Young people with depression

****** *********** ** ******* ****** *********** this ******* ***** young ****** *** were ********* ****** ************ *** ********* **** that ********** ****** *********** played in ************ ****** ** *** ***** ******* ***** ************ *** **** access ** school *********** who ** **** **** ************ for the young ****** to get time off ****** ** necessary ** ****** *** ***** service ****** *********** ** particular ***** who **** ******** with *** ********* and *** ******** of ********* **** **** of ******** primary **** ******** ******** * *** **** ******* *** ***** person *** *** ******* ******** the ********* of * ******** relationship ******* *** school counsellor *** the ***** ****** ********* *** ********** of *** ****** ********* *** ************ * **** I ***** ** at ********* ** * kind ** ****** *** * ****** like * **** to ** ****** ********** *** my ****** ********** **** me **** ** ********* ************ ****** was like ****** **** ********* for ** and ** that **** ** so **** ****** *** me And like it *** really ********** and ** *** ****** ********* ** ** ******* * *** ******** ** ********* ** ** ****** counsellor ************ 22)"While ******* ********** ****** *********** **** ******** ** ********* ***** ** ******** ** *** ******* **** ***** ************ were ********* ** ******** ***** ***** ******* ** *** ********** of ******** breaches ** *************** ** *** counsellor This meant that *** ***** person *** ****** ** ** ******** ** ** ****** ***** of the ***** ******* ******* **** ********** school counselling I ******** ****** like ** **** much because **** the ****** ********** *** friends ** **** **** ****** counselling; *** ** *** just messy ********** **** ***** have been ******* ***** me ** **** of those ****** ************ ********** ******** ** ** access facilitator *** *********** **** general theme the ******** of the ***** ******* influenced ****** ** *** ******** *** contrasting sub-themes ***** ************ ************* were ********** *** ******* was ****** ********** by public ********** *** railway ******** **** ******* ****** ******* ******** and bus services **** **** *********** it’s ****** ******** **** the train ******* and * take *** ***** every ****** *** ** ** ** ****** *** ** ***** school I’ll **** **** * ***** ** *** ***** ** suburb ***** *** ******* is located] get off *** **** like **** **** ******* *** ***** **** ************ ***************** **** though ***** *** public transport nearby *** ******* was **** ********** to ***** whose ***** were *** in ***** proximity ** ****** ********* *** *** **** their *** ********* ** **** ******* on others ** bring **** to *** ******* For **** ** they did *** have ******* ** ***** them ** *** ******* **** **** might *** **** accessed *** ******** ****** ** ***** ** ****** difficult ** ** *** ******** **** ** ******** I **** in ***** ** ******* **** ** like **** ** ******** drive *** ** she didn’t take ** * ********** **** ****** ************ ************** ******* on ****** to overcome ************ **** ************ access ** the ******* ********* ****** ******** ****** *** **** *** *********** *** ***** ********** ******* ********* state "It’s * little far **** **** ** ****** *** quite far **** **** ***** I work ** * lot of *** **** if I ******* *** ****** ********* because ** ***** ** long *** * might ** ******* **** ** mum *** to ***** ** *** it’s **** **** ********* for *** ********* ******* ********* she’s cooking ** ******** *** house ** ******* ***** ** ****** ******* *** * lot of ***** that leads to ****** *********** and those ****** lead ** ** ***** depressed ************ 26)" Encountering ******** ********* *** ******* ************* this variant theme *** **** ******** were encountered accessing *** ***** service; unfamiliarity with the ******* *** ****** ** obtaining ******* ************ Unfamiliarity ******* **** a **** of ********* ** *** ********* ** *** ******* ******** * *** ***** people ******** **** **** were aware ** the *********** *********** prior ** help-seeking ****** were unaware of its existence **** *** **** ****** ** ** *** case *** ***** *** **** ********* ** ******** ****** *********** ** no ****** attended school In such circumstances access pathways **** **** ************ *** less ******* including ************* ** *************** **** ******* *** *** *** **** ***** ** *** ********* ** *** ******* ** ***** situations ************ *** dependent ** the ***** ********** ** ********* prior ********* ** *** service *** **** *** not always *** case as illustrated ** the ********* *** exemplars: "Basically *** putting *** **** *** *** *** **** ******** not **** people **** ***** *** place *********** ** I ****** ** **** *** **** ways ** ******* young ****** **** ** *** … ** **** use ** ************ 11)" "I’ve ***** heard anything about ** before ** ****** counsellor ** ** ******** ********* ** a little *** **** (Interviewee 17)" Another ********* access barrier was **** **** ************ ********** *** ******* ********* **** commonly *********** ****** ******* ****** ************ with ********** ********* ongoing therapy ************ ******** ************* However once ** ******* *********** was gained ********** ****** *** much ************ ******* ***** the ***** *** initial ******* list **** ******** in *** *** **** ****** on * ******* basis *** ** *** in ** *** ***** place ********* **** * ***** ******* * ****** ** ** *********** in **** ***** * ******** come ***** … ****** ******* ** ****** * ***** *** a **** ************ ******* ********** ********* ****** ******* *** **** ** **** ************* *** ** increased ******* on the ******* ************ *** to prioritised ***** on *** ******** level ** **** ***** ***** ***** **** assessed ** the *********** ********** as **** ***** and urgent **** ***** ****** ******** **** those ******** ** requiring less immediate ********** ******* *** *** ** * ******* **** ** get **** *** ** ***** ages; or ****** **** ******** you’re *** **** of **** ****** for us ** **** ***** ********* ************ ** The *********** ** ************ *** **** *** ***** ********** ** ** **** ********* need of ********** ** *** * *********** **** *** ***** **** ******** some **** persevering **** their ******************** ******* ** ** access *********** *** *********** this ******* theme the ***** of whether ***** are ******** ** pay *** ********* ** ** ********* ************* ***** people did not incur *** ************* fees ** ******* **** **** ******** the ***** ******* ********* **** *********** was **** ******* ******** the ********** ************** universal ****** ****** care ****** **** ***** ******** * fee **** *** ******* provider ***** ****** ** each ************ ** ************* ******* ******* ****** ********* reimbursement This ******** *********** ****** ** ********* ************ to ***** from low ************* ************ “headspace ** **** ********** *** ****** **** ** *** ****** earners ****** ************ ** ******* there was * ***** *** ** the time of the ****** ** the ****** ** ************* *** ********** therapy **** the young ****** ***** ******* ******* this scheme ** * single ******** **** In ******* *** ***** who ******** ********** ******* and *** ******* ********* resources **** ******* ongoing ****** ** *** service * ******** *********** of this funding ********** *** ** ***** **** deterred some ***** people from continuing their ********** **** *** *************** ******** *** **** get ** ******** free ** ******* ** *** **** ******** going ** ** ***** in ** sessions? And **** ******* *** * ***** person ** ***** *** ** ******** **** still **** help and **** can’t ****** ** *** *** * ******** ************ ***************** exploratory study ******** * ***** look ** understanding the experiences ** ***** ****** **** depression ********* * *** ******* care ********** aimed ** ********** ********* access for ***** ****** with mental health issues ** present **** *********** ****** that depict the ************ *** ******** that **** ********* ** *** process ***** **** utilise ******* ****** ******** ** the ******* *** ***** still ********* **** ****** **** **** ******** ********** to *** service ** ****** *********** Clearly *********** **** an important **** ** ****** * **** **** *** ******* It ********** **** **** **** ********* a ******** ************ **** *** young ****** *** *** knowledgeable ** *** ********* ** *** ******* *** ******** it ** helpful ** young ****** However *** ***** reluctant ** approach ****** counsellors ** ** ****** attending ****** *** ****** ******* ** *** ******* ** **** ******** *** uncertain **** ** chiefly the **** *** ***** *** *** ********* initially ** **** ************ **** through formal access ******** **** ** *********** *** *** **** They *** **** ****** ** ** ********* on ******* informal ****** ******** **** ** ****** *** ******* before attempting ** ****** ****** services [39] ******* few ******** *** as their ********* means ** **** [4] Second another ********* ** access ** the service is knowledge of *** existence *** ******** *** **** ********* **** **** though **** ***** ****** **** ***** ** *** existence *** *********** ***** ** ********* the ******* ****** **** less ******* This *********** **** even ****** ***** ** ********* of *** ******* ******* ****** ****** pathways **** ** school counsellors and *** *** that youth can obtain *********** ***** *** ******* ******* national *** ***** ******* initiatives *** ** ***** and television ***** **** ***** is * **** *** ********** ***** ** ** taken to **** ** **** ********* ** ***** ********** ************* *** ******** is ** ******* *** ******* **** *********** ******* ****** ***** ********* ** ************ technologies given ***** ********** ***** ***** people A ****** ******** ******** ***** the completion of *** current study’s fieldwork ** *********** (http://wwweheadspaceorgau) which increases young ********** ****** ******** ** ****** **** ************* to ***** chat ****** or telephone * clinician ******** ******** ** *** ******* ******** **** visible ******** *** **** it *** ******* access an ********* ******* of ****************** [91516] *** *** help ********** community ****** ********** **** ***** ********** [37] as something **** is ********* Another ********* ** ****** ** the geographical ******** ** *** ******* *** *** ***** proximity ** ****** ********* ********* ** ****** transport ** an important ************* ******* the service ****** *** ***** ****** *** *** more ****** ** be ********* on ****** transport **** ****** who ********** **** ***** *** means of transport ******* the findings also show that ***** *** ** *** live close ** ****** ********* themselves *** ***** ********* difficulties * ******* that *** **** **** highlighted ** * ***** ** Hodges et ** *** of ***** ****** ** ***** *************** ** ** ******* **** attempts ** **** ****** to *** ******* ********* *** met **** ** **** *************** opinion needless delays ** ******* ***** ***** ******* *** ***** ***** appointment ***** the ****** *** ********** ***** ** comparison ** ***** ** some ***** services and *** **** **** **** ***** **** ******** *** headspace ** if *** **** *** ***** *** *********** ** delays ** that they contribute ** *** which may ********* ****** *** ****** ** ***** ********** [3839]; ***** ****** to treatment ********* *** *********** ** ******* illness duration *** **** favourable ******** **** Arguably *** **** issue ** that ****** **** heighten *** *********** that some ***** people *** *** ********* **** ***** ************ **** is ************ the case *** ***** who *** *********** *** ************** about help-seeking with ************* ***** or *** reluctant ** **** help **** though they know ** ******* **** **** * ****** health problem **** ** depression [241] * waiting period *** appointments may ** ************ ** *** high level of **** ** *** ********* and ******* availability ** mental ****** ******** ********** ** ****** GPs *** and ******* ************ of *********** ******** for young ****** ** **** *** be ************ ** insufficient government funding *** a ******* ********* **** ***** restricts the ************ ** relevant ******** *** ** turn ********* *** ****** *** ********* ** existing ******** *** *********** ** ***** in ******* ****** is **** the ******* can be ********* as less ************** [916] *********** *** ***** and ******* ************ may lead **** ***** to **** ********** **** adult ****** health ******** ***** are ***** ********** *** **** *** ***** ****** ****** ** they *** ******** ** gain ****** ** ***** services ****** **** *** ******* *** and ** high **** ** ********* **** *** lead ** *************** **** services *** a further ******** ** DUI Fourth ********* considerations ******* ** ***** ****** to *** ******* *********** **** *** ******* It ** evident **** the *** ** ** cost ****** to *** ******* is ** ********* ************* *** **** participants The ***** ****** funding ***** *********** *** ******* ********** ******** as ** access *********** *** *** early **** of ********* In particular ********** ******* ******* ******* to ** ******* ********** ** ***** *** * ******* ****** ********* **** ************* *** ****** a ****** that ** above *** ********** ******* This is **** possible through *** ************ ************** ****** ****** ** ****** ****** **** *********** ***** ***** provision *** ***** ********** ********* *** up ** ** ******** of ********** therapy *** year *** ******** from ******** ***** *** ** ********** *** ******** ** exceptional ************* ******** ***** limits *** not ********** to treatment provided ** * ************ ** * ** *** implication ** **** mixed ******* ***** ********* the **** **** *** ******* ******** * *** ** ** **** ******* ** that ** ******** access to *** ******* *********** *** perception as ***** ************** **** ************ ** ***** from a ***** ************* background This ** an ********* matter *** ***** ******** located in ** close ** *** ************** ******* as in *** present ***** [42] ******* *** ********* ** *** ****** ** fully ****** sessions from ** ** ** ** ****** to **** ******* ************ *** young ****** **** ***** ********************* ** *********** *** early part ** ********* *** *********** ******* ***** ************ operates as ** access barrier ******* ** ****** *** number of ********* sessions that *** ********* ** no ** ******* cost **** ******* ************ *** ***** ****** **** depression who may require **** than *** ****** ****** of ******** *** don’t **** *** ‘exceptional circumstances’ *********** ********** those **** ******* ********* means **** **** ********** the *********** ** **** for those *** **** additional ******** ** **** they *** compelled ** pay *** *** service; ****** to accessing ***** ******* ********** providers *** ********* **** ** GPs ** *********** *** may *** **** *** knowledge or skills to ***** ***** ****** ******* ***** ** ******** *********** **** ********* *** risk ******* undermining *** ********* of ****************** [15] Overall *** ******** ** **** ***** ******** **** ***** young ********** experiences ** ********* ******** share some similarities **** ***** ********* such ** *** ********** of ************ a ******** ************ **** ******* health care ************* **** ***** *** ********* differences ********* ******** on school *********** *** *** ** ******** ****** ******** [349] *********** ******* ** *** *** of ***** ****** **** are **** ****** to have the **** ****** networks and ************ ****** as ***** ********* ***** *** delay ***** ************ *** ******** *** *** ************************* ****** *********** ******** ******** ** in-depth insight into *** ********** of ***** ****** **** depression ********* this particular youth ******* **************** ** *** ******** from sample ****************** *** **** *** ******** **** *** applicable ** ***** ****** ** * ******* situation ****** **** is ** important consideration because ***** *** ************ between **** *** ***** ******** primary care services *** ***** ****** ********** *** internationally ** ********** ***** ** ************ heterogeneity ** how ********* ******* *** set up and ******* *** ******** ******* to access ** this ********** service ***** ** ******* ** * major ************ **** *** *** ***** ********* *********** *********** through *** ********** ***** **** *** ** ** atypical ****** ** ******* ***** **** * ********* experience ** those *** **** less engaged with *** ******* ****** ******** *** ******* **** ****** young ****** **** depression *** **** ********** *********** **** ** are *** ******* **** *** service care ******* ** ****** that ***** ****** ********** ***** **** *** ************* *********** *** not ********* **** ****** ongoing ****** ** *** ******* Finally ******** is ****** ** examine ****** pathways *** young people with ********** **** * ***** ** ********** ***** *** *** reluctant to seek help and with ******* financial ***** *** to ****** ** ***** *** differences ******* genders ** the ****** **** they **** in ********* ********