to the Ontario emergency departments: Repeated cross-sectional study. The Canadian Journal of Psychiatry, 64(11), 789–797. doi:10.1177/0706743719854070
  • Gilbert, P., & Miles, J. (2000). Sensitivity to social put-downs: It’s relationship to perceptions of social rank, shame, social anxiety, depression, anger and self-other blame. Personality and Individual Differences, 29(4), 757–774. doi:10.1016/S0191-8869(99)00230-5
  • Government of Nova Scotia. (2012). Together we can: The plan to improve mental health and addictions care for Nova Scotians. Retrieved from http://novascotia.ca/dhw/mental-health/reports/Mental-Health-and-Addictions-Strategy-Together-We-Can.pdf
  • Gulliver, A., Griffiths, K., & Christensen, H. (2010). Perceived barriers and facilitators to mental health help-seeking in young people: A systematic review. BMC Psychiatry, 10(1). doi:10.1186/1471-244X-10-113
  • Jorm, A. F. (2012). Mental health literacy: Empowering the community to take action for better mental health. American Psychologist, 67(3), 231–243. doi:10.1037/a0025957
  • Keppel, G. (1982). Design and analysis: A researcher’s handbook. New Jersey: Prentice Hall.
  • Kilty, H. L. (2007). Rural health: A qualitative research approach to understanding best practices for rural health service delivery in a public health setting. Retrieved from http://hnhu.org/wp-content/uploads/Rural_Health_Report_2007_low_res.pdf
  • Kim, S., Thibodeau, R., & Jorgensen, R. S. (2011). Shame, guilt, and depressive symptoms: A meta-analytic review. Psychological Bulletin, 137(1), 68–96. doi:10.1037/a0021466
  • Kuhl, J., Jarkon-Horlick, L., & Morrissey, R. F. (1997). Measuring barriers to help-seeking behavior in adolescents. Journal of Youth and Adolescence, 26(6), 637–650. doi:10.1023/a:1022367807715
  • Langholz, H. C. (2014). Systemic barriers to mental health care: A qualitative study (Master of Social Work Clinical Research Papers). St. Catherine University/University of St. Thomas, St. Paul, MN.
  • McIlwraith, R. D., & Dyck, K. G. (2002). Strengthening rural health: The contribution of the science and the practice of psychology. Paper prepared for the Canadian Psychological Association. Retrieved from http://www.cpa.ca/docs/File/cpapadvocacyproject/rural.pdf
  • Meredith, L., Stein, B., Paddock, S., Jaycox, L., Quinn, V., Chandra, A., & Burnam, A. (2009). Perceived barriers to treatment for adolescent depression. Medical Care, 47(6), 677–685. doi:10.1097/MLR.0b013e318190d46b
  • Miller, J. K., & Slive, A. (2004). Breaking down the barriers to clinical service delivery: Walk-in family therapy. Journal of Marital and Family Therapy, 30(1), 95–103. doi:10.1111/j.1752-0606.2004.tb01225.x
  • Muris, P., Meesters, C., Heijmans, J., Van Hulten, S., Kaanen, L., Stikkelbroeck, T., & Tielemans, T. (2016). Lack of guilt, guilt and shame: A multi-informant study on the relations between self-conscious emotions and psycopathology in clinically referred children and adolescents. European Child & Adolescent Psychiatry, 25, 383–396. doi:10.1007/s00787-015-0749-6
  • O’Connor, L., Berry, J., Inaba, D., & Weiss, J. (1994). Shame, guilt, and depression in men and women in recovery from addiction. Journal of Substance Abuse Treatment, 11(6), 503–510. doi:10.1016/0740-5472(94)90001-9
  • Pietrzak, R. H., Johnson, D. C., Goldstein, M. B., Malley, J. C., & Southwick, S. M. (2015). Perceived stigma and barriers to mental health care utilization among OEF-OIF veterans. Psychiatric Services, 60(8), 1118–1122. doi:10.1176/ps.2009.60.8.1118
  • Reid, G., & Brown, J. (2008). Money, case complexity, and wait lists: Perspectives on problems and solutions at children’s mental health centres in Ontario. The Journal of Behavioral Health Services & Research, 35(3), 3340346. doi:10.1007/s11414-008-9115-5
  • Sareen, J., Jagdeo, A., Cox, B., Clara, I., ten Have, M., Belik, S. L., de Graaf, R. & Stein, M. (2007). Perceived barriers to mental health service utilization in the United States, Ontario, and the Netherlands. Psychiatric Services, 58(3), 357–364. doi:10.1176/appi.ps.58.3.357
  • Shaffer, D., Gould, M. S., Fisher, P., Trautman, P., Moreau, D., Kleinman, M., & Flory, M. (1996). Psychiatric diagnosis in child and adolescent suicide. Archives of General Psychiatry, 53(4), 339–348. doi:10.1001/archpsyc.1996.01830040075012
  • Sheffield, J., Fiorenza, E., & Sofronoff, K. (2004). Adolescents’ willingness to seek psychological help: Promoting and preventing factors. Journal of Youth and Adolescence, 33(6), 495–507. doi:10.1023/B:JOYO.0000048064.31128.c6
  • Statistics Canada. (2009). Mortality: Summary list of causes (Statistics Canada Catologue No. 84F0209X). Retrieved from http://www.statcan.gc.ca/pub/84f0209x/84f0209x2009000-eng.htm
  • Statistics Canada. (2011). Income in Canada, 2009. Retrieved from https://www150.statcan.gc.ca/n1/en/catalogue/75-202-X
  • Statistics Canada. (2017). Population centre and rural area classification 2016. Retrieved from https://www.statcan.gc.ca/eng/subjects/standard/pcrac/2016/introduction
  • Sterling, S., Weisner, C., Hinman, A., & Parthasarathy, S. (2010). Access to treatment for adolescents with substance use and co-occurring disorders: Challenges and opportunities. Journal of the American Academy of Child and Adolescent Psychiatry, 49(7), 637–646. doi:10.1016/j.jaac.2010.03.019
  • Tangney, J., & Dearing, R. (2003). Shame and guilt. New York, NY: Guilford Press.
  • Thomas, W., & Bellefeuille, G. (2006). An evidence-based formative evaluation of a cross cultural aboriginal mental health program in Canada. Advances in Mental Health, 5(3), 1–14.
  • Waddell, C., McEwan, K., Hua, J., & Shepherd, C. (2002). Child and youth mental health: Population health and clinical service considerations. A research report prepared for the British Columbia Ministry of Children and Family Development. Retrieved from http://childhealthpolicy.ca/wp-content/themes/chpc/pdf/RR-1-02-full-report.pdf
  • Waddell, C., McEwan, K., Shepherd, C., Offord, D., & Hua, J. (2005). A public health strategy to improve the mental health of Canadian children. Canadian Journal of Psychiatry, 50(4), 226–233. doi:10.1177/070674370505000406
  • Wechsler, H., Nelson, T. F., Lee, J. E., Seibring, M., Lewis, C., & Keeling, R. P. (2003). Perception and reality: A national evaluation of social norms marketing interventions to reduce college students’ heavy alcohol use. Journal of Studies on Alcohol, 64(4), 484–494. doi:10.15288/jsa.2003.64.484
  • Wille, N., Bettge, S., & Ravens-Sieberer, U. (2008). Risk and protective factors for children’s and adolescents’ mental health: Results of the BELLA study. European Child & Adolescent Psychiatry, 17(1), 133–147. doi:10.1007/s00787-008-1015-y
  • Wilson, C. J., Deane, F. P., Marshall, K. L., & Dalley, A. (2007). Reducing adolescents’ perceived barriers to treatment and increasing help-seeking intentions: Effects of classroom presentations by general practitioners. Journal of Youth and Adolescence, 37(10), 1257–1269. doi:10.1007/s10964-007-9225-z

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.