title: The space of access to primary mental health care: a qualitative case study.
abstract: Guided by theoretical perspectives of relational social science, this paper draws on reanalyses of multiple qualitative datasets related to a multi-ethnic, economically disadvantaged area in Liverpool, UK, with the aim to advance general understanding of access to primary mental health care while using local Somali minority as an instrumental focus. The findings generate a novel concept: the space of access. The shape and dynamics of the space of access are determined by at least four fields of tensions: understandings of area and community; cognitive mapping of mental well-being, illness and care; positioning of primary care services; and dynamics of resources beyond the 'medical zone' of care. The conclusions indicate a need for de-centring and re-connecting the role of medical professionals within primary care which itself needs to be transformed by endorsement of multiple avenues of access to diverse support and intrepid communication among all involved actors.
authors.affiliation: Institute of Psychology, Health and Society, Department of Mental and Behavioural Health Sciences, University of Liverpool, Block B, Waterhouse Buildings, 1-5 Brownlow Street, Liverpool L69 3GL, United Kingdom. m.kovandzic@liv.ac.uk
authors.forename: Marija
authors.initials: M
authors.lastname: Kovandžić
authors.forename: Emma
authors.initials: E
authors.lastname: Funnell
authors.forename: Jonathan
authors.initials: J
authors.lastname: Hammond
authors.forename: Abdi
authors.initials: A
authors.lastname: Ahmed
authors.forename: Suzanne
authors.initials: S
authors.lastname: Edwards
authors.forename: Pam
authors.initials: P
authors.lastname: Clarke
authors.forename: Derek
authors.initials: D
authors.lastname: Hibbert
authors.forename: Katie
authors.initials: K
authors.lastname: Bristow
authors.forename: Christopher
authors.initials: C
authors.lastname: Dowrick
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004739:England; D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008605:Mental Health Services; D008875:Middle Aged; D008962:Models, Theoretical; D011203:Poverty; D011320:Primary Health Care; D036301:Qualitative Research; D012998:Somalia / Q000208:ethnology; D055815:Young Adult