Families' experiences of supporting Australian veterans and emergency service first responders (ESFRs) to seek help for mental health problems

被引：7

作者：

Lawn, Sharon ^{[1
,2
,3
]}

Waddell, Elaine ^{[1
,3
]}

Rikkers, Wavne ^{[4
,5
]}

Roberts, Louise ^{[1
,3
]}

Beks, Tiffany ^{[6
]}

Lawrence, David ^{[4
,5
]}

Rioseco, Pilar ^{[7
]}

Sharp, Tiffany ^{[1
]}

Wadham, Ben ^{[1
,3
]}

Daraganova, Galina ^{[7
,8
]}

Van Hooff, Miranda ^{[9
,10
,11
]}

机构：

[1] Flinders Univ S Australia, Adelaide, SA, Australia

[2] Lived Experience Australia Ltd, Adelaide, SA, Australia

[3] Flinders Univ S Australia, Open Door Initiat, Adelaide, SA, Australia

[4] Curtin Univ, Perth, WA, Australia

[5] Univ Western Australia, Perth, WA, Australia

[6] Univ Calgary, Calgary, AB, Canada

[7] Australian Inst Family Studies, Melbourne, Vic, Australia

[8] South Eastern Melbourne Primary Hlth Network, Melbourne, Vic, Australia

[9] Hosp Res Fdn Grp, Mil & Emergency Serv Hlth Australia MESHA, Adelaide, SA, Australia

[10] Univ South Australia Adelaide, Adelaide, SA, Australia

[11] Univ Adelaide, Adelaide, SA, Australia

来源：

HEALTH & SOCIAL CARE IN THE COMMUNITY | 2022年 / 30卷 / 06期

关键词：

emergency service first responders; families; help-seeking; mental health; moral injury; posttraumatic stress; veterans; LIVED EXPERIENCE; STRESS; PTSD; PARTNERS; SYMPTOMS; BARRIERS; STIGMA;

D O I：

10.1111/hsc.13856

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

The objective of this phenomenological study was to describe families' experiences of supporting veterans and emergency service first responders (ESFRs) (known also as public safety personnel) to seek help for a mental health problem. In-depth semi-structured open-ended interviews were undertaken with 25 family members of Australian veterans and ESFRs. Fourteen participants were family members of police officers. Data were analysed thematically. Participants described a long and difficult journey of supporting the person's help-seeking across six themes. Traumatic exposures, bullying in the workplace and lack of organisational support experienced by veterans/ESFRs caused significant family distress. Families played a vital role in help-seeking but were largely ignored by veteran/ESFR organisations. The research provides a rich understanding of distress and moral injury that is experienced not only by the service members but is transferred vicariously to their family within the mental health help-seeking journey. Veteran and ESFR organisations and mental health services need to shift from a predominant view of distress as located within an individual (intrapsychic) towards a life-course view of distress as impacting families and which is more relational, systemic, cultural and contextual.

引用

页码：E4522 / E4534

页数：13

共 64 条

[1] American Psychiatric Association, 2013, Diagnostic and statistical manual of mental disorders: DSM-5, V5th ed., DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]
[2] Factors associated with persistent posttraumatic stress disorder among US military service members and veterans
Armenta, Richard F.
Rush, Toni
LeardMann, Cynthia A.
Millegan, Jeffrey
Cooper, Adam
Hoge, Charles W.
[J]. BMC PSYCHIATRY, 2018, 18
[3] Understanding Moral Injury From a Character Domain Perspective
Atuel, Hazel R.
Barr, Nicholas
Jones, Edgar
Greenberg, Neil
Williamson, Victoria
Schumacher, Matthew R.
Vermetten, Eric
Jetly, Rakesh
Castro, Carl A.
[J]. JOURNAL OF THEORETICAL AND PHILOSOPHICAL PSYCHOLOGY, 2021, 41 (03): : 155 - 173
[4] Australian Institute of Health and Welfare (AIHW), 2018, AUSTR HLTH 2018 AUST, V16
[5] Beks T., 2018, Traumatol, V24, P313, DOI [DOI 10.1037/TRM0000159, 10.1037/trm0000159]
[6] Beks T, 2016, QUAL REP, V21, P645
[7] Beyond Blue Ltd, 2018, ANSW CALL NAT SURV N
[8] Blue Beyond., 2020, GOOD PRACTICE FRAMEW
[9] Bryant R., 2019, MENTAL HLTH CHANGES
[10] Social bonds and posttraumatic stress disorder
Charuvastra, Anthony
Cloitre, Marylene
[J]. ANNUAL REVIEW OF PSYCHOLOGY, 2008, 59 : 301 - 328

← 1 2 3 4 5 6 7 →