Understanding the Context and Dynamic Social Processes of Mental Health Treatment

Pescosolido, Bernice A.; Boyer, Carol A.

doi:10.1017/cbo9780511984945.026

Cited by 66 publications

(101 citation statements)

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“…The covariates of service use were not surprising, again extending prior studies and consistent with the NEM (10), with key demographic (age), need (major depressive episode diagnosis), attitudes (intention), prior experience (antidepressant use), and social context (advice) as important factors (19, 49–51). Stigma was not associated with service use, which could be due to its measurement, statistical power, the possibility that stigma was not as salient for this sample as it would be for a more severely depressed sample (25), or the possibility that stigma is not as significant a barrier as previously thought (52).…”

Section: Discussionsupporting

confidence: 78%

Six-Month Longitudinal Patterns of Mental Health Treatment Utilization by Older Adults With Depressive Symptoms

Gum¹,

Iser²,

King‐Kallimanis³

et al. 2011

Psychiatric Services

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OBJECTIVE For community-dwelling older adults with depressive symptoms, aims were to: describe behavioral health service utilization patterns over a six-month period; and identify factors associated with service use, guided by a multidimensional, comprehensive theoretical model emphasizing the dynamic nature of service use patterns over time and social context. METHODS 144 participants with depressive symptoms completed an in-person baseline interview and six monthly telephone follow-up interviews. Outcomes included use of antidepressants or counseling at each follow-up. Covariates included individual (demographic, need, prior treatment experience, intentions) and social context (stigma, advice) variables. RESULTS Approximately half of participants received no formal service (antidepressant or counseling; n = 70, 48%). Service use or non-use did not change for most participants. More participants with severe symptoms received antidepressants (25–37%) than those with milder symptoms (10–14%), although more of the milder cases started (62% vs. 49%) and stopped antidepressants (77% vs. 26%) at least once. Fewer individuals received counseling overall, with no clear patterns by symptom severity. In multivariate longitudinal analyses, service use at follow-up was independently associated with younger age, current major depressive episode, baseline use of antidepressant, intention to begin a new service at baseline, and receipt of advice to use services over follow-up. CONCLUSIONS Over a six-month period, the majority of older adults with depressive symptoms in this study continued use or non-use of mental health services. Demographic, need, attitudinal and social variables were related to service use over time. Addressing intentions and providing advice may facilitate uptake of services.

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Section: Discussionsupporting

confidence: 78%

Six-Month Longitudinal Patterns of Mental Health Treatment Utilization by Older Adults With Depressive Symptoms

Gum¹,

Iser²,

King‐Kallimanis³

et al. 2011

Psychiatric Services

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“…Guided by social network perspectives on help seeking (Pescosolido & Boyer, 2010), we tested two potential mediators for our second set of hypotheses. We did not find evidence for the social support hypothesis, which states that racial disparities in professional psychological help seeking can be attributed to Asian Americans' tendency to avoid seeking explicit social support for mental health problems (Kim, Sherman, & Taylor, 2008).…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, social network perspectives conceptualize help seeking as a socially embedded process whereby people seek out members of their social network who, in turn, influence their decisions to seek professional help (Pescosolido & Boyer, 2010). In the context of professional psychological help seeking, social network perspectives acknowledge that individuals often do not seek mental health services directly but initiate the help-seeking Help Seeking for Suicidal Ideation 260 VOLUME 18 NUMBER 3 2014 process by seeking help from members of their social network (e.g., family, friends, teachers, and family physicians; Saunders & Bowersox, 2007).…”

Section: Social Network Perspectives On Professional Psychological Hementioning

confidence: 99%

“…Finally, one of the unique contributions of our study is our focus on social network perspectives on help seeking (Pescosolido & Boyer, 2010), which have been relatively unexplored in research on Asian American help seeking. Such perspectives may be particularly relevant to understanding suicidal Asian Americans' professional psychological help seeking patterns because its focus on relational influences on help seeking decisions is congruent with Asian collectivistic cultural values (Chung, 2009).…”

Section: J Wong Et Almentioning

confidence: 99%

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A Mediation Model of Professional Psychological Help Seeking for Suicide Ideation among Asian American and White American College Students

Wong

Brownson

Rutkowski

et al. 2014

Archives of Suicide Research

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This study examined professional psychological help seeking among 1,045 white American and Asian American students from 70 U.S. colleges and universities who had seriously considered attempting suicide. The authors found that Asian American college students had lower rates of professional psychological help seeking for their suicide ideation than White American college students. Guided by social network perspectives on professional psychological help seeking, the authors also tested mediators of this racial disparity. Relative to white Americans, Asian Americans were advised by fewer people (especially fewer family members) to seek professional help, which was, in turn, associated with lower rates of professional psychological help seeking for suicide ideation. These findings underscore the importance of gatekeeping as a suicide prevention strategy for Asian American college students.

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“…It particularly concerns the contextual dynamics by which social meanings of illness and care inform the relations between individuals with a mental health problem and their social network members (Pescosolido & Boyer, 2010).…”

mentioning

confidence: 99%

Exploring Identity Dynamics in Mental Help-Seeking Trajectories: An Ethnographic Study Among Inpatient Service Users of Two Belgian Psychiatric Hospitals

Sercu

Pattyn²,

Bracke

2015

Archives of Psychiatric Nursing

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Understanding the Context and Dynamic Social Processes of Mental Health Treatment

Cited by 66 publications

References 0 publications

Six-Month Longitudinal Patterns of Mental Health Treatment Utilization by Older Adults With Depressive Symptoms

Six-Month Longitudinal Patterns of Mental Health Treatment Utilization by Older Adults With Depressive Symptoms

A Mediation Model of Professional Psychological Help Seeking for Suicide Ideation among Asian American and White American College Students

Exploring Identity Dynamics in Mental Help-Seeking Trajectories: An Ethnographic Study Among Inpatient Service Users of Two Belgian Psychiatric Hospitals

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