Barriers to care for domestic violence in people with mental disorders: a scoping review
Barriers to care for domestic violence in people with mental disorders: a scoping review [Domestic violence in mental disorders]
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Purpose: The indicators of domestic violence are higher in people with mental disorders and both entities together could further increase the barriers to access to health. The aim of this study was to identify these barriers in people with mental disorders who experience domestic violence. Design/methodology/approach Based on the methodological approach of Arksey and O'Malley and the Joanna Briggs Institute, all research studies (Pubmed, Scopus, Scielo, Embase, and Redalyc) and gray literature examining these barriers. The search was conducted in 2023, and used the following keywords as codes ((Mental Disorders OR Persons with Mental Disabilities) AND (Sex Offenses OR Gender-Based Violence OR Domestic Violence)) AND (Barriers to Access of Health Services). Findings: Of the 71 articles included from databases and three from gray literature, 43 referenced barriers to Access to Health Services in people with mental disorders. These barriers are diverse and are influenced by individual, social and health system factors. Stigma, lack of education, economic and emotional dependence on the aggressor, poverty, and the negative attitude of health personnel are some of the main barriers identified. Originality: The barriers that people with mental disorders have to face to reach health services are pointed out. These barriers, although different from those of people without mental disorders, when addressed could improve care in the general population. There is a clear need to address these barriers to ensure that people with mental disorders who have been victims of violence receive appropriate medical care.
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