A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires
This study examines the influence of gender on mental health services utilization and on perceived barriers to treatment one year after the 2016 Fort McMurray wildfires. Data was collected through a phone survey from May to July 2017 (N = 1510). Participants were English-speaking evacuees aged 18 an...
Published in: | Administration and Policy in Mental Health and Mental Health Services Research |
---|---|
Main Authors: | , , , , , , , , , , , |
Format: | Text |
Language: | English |
Published: |
Springer US
2021
|
Subjects: | |
Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914389/ http://www.ncbi.nlm.nih.gov/pubmed/33641027 https://doi.org/10.1007/s10488-021-01114-w |
id |
ftpubmed:oai:pubmedcentral.nih.gov:7914389 |
---|---|
record_format |
openpolar |
spelling |
ftpubmed:oai:pubmedcentral.nih.gov:7914389 2023-05-15T16:17:34+02:00 A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires Binet, Émilie Ouellet, Marie-Christine Lebel, Jessica Békés, Vera Morin, Charles M. Bergeron, Nicolas Campbell, Tavis Ghosh, Sunita Bouchard, Stéphane Guay, Stéphane MacMaster, Frank P. Belleville, Geneviève 2021-02-28 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914389/ http://www.ncbi.nlm.nih.gov/pubmed/33641027 https://doi.org/10.1007/s10488-021-01114-w en eng Springer US http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914389/ http://www.ncbi.nlm.nih.gov/pubmed/33641027 http://dx.doi.org/10.1007/s10488-021-01114-w © The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. Adm Policy Ment Health Original Article Text 2021 ftpubmed https://doi.org/10.1007/s10488-021-01114-w 2021-03-07T02:06:36Z This study examines the influence of gender on mental health services utilization and on perceived barriers to treatment one year after the 2016 Fort McMurray wildfires. Data was collected through a phone survey from May to July 2017 (N = 1510). Participants were English-speaking evacuees aged 18 and older. Mental health services utilization and barriers to mental health care were assessed with the Perceived Need for Care questionnaire. Probable diagnoses of posttraumatic stress disorder, depression and insomnia were assessed with validated self-report questionnaires. Multiple logistic regressions confirmed that gender was a significant predictor of services utilization, after controlling for associated sociodemographic variables and presence of probable diagnoses. Women were respectively 1.50, 1.55 and 1.86 times more likely than men to receive information, medication and psychological help. Self-reliance was the most frequently reported reason for not receiving help, and motivational barriers, such as pessimism and stigma, were reported in a higher proportion than structural barriers, including nonresponse and finance. No significant gender differences were found in the types of perceived barriers to services. Among the Fort McMurray fire evacuees, mental health services utilization was similar to other studies on natural disaster victims, and higher in women than in men. Efforts to increase services utilization in natural disaster victims should focus on motivational barriers and offering treatments fostering people’s autonomy, such as online treatments. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10488-021-01114-w . Text Fort McMurray PubMed Central (PMC) Fort McMurray Administration and Policy in Mental Health and Mental Health Services Research |
institution |
Open Polar |
collection |
PubMed Central (PMC) |
op_collection_id |
ftpubmed |
language |
English |
topic |
Original Article |
spellingShingle |
Original Article Binet, Émilie Ouellet, Marie-Christine Lebel, Jessica Békés, Vera Morin, Charles M. Bergeron, Nicolas Campbell, Tavis Ghosh, Sunita Bouchard, Stéphane Guay, Stéphane MacMaster, Frank P. Belleville, Geneviève A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires |
topic_facet |
Original Article |
description |
This study examines the influence of gender on mental health services utilization and on perceived barriers to treatment one year after the 2016 Fort McMurray wildfires. Data was collected through a phone survey from May to July 2017 (N = 1510). Participants were English-speaking evacuees aged 18 and older. Mental health services utilization and barriers to mental health care were assessed with the Perceived Need for Care questionnaire. Probable diagnoses of posttraumatic stress disorder, depression and insomnia were assessed with validated self-report questionnaires. Multiple logistic regressions confirmed that gender was a significant predictor of services utilization, after controlling for associated sociodemographic variables and presence of probable diagnoses. Women were respectively 1.50, 1.55 and 1.86 times more likely than men to receive information, medication and psychological help. Self-reliance was the most frequently reported reason for not receiving help, and motivational barriers, such as pessimism and stigma, were reported in a higher proportion than structural barriers, including nonresponse and finance. No significant gender differences were found in the types of perceived barriers to services. Among the Fort McMurray fire evacuees, mental health services utilization was similar to other studies on natural disaster victims, and higher in women than in men. Efforts to increase services utilization in natural disaster victims should focus on motivational barriers and offering treatments fostering people’s autonomy, such as online treatments. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10488-021-01114-w . |
format |
Text |
author |
Binet, Émilie Ouellet, Marie-Christine Lebel, Jessica Békés, Vera Morin, Charles M. Bergeron, Nicolas Campbell, Tavis Ghosh, Sunita Bouchard, Stéphane Guay, Stéphane MacMaster, Frank P. Belleville, Geneviève |
author_facet |
Binet, Émilie Ouellet, Marie-Christine Lebel, Jessica Békés, Vera Morin, Charles M. Bergeron, Nicolas Campbell, Tavis Ghosh, Sunita Bouchard, Stéphane Guay, Stéphane MacMaster, Frank P. Belleville, Geneviève |
author_sort |
Binet, Émilie |
title |
A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires |
title_short |
A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires |
title_full |
A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires |
title_fullStr |
A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires |
title_full_unstemmed |
A Portrait of Mental Health Services Utilization and Perceived Barriers to Care in Men and Women Evacuated During the 2016 Fort McMurray Wildfires |
title_sort |
portrait of mental health services utilization and perceived barriers to care in men and women evacuated during the 2016 fort mcmurray wildfires |
publisher |
Springer US |
publishDate |
2021 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914389/ http://www.ncbi.nlm.nih.gov/pubmed/33641027 https://doi.org/10.1007/s10488-021-01114-w |
geographic |
Fort McMurray |
geographic_facet |
Fort McMurray |
genre |
Fort McMurray |
genre_facet |
Fort McMurray |
op_source |
Adm Policy Ment Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7914389/ http://www.ncbi.nlm.nih.gov/pubmed/33641027 http://dx.doi.org/10.1007/s10488-021-01114-w |
op_rights |
© The Author(s), under exclusive licence to Springer Science+Business Media, LLC part of Springer Nature 2021 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
op_doi |
https://doi.org/10.1007/s10488-021-01114-w |
container_title |
Administration and Policy in Mental Health and Mental Health Services Research |
_version_ |
1766003450652393472 |