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Australian Journal of Primary Health Australian Journal of Primary Health Society
The issues influencing community health services and primary health care
RESEARCH ARTICLE

Understanding help seeking for mental health in rural South Australia: thematic analytical study

Joanne E. Collins A C , Helen Winefield A B , Lynn Ward A and Deborah Turnbull A
+ Author Affiliations
- Author Affiliations

A School of Psychology, The University of Adelaide, Adelaide, SA 5005, Australia.

B Department of Psychiatry, The University of Adelaide, Adelaide, SA 5005, Australia.

C Corresponding author. Email: joanne.collins@adelaide.edu.au

Australian Journal of Primary Health 15(2) 159-165 https://doi.org/10.1071/PY09019
Published: 5 June 2009

Abstract

This study investigated barriers to help seeking for mental health concerns and explored the role of psychological mindedness using semistructured interviews with sixteen adults in a South Australian rural centre. Prior research-driven thematic analysis identified themes of stigma, self-reliance and lack of services. Additional emergent themes were awareness of mental illness and mental health services, the role of general practitioners and the need for change. Lack of psychological mindedness was related to reluctance to seek help. Campaigns, interventions and services promoting mental health in rural communities need to be compatible with rural cultural context, and presented in a way that is congruent with rural values.

Additional keywords: psychological mindedness, rural health, stigma.


References


Australian Bureau of Statistics (2002) 3318.0 Mortality Atlas, Australia, 1997–2000. Available at http://www.abs.gov.au/ausstats/abs@.nsf/mediareleasesbyReleaseDate/809DA55D19E2931ECA256C91007DAFAF?OpenDocument [Verified 4 April 2008]

Australian Institute of Health and Welfare (2006) ‘Australia’s health 2006.’ Cat. no. AUS73. (Australian Institute of Health and Welfare: Canberra)

Beitel M, Cecero JJ (2003) Predicting psychological mindedness from personality style and attachment security. Journal of Clinical Psychology 59, 163–172.
Crossref | GoogleScholarGoogle Scholar | PubMed | [Verified 18 September 2006]

Judd F, Jackson H, Komiti A, Murray G, Fraser C , et al. (2006) Help-seeking by rural residents for mental health problems: the importance of agrarian values. The Australian and New Zealand Journal of Psychiatry 40, 769–776.
Crossref | GoogleScholarGoogle Scholar | PubMed | open url image1

Judd F, Jackson H, Komiti A, Murray G, Fraser C (2007) Service utilisation by rural residents with mental health problems. Australasian Psychiatry 15, 185–190.
Crossref | GoogleScholarGoogle Scholar | PubMed | open url image1

Judd F, Komiti A, Jackson H (2008) How does being female assist help-seeking for mental health problems? Australian and New Zealand Journal of Psychiatry 42, 24–29.
Crossref | PubMed |
open url image1

Komiti A, Judd F, Jackson H (2006) The influence of stigma and attitudes on seeking help from a GP for mental health problems: A rural context. Social Psychiatry and Psychiatric Epidemiology 20, 1–8. open url image1

Mackenzie CS, Knox S, Gekoski WL, Macaulay HL (2004) An adaptation and extention of the attitudes toward seeking professional psychological help scale. Journal of Applied Social Psychology 34, 2410–2433.
Crossref | GoogleScholarGoogle Scholar | open url image1

Mackenzie CS, Gekoski WL, Knox VJ (2006) Age, gender, and the underutilisation of mental health services: The influence of help-seeking attitudes. Aging & Mental Health 10, 574–582.
Crossref | GoogleScholarGoogle Scholar | PubMed | CAS | open url image1

Rennie DL, Phillips JR, Quartaro GK (1988) Grounded theory: a promising approach to conceptualization in psychology? Canadian Psychology 29, 139–150.
Crossref | GoogleScholarGoogle Scholar | open url image1

Roufeil L, Lipzker A (2007) Psychology services in rural and remote Australia. InPsych: The Bulletin of the Australian Psychological Society October, 8–11. open url image1

Segal DL, Coolidge FL, Mincic MS, O’Riley A (2005) Beliefs about mental illness and willingness to seek help: A cross-sectional study. Aging & Mental Health 9(4), 363–367.
Crossref | GoogleScholarGoogle Scholar | PubMed | CAS | open url image1

Seymour-Smith S, Wetherell M, Phoenix A (2002) ‘My wife ordered me to come!’: A discursive analysis of doctors’ and nurses’ accounts of men’s use of general practitioners. Journal of Health Psycharology 7, 253–267.
Crossref | GoogleScholarGoogle Scholar | open url image1

Sonn CC, Fisher AT (1998) Sense of community: Community resilient responses to oppression and change. Journal of Community Psychology 26, 457–472.
Crossref | GoogleScholarGoogle Scholar | open url image1