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SchizophreniaEvolution and Synthesis$
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Steven M. Silverstein, Bita Moghaddam, and Til Wykes

Print publication date: 2013

Print ISBN-13: 9780262019620

Published to MIT Press Scholarship Online: May 2014

DOI: 10.7551/mitpress/9780262019620.001.0001

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Creative Solutions to Overcoming Barriers in Treatment Utilization

Creative Solutions to Overcoming Barriers in Treatment Utilization

An International Perspective

Chapter:
(p.261) 16 Creative Solutions to Overcoming Barriers in Treatment Utilization
Source:
Schizophrenia
Author(s):

Wulf Rössler

Publisher:
The MIT Press
DOI:10.7551/mitpress/9780262019620.003.0016

This chapter addresses the determinants of help-seeking behavior and methodological issues related to the assessment of needs for care. Help-seeking behavior is affected by (a) prior personal experiences in looking for assistance, (b) the social environment and the influence of significant others, and (c) the overall disease and treatment concepts of the individual. Approaches to intervention range from a general political level to more specific health care policy. Finally, strategies are discussed for improving the way in which mental health professionals can shape their personal relationships with patients and learn to respect their ideas about the causes of their disorder so as to include them in all treatment decisions. In mental health care, the relationship between patient and therapist is one of the most important treatment factors, serving as a reliable predictor of outcome, regardless of diagnosis, setting, or type of therapy used. Published in the Strungmann Forum Reports Series.

Keywords:   Help-seeking, Treatment utilization, Social environment, Treatment decision, Client-Therapist relationship, Psychotherapy, Schizophrenia

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