{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:51:50Z","timestamp":1792086710282,"version":"4.4.0"},"reference-count":66,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T00:00:00Z","timestamp":1792022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosmentalhealth.org"],"crossmark-restriction":false},"short-container-title":["PLOS Ment Health"],"abstract":"<jats:p>Informal carers play a vital role in supporting individuals with mental health difficulties. To provide an overarching synthesis of available evidence, this umbrella review aimed to synthesise qualitative review evidence on informal carers\u2019 (including family members, friends, or other unpaid supporters) experiences of mental health services regarding supporting the individuals with mental health difficulties they care for and seeking support for their own wellbeing. Following the Joanna Briggs Institute (JBI) methodology, a meta-aggregative umbrella review was conducted. Five databases were searched up to 9th May 2025: CINAHL, MEDLINE, PsycInfo, the Cochrane Library, and Epistemonikos. The quality of primary systematic reviews was assessed using a framework adapted from the work of SmithBattle and colleagues. Findings were extracted from eligible reviews and aggregated into categories, from which higher-order synthesised findings were developed. Twelve eligible qualitative reviews were identified covering a wide range of mental health service contexts. Six synthesised findings were identified: (1) emotional complexity in the caregiving journey; (2) recognition and coping with their loved ones\u2019 mental health difficulties; (3) multiple barriers to accessing mental health support; (4) persistent responsibilities and roles in supporting service users; (5) complex experiences of engaging with services; and (6) relational strain during the caregiving process. While some carers reported positive experiences, most described exclusion, emotional distress, and structural barriers to support. This review highlights the urgent need for mental health services to recognise, involve, and support informal carers.<\/jats:p>","DOI":"10.1371\/journal.pmen.0000740","type":"journal-article","created":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:35:07Z","timestamp":1792085707000},"page":"e0000740","update-policy":"https:\/\/doi.org\/10.1371\/journal.pmen.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Informal carers\u2019 experiences of mental health services regarding supporting those they care for and getting support for their own wellbeing: A systematic umbrella review of qualitative evidence"],"prefix":"10.1371","volume":"3","author":[{"given":"Xiaoye","family":"Liu","sequence":"first","affiliation":[{"name":"Division of Psychiatry","place":["London, United Kingdom"],"department":["Faculty of Brain Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phoebe","family":"Barnett","sequence":"additional","affiliation":[{"name":"Division of Psychiatry","place":["London, United Kingdom"],"department":["Faculty of Brain Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9896-6078","authenticated-orcid":true,"given":"Patrick","family":"Nyikavaranda","sequence":"additional","affiliation":[{"name":"Division of Psychiatry","place":["London, United Kingdom"],"department":["Faculty of Brain Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2224-040X","authenticated-orcid":true,"given":"Laura","family":"Burley","sequence":"additional","affiliation":[{"name":"Division of Psychiatry","place":["London, United Kingdom"],"department":["Faculty of Brain Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9866-788X","authenticated-orcid":true,"given":"Brynmor","family":"Lloyd-Evans","sequence":"additional","affiliation":[{"name":"Division of Psychiatry","place":["London, United Kingdom"],"department":["Faculty of Brain Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2026,10,15]]},"reference":[{"key":"pmen.0000740.ref001","volume-title":"Personal social services survey of adult carers in England, 2021-22","author":"Adult Social Care Statistics Team ND","year":"2022"},{"key":"pmen.0000740.ref002","volume-title":"Valuing carers 2021: England and Wales (Centre for Care)","author":"M Petrillo","year":"2023"},{"issue":"4","key":"pmen.0000740.ref003","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1007\/s10597-008-9127-x","article-title":"Patients\u2019 report of help provided by relatives and services to meet their needs","volume":"44","author":"M-J Fleury","year":"2008","journal-title":"Community Ment Health J"},{"key":"pmen.0000740.ref004","volume-title":"Mental health atlas 2020. 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