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Exploring older adults’ experiences seeking psychological services using the network episode model

Published online by Cambridge University Press:  22 June 2020

Brooke E. Beatie Open the ORCID record for Brooke E. Beatie [Opens in a new window] ,
Corey S. Mackenzie ,
Genevieve Thompson ,
Lesley Koven ,
Tyler Eschenwecker  and
John R. Walker
Brooke E. Beatie*
Affiliation:
Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada
Corey S. Mackenzie
Affiliation:
Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada
Genevieve Thompson
Affiliation:
College of Nursing, University of Manitoba, Winnipeg, Manitoba, Canada
Lesley Koven
Affiliation:
Department of Clinical Health Psychology, University of Manitoba, Winnipeg, Manitoba, Canada
Tyler Eschenwecker
Affiliation:
Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada
John R. Walker
Affiliation:
Department of Clinical Health Psychology, University of Manitoba, Winnipeg, Manitoba, Canada
*
*Corresponding author. Email: umbeatie@myumanitoba.ca
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Abstract

Older adults’ mental health problems are a growing public health concern, especially because their rate of mental health service use is particularly low. Decades of mental health service utilisation models have been developed, yet key assumptions from these models focus primarily on factors that facilitate or inhibit access into the treatment system without taking into considering the dynamics of how individuals respond to their mental health problems and engage in service utilisation. More recently, dynamic models like the Network Episode Model (NEM-II) have been developed to challenge the underlying, rational choice assumption of traditional utilisation models. Given the multifaceted and complex nature of older adults’ mental health problems, the objective of this study was to examine whether the NEM-II is a helpful and appropriate model for understanding the dynamic process of how older adults navigate the mental health system, including factors that advanced and delayed help-seeking. Our qualitative analyses from 15 interviews with older adults revealed that their backgrounds, social supports and treatment systems influence, and are influenced by, their illness careers. Factors that delayed help-seeking included: a lack of support, ‘inappropriate’ referrals/advice from treatment professionals and poor mental health literacy. This research suggests the NEM-II is a helpful and appropriate theory for understanding older adults’ pathways to treatment, and has implications to enhance older adults’ access to psychological services.

Keywords

mental healtholder adultsservice utilisationNetwork Episode Modelillness career
Type
Article
Information
Ageing & Society , Volume 42 , Issue 1 , January 2022 , pp. 48 - 71
Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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