Thesis (Ph. D.)--University of Texas at Austin, 2008. / Vita. Includes bibliographical references.

This study investigated the relationship between public stigma, self-stigma, and help-seeking attitudes in a sample of undergraduate student-athletes. Student-athletes appear to be at increased risk for developing mental health issues compared to their non-athlete counterparts (Etzel et al., 2006). However, student-athletes appear to underutilize available mental health services for fear of being labeled as mentally ill as well as other factors (Pinkerton, Hinz, and Barrow, 1989). The purpose of the current study is to explore two facets of stigma as a potential explanation for negative attitudes toward help-seeking and thus the underutilization of these mental health services. Sixty-six student-athletes completed a 10-minute paper-pencil survey. The survey included measures of self-stigma, public stigma, help-seeking attitudes, demographic variables, and an open-ended question regarding barriers to help-seeking. Results indicated that self-stigma mediated the relationship between public stigma and help-seeking attitudes, which replicates the mediated model found in Vogel et al. (2007). Self-stigma appears to explain how negative stereotypes about those who seek help are internalized to form negative attitudes toward help-seeking for student-athletes. Further, student-athletes noted barriers to help-seeking such as lack of time or knowledge of resources as well as fear of being labeled as mentally ill. Implications for research and practice are delineated.

Background Posttraumatic stress disorder (PTSD) brings with it diagnostic symptoms that can be debilitating and persist for years. Left untreated, PTSD can have far-reaching and damaging consequences – for the individual, families, communities, and society at large. While early detection and intervention is recognized as key to the effective treatment of PTSD, many who suffer from PTSD do not seek essential health services. The aim of this study was to answer the research question: based on existing literature, what are the barriers and facilitators to help-seeking for individuals with PTSD? Methods A systematic review, modeled on the Joanna Briggs Institute (JBI) methodology for systematic reviews, examined studies cited in PsycINFO, Medline, Embase, CINAHL and PILOTS published from January 2000 to November 2015. Eligible studies measured barriers and facilitators to help-seeking for adults with PTSD. Two reviewers independently screened citations and double data extraction was exercised. Results Of 1,759 potentially relevant citations, sixteen studies were included, published between 2003 and 2015 and based in five countries, predominantly within the United States (n=12). Thirteen studies focused on military as a target population. Eight principal barrier themes and seven principal facilitator themes were identified, under which supportive subthemes were categorized. Conclusions In identifying prominent barriers and facilitators to help-seeking for individuals with PTSD, this review highlights opportunities to inform policies and programs that educate and promote PTSD knowledge and recognition, reduce public and personal stigma, improve access and availability of care, and encourage social support for patients and families living with PTSD.

This study explores the help-seeking processes of mothers with precarious immigration status who have experienced domestic violence while residing in a mid-size coastal city in British Columbia. Using semi-structured interviews with service providers and an intersectionality-informed thematic analysis, this study seeks to answer the following questions: (1) How do mothers with precarious immigration status seek help when experiencing domestic violence? (2) What facilitates or impedes women’s help-seeking processes? (3) How do existing services and systems respond to mothers with precarious status as they seek help with domestic violence? (4) What can be done to improve these responses? Qualitative data from service providers reveal that mothers with precarious status face numerous, intersecting and often insurmountable barriers as they seek help with domestic violence. Findings also indicate that despite the dedicated and collaborative efforts of participating service providers, many mothers with precarious status are forced to either return to their abusers or to return to their countries of origin. This research also shows how existing services and systems are not structured, funded, mandated or equipped to meet the needs of these mothers and their children. Moreover, the findings show how some of the systems and structures that these women encounter as they seek help seem to actively exclude, oppress and/or marginalize them. The findings of this exploratory study and the recommendations provided by service providers have implications for policy, practice and further research. / Graduate

Introduction: Both police and Armed Forces personnel are at increased risk of encountering psychological trauma with the prevalence of mental health problems higher than in the general population. Appropriate and effective mental health services are crucial but there is a marked lack of take-up of services. This research considered how the attitudes of police officers with a military background affected their help-seeking for mental health problems. Methodology: A phenomenological approach was used with the aims of producing rich data with the insider viewpoint and generating theory about the process. Semi-structured interviews were conducted with 11 male ex-Armed Forces police officers. A social constructivist Grounded Theory approach was used to analyse the data. Findings: Police officers with an Armed Forces background viewed themselves as a discrete social group. There was significant cognitive separation between them and their non-service peers, the police organisation, those with mental illness and mental health services. Four group norms, formed during military service, were identified as relevant to the research topic: a) Mission Focus, b) Strength and Control, c) Cohesion and d) Be the Best. These norms were used to determine the stigma associated with both on-set and off-set responsibility for mental health problems within the group. Group norms underpinned the acceptable strategies for managing mental health problems. Education around mental health was not seen as personally relevant at the time. Accepting a mental health problem was the greatest barrier to care and meant an acceptance of norm violation in oneself often triggering an existential crisis. Potential helpers were judged against the group norms and this either hindered or facilitated the process. As the individual recovered, they reframed the group norms in relation to their experience of mental illness and reported Post Traumatic Growth. A theoretical model for the help-seeking process is proposed. Implications: Anti-stigma interventionists need to consider the individual’s perception of their loss of a valued identity and their violation of group norms. The stereotyping and generalisation of police managers and mental health services as “other” reduces the likelihood of accepting offers of support from those sources. Education must connect with the early beliefs from military service in order to effect change. Organisational denial or ambivalence about the subject needs tackling just as much as the denial in the group and individuals. The group holds much of the solution to the problem within its own membership and peer supporters who have overcome their own mental health challenges can be better used by the organisation to both prevent and manage the problem. They need to able to provide timely, trusted referrals to competent mental health services.

The purpose of this study was to explore the decision-making process of Indo-Canadian women in seeking counselling help. Little research regarding help-seeking behaviours and attitudes of minority groups has been done in the area of counselling psychology. Even less attention has been given to the Indo-Canadian community. The aim of this study was to contribute to existing research through a contextual understanding of the influences on an Indo-Canadian woman whe/n faced with the decision to pursue counselling help. It was further intended to provide mental health services with information on ways of encouraging this cultural group to utilize the available help resources. This study used narrative and multiple case study methodology. Seven Indo-Canadian women, all having previously used mental health services, were interviewed. Interviews were then transcribed, and 'straightened' into individual narratives based on the unique story of each participant. Factors of hindrance and facilitation with regard to help-seeking were extracted from the narratives and then analyzed for commonalities. The transcripts and narratives were validated by an external examiner to ensure freedom from distortion and bias. Five of the seven stories along with the factors of hindrance and facilitation were further validated by the respective participants. In addition, an abstract story was constructed from the individual accounts. Findings extended the research through the identification of facilitating factors in the decision-making process of Indo-Canadian women in seeking counselling. / Education, Faculty of / Educational and Counselling Psychology, and Special Education (ECPS), Department of / Graduate

The purpose of the study was to explore the statistical relationships among selected variables related to gay divorced fathers in order to develop a better understanding of their gender role conflict and help-seeking behaviors. Participants (N=105) self-identified as Caucasian (91%), resided in the United States (90%), holding a bachelor's degree or higher (80%), and annual incomes of less than $80,000 (52%). The men ranged in age from 29 to 78 (M= 54), married from 1 to 38 years (M= 18), and divorced from 5 months to just under 37 years (M= 10). Participants completed an on-line questionnaire that included (a) Gender Role Conflict Scale, (b) Attitudes Toward Seeking Professional Psychological Help Scale, (c) Intentions to Seeking Counseling Inventory, (d) Hopkins Symptom Checklist, (e) two open-ended prompts, and (f) demographic questions. Participants who had received mental health services in the past were asked to report on what prompted them to seek services and the helpfulness of those services. Analysis of Pearson r was used to answer each of the research questions related to (a) GRC and psychological distress (positive correlation); (b) GRC and attitudes and intentions towards seeking psychological help (negative correlation); and (c) years married and psychological distress (negative correlation). Significance was not identified between time since divorce and any other variable. Over 80% of the participants had used mental health services with the three main reasons being coming-out, depression, and sexual identity. The most beneficial resources they had available to them and/or they would recommend to others were support groups, counseling/therapy, and general support. Findings are limited by a lack of cultural and ethnic diversity among the sample. Implications include using group counseling methods and/or a coaching model for service delivery. An informed integrated approach that focuses on systems, role development, and strategic thinking is recommended. Interventions should include depression and suicide assessments, brief solution focused methods, narrative work, social networking, and community resource guides. Future research should seek to determine between group differences with regards to the impact GRC has on one's ability to adjust to change, establish and maintain relationships, and willingness to seek help. / Ph. D.

Thesis (M.A. (Clinical Psychology)) -- University of Limpopo, 2020 / Mental illness is one of the major health challenges that significantly contribute to the global burden of diseases worldwide. Several studies reveal that mental illness often triggers or prompts people to embark on some help-seeking pathways in order to ameliorate their condition. These help-seeking pathways are often not linear routes, but rather recursive and complex. The aim of the study was to explore the pathways followed by caregivers of mentally ill persons seeking mental health care services in Sinthumule Kutama area. The objectives of the study were: a) to examine the experiences of caregivers in caring for persons suffering from mental illness; b) to explore pathways that caregivers often engage in when they are seeking treatment options for mentally ill patients before and/or after they have been diagnosed with their condition; and, c) to find out whether or not caregivers make use of other forms of management in addition to the formal treatment interventions that they may receive from the health care facilities. A qualitative approach was followed; and participants were selected through a snowball sampling method. The sample comprised twelve participants (female=11; Male=1) residing in and around the Sinthumule-Kutama District area, Limpopo Province. The participants’ ages ranged from 24 to 88 years. The data was collected using in-depth, semi-structured individual interviews and analysed using interpretative phenomenological analysis (IPA). The following themes emerged from the study: a) the perceived causes of the mental illness; b) the pathways followed in the management of mental illness; and c) the use of alternative forms of management interventions. The findings of this study revealed that the participants hold different perceptions and beliefs about the probable causes of mental illness. Secondly, the study further revealed that the participants visited a number of alternative management agencies to seek treatment for their mentally ill family members. Thirdly, the pathways that were followed were influenced by several factors such as the perceived cause of the illness, religious or cultural beliefs, severity of symptoms and/or advice from general practitioners and school teachers. This clearly suggests that participants have made use of more than one service provider to seek help for their family members. The path either started with the formal setting, then moved to the informal setting and vice versa. For instance, as soon as individuals with mental illness are discharged from the hospital, the caregivers consulted with other alternative service providers mainly to enhance the treatment they have received for protection from evil forces. The results suggest that help-seeking behaviour and the pathways chosen in the management of mental illness are largely influenced by socio-cultural factors and beliefs about the causes of the disease.

The majority of research on victim decision making has focused narrowly on reporting to police neglecting other ways in which victims seek help after a victimization experience. Similarly, this research also focuses on only one crime at a time, typically sexual assault, or focuses broadly on categories of violent crime. This dissertation aims to explore variations in victim help-seeking by examining and comparing various combinations of formal disclosure. Moreover, this study compares two distinctly different yet comparable interpersonal violent crimes: sexual assault and robbery. In so doing, this study employs the Theory of the Behavior of Law to examine whether social structure predicts the decision to formally disclose across these two crimes. Using National Crime Victimization Survey data from 1996-2015 (n=3,095), logistic regression is employed to explore formal disclosure, police reporting, and exclusive victim agency usage among female sexual assault and robbery victimizations. The results found little theoretical support; however, results consistently indicated that crime type was strongly related to all strategies of disclosure. These findings suggest that the Theory of the Behavior of Law does not explain victim decision making. Theoretical and practical implications as well as avenues for future research are discussed.

Background: Men around the world seek help to a lesser extent than women for mental health problems. Standards have demonstrated themselves negative in how men seek help for their mental problems, as they are usually associated as female problems. Men tend to minimize their mental illnessin fear of becoming stigmatized. The stigma can affect men's social life and aggravate their mental illness. Aim: The aim of the literature study was to describe how masculinity norms affect men’s help seeking when suffering from mental health issues. Method: A qualitative literature review based on 15 qualitative articles analyzed with a thematic analysis. Results: Five themes were identified; Mens obligations, Stigma to seek help for mental illness, Prejudice against mental illness, Lacking knowledge about mental illness, Lacking confidence to the healthcare. Conclusion: Norms affect men’s help seeking for mental health problems from several different angles. They can be enforced by the men themselves or by the community. Through knowledge of which thenorms are and how they are enforced, can they be changed.