Conceptualizations of help-seeking for mental health concerns in First Nations communities in Canada: A comparison of fit with the Andersen Behavioral Model
This qualitative study explored the fit between on-reserve First Nations community members’ conceptualizations of help-seeking for mental health concerns and the Andersen Behavioral Model of Health Services Use. Youth, adults and elders (N = 115) living and or working in eight distinct First Nations...
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Online Access: | http://dx.doi.org/10.1177/1363461520906978 http://journals.sagepub.com/doi/pdf/10.1177/1363461520906978 http://journals.sagepub.com/doi/full-xml/10.1177/1363461520906978 |
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crsagepubl:10.1177/1363461520906978 2024-09-09T19:40:16+00:00 Conceptualizations of help-seeking for mental health concerns in First Nations communities in Canada: A comparison of fit with the Andersen Behavioral Model Isaak, Corinne A Mota, Natalie Medved, Maria Katz, Laurence Y Elias, Brenda Mignone, Javier Munro, Gary Sareen, Jitender Institute of Aboriginal Peoples Health 2020 http://dx.doi.org/10.1177/1363461520906978 http://journals.sagepub.com/doi/pdf/10.1177/1363461520906978 http://journals.sagepub.com/doi/full-xml/10.1177/1363461520906978 en eng SAGE Publications http://journals.sagepub.com/page/policies/text-and-data-mining-license Transcultural Psychiatry volume 57, issue 2, page 346-362 ISSN 1363-4615 1461-7471 journal-article 2020 crsagepubl https://doi.org/10.1177/1363461520906978 2024-08-12T04:32:40Z This qualitative study explored the fit between on-reserve First Nations community members’ conceptualizations of help-seeking for mental health concerns and the Andersen Behavioral Model of Health Services Use. Youth, adults and elders (N = 115) living and or working in eight distinct First Nations communities within a tribal council area in Canada participated in focus groups or individual interviews that were transcribed, coded and then analyzed using a thematic analysis approach informed by grounded theory methodology. Resulting themes were then mapped onto the Andersen Behavioral Model of Health Services Use. Participants’ conceptualizations of predisposing characteristics including social structures, health beliefs and mental illness, enabling and impeding resources had a high degree of fit with the model. While perspectives on perceived need for mental health care, and spirituality as a health and lifestyle practice had only moderate fit with the model, these domains could be modified to fit First Nations’ interpretations of help-seeking. Participants’ perceptions of avoidant strategies and non-use of mental health services, however did not map onto the model. These findings suggest conceptualizations of help-seeking for mental health issues in these First Nations communities are only partially characterized by the Andersen Behavioral Model, suggesting there are a number of considerations to Indigenize the model. Findings also highlight potential explanations for why some members of this population may not access or receive appropriate mental health treatment. Multi-pronged efforts are warranted to link culturally normed pathways of help-seeking with effective mental health supports for First Nations community members in Canada. Article in Journal/Newspaper First Nations SAGE Publications Canada Transcultural Psychiatry 57 2 346 362 |
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SAGE Publications |
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English |
description |
This qualitative study explored the fit between on-reserve First Nations community members’ conceptualizations of help-seeking for mental health concerns and the Andersen Behavioral Model of Health Services Use. Youth, adults and elders (N = 115) living and or working in eight distinct First Nations communities within a tribal council area in Canada participated in focus groups or individual interviews that were transcribed, coded and then analyzed using a thematic analysis approach informed by grounded theory methodology. Resulting themes were then mapped onto the Andersen Behavioral Model of Health Services Use. Participants’ conceptualizations of predisposing characteristics including social structures, health beliefs and mental illness, enabling and impeding resources had a high degree of fit with the model. While perspectives on perceived need for mental health care, and spirituality as a health and lifestyle practice had only moderate fit with the model, these domains could be modified to fit First Nations’ interpretations of help-seeking. Participants’ perceptions of avoidant strategies and non-use of mental health services, however did not map onto the model. These findings suggest conceptualizations of help-seeking for mental health issues in these First Nations communities are only partially characterized by the Andersen Behavioral Model, suggesting there are a number of considerations to Indigenize the model. Findings also highlight potential explanations for why some members of this population may not access or receive appropriate mental health treatment. Multi-pronged efforts are warranted to link culturally normed pathways of help-seeking with effective mental health supports for First Nations community members in Canada. |
author2 |
Institute of Aboriginal Peoples Health |
format |
Article in Journal/Newspaper |
author |
Isaak, Corinne A Mota, Natalie Medved, Maria Katz, Laurence Y Elias, Brenda Mignone, Javier Munro, Gary Sareen, Jitender |
spellingShingle |
Isaak, Corinne A Mota, Natalie Medved, Maria Katz, Laurence Y Elias, Brenda Mignone, Javier Munro, Gary Sareen, Jitender Conceptualizations of help-seeking for mental health concerns in First Nations communities in Canada: A comparison of fit with the Andersen Behavioral Model |
author_facet |
Isaak, Corinne A Mota, Natalie Medved, Maria Katz, Laurence Y Elias, Brenda Mignone, Javier Munro, Gary Sareen, Jitender |
author_sort |
Isaak, Corinne A |
title |
Conceptualizations of help-seeking for mental health concerns in First Nations communities in Canada: A comparison of fit with the Andersen Behavioral Model |
title_short |
Conceptualizations of help-seeking for mental health concerns in First Nations communities in Canada: A comparison of fit with the Andersen Behavioral Model |
title_full |
Conceptualizations of help-seeking for mental health concerns in First Nations communities in Canada: A comparison of fit with the Andersen Behavioral Model |
title_fullStr |
Conceptualizations of help-seeking for mental health concerns in First Nations communities in Canada: A comparison of fit with the Andersen Behavioral Model |
title_full_unstemmed |
Conceptualizations of help-seeking for mental health concerns in First Nations communities in Canada: A comparison of fit with the Andersen Behavioral Model |
title_sort |
conceptualizations of help-seeking for mental health concerns in first nations communities in canada: a comparison of fit with the andersen behavioral model |
publisher |
SAGE Publications |
publishDate |
2020 |
url |
http://dx.doi.org/10.1177/1363461520906978 http://journals.sagepub.com/doi/pdf/10.1177/1363461520906978 http://journals.sagepub.com/doi/full-xml/10.1177/1363461520906978 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
Transcultural Psychiatry volume 57, issue 2, page 346-362 ISSN 1363-4615 1461-7471 |
op_rights |
http://journals.sagepub.com/page/policies/text-and-data-mining-license |
op_doi |
https://doi.org/10.1177/1363461520906978 |
container_title |
Transcultural Psychiatry |
container_volume |
57 |
container_issue |
2 |
container_start_page |
346 |
op_container_end_page |
362 |
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1809909582802190336 |