Based on a sample survey of 1000 women in Accra Ghana, this study addr
esses a number of individual, social and cultural factors that have be
en found in previous research on diverse populations to be important d
eterminants of treatment-seeking behavior. Bivariate analysis is used
to identify those factors that are significantly related to orientatio
n toward help-seeking for mental disorders (use of biomedical vs tradi
tional services), and multivariate analysis is utilized to determine t
he importance of each, and the effect of causal beliefs independent of
sociodemographic factors. The results show that perceived cause of me
ntal disorders, area of residence, age, ethnicity, membership in volun
tary associations and prior contact with medical facilities or personn
el are the most important determinants of the orientation toward help-
seeking for mental disorders. The implications for an effective mental
health care delivery system in Ghana are discussed. Also, suggestions
for further research are made.