Determinants of unmet needs for mental health services amongst adolescents in Shiraz, Iran: a cross-sectional study

Mental disorders are increasingly prevalent among adolescents without appropriate response. There are a variety of reasons for unmet mental health needs, including attitudinal and structural barriers. Accordingly, we investigated perceived mental health needs, using mental health services, and their...

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Published in:Frontiers in public health Vol. 12; p. 1265611
Main Authors: Joulaei, Hassan, Fatemi, Maryam, Joulaei, Razieh, Heydari, Mohammad Reza, Pourmontaseri, Ahmad Reza, Foroozanfar, Zohre
Format: Journal Article
Language:English
Published: Switzerland Frontiers Media S.A 06-02-2024
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Summary:Mental disorders are increasingly prevalent among adolescents without appropriate response. There are a variety of reasons for unmet mental health needs, including attitudinal and structural barriers. Accordingly, we investigated perceived mental health needs, using mental health services, and their barriers in adolescents. This cross-sectional study was conducted in 2022 in Shiraz, Iran. Demographic characteristics, the Adolescent Unmet Needs Checklist, and the Young Schema Questionnaire were administered to 348 adolescents aged 13-19 years. Adolescents were classified as having no needs, fully met needs, partially met needs, or wholly unmet needs. Logistic regression analysis was used to determine factors associated with perceived unmet need and refer participants to healthcare centers. 193 (55.5%) adolescents reported perceived need for mental healthcare out of whom, 21.6% reported fully and 21.6% partially unmet needs. Noticeably, only 12.4% of needy participants reported met need. "Reluctance to seek mental healthcare" and "asked but not receiving help" were common barriers to using the services. The present study reveals unmet mental healthcare needs as a significant public health concern among the adolescents. To address this significant concern, reorientation of primary care, removing economic barriers from mental healthcare services, and improving health literacy in the community are recommended.
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Edited by: Mario R. Louzã, University of São Paulo, Brazil
Reviewed by: Matin Ghayour Minaie, Deakin University, Australia
Emmanuel Kumah, University of Education, Ghana
ORCID: Hassan Joulaei, https://orcid.org/0000-0002-8498-5331
Zohre Foroozanfar, https://orcid.org/0000-0002-0901-0972
ISSN:2296-2565
2296-2565
DOI:10.3389/fpubh.2024.1265611