Exploring mental health experiences and support in Montserrat: A healthcare professional’s qualitative study

Abstract

Background In Montserrat, mental health remains poorly understood, with limited services, and reliance on community-based care and visiting specialists. This study aims to explore the experiences of healthcare professionals (HCPs) working in mental health services in Montserrat and identify barriers and facilitators to mental health support. Methods Participant recruitment utilised emails distributed by the Ministry of Health to current employees. Eligible participants were HCPs who provide mental healthcare in Montserrat. Data were collecting by conducting interviews and a focus group. Data were recorded, transcribed verbatim and analysed using reflexive thematic analysis to identify common emerging themes. The study received ethical approval prior to commencing. Results Eight participants were recruited and three main themes were identified; 1) Resources for mental health support in Montserrat, 2) Barriers to mental health support included stigma, lack of awareness and outdated policies, and 3) Strategies to enhance mental health support included increasing awareness, updating policies and improve funding. Conclusions Several formal and informal supportive resources exist in Montserrat. However, significant barriers were identified, particularly stigma, lack of awareness and outdated policies, hindering effective service delivery. Increasing awareness, improve funding, and updating policy documents, are essential to strengthening mental healthcare and ensuring accessible, high-quality support.