Minority Health Archive

Why Lower Income Mothers Do Not Engage With the Formal Mental Health Care System: Perceived Barriers to Care

Anderson, Carol M. and Robins, Cynthia S. and Greeno, Catherine G. and Cahalane, Helen and Copeland, Valire Carr and Andrews, R. Marc (2006) Why Lower Income Mothers Do Not Engage With the Formal Mental Health Care System: Perceived Barriers to Care. QUALITATIVE HEALTH RESEARCH,, 16 (7). pp. 926-943.

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Lower income mothers who bring their children for mental health services also have high rates of depression and anxiety, yet few seek help. Maternal and child mental health are intimately intertwined; thus, the distress of both is likely to continue if the mother’s needs are unaddressed. Because mothers overcome numerous instrumental challenges to help their children, the authors identify potential perceptual barriers to mothers’ help seeking. An ethnographic analysis of in-depth qualitative interviews with 127 distressed mothers suggests several critical perceptual factors. For example, mothers attributed their distress to external causes (e.g., poverty, negative life stressors), which they believed individually focused mental health services could not affect. Interviewees also anticipated negative ramifications for seeking care, including being labeled unfit mothers, and thus potentially losing custody of their children. The authors discuss the implications of these and other key themes for engaging lower income mothers and their children.

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Item Type: Article
Additional Information: Access to full text is subject to the publisher's access restrictions.
Uncontrolled Keywords: mental health services; perceptual barriers to care; treatment engagement
Subjects: Health > Health Equity
Health > Prenatal & Pediatric Health
Health > Public Health > Chronic Illness & Diseases > Mental Health
Health > Public Health > Health Risk Factors
Health > Public Health > Health Risk Factors > Stress
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Depositing User: Users 141 not found.
Date Deposited: 02 Apr 2011
Last Modified: 19 May 2011 16:15
Link to this item (URI): http://health-equity.lib.umd.edu/id/eprint/652

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