Increasing Access - Barriers and Facilitators

Question 1

Radez et al (2021)

Answer 1

Focus on CYP systematic review of quant. and qual. studies, showing (1) individual factors such as lack of knowledge, wanting it to be ‘own choice’ and not others; (2) social factors such as stigma and embarrassment, but reduced stigma and public normalisation of help-seeking facilitators; (3) relationship factors such as importance of confidentiality; (4) structural-systemic factors such as time, interference with other activities, costs, transport

Highlights importance to continue minimising perceived mental health stigma among young people e.g., ‘Time to Change’ initiative in UK and school-based interventions (Mellor, 2014)

Question 2

Reardon et al (2017)

Answer 2

Parents known as ‘gatekeeper’ or ‘gateway provider’ (Stiffman et al., 2004)

(1) Systemic-Structural; (2) attitudes towards service providers and psychological treatment (e.g., trust and confidence, previous poor experience); (3) knowledge and understanding of MH problems and help-seeking process

However, most quantitative studies used questionnaires which may have led to over-exaggeration of reports