PMID- 30489142
OWN - NLM
STAT- MEDLINE
DCOM- 20190328
LR  - 20190328
IS  - 1559-3126 (Electronic)
IS  - 1095-158X (Linking)
VI  - 42
IP  - 1
DP  - 2019 Mar
TI  - A conceptual model of mental health service utilization among young adults at 
      clinical high-risk for developing psychosis.
PG  - 17-25
LID - 10.1037/prj0000336 [doi]
AB  - OBJECTIVE: Research has shown that young adults at clinical high risk (CHR) for 
      developing psychosis have difficulties seeking, accessing, and staying engaged 
      with mental health services. The present study explored perspectives on 
      engagement with mental health services among young adults at CHR. METHOD: 
      In-depth interviews were conducted with 30 participants at CHR, ages 18-30, from 
      an Eastern U.S. state. Grounded theory methodology was used to analyzed 
      qualitative data. RESULTS: Six major categories emerged from the data reflecting 
      participants' perspectives of engagement with services. Contextual factors such 
      as social, community, and online networks mattered to young adults, and 
      individual factors such as level of awareness, stigma, emotions, and 
      environmental factors emerged as critical. These factors suggested a conceptual 
      model of service utilization among young adults at clinical high risk for 
      developing psychosis that builds upon and extends existing conceptual frameworks 
      of service use among young adults. CONCLUSION AND IMPLICATIONS FOR PRACTICE: A 
      conceptual model of service utilization among young adults at CHR emerged from 
      that data that can inform interventions aimed at improving engagement in services 
      and reduce the amount of time young adults at CHR remain untreated for emerging 
      psychological problems. Furthermore, this study highlights the unique 
      contribution of mental health service use messages received from online networks 
      and a possible relationship between hierarchical stigma and service use. 
      (PsycINFO Database Record (c) 2019 APA, all rights reserved).
FAU - Ben-David, Shelly
AU  - Ben-David S
AUID- ORCID: 0000-0002-7582-2565
AD  - School of Social Work, University of British Columbia Okangan.
FAU - Cole, Andrea R
AU  - Cole AR
AD  - New York State Psychiatric Institute, Columbia University Medical Center.
FAU - Brucato, Gary
AU  - Brucato G
AD  - New York State Psychiatric Institute, Columbia University Medical Center.
FAU - Girgis, Ragy
AU  - Girgis R
AD  - New York State Psychiatric Institute, Columbia University Medical Center.
FAU - Munson, Michelle R
AU  - Munson MR
AD  - Silver School of Social Work, New York University.
LA  - eng
GR  - New York Community Trust; Fahs-Beck Fund for Research and Experimentation/
PT  - Journal Article
DEP - 20181129
PL  - United States
TA  - Psychiatr Rehabil J
JT  - Psychiatric rehabilitation journal
JID - 9601800
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - Humans
MH  - Male
MH  - *Mental Health Services
MH  - Models, Psychological
MH  - Patient Acceptance of Health Care/*psychology
MH  - Psychotic Disorders/*psychology/therapy
MH  - Qualitative Research
MH  - Risk
MH  - Young Adult
EDAT- 2018/11/30 06:00
MHDA- 2019/03/29 06:00
CRDT- 2018/11/30 06:00
PHST- 2018/11/30 06:00 [pubmed]
PHST- 2019/03/29 06:00 [medline]
PHST- 2018/11/30 06:00 [entrez]
AID - 2018-60095-001 [pii]
AID - 10.1037/prj0000336 [doi]
PST - ppublish
SO  - Psychiatr Rehabil J. 2019 Mar;42(1):17-25. doi: 10.1037/prj0000336. Epub 2018 Nov 
      29.