Mental health service use by young people: the role of caregiver characteristics.

<h4>Aims</h4>Many children and adolescents experiencing mental health problems do not receive appropriate care. Strategies to encourage appropriate access to services might be improved by a more detailed understanding of service use determinants within this group. In view of caregivers&#...

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Main Authors: Petra C Gronholm, Tamsin Ford, Ruth E Roberts, Graham Thornicroft, Kristin R Laurens, Sara Evans-Lacko
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2015-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0120004&type=printable
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author Petra C Gronholm
Tamsin Ford
Ruth E Roberts
Graham Thornicroft
Kristin R Laurens
Sara Evans-Lacko
author_facet Petra C Gronholm
Tamsin Ford
Ruth E Roberts
Graham Thornicroft
Kristin R Laurens
Sara Evans-Lacko
author_sort Petra C Gronholm
collection DOAJ
description <h4>Aims</h4>Many children and adolescents experiencing mental health problems do not receive appropriate care. Strategies to encourage appropriate access to services might be improved by a more detailed understanding of service use determinants within this group. In view of caregivers' key role in young people's pathways to care, this study aimed to advance understanding of caregiver-related characteristics that influence service use among young people.<h4>Methods</h4>We interviewed 407 primary caregivers of young people aged 9-18 years, recruited from a Greater London (United Kingdom) community sample. Caregivers reported on young people's service use in health care sector and/or education settings, and caregivers' intended stigmatising behaviours, help-seeking attitudes, and personal service use. Logistic regression analyses examined the relationship between these caregiver characteristics and young people's service use, controlling for young people's clinical and socio-demographic factors.<h4>Results</h4>Caregivers' intended stigmatising behaviours in particular exerted a strong influence on young people's service use within each service setting. The impact of this characteristic interacted with caregivers' service use in influencing young people's service use across health care and education settings and health care settings specifically. For young people's service use within education settings, caregivers' intended stigmatising behaviours score had a main effect.<h4>Conclusions</h4>This study highlights the key role caregivers' attitudes and experiences hold in young people's service use. The findings indicate that strategies aiming to bridge the gap between young people's service needs and utilisation might be improved by targeting stigma amongst caregivers.
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spelling doaj-art-96b7b00fe0914cbc9d7c9f2e0f0b1f002025-08-20T02:34:07ZengPublic Library of Science (PLoS)PLoS ONE1932-62032015-01-01103e012000410.1371/journal.pone.0120004Mental health service use by young people: the role of caregiver characteristics.Petra C GronholmTamsin FordRuth E RobertsGraham ThornicroftKristin R LaurensSara Evans-Lacko<h4>Aims</h4>Many children and adolescents experiencing mental health problems do not receive appropriate care. Strategies to encourage appropriate access to services might be improved by a more detailed understanding of service use determinants within this group. In view of caregivers' key role in young people's pathways to care, this study aimed to advance understanding of caregiver-related characteristics that influence service use among young people.<h4>Methods</h4>We interviewed 407 primary caregivers of young people aged 9-18 years, recruited from a Greater London (United Kingdom) community sample. Caregivers reported on young people's service use in health care sector and/or education settings, and caregivers' intended stigmatising behaviours, help-seeking attitudes, and personal service use. Logistic regression analyses examined the relationship between these caregiver characteristics and young people's service use, controlling for young people's clinical and socio-demographic factors.<h4>Results</h4>Caregivers' intended stigmatising behaviours in particular exerted a strong influence on young people's service use within each service setting. The impact of this characteristic interacted with caregivers' service use in influencing young people's service use across health care and education settings and health care settings specifically. For young people's service use within education settings, caregivers' intended stigmatising behaviours score had a main effect.<h4>Conclusions</h4>This study highlights the key role caregivers' attitudes and experiences hold in young people's service use. The findings indicate that strategies aiming to bridge the gap between young people's service needs and utilisation might be improved by targeting stigma amongst caregivers.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0120004&type=printable
spellingShingle Petra C Gronholm
Tamsin Ford
Ruth E Roberts
Graham Thornicroft
Kristin R Laurens
Sara Evans-Lacko
Mental health service use by young people: the role of caregiver characteristics.
PLoS ONE
title Mental health service use by young people: the role of caregiver characteristics.
title_full Mental health service use by young people: the role of caregiver characteristics.
title_fullStr Mental health service use by young people: the role of caregiver characteristics.
title_full_unstemmed Mental health service use by young people: the role of caregiver characteristics.
title_short Mental health service use by young people: the role of caregiver characteristics.
title_sort mental health service use by young people the role of caregiver characteristics
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0120004&type=printable
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