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Mental Health Stigma and Barriers to Mental Health Care for First Responders: A Systematic Review and Meta-Analysis



Details

  • Personal Author:
  • Description:
    Objective: It is unclear how many first responders experience barriers to care and stigma regarding mental health care, and how this influences their help-seeking. A systematic review and meta-analysis was conducted on barriers to care and mental health stigma in first responders and their empirical relationship with psychosocial and psychiatric variables. Methods: The databases Medline, Embase PsycINFO, CINAHL, PILOTS, LILACS, Sociological Abstracts, SocINDEX, and Social Citation Index were searched to identify relevant studies. A quality assessment and meta-analysis was performed. Results: Fourteen articles met inclusion criteria, from which data from 12 samples were extracted for meta-analyses. All studies measured stigma regarding mental health care and 33.1% of first responders (95% CI 26.7-40.1; 12 individual samples) endorsed stigma items. The systematic review revealed that the most frequently endorsed items were fears regarding confidentiality and negative career impact. Five of 14 studies measured barriers to mental health care and 9.3% of first responders (95% CI 7.0-12.3; 4 individual samples) endorsed barriers to care items. The most frequently endorsed barriers were scheduling concerns and not knowing where to get help. Indications were found for more stigma and barriers in individuals with mental health problems. Conclusions: Stigma and barriers to care are experienced by a significant proportion of firs responders, which can potentially lead to delayed presentation in mental health care and therefore, increased risk of chronicity of post-trauma psychopathology for these groups. The current systematic review draws attention to the paucity of research in this area, particularly in non-Western samples. [Description provided by NIOSH]
  • Subjects:
  • Keywords:
  • ISSN:
    0022-3956
  • Document Type:
    Text
  • Funding:
    Contract
  • Genre:
    Journal Article
  • Place as Subject:
  • CIO:
    National Institute for Occupational Safety and Health (NIOSH)
  • Topic:
    Workplace Safety & Health
  • Location:
    North America
  • Pages in Document:
    218-229
  • Volume:
    94
  • NIOSHTIC Number:
    nn:20050817
  • Citation:
    J Psychiatr Res 2017 Nov; 94:218-229
  • Contact Point Address:
    Peter T. Haugen, NYU School of Medicine, NYU School of Medicine WTC Health Program Clinical Center of Excellence, 530 First Avenue, New York, NY, 10016
  • Email:
    peter.haugen@nyumc.org
  • Federal Fiscal Year:
    2018
  • Performing Organization:
    NYC Health + Hospitals (H+H): NYC H+H Data Center
  • Peer Reviewed:
    True
  • Start Date:
    20170401
  • Source Full Name:
    Journal of Psychiatric Research
  • End Date:
    20210331
  • Collection(s):
  • Main Document Checksum:
    urn:sha-512:cf63355170a9589e7e0c5dde03ed3637eb3a91785f5b007405ba3edb6352285be24c5e66268100f21df583f949d9f579ab1471354d986c15eb5348d1d49dfee0
  • Download URL:
  • File Type:
    Filetype[PDF - 847.99 KB ]
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