Drawbacks Associated with the Perceptions and Beliefs on the Underutilisation of Mental Healthcare Services at the University of Witwatersrand, South Africa

Abstract

Mental health is an essential component of overall well-being, with approximately one in eight people globally, or around 970 million individuals, living with a mental disorder. Among these, anxiety and depression are the most prevalent, often emerging during adolescence. Despite the rising demand for mental health support, many students at the University of the Witwatersrand (Wits) underutilise available mental healthcare services. This study employs a qualitative approach, utilizing a phenomenological design to explore the perceptions and beliefs surrounding this underutilization. Participants were selected using purposeful sampling, comprising six students from the Faculty of Humanities. Data were collected face to face using semi-structured interview guide and analysed thematically. The findings revealed various perceptions and interplay of cultural, social, and spiritual barriers that discourage students from seeking mental health support. Access to mental healthcare services emerged as a significant factor including student’s own religious and spiritual belief in managing mental health. These perceptions leading some students to view psychological interventions as unnecessary or ineffective. Additionally, misinformation regarding the nature and benefits of mental health services contributes to a lack of awareness among students about the services available on campus. The study highlights the necessity of addressing these multifaceted barriers through initiatives aimed at increasing awareness, information and education, enhancing cultural and religious sensitivity, and improving outreach efforts to inform students about available mental health services at the university.