Perceived stigma and barriers to mental health care utilization among OEF-OIF veterans.
OBJECTIVE
This study examined whether social support and beliefs about mental health care are associated with stigma, barriers to care, and mental health care utilization in a sample of veterans of Operation Enduring Freedom in Afghanistan and Operation Iraqi Freedom (OEF-OIF).


METHODS
A sample of 272 predominantly reservist and National Guard OEF-OIF veterans in Connecticut completed a needs assessment survey.


RESULTS
Negative beliefs about mental health care, particularly psychotherapy, and decreased perceived unit support predicted increased perceptions of stigma and barriers to care. Negative beliefs about mental health care were also associated with decreased likelihood of mental health counseling and medication visits in the past six months, even after adjustment for demographic characteristics, psychiatric disorders, and support variables.


CONCLUSIONS
Educational interventions for modifying negative beliefs about mental health care and bolstering unit support may help decrease stigma and barriers to care and increase mental health treatment seeking among OEF-OIF veterans.
Pietrzak
Robert H
RH
National Center for Posttraumatic Stress Disorder, Department of Veterans Affairs (VA) Connecticut Healthcare System, West Haven, USA. robert.pietrzak@yale.edu
Johnson
Douglas C
DC
Goldstein
Marc B
MB
Malley
James C
JC
Southwick
Steven M
SM
D000328:Adult; D003237:Connecticut / Q000453:epidemiology; D019538:Health Care Surveys; D006297:Health Services Accessibility; D006801:Humans; D008605:Mental Health Services / Q000706:statistics & numerical data*; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D013240:Stereotyping; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D014728:Veterans / Q000523:psychology*