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Logo of bmcpsycBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Psychiatry
 
BMC Psychiatry. 2012; 12: 96.
Published online Aug 1, 2012. doi:  10.1186/1471-244X-12-96
PMCID: PMC3441774
Young people with depression and their experience accessing an enhanced primary care service for youth with emerging mental health problems: a qualitative study
Terence V McCanncorresponding author1 and Dan I Lubman2
1School of Nursing and Midwifery, Victoria University, PO Box 14428, Melbourne, 8001, VIC, Australia
2Turning Point Alcohol and Drug Centre, Eastern Health and Monash University, 54-62 Gertrude Street, Fitzroy, 3065, VIC, Australia
corresponding authorCorresponding author.
Terence V McCann: terence.mccann/at/vu.edu.au; Dan I Lubman: dan.lubman/at/monash.edu
Received July 25, 2011; Accepted July 27, 2012.
Abstract
Background
Despite the emergence of mental health problems during adolescence and early adulthood, many young people encounter difficulties accessing appropriate services. In response to this gap, the Australian Government recently established new enhanced primary care services (headspace) that target young people with emerging mental health problems. In this study, we examine the experience of young people with depression accessing one of these services, with a focus on understanding how they access the service and the difficulties they encounter in the process.
Method
Individual, in-depth, audio-recorded interviews were used to collect data. Twenty-six young people with depression were recruited from a headspace site in Melbourne, Australia. Interpretative phenomenological analysis was used to analyse the data.
Results
Four overlapping themes were identified in the data. First, school counsellors as access mediators, highlights the prominent role school counsellors have in facilitating student access to the service. Second, location as an access facilitator and inhibitor. Although the service is accessible by public transport, it is less so to those who do not live near public transport. Third, encountering barriers accessing the service initially. Two main service access barriers were experienced: unfamiliarity with the service, and delays in obtaining initial appointments for ongoing therapy. Finally, the service’s funding model acts as an access facilitator and barrier. While the model provides a low or no cost services initially, it limits the number of funded sessions, and this can be problematic.
Conclusions
Young people have contrasting experiences accessing the service. School counsellors have an influential role in facilitating access, and its close proximity to public transport enhances access. The service needs to become more prominent in young people’s consciousness, while the appointment system would benefit from providing more timely appointments with therapists. The service’s funding model is important in enabling access initially to young people from low socioeconomic backgrounds, but the government needs to reassess the model for those who require additional support.
Keywords: Depression, Early intervention, Help-seeking, Interpretative phenomenological analysis, Qualitative research, Service access, Youth mental health, Headspace
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