Abstract:
BACKGROUND:Despite the emergence of mental health problems during adolescence and early adulthood, many young people encounter difficulties accessing appropriate services. In response to this gap, the Australian Government recently established new enhanced primary care services (headspace) that target young people with emerging mental health problems. In this study, we examine the experience of young people with depression accessing one of these services, with a focus on understanding how they access the service and the difficulties they encounter in the process. METHOD:Individual, in-depth, audio-recorded interviews were used to collect data. Twenty-six young people with depression were recruited from a headspace site in Melbourne, Australia. Interpretative phenomenological analysis was used to analyse the data. RESULTS:Four overlapping themes were identified in the data. First, school counsellors as access mediators, highlights the prominent role school counsellors have in facilitating student access to the service. Second, location as an access facilitator and inhibitor. Although the service is accessible by public transport, it is less so to those who do not live near public transport. Third, encountering barriers accessing the service initially. Two main service access barriers were experienced: unfamiliarity with the service, and delays in obtaining initial appointments for ongoing therapy. Finally, the service's funding model acts as an access facilitator and barrier. While the model provides a low or no cost services initially, it limits the number of funded sessions, and this can be problematic. CONCLUSIONS:Young people have contrasting experiences accessing the service. School counsellors have an influential role in facilitating access, and its close proximity to public transport enhances access. The service needs to become more prominent in young people's consciousness, while the appointment system would benefit from providing more timely appointments with therapists. The service's funding model is important in enabling access initially to young people from low socioeconomic backgrounds, but the government needs to reassess the model for those who require additional support.
journal_name
BMC Psychiatryjournal_title
BMC psychiatryauthors
McCann TV,Lubman DIdoi
10.1186/1471-244X-12-96subject
Has Abstractpub_date
2012-08-01 00:00:00pages
96issn
1471-244Xpii
1471-244X-12-96journal_volume
12pub_type
杂志文章相关文献
BMC Psychiatry文献大全abstract:INTRODUCTION:Research has shown that eating disorder (ED) patients who abuse substances demonstrate worse ED symptomatology and poorer outcomes than those with EDs alone, including increased general medical complications and psychopathology, longer recovery times, poorer functional outcomes and higher relapse rates. Th...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/1471-244X-13-289
更新日期:2013-11-07 00:00:00
abstract:BACKGROUND:Women exposed to gender-based violence (GBV) experience a high rate of common mental disorders and suicidal behaviour ("mental disturbance"). Little is known however about the timing of onset of mental disturbance following first exposure to GBV amongst women with no prior mental disorder. METHODS:The analy...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-014-0312-x
更新日期:2014-11-18 00:00:00
abstract:BACKGROUND:Nonsuicidal self-injury (NSSI) in adolescence has been described as comorbid condition in affective or anxiety disorders, as well as borderline personality disorder (BPD) and is a risk factor for later suicide attempts. Prevalence rates of NSSI decline steeply from adolescence to young adulthood. Yet, to the...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-015-0555-1
更新日期:2015-07-18 00:00:00
abstract:BACKGROUND:Hypnotic susceptibility is one of the stable characteristics of individuals, but not closely related to the personality traits such as those measured by the five-factor model in the general population. Whether it is related to the personality disorder functioning styles remains unanswered. METHODS:In 77 pat...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-11-121
更新日期:2011-07-30 00:00:00
abstract:BACKGROUND:Deficits in the mismatch negativity (MMN) and P3a components are the most reliable and robust findings in schizophrenia. These abnormalities have also been recently documented in individuals clinically at risk for psychosis, indicating that the MMN may be a potential biomarker for psychosis. However, the at ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-45
更新日期:2013-02-02 00:00:00
abstract:BACKGROUND:Early dramatic treatment response suggests a subset of patients who respond to treatment before most of it has been offered. These early responders tend to be over represented among those who are well at termination and at follow-up. Early response patterns in psychotherapy have been investigated only for a ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1351-x
更新日期:2017-05-25 00:00:00
abstract:BACKGROUND:Stigma and discrimination against people with mental illness remain barriers to help seeking and full recovery for people in need of mental health services. Yet there is scarce research investigating the experiences of psychiatric stigma on mental health service users in low- and middle-income countries (LMI...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-14-191
更新日期:2014-07-04 00:00:00
abstract:BACKGROUND:Negative symptoms are considered core symptoms of schizophrenia. The Brief Negative Symptom Scale (BNSS) was developed to measure this symptomatic dimension according to a current consensus definition. The present study examined the psychometric properties of the German version of the BNSS. To expand former ...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-1118-9
更新日期:2016-11-22 00:00:00
abstract:BACKGROUND:It is an open question as to whether differential developmental trajectories, potentially representing underlying pathophysiological processes, can form the basis of a more useful typology in young persons who present for mental health care. METHODS:A cohort of 605 young people was recruited from youth ment...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-13-303
更新日期:2013-11-12 00:00:00
abstract:BACKGROUND:Mental health literacy has received increasing attention as a useful strategy to promote early identification of mental disorders, reduce stigma and enhance help-seeking behaviors. However, despite the abundance of research on mental health literacy interventions, there is the absence of evaluations of curre...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/s12888-015-0681-9
更新日期:2015-11-17 00:00:00
abstract:BACKGROUND:Post-deinstitutionalisation, mental health supported accommodation services have been implemented widely. The available research evidence is heterogeneous in nature and resistant to synthesis attempts, leaving researchers and policy makers with no clear summary what works and for whom. In this context, we un...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1725-8
更新日期:2018-05-15 00:00:00
abstract:BACKGROUND:The purpose of this study was to identify factors associated with a high risk of involuntary psychiatric in-patient hospitalization both on the individual level and on the level of mental health services and the socioeconomic environment that patients live in. METHODS:The present study expands on a previous...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-020-02803-w
更新日期:2020-08-08 00:00:00
abstract:BACKGROUND:This study describes the study approach and field procedures of the MentDis_ICF65+ study, which aims to assess the prevalence of mental disorders in older adults. METHODS:An age-appropriate version of the Composite International Diagnostic Interview (CIDI65+) was developed and tested with regard to its feas...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1534-5
更新日期:2017-11-16 00:00:00
abstract:BACKGROUND:This randomized trial will compare three methods of assessing fidelity to cognitive-behavioral therapy (CBT) for youth to identify the most accurate and cost-effective method. The three methods include self-report (i.e., therapist completes a self-report measure on the CBT interventions used in session while...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-016-1034-z
更新日期:2016-09-15 00:00:00
abstract:BACKGROUND:Agitation episodes are common among patients with schizophrenia or bipolar disorder. Oral and intramuscular administration methods are commonly used in pharmacological treatment of acute agitation. Recently, an innovative inhalation product with loxapine(Adasuve®)has become available for treatment of acute a...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0930-6
更新日期:2016-07-16 00:00:00
abstract:BACKGROUND:Koro is a culture bound syndrome, which has been reported usually from Asian countries. It has been described as an acute, brief lasting illness, which often occurs in epidemics. There is no description in literature of a chronic form of this syndrome. CASE PRESENTATION:Two sporadic cases with koro-like sym...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-5-34
更新日期:2005-10-12 00:00:00
abstract:BACKGROUND:Antisocial personality disorder often co-exists with drug and alcohol use disorders. METHODS:This trial examined the effectiveness of offering psycho-education for antisocial personality disorder in community substance use disorder treatment centers in Denmark. A total of 176 patients were randomly allocate...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-015-0661-0
更新日期:2015-11-14 00:00:00
abstract:BACKGROUND:The Somatic and Psychological HEalth REport (SPHERE) is a 34-item self-report questionnaire that assesses symptoms of mental distress and persistent fatigue. As it was developed as a screening instrument for use mainly in primary care-based clinical settings, its validity and psychometric properties have not...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1420-1
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND:Excessive alcohol use has been associated with health, social and legal problems. Alcohol-related problems have been studied primarily in problem-drinker patients, with few studies on their family members, particularly about their own hazardous or harmful alcohol-drinking behaviours. METHOD:In this qualitat...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-017-1348-5
更新日期:2017-05-18 00:00:00
abstract:BACKGROUND:Adolescent non-suicidal self-injury (NSSI) is associated with altered sensitivity to experimentally induced pain. Adolescents engaging in NSSI report greater pain threshold and pain tolerance, as well as lower pain intensity and pain unpleasantness compared to healthy controls. The experience of pain is asso...
journal_title:BMC psychiatry
pub_type: 杂志文章,随机对照试验
doi:10.1186/s12888-015-0544-4
更新日期:2015-07-07 00:00:00
abstract:BACKGROUND:Clinical Practice Guidelines (CPGs) should follow an adequate methodology using an evidence-based approach in order to provide reliable recommendations. However, little is known regarding the quality of CPGs for Depression, which precludes its adequate use by stakeholders and mental health professionals. Thu...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2057-z
更新日期:2019-02-20 00:00:00
abstract:BACKGROUND:Family members who care for patients with severe mental illness experience emotional distress and report a higher incidence of mental illness than those in the general population. They report feeling inadequately prepared to provide the necessary practical and emotional support for these patients. The MAT tr...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1669-z
更新日期:2018-03-27 00:00:00
abstract:BACKGROUND:The literature suggests that many people in the general population tend to distance themselves from those with mental illness. However, there are volunteers that behave differently, spending their free time with people with mental illness and providing direct input in the form of befriending. Whilst there ar...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-018-1960-z
更新日期:2018-12-04 00:00:00
abstract:BACKGROUND:Posttraumatic Stress Disorder (PTSD) is a commonly occurring mental illness. There are multiple treatments for PTSD that have similar effectiveness, but these treatments differ substantially in other ways. It is desirable to have well-informed patients involved in treatment choices. A patient decision aid (P...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-016-0724-x
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Co-morbidity with substance use disorders negatively influences overall functioning in patients with psychosis. However, frequencies and courses of risky use of alcohol, drugs and cigarettes are rarely investigated in patients at psychosis units. The purpose of this study is to describe the use of alcohol, d...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-7-31
更新日期:2007-07-06 00:00:00
abstract:BACKGROUND:Administrative data are increasingly used to conduct research on depression and inform health services and health policy. Depression surveillance using administrative data is an alternative to surveys, which can be more resource-intensive. The objectives of this study were to: (1) systematically review the l...
journal_title:BMC psychiatry
pub_type: 杂志文章,评审
doi:10.1186/s12888-014-0289-5
更新日期:2014-10-17 00:00:00
abstract:BACKGROUND:Lithium has proven suicide preventing effects in the long-term treatment of patients with affective disorders. Clinical evidence from case reports indicate that this effect may occur early on at the beginning of lithium treatment. The impact of lithium treatment on acute suicidal thoughts and/or behavior has...
journal_title:BMC psychiatry
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1186/s12888-015-0499-5
更新日期:2015-05-19 00:00:00
abstract:BACKGROUND:The World Health Organization (WHO) has included comorbidity between depression and a chronic disease among the 10 leading global health priorities. Although there is a high prevalence of multimorbidity, health care systems are mainly designed for the management of individual diseases. Given the difficulty i...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/s12888-019-2037-3
更新日期:2019-02-11 00:00:00
abstract:UNLABELLED:The WARM study is a longitudinal cohort study following infants of mothers with schizophrenia, bipolar disorder, depression and control from pregnancy to infant 1 year of age. BACKGROUND:Children of parents diagnosed with complex mental health problems including schizophrenia, bipolar disorder and depressio...
journal_title:BMC psychiatry
pub_type: 临床试验,杂志文章
doi:10.1186/s12888-015-0692-6
更新日期:2015-12-09 00:00:00
abstract:BACKGROUND:Increased mortality rates among previous child and adolescent psychiatry (CAP) patients have been found in Scandinavian studies up to the 1980s. The suicide risk in this group has been estimated to be almost five times higher than expected. This article addresses two questions: Do Swedish CAP patients contin...
journal_title:BMC psychiatry
pub_type: 杂志文章
doi:10.1186/1471-244X-6-51
更新日期:2006-11-02 00:00:00