MENTAL HEALTH IN SCHOOLS: Help-Seeking Behaviors of Symptomatic Adolescents from an Urban School District in Texas
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1 OCTOBER 26, 2018 MENTAL HEALTH IN SCHOOLS: Help-Seeking Behaviors of Symptomatic Adolescents from an Urban School District in Texas Alice P. Villatoro, PhD Research Scientist Latino Research Initiative The University of Texas at Austin
2 Study Purpose 1 in 4 adolescents (11-18 years old) in the U.S. meet lifetime diagnostic criteria for any mental disorder (Polanczyk 2015; Merikangas 2010) < 50% receive treatment (Merikangas 2011) Specialty care services: 47% School-based services: 35% Primary/general care services: 21% Mental health stigma is a significant barrier to treatment (Clement 2015) To examine how mental health stigma shapes help-seeking behaviors of adolescents with high mental health symptoms
3 Texas Stigma Study, A school-based study that evaluated the short- and longterm effectiveness of three anti-stigma interventions on reducing mental illness stigma and improving helpseeking behaviors among 6 th graders from an urban/suburban school district in Texas 14 Schools High-Symptom Subsample: N = 270 PIs: Painter K, Link B, Phelan J; NIMH R01MH Painter K, et al. Psychiatric Services; 2016
4 Variables of Interest Stigma Components Stereotypes: MH knowledge/positive attitudes; Awareness and action Discrimination: Social distance Help-Seeking (HS) Behaviors Formal HS: Therapist, doctor, medication School-Based HS: School counselor Informal HS: Friend, parent, clergy/priest
5 Mental Health Help-Seeking Patterns 40.0% 35.0% 34.9% 30.0% 25.0% 20.0% 15.0% 16.3% 20.6% 13.9% 17.1% 24.5% 13.8% 10.0% 5.0% 8.3% 7.2% 0.0% Informal Help-Seeking Formal Help-Seeking School-Based Help-Seeking Low-Symptom Middle-Symptom High-Symptom
6 0.80 Stigma Component: MH Knowledge/Positive Attitudes Formal Help-Seeking School-Based Help-Seeking 0.70 Predicted Probability Mental Health Knowledge/Positive Attitudes Analyses control for number of mental health symptoms, familiarity with MI, perceived mental health problem, race/ethnicity, gender, intervention assignment, and time.
7 Informal Help-Seeking 1.00 No, Perceived Problem Yes, Perceived Problem Predicted Probability Mental Health Knowledge/Positive Attitudes Analyses control for number of mental health symptoms, familiarity with MI, race/ethnicity, gender, intervention assignment, and time.
8 0.80 Stigma Component: Awareness and Action Formal Help-Seeking School-Based Help-Seeking Informal Help-Seeking 0.70 Predicted Probability Positive Awareness and Action Analyses control for number of mental health symptoms, familiarity with MI, perceived mental health problem, race/ethnicity, gender, intervention assignment, and time.
9 Conclusions Stigma influences where adolescents seek help for mental health concerns General mental health literacy is associated with less help-seeking, particularly informal help-seeking among symptomatic adolescents who do not perceive a mental health problem Overall, higher awareness and action of mental illness improves help-seeking Anti-stigma interventions may facilitate treatment entry for adolescents with significant mental health needs
10 Acknowledgements Research Supported By: NIMH R01 Research Grant (R01-MH ) Latino Research Initiative, The University of Texas at Austin Texas Stigma Study Collaborators: Bruce G. Link, PhD, University of California, Riverside Jo C. Phelan, PhD, Columbia University Melissa J. DuPont-Reyes, PhD, The University of Texas at Austin Kirstin Painter, PhD, Substance Abuse and Mental Health Services Administration Kay Barkin, MHMR of Tarrant County
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