Military Leaders' Use of Behavioral Health Resources: Barriers to Care and Possible Solutions

Abstract

Prior research indicates that military officers are less likely than enlisted personnel to seek mental or behavioral health support when such services would be beneficial (e.g., when experiencing suicidal ideation or after a suicide attempt; Ho et al., 2018; OPA, 2017). Barriers to behavioral health resource utilization in the military include public stigma, internalized self-stigma, concerns regarding peer and leader perceptions of work-related abilities, preference for self-reliance, negative attitudes toward behavioral health treatment, and operational barriers (Britt et al., 2016; Greene-Shortridge, Britt, and Castro, 2007; Hines et al., 2014; Kim, Britt, Klocko, Riviere, and Adler, 2011; Nash, Silva, and Litz, 2009; Vogt, 2011). However, research is limited regarding the help-seeking experiences, barriers, and available resources for senior leaders, such as non-commissioned and commissioned officers. This report addresses this gap in the literature. Specifically, we interviewed 32 subject matter experts (SMEs) affiliated with the Army, Navy, Marine Corps, Air Force, and the Office of the Undersecretary of Defense for Personnel and Readiness. Results of SME interviews indicated that, although several behavioral health resources are available to officers, few are tailored specifically to the needs of officers. SME-identified barriers to officer help-seeking behavior were consistent with those previously described in military studies, but SMEs indicated that the concerns were heightened for senior leaders. Based on SME-identified solutions to address barriers, this study concludes with a list of recommendations for changes to the military behavioral health system and officer professional development as well as increases to spouse and family involvement in officer help-seeking and the creation of messaging campaigns targeted specifically to leaders and senior officers.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Jan 01, 2019
Accession Number
AD1066161

Entities

People

  • Catina M. Smith
  • Danielle Burchett
  • Marie M. Osborn
  • Olga G. Shechter
  • Tiffany E. Ho

Tags

Communities of Interest

  • Biomedical

DTIC Thesaurus Topics

  • Air Force
  • Business Administration
  • Depression
  • Employment
  • Enlisted Personnel
  • Health Services
  • Management Personnel
  • Medical Personnel
  • Military Medicine
  • Military Personnel
  • Mobile Phones
  • Personnel Management
  • Psychiatry
  • Psychology
  • Students
  • Therapy
  • Traumatic Stress Disorder

Fields of Study

  • Psychology

Readers

  • Military History
  • Military Leadership and Professional Education.
  • Psychological Intervention/Treatment for Stress, Anxiety, PTSD, and Related Emotional and Cognitive Health Symptoms.