Seeking help from a mental health professional: The influence of one's social network

Vogel, David L.; Wade, Nathaniel G.; Wester, Stephen R.; Larson, Lisa M.; Hackler, Ashley H.

doi:10.1002/jclp.20345

Cited by 317 publications

(233 citation statements)

References 36 publications

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“…Increased use of other human services when in contact with more than six friends is an indication that a large number of casual contacts constitutes a less dense network than that found with relatives or spouse. The network of a large number of friends is less dense because of less intimacy, emotional intensity, and lower social support; however, such a large number of contacts tends to provide more information about available services, thus encouraging help seeking (32). A network of casual contacts has been defined as constituting weak ties (33), a concept based on the strength and quality of interactions within one’s network, where weak ties result in sharing of general information about multiple services and strong ties result in sharing of detailed information about fewer specific services.…”

Section: Discussionmentioning

confidence: 99%

The Role of Social Network and Support in Mental Health Service Use: Findings From the Baltimore ECA Study

Maulik¹,

Eaton²,

Bradshaw³

2009

Psychiatric Services

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Objective A significant number of people with mental illness do not use mental health services to receive treatment for their symptoms. This study examined the hypothesis that social network and social support affect mental health service use. Methods Data were from the Baltimore cohort of the Epidemiologic Catchment Area study, a prospective cohort study that gathered data over four time points. This study examined data gathered in 1993–1996 (N=1,920) and 2004–2005 (N=1,071). The study examined indicators of social network and social support in relation to four types of service use (general medical, mental health within general medical, specialty psychiatric, and other human services) with multivariate logistic regression. Examples of other human services include a self-help group or crisis center for help with any psychological problem. Weighted generalized estimating equations were used for the analyses. Results Among persons with major depressive disorder, generalized anxiety disorder, panic disorder, or alcohol use disorder in the past year or psychological distress in the past few weeks, general medical service use was reduced when the frequency of contact with relatives or friends occurred less than daily, but it was increased by about 40% when there was a higher than median level of spousal support. In contrast, receiving general medical services for mental health problems was reduced by about 50% when there was a higher than median level of social support from relatives. Specialty psychiatric service use was reduced when there was regular contact with six or more relatives and there was a higher than median level of social support from friends and relatives. None of the social network or social support measures were significantly (p≤.01) associated with use of other human services. Conclusions Increased contact with the social network and higher levels of social support were associated with greater use of general medical services. However, more social support was associated with use of fewer services within the specialty psychiatric sector.

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Section: Discussionmentioning

confidence: 99%

The Role of Social Network and Support in Mental Health Service Use: Findings From the Baltimore ECA Study

Maulik¹,

Eaton²,

Bradshaw³

2009

Psychiatric Services

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“…The lifetime likelihood of suffering from depression is calculated to be up to 50% [36] and 75% of those who do seek professional help report they had been prompted to do so by someone else [37]. Therefore, at some stage in the help-seeking process the person will take the first step by disclosing their problem to someone else.…”

Section: Discussionmentioning

confidence: 99%

Announcers and confessors: How people self-disclose depression in health panels

Coe¹

2013

Health

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Focus groups can be used to explore sensitive topics and have been found to increase the likelihood and depth of disclosure of personal and sensitive information in comparison to individual interviews. This article focuses on how people make self-disclosures in group research settings, specifically self-disclosure of depression. Data was collected from twelve health panel groups, held in Somerset, England. Health panels are a focus group-based method where members of the public are brought together to discuss a variety of topics including sensitive ones. The topic discussed by the health panel was attitudes to help-seeking for stress and depression. In this paper I conceptualize two new types of discloser-which I term "announcers" and "confessors" and illustrate how normalizing language can facilitate disclosures. This study has important implications for focus groupbased research and for health professionals who deal with stigmatized conditions such as depression.

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“…Factors that influence attitudes toward help seeking include stigma, anticipated utility of treatment, propensity to self-disclose, and social support (Ajzen & Fishbein, 1980;Koenan, Goodwin, Struening, Hellman, & Guardino, 2003;Salzer & Bickman, 1999;Vogel & Wester, 2003;Vogel, Wade, Wester, Larson, & Hackler, 2007). Related barriers to help seeking behavior, often labeled organizational barriers, that have been identified by military personnel include: difficulty in getting time off from work, not having adequate transportation, not knowing where to go, difficulty scheduling appointments, distrust in the mental health system, or financial strain (Chappelle & Lumley, 2006;Hoge et al, 2004).…”

Section: Utility Of Screening For Behavioral Health Disordersmentioning

confidence: 99%

Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions

Kelley¹,

Bickman²,

Boyd³

et al. 2013

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Public reporting burden for this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing this collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Department of Defense, Washington Headquarters Services, Directorate for Information PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBERVanderbilt University Nashville, TN 37203-2416 SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR'S ACRONYM(S)U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 SPONSOR/MONITOR'S REPORT NUMBER(S) DISTRIBUTION / AVAILABILITY STATEMENTApproved for Public Release; Distribution Unlimited SUPPLEMENTARY NOTES ABSTRACTThis project addresses the need for research on service delivery approaches for Service Members with combat-related physical or psychiatric symptoms, including Posttraumatic Stress Disorder (PTSD) and/or post-concussive symptoms. As a primary care encounter, the post-deployment health reassessment (PDHRA) process is critical to force health protection efforts. The project will develop and test the efficacy of a focused training and feedback intervention for health care providers designed to increase Service member reports of behavioral health concerns and Service member acceptance of a referral for further assessment. The project has two goals.(1) Develop an evidence-based training program for providers who deliver deployment related assessments. (2) Evaluate the feasibility and efficacy of a targeted training and feedback program on primary care provider interviews and clinical communication patterns related to Service member behavioral health condition identification and referrals. To accomplish these aims, a training workshop that incorporates experiential learning strategies and evidence-supported characteristics of high quality communication training programs was piloted at 4 sites, reaching 23 providers. Multi-method and multi-reporter data include survey data (Service members and providers), program manager interviews, and electronic health data. Preliminary analyses indicate positive impact of the workshop: (a) rated as acceptable and feasible by participating providers; (b) increased providers' patient-centered communication skills and expected behaviors during PDHRA interview as rated by Service members; (c) increased providers' identification of BH concerns in context of PDHRA encounters where Service members anonymously reported BH concerns; and (d) affected PDHRA provider documentation, with more concerns and One Source referrals yet fewer medical referrals. Further analyses, including covariates, are planned for year five. SUBJECT TERMSTraining and feedback; provider behavior change; health risk appraisal; behavioral health 16.

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Seeking help from a mental health professional: The influence of one's social network

Cited by 317 publications

References 36 publications

The Role of Social Network and Support in Mental Health Service Use: Findings From the Baltimore ECA Study

The Role of Social Network and Support in Mental Health Service Use: Findings From the Baltimore ECA Study

Announcers and confessors: How people self-disclose depression in health panels

Improving Deployment-Related Primary Care Provider Assessments of PTSD and Mental Health Conditions

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