Barriers to Mental Health Service Use Among Older Adults: A Multistakeholder Qualitative Study in Southampton

Older adults in the UK face significant challenges accessing mental health services, despite high levels of need. This study aimed to explore barriers to mental health service use among older adults in Southampton, drawing on perspectives from strategic stakeholders, frontline workers, older adults, and a family carer. We conducted in‐depth qualitative interviews with 15 participants in a mid‐sized UK city. Reflexive thematic analysis, guided by Andersen’s behavioural model of health service use, showed that structural, organizational, and personal barriers intersect to restrict service access. At the system level, unstable funding, fragmented care pathways, and high eligibility thresholds limited the availability and continuity of support. Frontline workers identified issues such as digital exclusion and project‐based funding as exacerbating gaps in care. Older participants reported over‐reliance on general practitioners, long waiting times, and limited awareness of available services, often defaulting to informal support networks due to stigma and a preference for self‐reliance. Digital exclusion emerged as a widespread concern. Participants noted that limited access to technology and a lack of confidence in using it are major barriers people face in an increasingly digital healthcare system. Findings underscore the complex interplay of enabling, predisposing, and need‐based factors that influence help‐seeking behaviour. The study highlights the importance of system‐level reform, including stable investment, integrated care models, and age‐inclusive digital strategies. It also calls for community engagement to address stigma and normalize mental health support‐seeking among older adults.