RT Journal Article
T1 "I'm tired of being pulled from pillar to post": A qualitative analysis of barriers to mental health care for trauma-exposed young people.
A1 Ellinghaus, Carli
A1 Truss, Katie
A1 Liao Siling, Jocelyn
A1 Phillips, Lisa
A1 Eastwood, Oliver
A1 Medrano, Carmen
A1 Bendall, Sarah
K1 Abuse
K1 Barriers
K1 Help-seeking
K1 Internet forums
K1 Mental health services
K1 Trauma
K1 Young people
AB Traumatic experiences in childhood are pervasive and associated with a range of deleterious mental health outcomes. Despite this, trauma-exposed young people often do not seek help from mental health services. While barriers to care for general mental health concerns are well established, less is known about those specifically facing young people who have experienced trauma. The present paper sought to examine the barriers in seeking mental health care faced by trauma-exposed young people through a qualitative analysis of online forums where individuals discuss and seek informal support for trauma. This study used a qualitative, netnographic design, following the six-step LiLEDDa framework, developed for the analysis of online forums. Posts about trauma written in 2016 from five Internet forums targeting young people were included and analysed via thematic analysis. Barriers to mental health care for trauma-exposed young people were categorized into two interrelated themes: (a) structural and (b) relational barriers. Structural barriers related to practical challenges faced when accessing and engaging with mental health services. Relational barriers focused on interpersonal relationships with mental health service providers and how these influenced experiences of, and consequent engagement with, services. Trauma-exposed young people appear to experience multiple barriers to mental health care, whereby interactions between structural and relational barriers determine ongoing engagement. Service-wide reform including trauma-informed mental health training for practitioners is urgently needed to improve access to care and engagement for this vulnerable group.
PB Wiley
YR 2019
FD 2019-12-14
LK http://hdl.handle.net/10668/14968
UL http://hdl.handle.net/10668/14968
LA en
NO Ellinghaus C, Truss K, Liao Siling J, Phillips L, Eastwood O, Medrano C, Bendall S. "I'm tired of being pulled from pillar to post": A qualitative analysis of barriers to mental health care for trauma-exposed young people. Early Interv Psychiatry. 2021 Feb;15(1):113-122
DS RISalud
RD Apr 18, 2025