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Barriers and facilitators of help-seeking among unemployed persons with mental health problems: a qualitative study

Overview of attention for article published in BMC Health Services Research, January 2017
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7 X users

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45 Dimensions

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198 Mendeley
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Title
Barriers and facilitators of help-seeking among unemployed persons with mental health problems: a qualitative study
Published in
BMC Health Services Research, January 2017
DOI 10.1186/s12913-017-1997-6
Pubmed ID
Authors

Tobias Staiger, Tamara Waldmann, Nicolas Rüsch, Silvia Krumm

Abstract

Unemployed people with mental health problems often do not use mental health services and therefore do not benefit from available therapies. As unemployed individuals outside the healthcare system are a hard-to-reach group, barriers to and facilitators of mental health service use are poorly understood. The purpose of this study was to identify barriers to and facilitators of help-seeking and service use based on experiences of unemployed people with mental health problems. Fifteen qualitative semi-structured individual interviews were conducted with unemployed persons who reported mental health problems. Interview topics included individual experience with help-seeking and mental health service use with a focus on barriers and facilitators. Transcripts were analysed using qualitative content analysis and major themes were identified. Participants reported being treated as "different" within their social environment as well as by health care professionals because of their mental health problems, which resulted in a lack of self-esteem and avoidance of help-seeking. Interviewees associated negative attributes with help-seeking such as helplessness and weakness. They equated psychiatric medication with illegal drugs and worried about the risk of addiction. However, social support and a desire for change on the other hand increased the motivation to search for help. Employment agency staff were mostly perceived as supportive by individuals seeking mental health services. Unemployed individuals with mental health problems faced barriers and facilitators when seeking help on three different levels: (1) mental health literacy; (2) stigma and discrimination; and (3) structures and conditions of health care. Awareness and attitudes of health care professionals concerning mental health issues should be improved. Stigmatisation of people with mental illnesses should be reduced in health care settings. Training for employment agency staff concerning mental health problems and services is recommended.

X Demographics

X Demographics

The data shown below were collected from the profiles of 7 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 198 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 <1%
Unknown 197 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 32 16%
Student > Bachelor 31 16%
Student > Doctoral Student 17 9%
Student > Ph. D. Student 14 7%
Researcher 11 6%
Other 24 12%
Unknown 69 35%
Readers by discipline Count As %
Psychology 43 22%
Social Sciences 22 11%
Nursing and Health Professions 20 10%
Medicine and Dentistry 20 10%
Agricultural and Biological Sciences 3 2%
Other 14 7%
Unknown 76 38%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 February 2017.
All research outputs
#13,531,477
of 22,947,506 outputs
Outputs from BMC Health Services Research
#4,661
of 7,682 outputs
Outputs of similar age
#210,871
of 418,156 outputs
Outputs of similar age from BMC Health Services Research
#79
of 128 outputs
Altmetric has tracked 22,947,506 research outputs across all sources so far. This one is in the 39th percentile – i.e., 39% of other outputs scored the same or lower than it.
So far Altmetric has tracked 7,682 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.7. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 418,156 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 48th percentile – i.e., 48% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 128 others from the same source and published within six weeks on either side of this one. This one is in the 35th percentile – i.e., 35% of its contemporaries scored the same or lower than it.