Perceived barriers and facilitators of mental health service utilization in adult trauma survivors : A systematic review

Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved..

Many trauma survivors seem to be reluctant to seek professional help. The aim of the current review was to synthesize relevant literature, and to systematically classify trauma survivors' perceived barriers and facilitators regarding mental health service utilization. The systematic search identified 19 studies addressing military personnel and 17 studies with trauma survivors of the general population. The data analysis revealed that the most prominent barriers included concerns related to stigma, shame and rejection, low mental health literacy, lack of knowledge and treatment-related doubts, fear of negative social consequences, limited resources, time, and expenses. Perceived facilitators lack attention in research, but can be influential in understanding mental health service use. Another prominent finding was that trauma survivors face specific trauma-related barriers to mental health service use, especially concerns about re-experiencing the traumatic events. Many trauma survivors avoid traumatic reminders and are therefore concerned about dealing with certain memories in treatment. These perceived barriers and facilitators were discussed regarding future research and practical implications in order to facilitate mental health service use among trauma survivors.

Medienart:

E-Artikel

Erscheinungsjahr:

2017

Erschienen:

2017

Enthalten in:

Zur Gesamtaufnahme - volume:52

Enthalten in:

Clinical psychology review - 52(2017) vom: 20. März, Seite 52-68

Sprache:

Englisch

Beteiligte Personen:

Kantor, Viktoria [VerfasserIn]
Knefel, Matthias [VerfasserIn]
Lueger-Schuster, Brigitte [VerfasserIn]

Links:

Volltext

Themen:

Adult trauma survivors
Barriers
Facilitators
Journal Article
Mental health service utilization
Military
PTSD
Review
Systematic Review

Anmerkungen:

Date Completed 21.12.2017

Date Revised 09.04.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.cpr.2016.12.001

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM267449844