@article{ref1,
title="Barriers to care in severe mental illness: accounts from perpetrators of intra-familial homicide",
journal="Criminal behaviour and mental health",
year="2006",
author="Stanton, Josephine and Skipworth, Jeremy",
volume="15",
number="3",
pages="154-163",
abstract="OBJECTIVE: To review perceptions of barriers to receiving effective mental health care described by patients who had committed intra-familial homicide in the context of untreated severe mental illness. METHOD: Semi-structured interviews addressed issues such as support, help-seeking, experience of illness, and what participants felt might have helped prevent the death(s). Transcripts were analysed for themes related to barriers to help-seeking. RESULTS: Themes identified included: hiding or minimizing difficulties, lack of knowledge or understanding of mental illness, loss of control in the context of illness, seduction by the illness, reality-distorting effects of the illness, distortion of interpersonal relationships, diminished ability to trust and difficulty acknowledging need for medication. CONCLUSIONS: Barriers to care exist at individual, interpersonal and wider societal levels and need to be addressed at all of them.   <p></p>  <p>Language: en</p>",
language="en",
issn="0957-9664",
doi="10.1002/cbm.3",
url="http://dx.doi.org/10.1002/cbm.3"
}