Cited by 371Mental Health Treatment and AccessPosttraumatic Stress Disorder ResearchGender Roles and Identity Studies

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Mental Health-Related Beliefs as a Barrier to Service Use for Military Personnel and Veterans: A Review

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Vogt, Dawne·2011·Psychiatric Services

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Abstract

OBJECTIVE: Although military personnel are at high risk of mental health problems, research findings indicate that many military personnel and veterans do not seek needed mental health care. Thus it is critical to identify factors that interfere with the use of mental health services for this population, and where possible, intervene to reduce barriers to care. The overarching goal of this review was to examine what is known with regard to concerns about public stigma and personal beliefs about mental illness and mental health treatment as potential barriers to service use in military and veteran populations and to provide recommendations for future research on this topic. METHODS: Fifteen empirical articles on mental health beliefs and service use were identified via a review of the military and veteran literature included in PsycINFO and PubMed databases. RESULTS: Although results suggest that mental health beliefs may be an important predictor of service use for this population, several gaps were identified in the current literature. Limitations include a lack of attention to the association between mental health beliefs and service use, a limited focus on personal beliefs about mental illness and mental health treatment, and the application of measures of mental health beliefs with questionable or undocumented psychometric properties. CONCLUSIONS: Studies that attend to these important issues and that examine mental health beliefs in the broader context within which decisions about seeking health care are made can be used to best target resources to engage military personnel and veterans in health care.

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“Further, there exists a body of work on the barriers to psychiatric treatment (see Parcesepe and Cabassa, 2012; Vogt, 2011), and implementing strategies informed by this evidence may be more productive than changing the PTSD label.”
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Background
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Background
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Self-citation
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Background
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Self-citation
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“Research also suggests that military personnel commonly experience barriers, such as fear of public stigma and negative beliefs about mental illness and its treatment, to seeking mental health services for themselves (Vogt, 2011).”
Background
Relations Between Thwarted Belongingness, Perceived Burdensomeness, and History of Suicide Attempts and Readiness for Mental Health Treatment in High-Risk Veterans, Reserves, and Active Duty Service Members
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“The review also reported that most measures did not adequately assess the multiple components mental health treatment barriers, with measures typically focusing only on stigma (Vogt, 2011).”
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Soldier Recommendations for Improving Mental Health Treatment Seeking in the Military
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“The imbalance between expected needs and actual utilization of mental health services highlights the importance of identifying factors that influence mental health treatment seeking within the military population (Vogt, 2011).”
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Differences between the Canadian military’s Regular and Reserve Forces in perceived need for care, mental health services use and perceived sufficiency of care: a cross-sectional survey
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“Many veterans with MH concerns do not receive treatment for a variety of reasons, including a lack of awareness of their condition as well as inability or unwillingness to present for treatment (Elbogen et al., 2013; Hoge et al., 2004; Vogt, 2011).”
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“Military families have also been found to engage in less help-seeking behavior, in large part due to the stigma associated with help-seeking and pressure to demonstrate resiliency within military culture (Hall, 2011; Vogt, 2011).”
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“However, the data provided by the patient’s chart may be the best available option to a clinician given perceived stigma and barriers to care among military personnel and veterans (Vogt, 2011).”
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“Another hypothesis focuses on the negative impact of military stressors—stressors that are direct consequences of deployment, frequent relocation, exposure to trauma during warfare operations—which may contribute to the strains of prison life (Lunasco et al., 2010; Vogt, 2011).”
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“Perceived stigma has been identified as one of the most prevalent barriers to mental health care for veterans (Hoge et al., 2004; Kulesza, Pedersen, Corrigan, & Marshall, 2015; Vogt, 2011) and is associated with suicide ideation (Oexle et al., 2017; Schomerus et al., 2015).”
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“…highly prevalent in refugee communities and that they contribute to lower treatment uptake in refugees and other groups, including military personnel, young people, and the general population (Byrow et al., 2020; Gulliver et al., 2010; Schlechter et al., 2021; ten Have et al., 2010; Vogt, 2011).”
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“Mental health stigma is of particular concern to the military because, together, individual and social stigmatizing beliefs and behaviors influence service members’ willingness to seek professional help (Mojtabai, 2010; Vogel, Wade, & Haake, 2006; Vogt, 2011).”
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Authors: Vogt, D.
Affiliations: Boston University (US)
Corresponding author: Vogt, Dawne
ORCID: Vogt, Dawne
Venue: Psychiatric Services
Publisher: American Psychiatric Association Publishing
Published: 2011-02
Volume: 62
Issue: 2
Pages: 135-142
ISSN: 0022-1597 (ISSN-L)
1075-2730
1557-9700
DOI: 10.1176/ps.62.2.pss6202_0135
OpenAlex: W2135921044
Cited by: 371
References: 67
Citations by year: 2026: 10 · 2025: 11 · 2024: 12 · 2023: 19 · 2022: 17 · 2021: 22 · 2020: 29 · 2019: 36 · 2018: 28 · 2017: 34 · 2016: 31 · 2015: 35 · 2014: 37 · 2013: 23 · 2012: 23
FWCI: 37.33
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: Psychiatric Services (publishedVersion)
PubMed (publishedVersion)
Funders: National Center for PTSD, U.S. Department of Veterans Affairs
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
Social Sciences › Gender Studies › Gender Roles and Identity Studies
Keywords: mental health perceptions, barriers to mental health care, help-seeking, military personnel, veterans, public stigma
MeSH terms: Attitude to Health, Mental Disorders, Culture, Female, Health Services Accessibility, Humans, Male, Mental Health, Mental Health Services, Military Personnel, Stereotyping, United States, Veterans

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Mental Health-Related Beliefs as a Barrier to Service Use for Military Personnel and Veterans: A Review

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