Avoidance Factors in Seeking Counselling Help by High School Students in Bhutan
##plugins.themes.bootstrap3.article.main##
Abstract
Adolescents are vulnerable to arrays of physical and mental problems, and some of them can have lasting consequences in their life. Embracing these concerns, Bhutan started counselling services in schools to curtail them as students inevitably confront them. Though schools hold a significant pool of adolescents and juveniles with various problems, many students do not seek counselling. Moreover, there is a scarcity of studies to comprehend the avoidance factors in seeking counselling by students in Bhutan. Thus, factors for not availing counselling by high school students were explored in this study. Total of 248 high school students was sampled using Yamane’s formula and proportionate random sampling. Self-administered interview schedules were employed to collect data in September 2018 in Tendruk Central School, Samtse, Bhutan. Students experienced problems, including physical health (37.90%), mental health (37.50%), and academic (37.10%). Although more than half (53.63%) of the students showed a high interest in seeking counselling, only 17.34% of the students had received counselling. The top three avoidance factors were inadequate counselling rooms (1), feeling better about seeking help from a spiritual person rather than a school counsellor (2), and the fears of losing confidentiality by speaking to the counsellor (3). Students did not seek counselling services due to confidentiality fear. Therefore, the current results show that schools with similar settings need to ensure the availability and accessibility of secure counselling rooms. Counsellors further need to advocate students about counselling ethics and processes to gain their trust.
Keywords: Adolescent, Avoidance Factors, Help-Seeking
References
Barker, G. (2007). Adolescents, Social Support and Help-Seeking Behaviour: An International Literature Review and Programme Consultation with Recommendations for Action. Switzerland: World Health Organization. Retrieved from https://apps.who.int/iris/bitstream/handle/10665/43778/9789241595711_eng.pdf
Calabrese, J. D., & Dorji, C. (2014). Traditional and Modern Understandings of Mental Illness in Bhutan: Preserving the Benefits of Each to Support Gross National Happiness. Journal of Bhutan Studies, 30, 1–29. Retrieved from http://www.bhutanstudies.org.bt/publicationFiles/JBS/JBS_Vol30/JBS30.pdf
Chen, K. S., & Kok, J. K. (2017). Barriers to Seeking School Counselling: Malaysian Chinese School Students’ Perspectives. Journal of Psychologists and Counsellors in Schools, 27(2), 222-238. DOI: 10.1017/jgc.2015.21
Dendup, T. (2016). Alcohol Consumption and Academic Performance among Higher Secondary Students in Thimphu, Bhutan. Bhutan Health Journal, 2(2), 1-5.
Dorji, L., & Choden, T. (2005). Understanding Civil Society in Bhutan. Thimphu, Bhutan: The Centre for Bhutan Studies.
Essau, C. A. (2005). Frequency and Patterns of Mental Health Services Utilization among Adolescents with Anxiety and Depressive Disorders. Depression and Anxiety, 22(3), 130-137. DOI: 10.1002/da.20115
Gulliver, A., Griffiths, K. M., & Christensen, H. (2010). Perceived Barriers and Facilitators to Mental Health Help-Seeking in Adolescents: A Systematic Review. BioMed Central Psychiatry, 10(113), 1-9. http://dx.doi.org/10.1186/1471-244X-10-113
Helms, J. L. (2003). Barriers to Help Seeking Among 12th Graders. Journal of Educational and Psychological Consultation, 14(1), 27-40. https://doi.org/10.1207/S1532768XJEPC1401_02
Leavey, G., Rothi, D., & Paul, R. (2011). Trust, Autonomy and Relationships: The Help-Seeking Preferences of Adolescents in Secondary Level Schools in London (UK). Journal of Adolescence, 34(4), 685-693. https://doi.org/10.1016/j.adolescence.2010.09.004
Lorelle, S., & Guth, L. J. (2013). Establishing the School Counseling Profession in Bhutan: Reflections from the Field. Journal for International Counselor Education, 5(1), 1-13. Retrieved from https://digitalscholarship.unlv.edu/cgi/viewcontent.cgi?article=1037&context=jice
Luu, T. D., Leung, P., & Nash, S. G. (2009). Help-Seeking Attitudes among Vietnamese Americans: The Impact of Acculturation, Cultural Barriers, and Spiritual Beliefs. Social Work in Mental Health, 7(5), 476-493. https://doi.org/10.1080/15332980802467456
Pearson, M., & Wilson, H. (2012). Soothing Spaces and Healing Places: Is there an Ideal Counselling Room Design? Psychotherapy in Australia, 18(3), 46-53.
Plunkett, D. P. (2009). Exploring the Relationship between Religious Faith, Mental Health Help Seeking Attitudes, and Preferences for Counselor Characteristics among Black American Churchgoers. (Doctoral dissertation). Western Michigan University, Michigan. Retrieved from https://scholarworks.wmich.edu/cgi/viewcontent.cgi?article=1707&context=dissertations
Pressly, P. K., & Heesacker, M. (2001). The Physical Environment and Counseling: A Review of Theory and Research. Journal of Counseling & Development, 79(2), 148-160. http://dx.doi.org/10.1002/j.1556-6676.2001.tb01954.x
Rickwood, D., Deane, F. P., Wilson, C. J., & Ciarrochi, J. V. (2005). Young People’s Help-Seeking for Mental Health Problems. Australian E-Journal for the Advancement of Mental Health, 4(3), 1-34. Retrieved from https://ro.uow.edu.au/cgi/viewcontent.cgi?article=3159&context=hbspapers
Rickwood, D. J., Deane, F. P., & Wilson, C. J. (2007). When and How do Young People Seek Professional Help for Mental Health Problems? The Medical Journal of Australia, 187(7), S35-S39. DOI: 10.5694/j.1326-5377.2007.tb01334.x
Sheffield, J. K., Fiorenza, E., & Sofronoff, K. (2004). Adolescents’ Willingness to Seek Psychological Help: Promoting and Preventing Factors. Journal of Youth and Adolescence, 33(6), 495-507. https://doi.org/10.1023/B:JOYO.0000048064.31128.c6
Yamane, T. (1967). Elementary Sampling Theory. Englewood Cliffs, N.J., Prentice-Hall.
Zachrisson, H. D., Rödje, K., & Mykletun, A. (2006). Utilization of Health Services in Relation to Mental Health Problems in Adolescents: A Population Based Survey. BMC Public Health, 6(1), 34-40. DOI: 10.1186/1471-2458-6-34