• levels of mental health concern, self -stigma,

• In this essay I will be discussing the following articles and how they link or contrast to my chosen article.Presenting concerns of emerging adults seeking treatment at an early intervention outpatient mood and anxiety programme is an article that investigates the mental wellbeing of males and females within various age groups, this was done through the method of a questionnaire and concluded with the results that males felt more under pressure and were likely to develop anxiety and depression in academic situations and in interpersonal relationships whereas it  was found that this only really affected females in academic situations.The article ‘mental health, self stigma and help seeking intentions among emerging adults:an attachment perspective’ states that students with attachments that were experiencing self, stigma and mental health issues were less likely to seek any kind of help such as counselling. One of the main aims of this article was to understand the help-seeking process and how  likely students were to receive help with any mental health issues that they were having and how attachment  and self stigma had affected them in regards to seeking help.The study was investigated through a theory-driven model and a college sample was used to find out the intentions the students had for seeking help. In conclusion the findings from the article highlight the importance of considering the contributions combined of the differences the individual has with their levels of mental health concern, self -stigma, help seeking intentions  as well as understanding the help-seeking process better.The third article that I will be discussing is ‘Mental health stigma and barriers to mental health care for first responders’ the aim of this research was to find out how often first responders face barriers to care and the stigma surrounding mental health care.Research was undertaken in the form of Medline databases, sociological abstracts as well as quality assessment and meta-analysis being performed.The results of this research revealed that that the area that raised the most concern was fears regarding confidentiality and a negative career impact. These barriers were found to be more prominent when dealing with individuals who have mental health problems.The overall conclusion of this research was that there is a significant amount of first responders facing these barriers which then leads to the issue that mental health care is being delayed and not received as quickly and efficiently as it should be.Another article that I will  discuss is ‘Presenting Concerns of emerging adults seeking treatment at early intervention outpatient mood and anxiety programme’. This article looks specifically at examining presenting concerns and characteristics of emerging adults seeking treatment at an early intervention programme for anxiety and mood disorders in order to understand them better and conclude what the best treatment needed was.The methods used in order to do this were conducted on 548 participants that were analysed qualitatively using thematic analysis. As well as this the participants completed a number of questionnaires. The aim of this study was to  figure out the concerns of emerging adults who were seeking treatment at a early intervention outpatient  mood and anxiety programme.What was concluded from this article is that females presented higher levels of anxiety as well as females and younger participants within the age bracket (16-18) presented with increasingly higher levels of depression in comparisons to the male and older participants. The most common concerns were conflicts within interpersonal relationships and academics, it was also found that females were more likely to report their academic concerns whereas males would not. In conclusion this article found that the majority of participants in this assessment were most likely to seek help but the participants did not express too much concern with depression or anxiety.The main article that I have chosen to discuss is ‘help seeking emerging adults with and without a history of mental health referral’, this study was conducted by semi- structured interviews with a total of 29 emerging adults, 12 of these were male and the rest female. 17 of the adults from the study had a history of mental health issues and 12 adults without any mental health concerns. They were all then analysed using thematic analysis, this is a widely used qualities data analysis method, it is one of a group of methods that focuses on identifying patterned meaning across a dataset. Many questionnaires were taken throughout this process at different times during the research. The results of this study were shown to be slightly conflicting due to the fact that the strategy selection was not consistent and sometimes depended on the individual themselves. An example of this given in the article was that an individual would speak to a family member and feel more confident in seeking help from their GP but then also never discuss their issues with anyone else. As well as this the adults did agree that taking to somebody was very beneficial some adults also stated that they were very cautious and reluctant compared to others within the group. The main conclusion of this research was that emerging adults that suffered with a history of mental health issues and and frequently having referrals had appeared to suffer from more rather than less self -stigma which could then lead to them avoiding a refusing to part take in any of the coping strategies, it is very clear that more needs to be done in order to tackle stigma effectively in emerging adults in order to make them feel confident in seeking help and guidance for their issues. This could be done by removing unhelpful strategies that don’t seem to be work as well as others and increasing and building upon the strategies that do. A strength within the methods used is that a large scale of participants were involved to ensure that the results would be conclusive. This helped the reliability of this article and allowed for a better understanding because it was assessed on a broad range of different people, which allows for a broad range of results.As well as this the data was collected through semi-structured interviews, this allows the study to be very detailed and flexible to use in different ways, also it makes the information more reliable and easy to analyse. However using semi-structured interviews to collect data can come with some disadvantages such as not always being able to guarantee the honesty of the participants, it can also be difficult to compare answers as well as this open ended questions are difficult to analyse.The data within the article was analysed with thematic analysis, the strengths with this data collection method is that it provides a highly flexible approach that be adjusted for the needs of lots of different studies, especially if it’s a very detailed and complex account of data.As well as this it also offers a more accessible form of analysis. Another strength of thematic analysis is easily understood and quick to learn.Thematic analysis is also a useful method for examining the perspectives of different research participants, presenting the similarities and differences. The disadvantages in thematic analysis become more probable when its considered in relation to other qualities research methods. Even though thematic analysis is flexible, this flexibility can lead to inconsistency and lack of continuity when developing themes derived from the research data. Thematic analysis is at a disadvantage when its compared to other methods as it does not allow researchers to make claims about language use. The study design of this article was based on structured methods which consisted of interviews, questionnaires and observation. A strength within structured methods is that it used three different techniques to determine the reliability of the information. When these three different methods are combined then, it allows for the study to be more accurate and complete, it allows the study to have multiple angles for analysis. This study design method also leaves less chance for misunderstanding the data as it is collected thoroughly and analysed and reduced the chances of the information being misinterpreted or misunderstood. The biggest disadvantage with this study design is that its very time consuming and collecting data from three different methods can take time and then furthers the time to analyse the information, it can also become less reliable over time because result could change and differ over time leading to a complete shift in the data.The epistemological approach surrounding this article was that this study was based on authoritative knowledge due to the study being based on information received from different people, books, its strength and reliability depends on the strength of the sources, as a huge part of this study was based on the results that were received from the participants in the study. As well as this this study also used empirical knowledge which is based on objective facts which are decisive through experiments and or observations, the study had observed the behaviours of the emerging adults and how they went about seeking help for mental health related issues. An advantage of this method would be that it allows data to be collected from many different sources leading the study to being a lot more informative and drawing a more precise conclusion.However a disadvantage of this study method is that the information received from these sources may not always be reliable and therefore could lead to inconsistencies within the study leading it to be a unreliable study.There was strong conceptual framework during this study that helped to make conceptual distinctions and organise the ideas within the study. The conceptual framework within this study was made to challenge and also extend the existing knowledge around this article. In my own opinion I think that the article is very detailed and contains very reliable information, the different methods of study have allowed the results to be analysed from many different angles and have made the study viable. The themes around the barriers to help-seeking helped to break down the overall results and understand the barriers individually. The article also contains the tables of results which helps to understand the research a lot better visually. Weaknesses within this article were that the participant involved in the study were not balanced in terms of equal amounts of male and females and instead there was  females than males, this could lead to biased results as it is known that females and males usually react to things differently, for the the findings of this article it could mean that the article is based more on the result of females seeking help for mental health issues than males. ‘Semi- structured interviews were conducted on 29 emerging adults (12 males, 17 females)’. I do believe that the article is still strong and the results are reliable, I just believe it may be slightly biased due to the unequal amount of participants of each gender take part however I don’t believe that this will have made a big difference to the results and reliability of this study and it does not change the body of knowledge. The results of this article is a confirmation of what we already know which is that adults will try to avoid seeking help as much as they possibly can and use other strategies to help them cope with their issue due to a number of reasons such as feeling as though they are a burden, not wanting to rely on others for help, this all leads to mental health issues getting worse and seeking help is very important. Upon reviewing the results, it was noticed that adults were more likely to avoid seeking help if they had a history of mental health referrals which then led to the conclusion that the current approach to mental health in emerging adults is not doing enough to decrease the stigma attached to the referrals.When looking at this article, I believe that there is a change of knowledge due to the conclusion of this article as it states that ‘more needs to be done to tackle stigma effectively in adolescents and emerging  adults in order to encourage more adaptive help-seeking strategies.’ This conclusion clearly shows that although ‘there has been an increased focus on parity of esteem for mental heath, there is still more that need to be done in order to help emerging adults suffering with mental health and stigma attached to help-seeking, this sturdy has allowed an addition to the body of knowledge as it has concluded a result that will know give mental health professionals a focus and something to improve on I order to ensure that it helps impact the mental health sector in a positive way.