The influence of caregiver attitudes and socioeconomic group on formal and informal mental health service use among youth

dc.contributor.authorPaula C.S.
dc.contributor.authorZiebold C.
dc.contributor.authorRibeiro W.S.
dc.contributor.authorPan P.M.
dc.contributor.authorMari J.J.
dc.contributor.authorBressan R.
dc.contributor.authorMiguel E.C.
dc.contributor.authorRohde L.A.
dc.contributor.authorSalum G.A.
dc.contributor.authorEvans-Lacko S.
dc.date.accessioned2024-03-12T19:14:44Z
dc.date.available2024-03-12T19:14:44Z
dc.date.issued2022
dc.description.abstract© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association. This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.Background. Young people can receive mental health care from many sources, from formal and informal sectors. Caregiver characteristics/experiences/beliefs may influence whether young people get help and the type of care or support used by their child. We investigate facilitators/ barriers to receiving formal and/or informal care, particularly those related to the caregiver’s profile. Methods. We interviewed 1,400 Brazilian primary caregivers of young people (aged 10–19), participants of a high-risk cohort. Caregivers reported on young people’s formal/informal mental health care utilization, and associated barriers and facilitators to care. Data were also collected on youth mental health and its impact on everyday life; and caregiver characteristics—education, socioeconomics, ethnicity, mental health, and stigma. Logistic regression models were used to examine the relationship between caregiver and young people characteristics with formal/informal care utilization. Results. Persistence and greater impact of youth mental health conditions were associated with a higher likelihood of care, more clearly for formal care. Caregiver characteristics, however, also played a key role in whether young people received any care: lower parental stigma was associated with greater formal service use, and lower socioeconomic class showed higher odds of informal care (mainly from religious leaders). Conclusions. This study highlights the key role of the caregivers as gatekeepers to child treatment access, particularly parental stigma influencing whether young people received any mental health care, even in a low resource setting. These results help to map barriers for treatment access and delivery for young people, aiming to improve intervention efforts and mental health support.
dc.description.issuenumber1
dc.description.volume65
dc.identifier.doi10.1192/j.eurpsy.2022.24
dc.identifier.issn1778-3585
dc.identifier.urihttps://dspace.mackenzie.br/handle/10899/34350
dc.relation.ispartofEuropean Psychiatry
dc.rightsAcesso Aberto
dc.subject.otherlanguageBrazil
dc.subject.otherlanguageChild Mental Health
dc.subject.otherlanguageFormal Care
dc.subject.otherlanguageInformal Care
dc.subject.otherlanguageService Use
dc.subject.otherlanguageStigma
dc.titleThe influence of caregiver attitudes and socioeconomic group on formal and informal mental health service use among youth
dc.typeArtigo
local.scopus.citations1
local.scopus.eid2-s2.0-85132925108
local.scopus.subjectAdolescent
local.scopus.subjectAttitude
local.scopus.subjectCaregivers
local.scopus.subjectChild
local.scopus.subjectHumans
local.scopus.subjectMental Health
local.scopus.subjectMental Health Services
local.scopus.subjectSocioeconomic Factors
local.scopus.updated2024-06-01
local.scopus.urlhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85132925108&origin=inward
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