The space of access to primary mental health care: A qualitative case study

Marija Kovandžić, Emma Funnell, Jonathan Hammond, Abdi Ahmed, Suzanne Edwards, Pam Clarke, Derek Hibbert, Katie Bristow, Christopher Dowrick

    Research output: Contribution to journalArticlepeer-review


    Guided by theoretical perspectives of relational social science, this paper draws on reanalyses of multiple qualitative datasets related to a multi-ethnic, economically disadvantaged area in Liverpool, UK, with the aim to advance general understanding of access to primary mental health care while using local Somali minority as an instrumental focus.The findings generate a novel concept: the space of access. The shape and dynamics of the space of access are determined by at least four fields of tensions: understandings of area and community; cognitive mapping of mental well-being, illness and care; positioning of primary care services; and dynamics of resources beyond the 'medical zone' of care.The conclusions indicate a need for de-centring and re-connecting the role of medical professionals within primary care which itself needs to be transformed by endorsement of multiple avenues of access to diverse support and intrepid communication among all involved actors. © 2012 Elsevier Ltd.
    Original languageEnglish
    Pages (from-to)536-551
    Number of pages15
    JournalHealth and Place
    Issue number3
    Publication statusPublished - May 2012


    • Access
    • Common mental illness
    • Ethnicity
    • Primary care
    • Somali


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