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Table 4 Need factors

From: Barriers and facilitators to accessing adolescents’ mental health services in Karachi: users and providers perspectives

Themes

Sub-theme

Open Codes

Barrier/Facilitator

Reported By

Perceived need

Severity of illness

Academic decline

Facilitator

Both

Lack of appropriate diagnosis

Facilitator

Both

Decline in performance

Facilitator

Both

Compromised routine

Facilitator

Both

Deteriorated mental health

Facilitator

Both

Need for marriage proposals

Facilitator

User

Disruptive routine

Facilitator

User

Changed eating habits

Facilitator

User

Patient willingness

Facilitator

User

Complaints from schools

Facilitator

Both

Evaluated need

Perceived benefits

Medication side-effects

Barrier

Provider

Providers’ attitude

Lack of trust in provider/perceived ineffectiveness

Barrier

Both

Long waiting times

Barrier

Both

Need for vaccination

Barrier

User

Overburdened facilities/huge clientele

Barrier

Provider

Navigation

Barrier

Both

Criticism from health providers

Barrier

User