Table 2 Association between parent reported barriers, age and referral diagnosis
From: Parent-perceived barriers to accessing services for their child’s mental health problems
Agea | Referral diagnosisb | |||||
|---|---|---|---|---|---|---|
10–14 years | 15–17 years | Emotional disorders | ||||
Crude | Adjusted | Crude | Adjusted | Crude | Adjusted | |
Barriers related to the parents | ||||||
Worried about the child having a record | 1.29 (0.59–2.82) | 1.46 (0.58–3.71) | 0.95 (0.37–2.45) | 1.05 (0.35–3.14) | 0.93 (0.40–2.16) | 1.02 (0.36–2.89) |
Worried about what others think if they seek help | 0.57 (0.29–1.14) | 0.68 (0.32–1.46) | 0.32 (0.10–0.97) | 0.37 (0.11–1.25) | 0.37 (0.14–0.98) | 0.21 (0.05–0.88) |
Worried about the child being removed if they seek help | 0.65 (0.29–1.43) | 0.62 (0.25–1.51) | 0.48 (0.15–1.46) | 0.40 (0.12–1.37) | 0.53 (0.18–1.54) | 0.70 (0.21–2.35) |
Worried about confidentiality | 0.68 (0.22–2.06) | 0.71 (0.22–2.29) | 0.59 (0.15–2.39) | 0.43 (0.11–1.66) | 0.79 (0.25–2.47) | 1.35 (0.28–6.47) |
Barriers related to services | ||||||
Lack of information about where to seek help | 2.16 (1.26–3.71) | 2.10 (0.99–4.47) | 1.30 (0.63–2.68) | 1.32 (0.54–3.23) | 0.73 (0.39–1.35) | 0.69 (0.25–1.86) |
Services unavailable | 1.43 (0.72–2.85) | 1.29 (0.65–2.57) | 0.71 (0.32–1.61) | 0.71 (0.30–1.70) | 1.19 (0.65–2.18) | 2.06 (0.84–5.05) |
No one can help | 1.41 (0.74–2.70) | 1.34 (0.66–2.74) | 1.09 (0.49–2.46) | 1.13 (0.43–2.94) | 0.76 (0.38–1.50) | 0.62 (0.25–1.58) |
Worried about the cost of getting help | 0.72 (0.34–1.51) | 0.60 (0.24–1.48) | 0.76 (0.26–2.21) | 0.65 (0.22–1.94) | 1.28 (0.60–2.72) | 1.36 (0.52–3.57) |
Help not available at convenient time | 1.37 (0.45–4.19) | 1.17 (0.36–3.77) | 0.88 (0.21–3.64) | 0.90 (0.21–3.96) | 0.74 (0.27–2.02) | 1.43 (0.32–6.40) |
Barriers related to cooperation with professionals | ||||||
Professionals do not listen | 0.96 (0.51–1.82) | 0.86 (0.39–1.92) | 0.79 (0.37–1.70) | 0.77 (0.33–1.79) | 0.70 (0.39–1.29) | 0.81 (0.31–2.08) |
Professionals refuse to initiate intervention/provide referral | 1.45 (0.75–2.80) | 1.61 (0.82–3.17) | 0.52 (0.24–1.11) | 0.64 (0.29–1.42) | 0.60 (0.33–1.09) | 1.00 (0.39–2.57) |
Lack of communication between services | 1.30 (0.71–2.39) | 1.18 (0.62–2.26) | 0.93 (0.42–2.05) | 0.96 (0.39–2.36) | 0.54 (0.29–1.01) | 0.76 (0.30–1.92) |
Bad previous experience with professionals | 0.94 (0.52–1.73) | 0.85 (0.40–1.80) | 0.74 (0.36–1.54) | 0.75 (0.33–1.74) | 0.60 (0.30–1.22) | 1.10 (0.46–2.59) |