Thesis (Ph. D.)--Ohio State University, 2006. / Available online via OhioLINK's ETD Center; full text release delayed at author's request until 2007 May 25

Dissertation (Ph.D.)--Smith College School for Social Work, Northampton, Mass., 2009. / Includes bibliographical references (p. 129-148).

Thesis (Ph. D.)--University of Oregon, 2005. / Typescript. Includes vita and abstract. Includes bibliographical references (leaves 148-158). Also available for download via the World Wide Web; free to University of Oregon users.

Thesis (Ph.D.)--University of North Carolina at Greensboro, 2007. / Title from PDF t.p. (viewed Oct. 22, 2007). Directed by Diane L. Gill; submitted to the School of Health and Human Performance. Includes bibliographical references (p. 149-158).

abstract: Research on psychological help seeking has continued to grow as the field of psychology has expanded. Much of the research is often variable driven and assumes this construct is a global construct. The current study used the Theory of Planned Behavior to provide a theory based approach to understanding psychological help seeking intention. Also, the theory was tested for three common presenting concerns: Anxiety or Depression, Career Choice Concerns, and Alcohol or Substance Use. Two samples of over 400 university students completed surveys for all three concerns. Results produced invariance across path loadings for the concerns being compared. When thinking about seeking psychological help, university students do not appear to consider the type of concern but do rely on attitude, stigma, and how much control and efficacy they have to address their problems on their own. Mean differences emerged for some variables in the model, but no meaningful mean differences were noted for gender. Overall, the variables used in the decision making process do not appear to consider concern when seeking help, but the beliefs about seeking help differ some. These results extend the Theory of Planned Behavior to consider the importance of an individual's ability to address their problem on their own. When considering psychological help seeking, college students have similar attitudes and beliefs about their ability to access mental health resources, their beliefs about stigma, ability to address their problems on their own, and their intention to seek help vary more by concern. The specific concerns being addressed does not appear to impact the weight each variable is given in the decision making process; attitude, stigma, and ability to solve the problem on their own appear to be the variables given greatest consideration. / Dissertation/Thesis / Ph.D. Counseling Psychology 2011

Research has shown that a high number of South Asian people suffer with mental health problems and that South Asian women specifically, are at high risk of attempting self -harm or suicide. However, there seems to be a low uptake of the mainstream services offered by the South Asian community as a whole, compared to their white counterparts. Furthermore, the existing literature in this area is scarce and focuses on identifying barriers that South Asian women face in accessing help. This mixed methods study explored the mental health help seeking experiences of British born South Asian women. For the first part of the study, six (N=six) women who had successfully accessed therapy were interviewed and the qualitative data was analysed using Braun and Clarke’s (2006) framework for thematic analysis. The main superordinate themes identified included: therapy as a positive experience, perseverance and persistence, need to know basis, fears about being judged, the need for more publicising and awareness, recovery as an ongoing process, medical professionals needing to be more proactive, developing autonomy and putting your own needs first, developing understanding and the importance of the first step. Various subordinate themes were identified for some of these main superordinate themes. The second part of this study involved delivering a psycho educational workshop (which was partly based on the qualitative data generated in the first part of the study) to a group of South Asian women (N=25). Their attitude towards help seeking was measured before, immediately after and four weeks after the workshop using Fischer and Farina’s (1995) Attitudes toward Seeking Professional Psychological Help Scale. An ANOVA Test indicated a statistically significant difference in attitudes to help seeking before, immediately after and four weeks after the workshop. This study helped to get a better understanding of the experiences of a marginalised group and demonstrated how such information can be used to develop new and innovative interventions that can be used with a client group that appear to have low levels of engagement with and referral to mental health services.

Only a small percentage of people with mental health issues utilize mental health services. This would seem contradictory given the increasing understanding of mental disorders, their high prevalence, and associated disability and distress. Research shows that individual level factors, such as perceptions of need, mental health knowledge, mental health attitudes, and mental health literacy, are related to individuals’ decisions to seek mental health services. The Health Belief Model (HBM) posits four types of health beliefs that affect an individual’s health behavior, in this case, the decision to seek mental health services. To date, researchers and clinicians have no assessment tool to empirically identify the factors affecting a particular individual’s decision making about using mental health services. Therefore, the goal of this study was to develop and validate a self-report instrument, called the Mental Health Belief Model Assessment (MHBMA), designed to assess readiness to seek formal mental health services. Based on the HBM, the MHBMA includes 76 items grouped into five scales: Perceived Susceptibility and Fears, Perceived Severity, Perceived Benefits, Perceived Barriers, and Self-efficacy. A 20-item short form was also developed. The responses of a validation sample of 192 adults provided the initial evidence for reliability and validity of the MHBMA. In terms of reliability, internal consistency reliability was high for each scale, with Cronbach’s alphas ranging from .90 to .97, and test-retest correlation coefficients for each scale were strong, ranging from .82 to .92. Evidence for validity was examined via test content, internal structure, and relations to other variables. Specifically, moderate to high correlations in the expected directions were found between the MHBMA and Attitudes Toward Seeking Professional Psychological Help Scale-Short Form and the Barriers to Help Seeking Scale. The scale scores on the MHBMA were also examined in relation to a number of demographic and service use variables. Guidelines for use and interpretation on the MHBMA, delimitations and limitations of the current study, and implications for research and practice are discussed.

abstract: Many medical students are reluctant to seek help during the course of their four years of medical school. When they do finally ask for help, some are already burned out or in a crisis. One of the main reasons students are apprehensive about seeking help is stigma. This mixed methods action research study was conducted to explore whether a help-seeking, anti-stigma campaign improved help-seeking behaviors. The innovation was an anti-stigma campaign consisting of three components: (a) video vignettes of upper class students normalizing help-seeking, (b) a Friends and Family of Medical Students session to educate those closest to the student about medical school, and (c) an anonymous, online mental health screening tool. Data from the General Help-Seeking Questionnaire, individual interviews, and institutional data from the medical school provided information about the effects of the campaign and determined factors influencing help-seeking. Using these strategies, I hoped to normalize help-seeking and break down the barriers of stigma. Major findings included: Students were more likely to seek help from personal resources (close family and friends); Students may be more proactive with personal resources, but need prompting for college or formal resources; Students’ beliefs and attitudes were influenced by those closest to them and; First year students were more likely to seek help than their second year classmates. In addition, data inspired future research ideas and programming regarding the topic of help-seeking in medical school. / Dissertation/Thesis / Doctoral Dissertation Leadership and Innovation 2016

abstract: Factors of gender, marital status, and psychological distress are known to be related to help-seeking attitudes. This study sought to explore and understand the relations between gender, marital status, religiosity, psychological distress, and help-seeking attitudes among members of the Church of Jesus Christ of Latter-day Saints (Mormons). The moderating effect of religious commitment on psychological distress and attitudes towards seeking professional help was explored through an online survey of 1,201 Latter-day Saint individuals. It was predicted that gender and marital status would predict distress and helping seeking attitudes and that religiosity would moderate the relation between distress and help-seeking attitudes among religious individuals, with individuals who experience high distress and low religiosity being more likely to seek help than individuals with high distress and high religiosity. Participants completed the Kessler Psychological Distress Scale (K-10), Religious Commitment Inventory-10, and the Attitudes Toward Seeking Professional Psychological Help-Short Form online. Multiple hierarchical regressions were used to test the study hypotheses. Although the accounted for variances were small, gender was the most significant variable associated with both distress and help seeking. Females reported higher distress and being more willing to seek psychological help than did males. Religiosity did not moderate the relation between distress and help-seeking attitudes. These findings are discussed in light of previous research and gender role schemas as relevant to Mormon culture. / Dissertation/Thesis / Masters Thesis Counseling 2018

abstract: Approximately one-third of Iraq and Afghanistan veterans develop mental health problems, yet only 35-40% of those with mental disorders are seeking mental healthcare (Hoge, et al., 2004; Vogt, 2011). Military spouses may be an important resource for facilitating treatment seeking (Warner, et al., 2008), especially if service member mental health issues are impacting the marriage. Military spouses might be hesitant to encourage service member help-seeking, however, due to perceived threat of adverse military career consequences. For this study, 62 military wives completed an online survey. As part of the survey, participants were randomly assigned to one of four vignettes containing a description of a hypothetical military husband with mental health symptoms. Each vignette presented different combinations of marital conflict (high versus low) and service member concerns about adverse career consequences (high versus low). Wives rated on a five-point scale how likely they were to encourage the hypothetical military husband to seek help. It was hypothesized that spouses would be more willing to encourage help-seeking when concerns about adverse military career consequences were low and marital distress was high. No main effects or interaction effect were found for marriage and career. Perceived stigma about seeking mental health treatment in the military, psychological identification as a military spouse, and experience and familiarity with military mental healthcare policies failed to moderate the relationship between marital conflict, career concerns, and encouragement of help-seeking. Correlational analyses revealed that (1) greater experience with military mental healthcare (first- or secondhand), and (2) greater perceptions of stigma regarding seeking mental healthcare in the military each were associated with decreased perceptions of military supportiveness of mental healthcare. Therefore, although the experimental manipulation in this study did not lead to differences in military spouses' encouragement of a hypothetical military service member to seek mental health services, other findings based on participants' actual experiences suggest that experiences with military mental healthcare may generate or reinforce negative perceptions of military mental healthcare. Altering actual experiences with military mental healthcare, in addition to perceptions of stigma, may be a useful area of intervention for military service members and spouses. / Dissertation/Thesis / M.S. Psychology 2013