PMID- 30152169 OWN - NLM STAT- MEDLINE DCOM- 20200110 LR - 20200110 IS - 1751-7893 (Electronic) IS - 1751-7885 (Linking) VI - 13 IP - 5 DP - 2019 Oct TI - Mental health service use decision-making among young adults at clinical high risk for developing psychosis. PG - 1050-1055 LID - 10.1111/eip.12725 [doi] AB - AIM: Research has shown that young adults at clinical high risk (CHR) for developing psychosis have the capability to recognize that they have a problem and initiate mental health services, yet there is a paucity of theoretically based research examining this decision-making process. This is critical to study because there are high rates of underutilization of mental health services among these young people. The following study explored the decision-making process among young adults at CHR in order to understand mental health services utilization at a CHR clinic. METHODS: Semi-structured face-to-face interviews were conducted with 30 young adults at CHR between the ages of 18 and 30, from an Eastern city in the United States. The study applied the unified theory of behaviour (UTB), a decision-making framework for health behaviour, to examine service use. Content analysis with multiple coders was used. RESULTS: The most salient constructs discussed when participants envisioned seeking services at the clinic included attitudes or beliefs about help-seeking, social image beliefs and emotional reactions towards seeking services. Differences in UTB responses emerged depending on whether participants were engaged in clinical services and research at the time of the interview or just taking part in research follow-ups. CONCLUSION: When designing future interventions to increase service utilization among young adults at CHR, programs can address health beliefs such as how services at the clinic can improve symptoms, stigma and difficult emotions such as fear and shame about seeking services, and particularly among young people who are more ambivalent about seeking clinical services. CI - (c) 2018 John Wiley & Sons Australia, Ltd. FAU - Ben-David, Shelly AU - Ben-David S AUID- ORCID: 0000-0002-7582-2565 AD - Silver School of Social Work, New York University, New York, New York. AD - Columbia University Medical Center, New York State Psychiatric Institute, New York, New York. FAU - Cole, Andrea AU - Cole A AD - Silver School of Social Work, New York University, New York, New York. AD - Columbia University Medical Center, New York State Psychiatric Institute, New York, New York. FAU - Brucato, Gary AU - Brucato G AD - Columbia University Medical Center, New York State Psychiatric Institute, New York, New York. FAU - Girgis, Ragy R AU - Girgis RR AD - Columbia University Medical Center, New York State Psychiatric Institute, New York, New York. FAU - Munson, Michelle R AU - Munson MR AD - Silver School of Social Work, New York University, New York, New York. LA - eng GR - Doctoral dissertation grant/New York Community Trust, Fahs-Beck Fund II for Research and Experimentation/International GR - Dissertation Research Fund/New York University Silver School of Social Work PhD Program/International PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180828 PL - Australia TA - Early Interv Psychiatry JT - Early intervention in psychiatry JID - 101320027 SB - IM MH - Adolescent MH - Adult MH - *Decision Making MH - Female MH - Humans MH - Male MH - *Mental Health Services MH - Patient Acceptance of Health Care/*psychology MH - Prodromal Symptoms MH - Psychotic Disorders/*psychology MH - Young Adult OTO - NOTNLM OT - clinical high risk OT - decision-making OT - mental health service utilization OT - psychosis risk OT - unified theory of behaviour EDAT- 2018/08/29 06:00 MHDA- 2020/01/11 06:00 CRDT- 2018/08/29 06:00 PHST- 2018/05/17 00:00 [received] PHST- 2018/06/20 00:00 [revised] PHST- 2018/07/29 00:00 [accepted] PHST- 2018/08/29 06:00 [pubmed] PHST- 2020/01/11 06:00 [medline] PHST- 2018/08/29 06:00 [entrez] AID - 10.1111/eip.12725 [doi] PST - ppublish SO - Early Interv Psychiatry. 2019 Oct;13(5):1050-1055. doi: 10.1111/eip.12725. Epub 2018 Aug 28.