Services Wanted? Understanding the Non-take-up of Social Support at the Local Level

In this study, we investigate why individuals in need of social support refrain from asking for help from social service providers in the third sector. This phenomenon of non-take-up of social support is still underexplored, and our theoretical understanding of it is highly fragmented. Based on psychological, socio-epidemiological, socio-cultural, and public administration research, we distil potential determinants of non-take-up of social support. Based on 55 narratives (individual interviews) and two focus groups (n = 16) in the Dutch municipality of The Hague, we examine empirical evidence for these determinants. Our results indicate that (perceived) bureaucratic obstacles and the desire to maintain one’s (feeling of) independence are critical barriers to help-seeking behaviour for social support from third sector social service providers. We conclude with a discussion of our findings and their implications for practice and propose new research avenues.