Appendix table A.

Barriers to use and reasons for dropout treatment: WMH surveys

Barriers to use	Reasons for dropout
Low perceived need:	Low perceived need:
The problem went away by itself, and I did not really need help.	You didn’t need help anymore.
Structural barriers:	Structural barriers:
My health insurance would not cover this type of treatment.	The therapist or counselor left or moved away.
I was concerned about how much money it would cost.	The policies were a hassle.
I was unsure about where to go or who to see.	There were problems with lack of time, schedule change, or lack of transportation.
I thought it would take too much time or be inconvenient.	You moved.
I could not get an appointment.	Treatment was too expensive.
I had problems with things like transportation, childcare, or scheduling that would have made it hard to get to treatment	Your health insurance would not pay for more treatment.
Attitudinal barriers:	Attitudinal barriers:
I thought the problem would get better by itself.	You got better.
I didn’t think treatment would work.	You were not getting better.
I was concerned about what others might think if they found out I was in treatment.	You wanted to handle the problem on your own.
I wanted to handle the problem on my own.	You had bad experiences with the treatment providers.
I was scared about being put into a hospital against my will.	You were concerned about what people would think if they found out you were in treatment.
I was not satisfied with available services.	You were treated badly or unfairly.
I received treatment before and it did not work.	You felt out of place.
The problem didn’t bother me very much.	Your family wanted you to stop.