Pathways to mental health care in active military populations across the Five-Eyes nations: An integrated perspective.

Autor: Fikretoglu D; Defence Research and Development Canada, 1133 Sheppard Ave. West, Toronto, ON, Canada. Electronic address: Deniz.Fikretoglu@drdc-rddc.gc.ca., Sharp ML; King's Centre for Military Health Research, London, UK., Adler AB; Walter Reed Army Institute of Research, Silver Spring, MD, USA., Bélanger S; Royal Military College of Canada, Kingston, ON, Canada., Benassi H; Australian National University, Canberra, Australia., Bennett C; New Zealand Defence Force, Wellington, New Zealand., Bryant R; University of New South Wales, Sydney, Australia., Busuttil W; Combat Stress, Leatherhead, Surrey, UK., Cramm H; School of Rehabilitation Therapy, Queen's University, Kingston, ON, Canada., Fear N; King's College London, London, UK., Greenberg N; King's College London, London, UK., Heber A; Veterans Affairs, Canada., Hosseiny F; Centre of Excellence on Post-Traumatic Stress Disorder (PTSD), Ottawa, ON, Canada., Hoge CW; Walter Reed Army Institute of Research, Silver Spring, MD, USA., Jetly R; Department of National Defence, Ottawa, ON, Canada., McFarlane A; The University of Adelaide, Adelaide, Australia., Morganstein J; Uniformed Services University, Bethesda, MD, USA., Murphy D; Combat Stress, Leatherhead, Surrey, UK; King's College London, London, UK., O'Donnell M; Phoenix, Australia: Centre for Posttraumatic Mental Health, Carlton, Australia., Phelps A; Phoenix, Australia: Centre for Posttraumatic Mental Health, Carlton, Australia., Richardson DJ; Parkwood Institute- St. Joseph's Health Care London, London, ON, Canada., Sadler N; Phoenix, Australia: Centre for Posttraumatic Mental Health, Carlton, Australia., Schnurr PP; National Center for PTSD, White River Junction, VT, USA., Smith P; Centre of Excellence on Post-Traumatic Stress Disorder (PTSD), Ottawa, ON, Canada., Ursano R; Uniformed Services University, Bethesda, MD, USA., Hooff MV; Military and Emergency Services Health Australia (MESHA), Woodville, SA, Australia., Wessely S; King's College London, London, UK., Forbes D; Phoenix, Australia: Centre for Posttraumatic Mental Health, Carlton, Australia., Pedlar D; Canadian Institute for Military and Veteran Health Research, Queen's University, Kingston, ON, Canada.
Jazyk: angličtina
Zdroj: Clinical psychology review [Clin Psychol Rev] 2022 Feb; Vol. 91, pp. 102100. Date of Electronic Publication: 2021 Nov 11.
DOI: 10.1016/j.cpr.2021.102100
Abstrakt: Military service is associated with increased risk of mental health problems. Previous reviews have pointed to under-utilization of mental health services in military populations. Building on the most recent systematic review, our narrative, critical review takes a complementary approach and considers research across the Five-Eyes nations from the past six years to update and broaden the discussion on pathways to mental healthcare in military populations. We find that at a broad population level, there is improvement in several indicators of mental health care access, with greater gains in initial engagement, time to first treatment contact, and subjective satisfaction with care, and smaller gains in objective indicators of adequacy of care. Among individual-level barriers to care-seeking, there is progress in improving recognition of need for care and reducing stigma concerns. Among organizational-level barriers, there are advances in availability of services and cultural acceptance of care-seeking. Other barriers, such as concerns around confidentiality, career impact, and deployability persist, however, and may account for some remaining unmet need. To address these barriers, new initiatives that are more evidence-based, theoretically-driven, and culturally-sensitive, are therefore needed, and must be rigorously evaluated to ensure they bring about additional improvements in pathways to care.
(Crown Copyright © 2021. Published by Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: