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Barriers to Help Seeking for Mental Disorders in a Rural Impoverished Population
Authors:Jeanne C. Fox  Michael Blank  Virginia G. Rovnyak  Rhoneise Y. Barnett
Affiliation:(1) Southeastern Rural Mental Health Research Center, University of Virginia Health System, P.O. Box 800393, Charlottesville, VA, 22908-0393;(2) Center for Mental Health Policy and Services Research, University of Pennsylvania, USA;(3) Southeastern Rural Mental Health Research Center, University of Virginia, USA;(4) University of Virginia School of Medicine, USA
Abstract:This study examined barriers to seeking mental health care reported by individuals in a rural impoverished population, by screening 646 randomly selected adults for depression, anxiety, and alcohol abuse. Respondents who screened positive were randomly assigned to one of three groups: (1) no intervention, (2) an educational intervention alone, or (3) the educational intervention in the presence of a significant other. Those who screened positive for disorders cited barriers to care at significantly higher rates than respondents who screened negative. Respondents who received the educational intervention endorsed several barriers at significantly lower rates in the follow-up telephone call (subsequent to the intervention) than in the original interview (prior to the intervention). Virtually all respondents in a subsample of 142 subjects (99.3%) said they would seek mental health care if they thought mental health services would help them.
Keywords:barriers  help seeking  mental disorders  mental health services  rural population
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