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      Attitudes toward innovative mental health treatment approaches in Germany: E-mental health and home treatment

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          Abstract

          E-mental health and home treatment are treatment approaches that have proven to be effective, but are only slowly implemented in the German health care system. This paper explores the attitudes toward these innovative treatment approaches. Data was collected in two large, non-clinical samples representative of the German population in spring 2020 ( N = 2,503) and winter 2020/2021 ( N = 2,519). Statistical associations between variables were examined using two-tailed tests. Binary and multinomial logistic regressions were performed to predict attitudes toward online-based treatment concepts and home treatment approaches. Only few (<20%) people preferred online-based treatment approaches, while a larger proportion (~50%) could imagine being treated at home. Overall, younger subjects were more open to online-therapy approaches, while people with lower education preferred more often a traditional therapy setting. Acceptance of online-therapy did not raise significantly during the first months of the COVID-19 pandemic. When different online-based treatment options were available, the probability of accepting home treatment significantly increased with increasing levels of therapeutic support. Further promotion of acceptance for online-therapy and home treatment seems to be necessary. In the future, more information on innovative treatment approaches should be actively provided.

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            Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review

            Background Adolescents and young adults frequently experience mental disorders, yet tend not to seek help. This systematic review aims to summarise reported barriers and facilitators of help-seeking in young people using both qualitative research from surveys, focus groups, and interviews and quantitative data from published surveys. It extends previous reviews through its systematic research methodology and by the inclusion of published studies describing what young people themselves perceive are the barriers and facilitators to help-seeking for common mental health problems. Methods Twenty two published studies of perceived barriers or facilitators in adolescents or young adults were identified through searches of PubMed, PsycInfo, and the Cochrane database. A thematic analysis was undertaken on the results reported in the qualitative literature and quantitative literature. Results Fifteen qualitative and seven quantitative studies were identified. Young people perceived stigma and embarrassment, problems recognising symptoms (poor mental health literacy), and a preference for self-reliance as the most important barriers to help-seeking. Facilitators were comparatively under-researched. However, there was evidence that young people perceived positive past experiences, and social support and encouragement from others as aids to the help-seeking process. Conclusions Strategies for improving help-seeking by adolescents and young adults should focus on improving mental health literacy, reducing stigma, and taking into account the desire of young people for self-reliance.
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              Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta-analysis

              Highlinghts • The COVID-19 pandemic increases the prevalence of depression, anxiety, distress, and insomnia. • Health care workers and COVID-19 patients are high-risk groups of mental health. • Urgent interventions are needed for preventing mental health problems.
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                Author and article information

                Contributors
                Journal
                Front Psychiatry
                Front Psychiatry
                Front. Psychiatry
                Frontiers in Psychiatry
                Frontiers Media S.A.
                1664-0640
                15 July 2022
                2022
                : 13
                : 889555
                Affiliations
                [1] 1Department for Child and Adolescent Psychiatry, Rostock University Medical Center , Rostock, Germany
                [2] 2Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, Integrated Research and Treatment Center Adiposity Diseases, University of Leipzig , Leipzig, Germany
                [3] 3Medical Center Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz of the Johannes Gutenberg University Mainz , Mainz, Germany
                Author notes

                Edited by: Alexis Revet, Université de Toulouse, France

                Reviewed by: Hala Kerbage, Institut National de la Santé et de la Recherche Médicale (INSERM), France; Camille Noël, Université Libre de Bruxelles, Belgium

                *Correspondence: Michael Kölch Michael.Koelch@ 123456med.uni-rostock.de

                This article was submitted to Child and Adolescent Psychiatry, a section of the journal Frontiers in Psychiatry

                †These authors have contributed equally to this work and share first authorship

                Article
                10.3389/fpsyt.2022.889555
                9334816
                35911231
                f2b25341-f31b-4e7b-99d9-77eaddde0267
                Copyright © 2022 Lincke, Ulbrich, Reis, Wandinger, Brähler, Dück and Kölch.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 04 March 2022
                : 27 June 2022
                Page count
                Figures: 1, Tables: 4, Equations: 0, References: 75, Pages: 0, Words: 9594
                Categories
                Psychiatry
                Original Research

                Clinical Psychology & Psychiatry
                ehealth,e-therapy,online interventions,outreach care,representative survey,acceptance of healthcare,attitudes toward healthcare,preferences

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