I used a qualitative approach to explore the sociocultural factors influencing the pattern of the help-seeking pathway of Chinese caregivers with relatives suffering from early psychosis in Hong Kong. Analyses of the interview scripts of 58 caregivers revealed that they required an average of 5 months and 2.14 helpers before their ill relatives could receive formal psychiatric services. Drawing on Lin and Lin's model of the Chinese help-seeking pathway as a basis for discussion, this study finds that family caregivers engaged in intrafamilial coping and expanded in concentric circles to include relatives and friends as helpers in the help-seeking pathway. Contrary to Lin and Lin's view that informal network members might cause a delay in the help-seeking process, it is revealed that informal network members who possessed adequate knowledge of mental illness were able to encourage family caregivers to seek help from formal psychiatric services. The duration leading to extrafamilial coping was shorter than the one implied in Lin and Lin's model. Family caregivers were quite ready to seek help from professionals in the formal psychiatric services despite the fact that the ill relatives were reluctant to seek treatment due to psychiatric stigma. Finally, the findings of this study do not support the existence of the "rejection phase" of the help-seeking process proposed by Lin and Lin.
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http://dx.doi.org/10.1007/s11013-006-9038-7 | DOI Listing |
Int J Psychiatry Clin Pract
January 2025
Institute of Psychiatry, Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.
Objective: The first-episode psychosis (FEP) and clinical high-risk (CHR) team within the child and adolescent mental health (CAMH) service receives referrals by psychiatric units, CAMH service, schools, and general practitioners. This audit evaluated the implementation of the FEP-CHR team in Ferrara, Italy.
Methods: The FEP-CHR team provides standardised assessment and up to 2-year individualised treatment including pharmacological prescription, cognitive-behavioral psychotherapy, and vocational activities.
PLoS One
January 2025
London School of Hygiene & Tropical Medicine, Department of Global Health and Development, London, United Kingdom.
Background: Domestic violence and abuse (DVA) is a violation of human rights that damages the health and well-being of-gay, bisexual and other men who have sex with men (gbMSM). Sexual health services provide a unique opportunity to assess for DVA and provide support. This study explores the feasibility and acceptability of Healthcare Responding to Men for Safety (HERMES), a pilot intervention aimed to improve the identification and referral of gbMSM experiencing DVA in a London NHS Trust.
View Article and Find Full Text PDFInt J Eat Disord
December 2024
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Ali et al.'s (2024) systematic review and meta-analysis updated a previous meta-analysis on the gap between the need for eating disorder treatment and rates of seeking and receiving eating disorder treatment. They found that less than one-third of individuals with eating disorders sought help for their eating disorder, which was an improvement of only 8% over more than a decade.
View Article and Find Full Text PDFTranscult Psychiatry
December 2024
Psychosocial Research Centre, The University of Melbourne.
The Refugee Access Service (RAS) is a triage, assessment and referral service established in Melbourne, Australia to ensure timely and appropriate mental health support for young refugees. This qualitative study sought to explore the experiences of young people aged 12-25 years, and their families, newly arrived from Iraq and Syria, who had contact with the RAS, for the purposes of further programme development. Semi-structured interviews were conducted with participants, either individually or in family groups.
View Article and Find Full Text PDFSchizophr Res
December 2024
Department of Mental Health and Pathological Addictions, Local Authority, Bologna, Italy; Bologna Transcultural Psychosomatic Team (BoTPT), Department of Medical and Surgical Sciences, University of Bologna, Italy.
Objectives: Pathways to Care (PtC) are useful indicators of how patients access mental healthcare, especially in the context of first-episode psychosis (FEP). We explored how PtC: source of referral, is associated with patients' characteristics and clinical presentation and assessed the cross-country differences of the PtC predictors between South London and Bologna.
Methods: This study included 427 FEP individuals in the context of the European Union Gene-Environment Interactions (EU-GEI) study.
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