In the United States, approximately 20% of children and adolescents meet diagnostic criteria for a mental health diagnosis, but few receive treatment. The purpose of the current study was to explore the factors that contribute to help-seeking among mothers from diverse ethnic groups (52.5% European American/White, 23% African American/Black, and 24.6% Latinx). Participants were 122 mothers recruited from 2014 to 2017 through a convenience sample in Central Texas. Using MANOVA, results indicated that mother with no history of therapy use reported more fears about seeking therapy for children. Additionally, there was a trend towards African American mothers reporting more fears about therapists’ responsiveness and image concerns. Finally, therapy fears significantly predicted mother’s intentions to delay seeking therapy in the future. Implications for research and practice are discussed.
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Alvidrez, J., Snowden, L. R., & Kaiser, D. M. (2008). The experience of stigma among black mental health consumers. Journal of Health Care for the Poor and Underserved, 19(3), 874–893. https://doi.org/10.1353/hpu.0.0058.
American Psychological Association. (2019). Americans becoming more open about mental health. Retrieved May 1, 2019 from https://www.apa.org/news/press/releases/2019/05/mental-health-survey.
Centers for Disease Control and Prevention. (2019). Children’s mental health. Retrieved July 8, 2019 from https://www.cdc.gov/childrensmentalhealth/data.html.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. NewJersey: Erlbaum.
Corbie-Smith, G., Thomas, S. B., & George, D. M. M. S. (2002). Distrust, race, and research. Archives of Internal Medicine, 162(21), 2458–2463. https://doi.org/10.1001/archinte.162.21.2458.
DosReis, S., Barksdale, C. L., Sherman, A., Maloney, K., & Charach, A. (2010). Stigmatizing experiences of parents of children with a new diagnosis of ADHD. Psychiatric Services, 61(8), 811–816. https://doi.org/10.1176/ps.2010.61.8.811.
Goodman, R. (1997). The strengths and difficulties questionnaire: A research note. Journal of Child Psychology and Psychiatry, 38(5), 581–586. https://doi.org/10.1111/j.1469-7610.1997.tb01545.x.
Kushner, M. G., & Sher, K. J. (1989). Fear of psychological treatment and its relation to mental health service avoidance. Professional Psychology: Research and Practice, 20(4), 251–257. https://doi.org/10.1037/0735-7028.20.4.251.
Pattyn, E., Verhaeghe, M., & Bracke, P. (2015). The gender gap in mental health service use. Social Psychiatry and Psychiatric Epidemiology, 50(7), 1089–1095. https://doi.org/10.1007/s00127-015-1038-x.
Thurston, I., & Phares, V. (2008). Mental health service utilization among African American and Caucasian mothers and fathers. Journal of Consulting and Clinical Psychology, 76, 1058–1067. https://doi.org/10.1037/a0014007.
Turner, E. A. (2018). Factor structure and psychometric properties of the thoughts about psychotherapy survey in a parent sample. Community Mental Health Journal, 54(7), 930–934. https://doi.org/10.1007/s10597-018-0248-6.
Turner, E. A. (2019). Mental health among African Americans: Innovations in research and practice. USA: Rowman & Littlefield Publishing.
Turner, E. A., Camarillo, J., Daniel, S., Otero, J., & Parker, A. (2017). Correlates of psychotherapy use among ethnically diverse college students. Journal of College Student Development, 58(2), 300–307. https://doi.org/10.1353/csd.2017.0022.
Turner, E. A., Jensen-Doss, A., & Heffer, R. W. (2015). Ethnicity as a moderator of how parents’ attitudes and perceived stigma influence intentions to seek child mental health services. Cultural Diversity and Ethnic Minority Psychology, 21(4), 613–618. https://doi.org/10.1037/cdp0000047.
Turner, E. A., & Liew, J. (2010). Children’s adjustment and child mental health service use: The role of parents’ attitudes and personal service use in an upper middle-class sample. Community Mental Health Journal, 46(3), 231–240. https://doi.org/10.1007/s10597-009-9221-8.
Turner, E. A., & Llamas, J. D. (2017). The role of therapy fears, ethnic identity, and spirituality on access to mental health treatment among Latino college students. Psychological Services, 14(4), 524–530. https://doi.org/10.1037/ser0000146.
Turner, E. A., & Mohan, S. (2016). Child mental health services and psychotherapy attitudes among Asian Indian parents: An exploratory study. Community Mental Health Journal, 52(8), 989–997. https://doi.org/10.1007/s10597-015-9976-z.
U.S. Department of Health and Human Services. (2001). Mental health: Culture, race, and ethnicity (a supplement to Mental health: A report of the surgeon general). MD: Rockville.
Vogel, D. L., Wade, N. G., & Hackler, A. H. (2007). Perceived public stigma and the willingness to seek counseling: The mediating roles of self-stigma and attitudes toward counseling. Journal of Counseling Psychology, 54(1), 40–50. https://doi.org/10.1037/0022-0188.8.131.52.
West, S. G., Finch, J. F., & Curran, P. J. (1995). Structural equation models with non-normal variables: Problems and remedies. In R. H. Hoyle (Ed.), Structural equation modeling: Concepts, issues and applications (pp. 56–75). Sage Publications, Inc.
Whaley, A. L. (2001). Cultural mistrust: An important psychological construct for diagnosis and treatment of African Americans. Professional Psychology: Research and Practice, 32(6), 555–562. https://doi.org/10.1037/0735-7028.32.6.555.
This research was supported by a grant awarded to the first author through the University of Houston-Downtown's Organized Research and Creative Activities (ORCA) program. Data collection for this study was conducted at UHD and approved by the Committee for the Protection of Human Subjects. We thank the participants and members of the Greater Houston community for sharing their experiences with us for this study.
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Turner, E.A., Plitt, C., Gamez, Y. et al. Therapy Fears and Help-Seeking Behaviors among Mothers: Examining Racial Differences in Mental Health Services. Community Ment Health J 57, 808–813 (2021). https://doi.org/10.1007/s10597-020-00711-7
- Child mental health
- Behavioral health
- Parental help-seeking
- Mental health disparities
- Ethnic differences