Treatment FAQ

what factors obstruct access to mental health treatment for those needing treatment

by Dr. Ryan Berge Published 3 years ago Updated 2 years ago

  • Mental health clinician shortage. One of the primary causes for limited mental healthcare access is logical – there simply are may not be enough qualified mental health professionals to meet ...
  • Limited mental health access parity. Even when there is a mental health professional available, patients often face challenges identifying one who will accept their insurance.
  • Fragmented mental and physical health access. Creating parity is not necessarily enough, many healthcare experts state. ...
  • Social stigma and limited mental health awareness. Often, barriers to mental healthcare access are cultural, as patients feel the pressure of societal stigma and avoid visiting mental health professionals.

(1) Common barriers to mental health care access include limited availability and affordability of mental health care services, insufficient mental health care policies, lack of education about mental illness, and stigma.

Full Answer

What are the barriers to accessing mental health care?

Several factors are thought to impede appropriate mental health care seeking including lack of perceived need for treatment (Edlund et al., 2006; Mojtabai et al., 2002; Sareen et al., 2007), stigma (Van Voorhees et al., 2005, 2006; Wrigley et al., 2005; Wynaden et al., 2005), pessimism regarding the effectiveness of treatments (Bayer & Peay, 1997), lack of access due to financial …

Why do patients have limited access to mental health services?

1. Introduction. An estimated 8.9 million adults in the United States have co-occurring mental health and substance use disorders (COD; Substance Abuse and Mental Health Services Administration [SAMHSA], 2015).An individual is determined to have COD if they meet clinical criteria for both a mental health disorder and at least one substance use disorder (Center for …

What factors influence patients’ access to mental health services?

Aug 07, 2019 · Overall, 33 percent of providers say care fragmentation is a barrier to sufficient mental healthcare access. Organizations should be wary of simply layering mental healthcare over primary care, or just offering the two services in …

Why are our mental health resources so underfunded?

Aug 19, 2021 · Add on top of that the realities of shortages in mental health care providers and barriers to accessing mental health care for many on Medicaid — especially people of color. The system is also ...

What are some of the barriers to getting treatment for mental health issues?

The results revealed that the most common barriers are fear of stigmatization, lack of awareness of mental health services, sociocultural scarcity, scarcity of financial support, and lack of geographical accessibility, which limit the patients to utilize mental health services.Mar 22, 2021

What are factors in the lack of access to quality mental health care?

We discuss six common barriers below.Desire to Receive Care. ... Lack of Anonymity When Seeking Treatment. ... Shortages of Mental Health Workforce Professionals. ... Lack of Culturally-Competent Care. ... Affordability of Care. ... Transportation to Care. ... Resources to Learn More.Feb 12, 2019

What keeps people from getting mental health treatment?

While there are multiple reasons why, one is the fact that people avoid or forego mental health treatment, due to judgment, doubt, pride, fear, misinformation. Individuals fear judgment, change, the unknown, and what they might discover in therapy; additionally, they're too prideful to admit they need help.May 8, 2019

What are examples of barriers to treatment?

What Are Common Barriers to Treatment ProgressFear.Unclear communication between a therapist and client.Severe symptoms.Substance use.Distractions.Oct 13, 2021

What are the three biggest barriers to treatment for mental illness?

(1) Common barriers to mental health care access include limited availability and affordability of mental health care services, insufficient mental health care policies, lack of education about mental illness, and stigma.

What are barriers to accessing health care?

Some of these barriers may include: transportation, geographical location, system organisational barriers, general availability of services, health information, waiting times and health infrastructure. Structural barriers can occur independently or can overlap with other major barriers, such as, economic barriers.Apr 3, 2018

Why do those who need mental health services choose not to seek help?

Some of the most common reasons people do not take the steps needed to obtain help for depression include: Fear and shame: People recognize the negative stigma and discrimination of being associated with a mental illness.Mar 28, 2019

Which of the following are barriers to seeking treatment?

Prominent barrier themesPublic, perceived and self-stigmatising attitudes to mental illness. ... Confidentiality and trust. ... Difficulty identifying the symptoms of mental illness. ... Lack of accessibility. ... Self-reliance. ... Concern about characteristics of provider. ... Knowledge about mental health services.More items...•Dec 30, 2010

What are the five major barriers to the scaling up of mental health services?

In order to increase the use of mental healthcare services, we first have to understand what prevents people from accessing them in the first place.Financial Barriers to Mental Healthcare. ... Lack of Mental Health Professionals. ... Mental Health Education and Awareness. ... The Social Stigma of Mental Health Conditions.More items...

What are the factors that contribute to mental illness?

And, it’s equally important to understand that mental illness can derive from a number of factors, including: Trauma (abuse, sexual assault, witnessing violence) Experiences connected with a chronic medical condition (such as diabetes or cancer) Substance use (alcohol, recreational or prescription drugs)

What are the barriers to getting help for mental health?

A recent study demonstrated that lack of awareness, social stigma, cost, and limited access are some of the most prominent factors standing in the way of people pursuing mental health ...

What are the different types of mental illnesses?

To help encourage awareness and provide more clarity, the CDC offers a preview of categorized mental illnesses as follows: 1 Anxiety disorders (general, social, and panic disorders as well as phobias) 2 Attention-deficit hyperactivity disorder (ADHD) 3 Disruptive behavioral disorders (mostly originating in childhood) 4 Depression and mood disorders 5 Eating disorders (overeating, bulimia, anorexia, and more) 6 Personality disorders 7 Post-traumatic stress disorder (PTSD) 8 Schizophrenia and other psychotic disorders 9 Substance abuse disorders

How does social stigma affect mental health?

In effect, social stigma causes a harmful chain reaction that looks like this: Social stigma leads to avoiding or delaying needed mental health treatment. In turn, the mental illness goes untreated, often causing a person to remain unemployed because he/she does not have the support needed to perform a job.

What are the barriers to mental health?

For as much as mental health awareness and advocacy continues to build momentum, there are still formidable barriers to cross. And, unfortunately, it’s the individuals and families of people in need of mental health treatment that experience these challenges the most. Lack of awareness, social stigma, cost, and limited access are some of the most prominent factors standing in the way of people pursuing mental health treatment. Let’s take a closer look at how these obstacles impact access to much-needed mental health treatment and resources.

How many types of mental disorders are there?

Substance abuse disorders. This list is by no means a complete one—in fact, there are upwards of 200 types of classified mental illnesses and disorders, according to the American Psychiatric Association.

What is the common problem that comes with a lack of awareness and is exacerbated by negative social stigmas?

Another common problem that comes with a lack of awareness and is exacerbated by negative social stigmas, can be how mental illness develops. Some people may be perceived as “weak” or “lacking self-control.”.

What are the barriers to mental health?

Social stigma and limited mental health awareness. Often, barriers to mental healthcare access are cultural, as patients feel the pressure of societal stigma and avoid visiting mental health professionals.

What percentage of patients want to access mental health care?

A 2018 survey from the National Council on Behavioral Health (NCBH) showed that 56 percent of patients want to access a mental healthcare provider, but many face care barriers. Limited health insurance access or in-network care are keeping many patients from visiting a mental healthcare professional. And even when a patient can find an affordable ...

Why is telehealth important?

Telehealth presents an avenue to access for patients in particular mental health deserts. Instead, the industry must focus on recruiting enough mental health professionals to address the looming clinician shortage.

What percentage of people who have not used telehealth are open to the possibility of using telehealth?

Forty-five percent of those who have not used telehealth said they would be open to the possibility. However, telehealth does have its limitations, specifically in that it does not actually quell the mental health clinician shortage.

How many people experience mental illness each year?

The National Alliance on Mental Illness (NAMI) reports that one-in-four individuals experiences a mental illness each year, underscoring a critical need for mental healthcare access across all patient populations. This is a pervasive issue that warrants the kind of attention other chronic diseases often receive.

Do low income people need mental health care?

Compared to their middle- and high-income counterparts, low-income patients are less likely to know where to access mental healthcare and more likely to visit a community center for treatment rather than a specialized mental health clinic.

Is there a shortage of mental health professionals?

The nation is currently staring down a significant clinician shortage, and the mental health specialty is not immune to this. There are mental health professional shortage areas in every state across the United States, according to 2018 data from the Kaiser Family Foundation.

How much does mental health cost?

The cost of mental health. Nearly 1 in 5 Americans has some type of mental health condition. Spending on mental health treatment and services reached $225 billion in 2019, according to an Open Minds Market Intelligence Report. That number, which is up 52% since 2009, includes spending on things like therapy and prescription medications as well as ...

What law prohibits insurance from covering mental health?

Access and coverage for mental health and substance abuse treatments have improved in recent years thanks to the 2008 Mental Health Parity and Addiction Equity Act, which barred health insurers from making coverage for mental health more restrictive than for physical ailments.

How much does Talkspace cost?

Online counseling services like Talkspace and BetterHelp can cost less than traditional in-person therapy with pricing ranging from $60 to $90 per week. And Talkspace is covered by many major insurers, including Cigna, Humana and Premera Blue Cross Blue Shield.

What is the purpose of a treatment locator?

The Substance Abuse and Mental Health Services Administration, which is a government agency, provides a treatment locator to help patients find low-cost treatment facilities across the country.

How much does a therapy session cost?

An hour-long traditional therapy session can range from $65 to $250 for those without insurance, according to therapist directory GoodTherapy.org . A more severe diagnosis, of course, carries heavier lifetime cost burdens. A patient with major depression can spend an average of $10,836 a year on health costs.

Which states have the lowest mental health rates?

States like Missouri, Arizona, South Dakota, Montana and Washington are among those with low rates when it comes to meeting the mental health needs of residents. On a national level, research shows that the U.S. is likely to continue to experience a shortage of mental health professionals through 2025. Many providers also still operate outside the ...

Does Medicare cover mental health?

Right now, Medicare offers one of the worst coverage options for those with mental health and substance use issues. Medicare, for example, has a 190-day lifetime limit on psychiatric inpatient care.

How many children with mental health issues receive mental health care?

Unfortunately, only about 20% of children with mental, emotional, or behavioral disorders receive care from a specialized mental health care provider 2. Some families cannot find mental health care because of the lack of providers in their area.

How many children have mental health issues?

It can be challenging for some families to get mental health care for their children. Nearly 1 in 5 children have a mental, emotional, or behavioral disorder 1, such as anxiety or depression, attention-deficit/hyperactivity disorder (ADHD), disruptive behavior disorder, and Tourette syndrome.

What is CDC's policy report?

CDC developed a policy report that presents promising practices for delivering mental health care in rural areas. A CDC webinar entitled “ Mental and Behavioral Health of Rural Children.

What is behavioral health integration?

Behavioral Health Integration (BHI) is one approach that can improve access to mental health services for children and their families. Partnerships between primary medical care practices and mental health care specialists can make mental health services more accessible for some families. Learn more by reading:

What is the CDC?

CDC works to identify policies and practices that connect more families to mental health care. Read about potential policies and practices that may help children access mental health care: A systematic review. external icon. of policy levers to promote access to and utilization of children’s mental health services. A CDC-sponsored report.

What is EITC in health?

of the health benefits of the Earned Income Tax Credit (EITC), including for children’s mental health. A report. external icon. on supplemental security income policies as a tool to reduce childhood poverty and improve their mental, behavioral, and developmental health.

What is pediatric emergency care?

Pediatric Emergency Care has published a study that describes factors related to whether U.S. emergency departments (EDs) have policies in place to care for children with mental health and social concerns.

How many people with mental illness are not able to receive treatment?

Almost a quarter (22.3%) of all adults with a mental illness reported that they were not able to receive the treatment they needed. This number has not declined since 2011.

What are the barriers to not receiving treatment?

Individuals seeking treatment but still not receiving needed services face the same barriers that contribute to the number of individuals not receiving treatment: No insurance or limited coverage of services. Shortfall in psychiatrists, and an overall undersized mental health workforce.

How many people will be uninsured in 2020?

Adults with AMI who are Uninsured 2020. 10.3% (over 4.7 million) of adults with a mental illness remain uninsured. Under the Affordable Care Act (ACA), the U.S. continues to see a decline in Americans who are uninsured.

What is emotional disturbance?

For purposes of an IEP, the term “Emotional Disturbance” is used to define youth with a mental illness that is affecting their ability to succeed in school. Early identification for IEPs is critical. IEPs provide the services, accommodations and support students with ED need to receive a quality education.

What is MHPAE law?

The Mental Health Parity and Addiction Equity law (MHPAE) was enacted a decade ago and promised the equal coverage of mental health and substance use services. However, the rate of children with private insurance that does not cover mental or emotional problems continues to increase, and private insurance companies continue to place subtle restrictions on coverage for mental health treatments.

How many people with depression do not receive mental health care?

59% of youth with major depression do not receive any mental health treatment. Youth experiencing MDE continue to go untreated. Even among the states with greatest access for youth, almost 50% of youth are still not receiving the mental health services they need.

What percentage of people have cognitive disabilities?

According to the Centers for Disease Control (CDC), 11.4% of people in the United States had a cognitive disability, even when adjusted for age. 1 The percentage of people with cognitive disability ranged from 7.8 percent in some states to 19.1 percent. A 2017 study.

Lack of Awareness

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First and foremost, many people do not understand the breadth of mental illnesses and disorders. And, the concept of having one or more mental illness at the same time (referred to as co-occurring disorder), can also be difficult to comprehend. Add to that, that some mental illnesses can be short or long-term, and it’s easy to …
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Social Stigma

  • “You could control your mental illness…if you only tried.” Sadly, this is something that people with mental illness hear often. Stigmas such as this add to the shame and embarrassment felt by those struggling with a mental health disorder, so much so, in fact, that they will avoid seeking treatment for their condition. How do we know this? Because an estimated one-third of America…
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High Cost

  • When exploring why the cost is a barrier for those seeking mental health treatment, one may wonder if those with health insurance coverage are exempt. The short answer is no. In fact, studies confirm that 42% of Americans cited cost and poor insurance coverage as top barriers to accessing mental health care. Furthermore, one in four people living i...
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Limited Options

  • It probably makes sense, in light of the challenges associated with mental health treatment cost barriers, that there would also be limited options from which to choose. Hefty mental illness treatment costs pose a greater problem for people with lower levels of income. Individuals who live in more rural areas often do not have easily-accessible mental health services in proximity a…
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Eliminating Challenges and Getting Help

  • While eliminating barriers in mental health will take time, becoming acquainted with the four major challenges discussed here is an important first step. And, the first step can start with you. Whether you need help for a mental health disorder or a family member is in need of services and support, help is a click or phone call away. And, please know that you are not alone! Millions of A…
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