Understanding why young cannabis users struggle to seek help

Help-Seeking for Problematic Cannabis Use Among Young People: A Qualitative Study with Professionals and People with Lived Experience.

Substance use & misuse • • Moderately Relevant
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AI Summary

This qualitative study examined why young people struggle to seek help for problematic cannabis use, interviewing 4 people with lived experience and 14 treatment professionals in Finland. The research identified four critical barriers and facilitators: capability (whether people feel able to address the issue), awareness (understanding that help exists and is needed), stigma (social judgment and shame), and prioritization (how important seeking help is relative to other concerns). These factors work together to create a complex treatment gap, where many young people who need support don't access it.

The study reveals that help-seeking for problematic cannabis use isn't simply a personal choice—it's shaped by social, cultural, and structural constraints that professionals and users encounter differently. Young people face systemic barriers like limited accessibility to services, insufficient outreach, and professional knowledge gaps, while also contending with social stigma that discourages disclosure. The research emphasizes that stigma around cannabis use remains a major obstacle, preventing young people from seeking professional support even when they recognize they have a problem.

The findings point to clear development priorities: services need improved accessibility and targeted outreach, professionals require better training on cannabis issues, and young people need more education about available help. Importantly, the study advocates for a coordinated, youth-centered approach that simultaneously builds awareness, reduces stigma, and increases capability—rather than addressing these barriers in isolation. This comprehensive strategy must involve young people directly in designing solutions that genuinely meet their needs and reduce the treatment gap for problematic cannabis use.

📄 Original Abstract

The growing need for help for problematic cannabis use, reflected in outpatient service access, suggests a widening treatment gap. Various influencing factors have contributed to a complex phenomenon in which help-seeking is shaped not only by personal wishes and needs but also by broader social, cultural, and structural constraints. This study explored the factors influencing help-seeking related to problematic cannabis use as well as the development needs for addressing these issues. This qualitative descriptive study involved semi-structured interviews conducted in substance abuse treatment facilities in Finland. Four people with lived experiences of problematic cannabis use were interviewed along with 14 professionals who worked with this population. The data were analyzed using thematic analysis. The influencing factors were categorized as either promoting or hindering help-seeking and are described as counterparts to each other. Four main themes emerged: capability, awareness, stigma, and prioritization. Development needs centered on improving accessibility, strengthening outreach and education, and increasing knowledge among professionals and young people. This study highlights the multifaced nature of cannabis-related help-seeking among young people. The promotion of help-seeking requires a broad coordinated approach that simultaneously strengthens awareness, builds capability, improves accessibility, and reduces stigma. Such efforts should be implemented in ways that involve young people and that genuinely respond to their needs.

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