Public Perceptions of Behavioral Health Care and Psychotherapy for Youth: Promotion and Product Dimensions

Increasing utilization of behavioral health services for distressed youth and their families is a compelling public health imperative. Public perceptions and attitudes toward child therapy impact behavioral health care utilization rates. This study investigated adults' attitudes toward child psychotherapy using a new survey method and instrument. A real-world intercept survey design where data is collected from individuals while they are entering or exiting common locations such as malls and retail stores was employed. Respondents were asked to complete the Attitudes and Perceptions of Child Psychotherapy Scale, which is an 18-item consumer-centric instrument. One hundred adult individuals completed the survey focusing on the perceived value of services/providers (product dimension) and the types of providers preferred by the public (promotion dimension). The findings yielded several compelling results. Pediatricians, psychologists, and psychiatrists were seen as the most trustworthy and effective clinical providers. Further, pediatricians were viewed as the most necessary health care provider for children. Reputation, utilization of treatments that work, and being referred by a trusted source were the top reasons for choosing a behavioral health provider. Finally, clinical improvement and children's relationship with the provider were the most highly rated factors to consider when receiving treatment. Implications are discussed in terms of increasing mental health literacy and developing materials that engage potential consumers of pediatric behavioral health care. Public Significance Statement This study examined public perceptions regarding child psychotherapy and behavioral health care services. The results suggested that psychologists are seen as trustworthy, effective, and preferred providers of child psychotherapy which reinforces the profession's credibility in the public eye.