Factors related to help-seeking and service utilization for professional mental healthcare among young people: An umbrella review

IF 13.7 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical Psychology Review Pub Date : 2024-09-24 DOI:10.1016/j.cpr.2024.102504

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Abstract

The aim of this umbrella review is to summarize evidence on factors that influence help-seeking and service utilization for professional mental healthcare among young people ages 0–30. The CINAHL, Cochrane, Epistemonikos, MEDLINE, PsycINFO, PubMed, and Web of Science databases were searched in December 2023 for systematic reviews in English. The search yielded 26 eligible reviews, all of which are medium or high quality. Primary study overlap was rare. Using an established framework, we organize intrapersonal (n = 37), interpersonal (n = 14), institutional (n = 9), community (n = 7), and public policy (n = 6) factors. The most frequently reviewed factor at each level is trust of professionals (intrapersonal), close others' support for treatment (interpersonal), cost (institutional), availability (community), and insurance (public policy). Stigma is widely referenced (18 reviews) and classified as multi-dimensional. Narrative synthesis reveals population-specific variability (e.g., rural, racial/ethnic minority, refugees, immigrants) in the importance of many factors. To develop interventions and healthcare systems sensitive to young people's needs, we recommend promoting stigma-reduction campaigns, and targeting trustworthiness, affordability, anonymity, accessibility, and mental health literacy. Identifying commonalities and differences across populations and contexts assists in the design of nuanced and efficient treatment delivery systems for young people, who are at a critical time for their mental health.

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青少年寻求帮助和利用专业精神保健服务的相关因素：综述

本综述旨在总结影响 0-30 岁青少年寻求帮助和利用专业心理保健服务的因素的相关证据。2023 年 12 月，我们在 CINAHL、Cochrane、Epistemonikos、MEDLINE、PsycINFO、PubMed 和 Web of Science 数据库中检索了英文系统综述。检索结果显示有 26 篇符合条件的综述，全部为中等或高质量。主要研究重叠的情况很少见。利用既定框架，我们整理了个人内部因素（n = 37）、人际因素（n = 14）、机构因素（n = 9）、社区因素（n = 7）和公共政策因素（n = 6）。在各个层面上，最常被提及的因素是对专业人员的信任（个人内部）、亲密他人对治疗的支持（人际关系）、费用（机构）、可用性（社区）和保险（公共政策）。成见被广泛引用（18 篇综述），并被归类为多维成见。叙述性综述揭示了特定人群（如农村、少数种族/族裔、难民、移民）在许多因素的重要性方面存在差异。为了开发对年轻人的需求敏感的干预措施和医疗保健系统，我们建议推广减少污名化运动，并以可信度、可负担性、匿名性、可及性和心理健康知识为目标。找出不同人群和背景下的共性和差异，有助于为正处于心理健康关键时期的年轻人设计细致高效的治疗体系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Psychology Review PSYCHOLOGY, CLINICAL-

CiteScore

23.10

自引率

1.60%

发文量

期刊介绍： Clinical Psychology Review serves as a platform for substantial reviews addressing pertinent topics in clinical psychology. Encompassing a spectrum of issues, from psychopathology to behavior therapy, cognition to cognitive therapies, behavioral medicine to community mental health, assessment, and child development, the journal seeks cutting-edge papers that significantly contribute to advancing the science and/or practice of clinical psychology. While maintaining a primary focus on topics directly related to clinical psychology, the journal occasionally features reviews on psychophysiology, learning therapy, experimental psychopathology, and social psychology, provided they demonstrate a clear connection to research or practice in clinical psychology. Integrative literature reviews and summaries of innovative ongoing clinical research programs find a place within its pages. However, reports on individual research studies and theoretical treatises or clinical guides lacking an empirical base are deemed inappropriate for publication.