'Don’t … Break Down on Tuesday Because the Mental Health Services are Only in Town on Thursday': A Qualitative Study of Service Provision Related Barriers to, and Facilitators of Farmers’ Mental Health Help‑Seeking

Vayro, Caitlin and Brownlow, Charlotte and Ireland, Michael and March, Sonja ORCID: https://orcid.org/0000-0001-8425-7126 (2021) 'Don’t … Break Down on Tuesday Because the Mental Health Services are Only in Town on Thursday': A Qualitative Study of Service Provision Related Barriers to, and Facilitators of Farmers’ Mental Health Help‑Seeking. Administration and Policy in Mental Health and Mental Health Services Research, 48. pp. 514-527. ISSN 0894-587X

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Abstract

The suicide rate of farmers is approximately double that of the general Australian population, yet farmers employ fewer help-seeking behaviours (Arnautovska et al. in Soc Psychiatry Psychiatr Epidemiol 49:593–599, 2014; Brew et al. in BMC Public Health 16:1–11, 2016). Therefore, it is crucial to understand if, and how health services and system might influence farmer help-seeking. To shed light on this, the current study employed qualitative semi-structured interviews with 10 farmers, 10 farmers’ partners and 8 medical practitioners. Thematic analysis, guided by Braun and Clarke’s (Qual Res Psychol 3:77–101, 2006) techniques, was used to analyse the data. Three themes were devised concerning the interaction between farmers and health services, including ‘health service interactions’, ‘services are provided within a complex system’ and ‘emerging technologies: the users, practitioners, and systems’. The findings underscore the importance of interactions between a farmer and a service provider, with farmers wanting their provider to have an understanding of farming life. Help-seeking was also shaped by access, availability, and practitioner constancy. Lastly, a complex relationship between digital mental health services and farmer help-seeking was reported, with factors related to the farmers, the practitioners and the infrastructure/systems discussed. The outcomes have implications for health service and policy reform, developing and providing interventions for farmers to promote health services interaction as a way of mental health help-seeking.


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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Faculty/School / Institute/Centre: Current - Faculty of Health, Engineering and Sciences - School of Psychology and Counselling (1 Jan 2015 -)
Date Deposited: 07 Oct 2020 01:19
Last Modified: 23 Apr 2021 04:36
Uncontrolled Keywords: Farmers; Service provision; Help-seeking; Primary producers; Mental health
Fields of Research (2008): 17 Psychology and Cognitive Sciences > 1701 Psychology > 170106 Health, Clinical and Counselling Psychology
11 Medical and Health Sciences > 1117 Public Health and Health Services > 111714 Mental Health
Fields of Research (2020): 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520399 Clinical and health psychology not elsewhere classified
42 HEALTH SCIENCES > 4203 Health services and systems > 420313 Mental health services
Socio-Economic Objectives (2008): C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920499 Public Health (excl. Specific Population Health) not elsewhere classified
Identification Number or DOI: https://doi.org/10.1007/s10488-020-01085-4
URI: http://eprints.usq.edu.au/id/eprint/39575

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