PATHWAYS TO COUNSELLING FOR LOW-INCOME CALGARIANS

Abstract

This study explores the question: What are the pathways and experiences of seeking mental health support for people with lower incomes? Qualitative semi-structured interviews were conducted with five Calgarians who self-identified as lower-income and who had sought out mental health support. Data were analyzed using heuristic inquiry and journey mapping. Phases of the journey and key actions, facilitators, barriers, and opportunities were identified. Journey phases included: navigating the unfamiliar, crisis, pipeline to medications, decision for further supports, counselling loop, and disengagement. The study identified barriers and facilitators to counselling and mental health support linked to journey phases. These findings provide insight into opportunities to improve access to mental health support for lower-income individuals that can be owned at the systems, organizational, and individual levels. This research contributes to a more context-dependent understanding of the barriers lower-income individuals face in accessing mental health support and provides guidance for adjustments that can be made for improved processes.