The Role of Providers in Mental Health Services Offered to American-Indian Youths

Stiffman, Arlene Rubin; Freedenthal, Stacey; Doré, Peter; Ostmann, M.P.H. Emily; Osborne, Margaret; Silmere, M.S.W. Hiie

doi:10.1176/ps.2006.57.8.1185

Cited by 7 publications

(3 citation statements)

References 19 publications

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“…Friends might exert negative peer pressure by encouraging selfdestructive behaviors, discouraging other help seeking, or responding in a stigmatizing fashion. Conversely, friends and family themselves can provide services similar to those of mental health professionals by listening, giving advice, and providing information about available resources (Stiffman et al, 2006). Pescosolido, Wright, Alegria, and Vera (1998) found that large social support networks decreased the likelihood of a person obtaining professional help for mental health problems.…”

Section: Discussionmentioning

confidence: 99%

“They Might Think I Was Crazy”: Young American Indians’ Reasons for Not Seeking Help When Suicidal

Freedenthal

Stiffman

2007

Journal of Adolescent Research

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It is well known that many suicidal young people avoid asking for help; however, the reasons why are less understood. A sample of 101 American Indians (age 15-21 years) who had thought about or attempted suicide was asked openended questions about barriers to seeking formal and informal help while suicidal. The 74 participants who avoided at least one type of help most commonly reported internal factors, such as embarrassment, lack of problem recognition, a belief that nobody could help, and self-reliance. Structural barriers, such as lack of money or service availability, were only rarely cited. Findings indicate that efforts to increase help seeking among young, suicidal American Indians should target beliefs about emotional problems and help seeking.

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Section: Discussionmentioning

confidence: 99%

“They Might Think I Was Crazy”: Young American Indians’ Reasons for Not Seeking Help When Suicidal

Freedenthal

Stiffman

2007

Journal of Adolescent Research

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“…We expected that an examination of help-seeking would result in a greater number of contacts compared to studies that examined only services received (e.g., Verhulst and Van der Ende 1997;Zwaanswijk et al 2007). In addition to the number of contacts, we analyzed parents' help-seeking efforts over time rather than focusing on a single end-point of being referred and/or receiving services (e.g., Stiffman et al 2006).…”

Section: The Current Studymentioning

confidence: 99%

Help-Seeking for Children with Mental Health Problems: Parents’ Efforts and Experiences

Reid

Cunningham

Tobon

et al. 2010

Adm Policy Ment Health

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Parents who contacted 1 of 15 children's mental health agencies in Ontario, Canada reported on where and why they were seeking mental health services for their 4- to 17-year-old children. Parents contacted an average of four agencies (± 1.7; range = 1-14) in the previous year. Approximately one-half of parents were looking for either multiple types of treatment, or help for different problems, across agencies. The complex pattern of help-seeking evidenced in our study likely increases the burden on the mental health care system and on families, and may reduce the likelihood that families will connect with the most appropriate treatment.

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“…The role of religious leaders in community mental health can be considered in terms of the Gateway Provider Model (GPM; Stiffman et al 2004). The GPM emphasises the role of key community individuals who can facilitate the identification of mental health issues and provide a gateway to mental health services (Stiffman et al 2006, Ellis et al 2010. The clergy are an important example of 'gateway providers' because they have a salient influence over their institutions and shape the physical and social environments for community health (Bopp et al 2013).…”

Section: Introductionmentioning

confidence: 99%

Mental health literacy in religious leaders: a qualitative study of Korean American Clergy

Jang

Park

Yoon

et al. 2016

Health Soc Care Community

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Although religious leaders in ethnic minority communities are often the first point of contact for mental health needs, little is known about their mental health literacy. The aim of the current study was to explore the knowledge and beliefs about depression held by Korean American clergy, using a qualitative approach. The Gateway Provider Model (GPM) and Jorm's conceptualisation of mental health literacy served as a framework for the enquiry. Seventeen clergy members serving in Korean communities in two U.S. metropolitan cities participated in an individual in-depth interview during the spring of 2013. Using the constant comparison method, the research team coded the data independently, compared and modified codes, and derived major categories and themes in consensus approach. Eight themes emerged from the interviews, and they were grouped into five categories: (i) the ability to identify the problem; (ii) knowledge about causes and risk factors; (iii) knowledge and beliefs about treatment; (iv) knowledge about resources and services; and (v) contextual factors. Despite some variations, a majority of the participants acknowledged that depression is an important issue in the Korean American community and felt a sense of responsibility for the well-being of their community members. The findings highlight the need for mental health education and training for religious leaders in ethnic minority communities to help them properly respond to community mental health needs.

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The Role of Providers in Mental Health Services Offered to American-Indian Youths

Cited by 7 publications

References 19 publications

“They Might Think I Was Crazy”: Young American Indians’ Reasons for Not Seeking Help When Suicidal

“They Might Think I Was Crazy”: Young American Indians’ Reasons for Not Seeking Help When Suicidal

Help-Seeking for Children with Mental Health Problems: Parents’ Efforts and Experiences

Mental health literacy in religious leaders: a qualitative study of Korean American Clergy

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