| Autor: |
Valerie Testa, Alexandria Bennett, Jeffrey Jutai, Zachary Cantor, Peter Burke, James McMahon, R. Nicholas Carleton, Ian Colman, Deniz Fikretoglu, Alexandra Heber, Shannon Leduc, Marnin J. Heisel, Kednapa Thavorn, Daniel J. Corsi, Simon Hatcher |
| Jazyk: |
English<br />French |
| Rok vydání: |
2023 |
| Předmět: |
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| Zdroj: |
Health Promotion and Chronic Disease Prevention in Canada, Vol 43, Iss 10/11, Pp 431-449 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2368-738X |
| DOI: |
10.24095/hpcdp.43.10/11.02 |
| Popis: |
IntroductionFirst responders and other public safety personnel (PSP; e.g. correctional workers, firefighters, paramedics, police, public safety communicators) are often exposed to events that have the potential to be psychologically traumatizing. Such exposures may contribute to poor mental health outcomes and a greater need to seek mental health care. However, a theoretically driven, structured qualitative study of barriers and facilitators of help-seeking behaviours has not yet been undertaken in this population. This study used the Theoretical Domains Framework (TDF) to identify and better understand critical barriers and facilitators of help-seeking and accessing mental health care for a planned First Responder Operational Stress Injury (OSI) clinic. MethodsWe conducted face-to-face, one-on-one semistructured interviews with 24 first responders (11 firefighters, five paramedics, and eight police officers), recruited using purposive and snowball sampling. Interviews were analyzed using deductive content analysis. The TDF guided study design, interview content, data collection, and analysis. ResultsThe most reported barriers included concerns regarding confidentiality, lack of trust, cultural competency of clinicians, lack of clarity about the availability and accessibility of services, and stigma within first responder organizations. Key themes influencing help-seeking were classified into six of the TDF’s 14 theoretical domains: environmental context and resources; knowledge; social influences; social/professional role and identity; emotion; and beliefs about consequences. ConclusionThe results identified key actions that can be utilized to tailor interventions to encourage attendance at a First Responder OSI Clinic. Such approaches include providing transparency around confidentiality, policies to ensure greater cultural competency in all clinic staff, and clear descriptions of how to access care; routinely involving families; and addressing stigma. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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