Provider and Nonprovider Sources of Mental Health Help in the Military and the Effects of Stigma, Negative Attitudes, and Organizational Barriers to Care

Kim, Paul Y.; Toblin, Robin L.; Riviere, Lyndon A.; Kok, Brian C.; Grossman, Sasha H.; Wilk, Joshua E.

doi:10.1176/appi.ps.201400519

Cited by 27 publications

(12 citation statements)

References 25 publications

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“…This percentage did not differ across service branches. This finding is similar to a study of recently deployed service members, 5 percent of whom reported receiving mental health care from nonproviders, a category that includes clergy members and other nonprofessionals, such as fellow service members (Kim, Toblin, et al, 2016). • The percentage of service members who received mental health services at a military health facility (18.3 percent, CI: 17.4, 19.2) was higher than that receiving mental health services at a VA facility (1.2 percent, CI: 0.9, 1.5) or civilian facility (4.6 percent, CI: 4.1, 5.0).…”

Section: Mental Health Service Utilizationsupporting

confidence: 85%

2018 Department of Defense Health Related Behaviors Survey (HRBS): Results for the Active Component

2021

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Section: Mental Health Service Utilizationsupporting

confidence: 85%

2018 Department of Defense Health Related Behaviors Survey (HRBS): Results for the Active Component

2021

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“…Although these relationships are examined cross-sectionally, the research question makes a substantial contribution to the literature by examining both informal support seeking and seeking formal mental health treatment. Kim et al (2016) found that military personnel with mental health problems were more likely to report seeking help from nonproviders (e.g., a fellow unit member, a medic) when they reported high operational barriers to getting treatment. Thus, determining if soldiers in a perceived supportive climate may seek informal support can highlight an important avenue for facilitating formal treatment seeking when needed.…”

mentioning

confidence: 99%

Perceived unit climate of support for mental health as a predictor of stigma, beliefs about treatment, and help-seeking behaviors among military personnel.

Britt¹,

Wilson²,

Sawhney³

et al. 2020

Psychological Services

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Employees in high-risk occupations can experience stigma associated with developing mental health problems and getting treatment for problems that can oftentimes be attributed to traumatic events encountered at work. The present study examined the perceived unit climate of support for mental health as a predictor of changes (over the course of 3 months) in the perceived stigma associated with seeking treatment, positive and negative attitudes toward treatment seeking, and a preference for handling mental health problem oneself, as well as talking with fellow unit members and a mental health professional about a mental health problem. Active-duty military personnel (N = 349 at Time 1, N = 112 matched at Time 2) completed measures assessing unit climate and individual beliefs about treatment at two points in time separated by 3 months. The results of structural equation modeling revealed strong evidence for perceived unit climate of support for mental health at Time 1 predicting a change in perceived stigma and attitudes toward treatment seeking at Time 2. A more positive perceived unit climate of support was associated with decreases in stigma, more positive attitudes toward treatment seeking, and less negative attitudes toward treatment seeking. Among those soldiers with a mental health problem (N = 164), a more positive perceived unit climate for mental health was associated with a greater likelihood of talking with a fellow unit member about the problem and receiving mental health treatment. Implications of the results for unit-level interventions in high-risk occupations are discussed.

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“…In addition, the variables that were fit to each of the three G-ABM factors were based on what was included in the Operation: SAFETY study. As such, the current study was unable to examine other variables that have been suggested as affecting health service utilization in the military, such as health beliefs, negative attitudes, and perceptions of military culture and stigma (Fishbein & Azjen, 1975; Kim et al, 2016; Pietrzak et al, 2009). Even with the absence of such variables, the study had multiple variables to address each of the conceptual pieces of the G-ABM.…”

Section: Discussionmentioning

confidence: 96%

“…One possibility is that families experiencing problems with mental health, substance use, or marital relations might be already accessing other forms of treatment in place of FRPs. Additionally, although FRPs can provide information about healthcare resources, issues of stigma relating to the social undesirability and illegality of such issues as substance use and IPV might motivate an affected family to avoid a community setting and instead privately seek treatment or do nothing (Kim et al, 2016; Pietrzak, Johnson, Goldstein, Malley, & Southwick, 2009). Perceived stigma surrounding mental health may also influence families with affected R/NG members to avoid engaging in FRPs.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of U.S. Army Reserve and National Guard Couples Who Use Family Readiness Programs

Goodell

Homish

2018

Military Behavioral Health

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Use of family readiness programs (FRPs) by military families is not well understood. This work uses the Gelberg-Andersen Behavioral Model to identify characteristics of Reserve and National Guard (R/NG) couples who access FRPs. Data are from Operation: SAFETY, a study of R/NG soldiers and partners. Logistic regression models examined odds of accessing FRPs based on predisposing, enabling, and need factors. Greater length of military service, greater presence of non-military social ties, and civilian partner reports of adequate support during deployment were associated with higher likelihood of accessing FRPs. Results provide information on FRP utilization and may help inform outreach efforts.

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Provider and Nonprovider Sources of Mental Health Help in the Military and the Effects of Stigma, Negative Attitudes, and Organizational Barriers to Care

Cited by 27 publications

References 25 publications

2018 Department of Defense Health Related Behaviors Survey (HRBS): Results for the Active Component

2018 Department of Defense Health Related Behaviors Survey (HRBS): Results for the Active Component

Perceived unit climate of support for mental health as a predictor of stigma, beliefs about treatment, and help-seeking behaviors among military personnel.

Characteristics of U.S. Army Reserve and National Guard Couples Who Use Family Readiness Programs

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