title: Help-seeking behaviour regarding mental health problems of Mediterranean migrants in the Netherlands: familiarity with care, consultation attitude and use of services.
abstract: BACKGROUND
  Ethnic minority groups differ in the pattern of their seeking help, and in their use of and attitude towards mental health systems. To meet the mental health needs of ethnic minority populations, insights into determinants of their help-seeking orientations are of great concern.
  
  
  OBJECTIVE
  To investigate help-seeking behaviour regarding mental health problems in terms of familiarity, attitude and service use among Mediterranean migrants in the Netherlands.
  
  
  METHODS
  Samples of Mediterranean citizens in the general population (N = 292) and of Mediterranean (N = 114) and indigenous Dutch outpatients (N = 59) currently treated in mental health care were included. Data were acquired by administering a semi-structured interview. Quantified data were analysed using multivariate techniques.
  
  
  RESULTS
  More recently arrived participants were less familiar with mental health services. Moroccan, lower educated and recently arrived respondents reported a more negative attitude towards consulting these agencies. The help-seeking behaviour of the Mediterranean participants was relatively similar to that of the indigenous Dutch subjects.
  
  
  CONCLUSIONS
  With regard to care-seeking routes and use of mental health services, more inter-ethnic similarities than differences emerged. Sociodemographic variables like age, education and length of residence shape the process of help-seeking and service use.
authors.affiliation: Department of Clinical Psychology, Utrecht University, The Netherlands. j.knipscheer@fss.uu.nl
authors.forename: Jeroen W
authors.initials: JW
authors.lastname: Knipscheer
authors.forename: Rolf J
authors.initials: RJ
authors.lastname: Kleber
mesh_terms: D001294:Attitude to Health; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D018864:Cultural Diversity; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D008297:Male; D019083:Mediterranean Region / Q000208:ethnology; D001523:Mental Disorders / Q000208:ethnology / Q000523:psychology*; D009018:Morocco / Q000208:ethnology; D009426:Netherlands; D010342:Patient Acceptance of Health Care; D014421:Turkey / Q000208:ethnology