Faculty of Health, University of Technology Sydney, Level 11, 235 Jones St., Ultimo, NSW, 2007, Australia.
Central Coast Mental Health Service, Central Coast Local Health District, Gosford, NSW, Australia.
Community Ment Health J. 2019 Apr;55(3):476-486. doi: 10.1007/s10597-018-0270-8. Epub 2018 Mar 27.
There continues to be call for greater community awareness actions and strategies to reduce stigma and enhance mental health literacy nationally and internationally. To identify local barriers to help-seeking and perceptions around stigma, we developed a 'mental health attitudes and beliefs' survey which was administered at a range of community events on the Central Coast in New South Wales, Australia. The aim was for the results of this survey to inform the development of strategies that enhance local help-seeking behaviours that are sensitive to the role of age, gender and Indigenous status. People who approached our Mental Health Information stall were invited to complete the survey and 282 individuals completed the survey. The data was analysed descriptively with a focus on comparing subgroups based on age, gender, Indigenous status, and previous service access or experience of mental illness. Cost, stigma and mental health literacy were found to be prominent barriers to help-seeking for the overall cohort; however, the ways in which or extent to which these barriers impact on help seeking varied between subgroups. A discussion of these differences and their implications for practice is the focus of this paper.
人们一直呼吁在国内外采取更多的社区宣传行动和策略,以减少污名化现象,提高心理健康素养。为了了解寻求帮助的当地障碍和对污名的看法,我们开发了一个“心理健康态度和信念”调查,在澳大利亚新南威尔士州中央海岸的一系列社区活动中进行了管理。这项调查的目的是为制定战略提供信息,这些战略增强了对年龄、性别和土著地位的作用敏感的当地寻求帮助的行为。前来我们心理健康信息摊位的人被邀请完成调查,有 282 人完成了调查。数据进行了描述性分析,重点比较了基于年龄、性别、土著地位以及之前获得服务或经历过精神疾病的亚组。对于整个队列来说,费用、污名化和心理健康素养是寻求帮助的突出障碍;然而,这些障碍对寻求帮助的影响方式或程度在不同的亚组之间有所不同。本文讨论了这些差异及其对实践的影响。