{"id":"https://openalex.org/W7225099894","doi":"https://doi.org/10.1177/00207640261489821","title":"Exploring the Barriers to Utilization of Mental Health Services in Persons With Severe Mental Illness: A Comprehensive Conceptual Review","display_name":"Exploring the Barriers to Utilization of Mental Health Services in Persons With Severe Mental Illness: A Comprehensive Conceptual Review","publication_year":2026,"publication_date":"2026-11-02","ids":{"openalex":"https://openalex.org/W7225099894","doi":"https://doi.org/10.1177/00207640261489821","pmid":"https://pubmed.ncbi.nlm.nih.gov/42969653"},"language":"en","primary_location":{"id":"doi:10.1177/00207640261489821","doi":"https://doi.org/10.1177/00207640261489821","is_oa":false,"landing_page_url":"https://doi.org/10.1177/00207640261489821","pdf_url":null,"source":{"id":"https://openalex.org/S92508993","display_name":"International Journal of Social Psychiatry","issn_l":"0020-7640","issn":["0020-7640","1741-2854"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-2","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Social Psychiatry","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5034695147","display_name":"Ghanshyam Choudhary","orcid":"https://orcid.org/0009-0002-5870-9904","observed_orcids":["https://orcid.org/0009-0002-5870-9904"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Ghanshyam Choudhary","raw_affiliation_strings":["Department of Psychiatric Social Work, LGB Regional Institute of Mental Health, Tezpur, Assam, India"],"raw_orcid":"https://orcid.org/0009-0002-5870-9904","affiliations":[{"raw_affiliation_string":"Department of Psychiatric Social Work, LGB Regional Institute of Mental Health, Tezpur, Assam, India","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5033715768","display_name":"Indrajeet Banerjee","orcid":"https://orcid.org/0000-0002-9850-9213","observed_orcids":["https://orcid.org/0000-0002-9850-9213"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Indrajeet Banerjee","raw_affiliation_strings":["Department of Psychiatric Social Work, LGB Regional Institute of Mental Health, Tezpur, Assam, India"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Psychiatric Social Work, LGB Regional Institute of Mental Health, Tezpur, Assam, India","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5034695147"],"corresponding_institution_ids":[],"apc_list":{"value":3900,"currency":"USD","value_usd":3900},"apc_paid":null,"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.62925058,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":"207640261489821","last_page":"207640261489821"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10272","display_name":"Mental Health Treatment and Access","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13944","display_name":"Psychiatric care and mental health services","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12844","display_name":"Psychology and Mental Health","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/severe-mental-illness","display_name":"severe mental illness","score":0.9539999961853027},{"id":"https://openalex.org/keywords/mental-health-service-utilization","display_name":"mental health service utilization","score":0.9850000143051147},{"id":"https://openalex.org/keywords/barriers-to-care","display_name":"barriers to care","score":0.9039999842643738},{"id":"https://openalex.org/keywords/mental-health-stigma","display_name":"mental health stigma","score":0.8130000233650208},{"id":"https://openalex.org/keywords/financial-barriers","display_name":"financial barriers","score":0.6069999933242798},{"id":"https://openalex.org/keywords/cultural-and-religious-beliefs","display_name":"cultural and religious beliefs","score":0.8970000147819519},{"id":"https://openalex.org/keywords/treatment-gap","display_name":"treatment gap","score":0.777999997138977},{"id":"https://openalex.org/keywords/access-to-mental-health-care","display_name":"access to mental health care","score":0.6740000247955322},{"id":"https://openalex.org/keywords/low-and-middle-income-countries","display_name":"low- and middle-income countries","score":0.7860000133514404},{"id":"https://openalex.org/keywords/mental-health-service-delivery","display_name":"mental health service delivery","score":0.7990000247955322}],"concepts":[{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.765500009059906},{"id":"https://openalex.org/C2776674806","wikidata":"https://www.wikidata.org/wiki/Q12135","display_name":"Mental illness","level":3,"score":0.6952000260353088},{"id":"https://openalex.org/C168285401","wikidata":"https://www.wikidata.org/wiki/Q1427245","display_name":"Stigma (botany)","level":2,"score":0.6340000033378601},{"id":"https://openalex.org/C3019351904","wikidata":"https://www.wikidata.org/wiki/Q6817476","display_name":"Mental health service","level":3,"score":0.48190000653266907},{"id":"https://openalex.org/C118552586","wikidata":"https://www.wikidata.org/wiki/Q7867","display_name":"Psychiatry","level":1,"score":0.4675000011920929},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.46140000224113464},{"id":"https://openalex.org/C2779943754","wikidata":"https://www.wikidata.org/wiki/Q5570863","display_name":"Global mental health","level":3,"score":0.46000000834465027},{"id":"https://openalex.org/C14224292","wikidata":"https://www.wikidata.org/wiki/Q13600188","display_name":"Conceptual framework","level":2,"score":0.45419999957084656},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.4246000051498413},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.4203000068664551},{"id":"https://openalex.org/C3020448403","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Burden of disease","level":3,"score":0.3734000027179718},{"id":"https://openalex.org/C2780378061","wikidata":"https://www.wikidata.org/wiki/Q25351891","display_name":"Service (business)","level":2,"score":0.3682999908924103},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.3677999973297119},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.34850001335144043},{"id":"https://openalex.org/C46578552","wikidata":"https://www.wikidata.org/wiki/Q2725393","display_name":"Global health","level":3,"score":0.34709998965263367},{"id":"https://openalex.org/C2781437451","wikidata":"https://www.wikidata.org/wiki/Q1137326","display_name":"Social stigma","level":3,"score":0.3449000120162964},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.3407999873161316},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.3262999951839447},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.32350000739097595},{"id":"https://openalex.org/C23979983","wikidata":"https://www.wikidata.org/wiki/Q1165103","display_name":"Virtuous circle and vicious circle","level":2,"score":0.32339999079704285},{"id":"https://openalex.org/C545805344","wikidata":"https://www.wikidata.org/wiki/Q1338364","display_name":"Mental health law","level":3,"score":0.31130000948905945},{"id":"https://openalex.org/C2992545881","wikidata":"https://www.wikidata.org/wiki/Q6817473","display_name":"Mental health care","level":3,"score":0.30720001459121704},{"id":"https://openalex.org/C2986740045","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health services","level":3,"score":0.30219998955726624},{"id":"https://openalex.org/C116537","wikidata":"https://www.wikidata.org/wiki/Q2169973","display_name":"Service provider","level":3,"score":0.301800012588501},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.28600001335144043},{"id":"https://openalex.org/C105538184","wikidata":"https://www.wikidata.org/wiki/Q16253960","display_name":"Middle Eastern Mental Health Issues & Syndromes","level":4,"score":0.2694000005722046},{"id":"https://openalex.org/C13606891","wikidata":"https://www.wikidata.org/wiki/Q2623243","display_name":"Conceptual model","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C2779304628","wikidata":"https://www.wikidata.org/wiki/Q3503480","display_name":"Face (sociological concept)","level":2,"score":0.2583000063896179},{"id":"https://openalex.org/C2991912374","wikidata":"https://www.wikidata.org/wiki/Q400711","display_name":"Substance use","level":2,"score":0.2533999979496002}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1177/00207640261489821","doi":"https://doi.org/10.1177/00207640261489821","is_oa":false,"landing_page_url":"https://doi.org/10.1177/00207640261489821","pdf_url":null,"source":{"id":"https://openalex.org/S92508993","display_name":"International Journal of Social Psychiatry","issn_l":"0020-7640","issn":["0020-7640","1741-2854"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-d","jufo-2","ki-jl-1","medline","norway-1","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320017","host_organization_name":"SAGE Publishing","host_organization_lineage":["https://openalex.org/P4310320017"],"host_organization_lineage_names":["SAGE Publishing"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Social Psychiatry","raw_type":"journal-article"},{"id":"pmid:42969653","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42969653","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The International journal of social psychiatry","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.8974000215530396,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":77,"referenced_works":["https://openalex.org/W19117492","https://openalex.org/W781314657","https://openalex.org/W1604502480","https://openalex.org/W1848983536","https://openalex.org/W1949606258","https://openalex.org/W1969577117","https://openalex.org/W1971942061","https://openalex.org/W1974583113","https://openalex.org/W1987005244","https://openalex.org/W1993027454","https://openalex.org/W1993446055","https://openalex.org/W2005973053","https://openalex.org/W2007520191","https://openalex.org/W2007909468","https://openalex.org/W2011021853","https://openalex.org/W2014026290","https://openalex.org/W2034664668","https://openalex.org/W2049047938","https://openalex.org/W2057404917","https://openalex.org/W2094929441","https://openalex.org/W2095688185","https://openalex.org/W2098667423","https://openalex.org/W2109297286","https://openalex.org/W2109935313","https://openalex.org/W2111628008","https://openalex.org/W2116370477","https://openalex.org/W2127720327","https://openalex.org/W2131854704","https://openalex.org/W2133157850","https://openalex.org/W2134740567","https://openalex.org/W2142150409","https://openalex.org/W2142472354","https://openalex.org/W2163456605","https://openalex.org/W2164654252","https://openalex.org/W2170302554","https://openalex.org/W2170446050","https://openalex.org/W2173150149","https://openalex.org/W2261602102","https://openalex.org/W2466776736","https://openalex.org/W2559328180","https://openalex.org/W2582406074","https://openalex.org/W2585744943","https://openalex.org/W2625704394","https://openalex.org/W2760464711","https://openalex.org/W2792585108","https://openalex.org/W2886529341","https://openalex.org/W2891590568","https://openalex.org/W2901933828","https://openalex.org/W2912654919","https://openalex.org/W2944323143","https://openalex.org/W2946761962","https://openalex.org/W2962422000","https://openalex.org/W2995213289","https://openalex.org/W3016101349","https://openalex.org/W3092185643","https://openalex.org/W3137252956","https://openalex.org/W3158299736","https://openalex.org/W3187713927","https://openalex.org/W4210413762","https://openalex.org/W4214679949","https://openalex.org/W4224297663","https://openalex.org/W4225402576","https://openalex.org/W4232541108","https://openalex.org/W4242481571","https://openalex.org/W4285796081","https://openalex.org/W4302377653","https://openalex.org/W4312067515","https://openalex.org/W4380611767","https://openalex.org/W4385301164","https://openalex.org/W4387186880","https://openalex.org/W4387345553","https://openalex.org/W4387877669","https://openalex.org/W4395074836","https://openalex.org/W4401729055","https://openalex.org/W4404723688","https://openalex.org/W4408336125","https://openalex.org/W4409804883"],"related_works":["https://openalex.org/W4206683132","https://openalex.org/W4281790986","https://openalex.org/W2606586703","https://openalex.org/W3016101349","https://openalex.org/W7116910316","https://openalex.org/W7081910457","https://openalex.org/W2351572735","https://openalex.org/W6906500552","https://openalex.org/W2972009060","https://openalex.org/W4400736405"],"abstract_inverted_index":{"Mental":[0],"illness":[1,144],"is":[2],"a":[3,16,28,89],"significant":[4],"global":[5,116,134,139],"public":[6],"health":[7,62,81,157],"issue,":[8],"with":[9],"access":[10],"to":[11,96,104,150],"mental":[12,61,80,109,143,156,182],"healthcare":[13,183],"services":[14,63,184],"being":[15],"major":[17],"challenge.":[18],"Individuals":[19],"face":[20],"various":[21],"barriers,":[22],"including":[23],"stigma,":[24,168],"financial":[25,169],"constraints,":[26],"and":[27,42,51,58,74,124,154,172,175,179],"lack":[29],"of":[30,37,60,79,92,114,121,132,141,167,181],"knowledge,":[31],"which":[32],"hinder":[33],"the":[34,47,68,105,115,133,147,165,176,187],"effective":[35],"use":[36,126],"available":[38],"services.":[39],"Additionally,":[40],"religious":[41,173],"cultural":[43,171],"beliefs":[44],"further":[45],"complicate":[46],"situation,":[48],"reinforcing":[49],"stigma":[50],"discouraging":[52],"service":[53,82,158],"utilization.":[54],"The":[55,119,137,160],"availability,":[56,177],"affordability,":[57,178],"accessibility":[59,180],"are":[64],"severely":[65],"limited,":[66],"exacerbating":[67],"treatment":[69,189],"gap,":[70],"especially":[71],"in":[72,101,185],"low":[73],"middle-income":[75],"countries.":[76],"Theoretical":[77],"models":[78],"utilization":[83],"suggest":[84],"that":[85],"these":[86,152],"barriers":[87,153],"create":[88],"vicious":[90],"cycle":[91],"inadequate":[93],"support,":[94],"leading":[95],"poor":[97],"outcomes":[98],"for":[99,112,129],"those":[100],"need.":[102],"According":[103],"World":[106],"Health":[107],"Organization,":[108],"illnesses":[110],"account":[111],"14%":[113],"disease":[117,135],"burden.":[118,136],"prevalence":[120,140],"mental,":[122],"neurological,":[123],"substance":[125],"disorders":[127],"accounts":[128],"over":[130],"10%":[131],"growing":[138],"severe":[142],"(SMI)":[145],"highlights":[146],"urgent":[148],"need":[149],"address":[151],"improve":[155],"delivery.":[159],"present":[161],"conceptual":[162],"review":[163],"investigates":[164],"role":[166],"limitations,":[170],"influences,":[174],"perpetuating":[186],"existing":[188],"gap.":[190]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-11-03T00:00:00"}
