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Table 1 Population/Concept/Context

From: A scoping review of the barriers and facilitators to accessing and utilising mental health services across regional, rural, and remote Australia

 

Inclusion

Example

Exclusion

P

Patients/individuals with mental health issues/concerns of any age

Diagnosed mental disorders:

• Schizophrenia (spectrum) and other psychotic disorders

• Depressive disorders

• Bipolar and related disorders

• Anxiety disorders

• Obsessive-compulsive and related disorders

• Trauma- and stressor-related disorders

• Somatic and related disorders

• Dissociative disorders

• Feeding and eating disorders

• Disruptive, impulse control, and conduct disorders

• Substance-related and additive disorders

• Personality disorders

Mental health issues:

• Psychological distress indicated via validated measure

• “At-risk” groups (e.g., where mental health services have been sought/warranted but a diagnosis has not yet been made)

• Mental disorders not otherwise specified

Part of mental health/community service:

• Adult mental health service

• Child and adolescent mental health service

• Community mental health organisation

Neurodevelopmental disorders

Elimination disorders

Sleep-wake disorders

Sexual dysfunctions

Gender dysphoria

Neurocognitive disorders

Paraphilic disorders

Healthcare providers providing diagnostic/assessment/treatment for mental health issues

• Medical specialists (e.g., general practitioners and psychiatrists)

• Allied health professionals (e.g., psychologists, social workers, counsellors)

• Nurses and nurse practitioners

• Drug and alcohol workers

• Community mental health workers (i.e., workers who provide social/housing/occupational support)

• Peer-workers

• Pharmacists

Healthcare providers who do not specifically diagnose/assess/treat individuals with mental health issues

C

Barriers

Obstacles that obstruct the uptake of mental health services or factors that prevent the quality/level of care being accessed

• Confidentiality concerns

• Fear of stigma

• Poor mental health literacy

• Geographic isolation

• Limited appointment availability

• High cost of service

Factors that are not considered to be barriers

Facilitators

Factors that permit the uptake of mental health services or factors that allow the appropriate amount/quality of care to be received:

• Telehealth availability

• Free/low cost of service

• Appointment timeliness

• Safe and supportive environment

• Culturally competent healthcare providers

• Mentors to assist with system navigation

Factors that are not considered to be facilitators

Access factors

Factors that measure of the alignment between healthcare provider/services and the characteristics/expectations of clients:

• Aspatial dimensions (i.e., affordability, acceptability, and accommodation)

• Spatial dimensions (i.e., availability and accessibility)

Factors that are not considered to be related to access

Utilisation factors

Factors that affect the utilisation of healthcare services, including the implementation of subsequent healthcare encounters:

• Effective information exchange

• Satisfactory negotiation of a healthcare plan

• Interpersonal relationship between the healthcare provider and the patient

Factors that are not considered to be related to the utilisation of mental health services

Mental health services

• Services provided by hospitals (public and private)

• Community-based services (i.e., Acute Community Intervention Service [ACIS], community care units (CCUs), Prevention and Recovery Centres (PARCs), and outpatient clinical treatment)

• Mental Health Community Support Services (MHCSS) (e.g., services that are operated by non-government organisations)

• Specialist mental health services (e.g., services provided specifically for individuals with certain mental health needs)

• Outreach services

• Day programs

• Early intervention programs embedded within schools

All other health services, mental health programs, health promotion initiatives

C

Regional, rural, and remote areas of Australia

Areas classified as regional, rural, or remote Australia according to the MMM:

• MM2 Regional Centres

• MM3 Large Rural Towns

• MM4 Medium Rural Towns

• MM5 Small Rural Towns

• MM6 Remote Communities

• MM7 Very Remote Communities

Areas classified as a Major City in Australia according to the MMM:

• MM1 Metropolitan Areas