Barrier Assessment
Barrier Assessment
Student’s Name
Institution affiliation
ASSESSMENT OF COMMUNITY- LEVEL BARRIER 2
As discussed in week 2 assignment, suicide and homicide are some of the violent actions
which have been reported in news daily. This has been contributed by the increased use of drugs,
depression, mental disorder and substance abuse. In North Carolina, factors which contributes to
the mental health disorders include age, gender, socio-economic status and race or ethnicity.
These factors have a lot of impact on the health and well-being of the population of North
Carolina. In this week assessment, I will be focusing specifically on the barriers, limitations and
nothing short of daunting. Basically, the barriers deter the use of mental health treatment
facilities by the people who are mostly suicidal or who are past suicide attempt. The first micro-
level barrier which is financial barrier. Naturally, the cost of care is one of the major barriers
cited frequently by the members of the community. According to research carried out by the
(Sturm and Sherbourne, 2001) about 60-70 percent of the respondents in North Carolina showed
worry about the high cost of treatment for mental health disorders. On the other hand, economist
(Manning et al, 1986) argues that the patterns of metal health services use are sensitive to price.
This implies that the use of services falls as cost rises while the use increase with the better
insurance coverage for the same. Therefore, at North Carolina, most of the individuals without
health care coverage experiences greater barrier to assessing mental health treatment services and
The other critical barrier which impacts health and well-being of the North Carolina
community is a macro-level barrier which relates to the access and funding for the care. One of
such barriers is the limited availability of medication and health professionals. At North
ASSESSMENT OF COMMUNITY- LEVEL BARRIER 3
Carolina, unavailability of the essential medicines is a prevalent problem affecting most the
individuals suffering from mental health disorders. According to a report released by World
Health Organization, most of the health care centers lacks at least one common antidepressant or
one antipsychotic. Also, the members of the community are not able accessing the health care
services due to lack of enough mental health care professionals in most of the areas. For instance,
in some parts of North Carolina, there is a median of 0.05 psychiatrics and 0.16 psychiatric
nurses per 100,000 people. Also, large number of the people are not able to afford the services
due to the high cost of medication. This posses a significant barrier since many people in the
community are low- and middle-income earners who are still struggling financially.
Finally, stigma and discrimination are another common barrier at North Carolina. Mental
health stigma has been considered to be one of the most common barriers deterring young people
aged between 16-26 from seeking mental illness treatment. According to (Kessler et al., 1996)
more than a third of the individuals suffering from mental health disorders are not able to receive
treatment due to mental illness stigma. To be specific, mental illness stigma refers to the
stereotype and prejudicial attitudes held by the members of the public on the illness. As a result
of the prejudice, most of the people induce fear, worry and finally end up distancing themselves
As the rate of suicidal and homicide cases rise as a result of the mental health disorders,
remarkable changes have been put in place on how mental health services are provided in my
community. However, more solutions need to put in place for the barriers hindering most of the
victims of the mental illness. The fist solution is required for the micro-barrier which is financing
of the services. Since mental disorder is not a private matter and its effects can be felt by many
people in the society, the it makes sense that the financial barrier can be easily eliminated by
ASSESSMENT OF COMMUNITY- LEVEL BARRIER 4
providing mental health benefits to all employed people in the community. When all employers
offer benefits such as health insurance that cover mental health treatments, employee’s assistance
programs, bereavement leave and other important benefits, large number of are people now able
On the macro barrier, the solution to the barrier can be easily addressed if the community
had effective policies on mental health care put in place. For instance, comprehensive mental
health policies and plans are significant in overcoming this barrier since they help in
coordinating actions and ensure that financial resources are available mostly in areas which have
limited resources. Some of the resources which the government needs to invest on so as to
overcome this barrier include increasing the number of mental health facilities and ensure that
there are enough qualified personnel to attend the sick. Also, the government should introduce
free funding of the mental health illness to the low-income earners who cannot afford the
expensive services.
Finally, one can overcome the mental illness stigma by either seeking treatment if you are
sick or encouraging the victim to seek medical attention. The other important way to overcome
this kind of barrier is educating the members of the community both who are sick and those who
are not sick. Also, an individual can join a support group where they will get support and advice
on how to heal.
In summary, the Mental Health Care Act (2017) is a which specifically talks about the
rights of the patients with mental illness. The Act lays down the ethical and legal responsibilities
of mental health professionals. The required ethical issues include the morals and behaviors
which every medic is mandated to follow such as confidentiality and others. Ethics are of great
significant as they maintain good relationship between the medics and the patients. Legal issues
ASSESSMENT OF COMMUNITY- LEVEL BARRIER 5
include appearing of the psychiatric in court when required to act as a witness and other
supposed to look after a mental health patient. This is will have a lot of impact on the program as
References
Sturm, R., & Sherbourne, C. D. (2001). Are barriers to mental health and substance abuse care
still rising?. The Journal of Behavioral Health Services & Research, 28(1), 81-88.
Motowidlo, S. J., Packard, J. S., & Manning, M. R. (1986). Occupational stress: its causes and
Kessler, R. C., Nelson, C. B., McGonagle, K. A., Edlund, M. J., Frank, R. G., & Leaf, P. J.
for prevention and service utilization. American journal of orthopsychiatry, 66(1), 17-31.