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Understanding help seeking behaviour among male offenders: qualitative interview study
Amanda Howerton1, Richard Byng, John Campbell
1Primary Care Research Group, Peninsula Medical School, Exeter EX1 2LU.
Summary
Offenders often distrust healthcare professionals, fearing stigma and superficial treatment, which prevents them from seeking mental health support. Building trust through respect and tailored information is crucial for improving access to care.
Area of Science:
- Criminology
- Psychiatry
- Public Health
Background:
- Offenders frequently experience mental distress, yet help-seeking behaviors remain understudied.
- Barriers to accessing mental healthcare for this population are significant.
Purpose of the Study:
- To investigate the factors influencing help-seeking for mental distress among offenders.
- To understand the specific barriers and facilitators to mental healthcare access for prisoners.
Main Methods:
- A qualitative study involving in-depth interviews with 35 male offenders.
- Interviews were conducted before and after release from a category B prison in southern England.
- Participants included individuals at risk of self-harm.
Main Results:
- Most offenders reported reluctance to seek help from general practitioners or healthcare professionals due to fear of formal diagnosis and associated stigma.
- Lack of trust in the healthcare system and professionals was a prominent theme, linked to adverse childhood experiences and negative perceptions of care.
- Positive past experiences of being respected and listened to by general practitioners were associated with willingness to seek help.
Conclusions:
- Distrust is a primary barrier to healthcare access for offenders.
- Healthcare professionals can foster trust by demonstrating respect, active listening, and individualised care.
- Targeted information to de-stigmatise mental illness and support services for ex-prisoners are recommended to improve mental healthcare seeking.
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