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

emergency service first responders families help-seeking mental health moral injury posttraumatic stress veterans

Journal

Health & social care in the community
ISSN: 1365-2524
Titre abrégé: Health Soc Care Community
Pays: England
ID NLM: 9306359

Informations de publication

Date de publication:
11 2022
Historique:
revised: 26 03 2022
received: 04 08 2021
accepted: 05 05 2022
pubmed: 7 6 2022
medline: 20 12 2022
entrez: 6 6 2022
Statut: ppublish

Résumé

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.

Identifiants

pubmed: 35662301
doi: 10.1111/hsc.13856
pmc: PMC10084143
doi:

Types de publication

Journal Article Research Support, Non-U.S. Gov't

Langues

eng

Sous-ensembles de citation

IM

Pagination

e4522-e4534

Informations de copyright

© 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.

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Auteurs

Sharon Lawn (S)

Flinders University, Adelaide, South Australia, Australia.
Lived Experience Australia Ltd, Adelaide, South Australia, Australia.
Flinders University, Open Door Initiative, Adelaide, South Australia, Australia.

Elaine Waddell (E)

Flinders University, Adelaide, South Australia, Australia.
Flinders University, Open Door Initiative, Adelaide, South Australia, Australia.

Wavne Rikkers (W)

Curtin University, Perth, Western Australia, Australia.
University of Western Australia, Perth, Western Australia, Australia.

Louise Roberts (L)

Flinders University, Adelaide, South Australia, Australia.
Flinders University, Open Door Initiative, Adelaide, South Australia, Australia.

Tiffany Beks (T)

University of Calgary, Calgary, Alberta, Canada.

David Lawrence (D)

Curtin University, Perth, Western Australia, Australia.
University of Western Australia, Perth, Western Australia, Australia.

Pilar Rioseco (P)

Australian Institute of Family Studies, Melbourne, Victoria, Australia.

Tiffany Sharp (T)

Flinders University, Adelaide, South Australia, Australia.

Ben Wadham (B)

Flinders University, Adelaide, South Australia, Australia.
Flinders University, Open Door Initiative, Adelaide, South Australia, Australia.

Galina Daraganova (G)

Australian Institute of Family Studies, Melbourne, Victoria, Australia.
South-Eastern Melbourne Primary Health Network, Melbourne, Victoria, Australia.

Miranda Van Hooff (M)

Military and Emergency Services Health Australia (MESHA), The Hospital Research Foundation Group, Adelaide, South Australia, Australia.
University of South Australia Adelaide, South Australia, Australia.
University of Adelaide, Adelaide, South Australia, Australia.

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Classifications MeSH