Abstract
Law enforcement officers (LEOs) experience stressful and traumatic events more often than the general population. Though these events negatively impact mental health and wellbeing, LEOs experience barriers to seeking psychological therapy and support to address these emotional burdens. This scoping review asks the question “What are the factors preventing law enforcement officers from seeking mental health services?”. Eligibility criteria included literature focusing on Canadian and United States LEO access and willingness to participate in mental health interventions. Using PubMed, PsycNet, and Scopus, we found 17 publications on this topic. We charted the data using components of grounded theory and uncovered components of the social cognitive theory’s role in accessing services. Overall, LEOs mental health services utilization barriers include negative perceptions and low mental health knowledge, concerns of confidentiality and job consequences, and lack of social support. Interventions can be developed at the environmental, behavioral, and individual levels to address these complex factors preventing LEOs seeking mental health services.
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Data Availability
Reviewed literature is available through PsycNet, Scopus, and PubMed databases.
References
Alicea MJ (2014) Police suicide: Acuity of influence. (Order No. 3691022). Available from ProQuest Dissertations & Theses Global
Anderson AS, Lo CC (2011) Intimate partner violence within law enforcement families. J Interpers Violence. https://doi.org/10.1177/0886260510368156
Arksey H, O’Malley L (2005) Scoping studies: Towards a methodological framework. Int J Soc Res Methodol Theory Pract. https://doi.org/10.1080/1364557032000119616
Arriola KE (2014) Lived experience of law enforcement personnel in the application of deadly force after surviving an armed encounter: A phenomenological inquiry. (Order No. 3614146). Available from ProQuest Dissertations & Theses Global
Ballenger JF, Best SR, Metzler TJ, Wasserman DA, Mohr DC, Liberman A, Delucchi K, Weiss DS, Fagan JA, Waldrop AE, Marmar CR (2011) Patterns and predictors of alcohol use in male and female urban police officers. Am J Addict. https://doi.org/10.1111/j.1521-0391.2010.00092.x
Bandura A (1989). Human Agency in Social Cognitive Theory. Am Psychol. https://doi.org/10.1037/0003-066X.44.9.1175
Bandura A (2002) Social cognitive theory in cultural context. Appl Psychol. https://doi.org/10.1111/1464-0597.00092
Becker CB, Meyer G, Price JS, Graham MM, Arsena A, Armstrong DA, Ramon E (2009) Law enforcement preferences for PTSD treatment and crisis management alternatives. Behav Res Ther 47(3):245–253. https://doi.org/10.1016/j.brat.2009.01.001
Burke R, Waters JA, Ussery W (2007) Police stress: History, contributing factors, symptoms, and interventions. In Policing: An International Journal of Police Strategies & Management. https://doi.org/10.1108/13639510710753199
Burns CM, Buchanan MJ (2020) Factors that influence the decision to seek help in a police population. Int J Environ Res Public Health. https://doi.org/10.3390/ijerph17186891
Canadian Institute for Public Safety Research and Treatment (n.d.) Research. Retrieved December 22, 2020 from https://www.cipsrt-icrtsp.ca/en/research/about
Carlan PE, Nored LS (2008) An examination of officer stress: should police departments implement mandatory counseling? J Police Crim Psychol. https://doi.org/10.1007/s11896-008-9015-x
Carleton RN, Afifi TO, Turner S, Taillieu T, Duranceau S, LeBouthillier DM, Sareen J, Ricciardelli R, MacPhee RS, Groll D, Hozempa K, Brunet A, Weekes JR, Griffiths CT, Abrams KJ, Jones NA, Beshai S, Cramm HA, Dobson KS, Asmundson GJG (2018) Mental disorder symptoms among public safety personnel in Canada. Can J Psychiat. https://doi.org/10.1177/0706743717723825
Dabney D, Al E (2013) A qualitative assessment of stress perceptions among members of a homicide unit. Justice Q. https://doi.org/10.1080/07418825.2011.633542
Dixon P, Dundes L (2020) Exceptional injustice: Facebook as a reflection of race- and gender-based narratives following the death of George Floyd. Social Sciences (Basel) 9(12):231. https://doi.org/10.3390/socsci9120231
Faulkner B (2018) “Things Are Changing:” Police mental health and psychotherapeutic help-seeking within an evolving police culture. (Order No. 10683278). Available from ProQuest Dissertations & Theses Global
Fox J, Desai MM, Britten K, Lucas G, Luneau R, Rosenthal MS (2012) Mental-health conditions, barriers to care, and productivity loss among officers in an urban police department. Conn Med 76(9):525–531
Gersons BPR (1989) Patterns of PTSD among police officers following shooting incidents: a two-dimensional model and treatment implications. J Trauma Stress 2(3):247–257. https://doi.org/10.1007/BF00976230
Haecker VM (2018) Factors affecting mental health seeking behaviors of law enforcement officers. (Order No. 10260071). Available from ProQuest Dissertations & Theses Global
Ingram JR, Paoline EA, Terrill W (2013) A Multilevel framework for understanding police culture: the role of the workgroup. Criminology. https://doi.org/10.1111/1745-9125.12009
Keaton MA (2017) Stress and trauma management for law enforcement. Am J Forensic Psychol 35(3):35–52
MacEachern AD, Dennis AA, Jackson S, Jindal-Snape D (2019) Secondary traumatic stress: prevalence and symptomology amongst detective officers investigating child protection cases. J Police Crim Psychol. https://doi.org/10.1007/s11896-018-9277-x
Malmin M (2012) Changing Police Subculture. FBI Law Enforcement Bulletin. https://leb.fbi.gov/articles/featured-articles/changing-police-subculture
Parker KA (2016) A paradigm of police stress from the lens of retired police officers: A phenomenological study. (Order No. 3718153). Available from ProQuest Dissertations & Theses Global
Pasciak A (2012) Adherence to traditional male gender roles and its influence on how male police officers offer emotional support to fellow traumatized officers. (Order No. 3498425). Available from ProQuest Dissertations & Theses Global
Pickens WJ (2011) Critical incidents in law enforcement: A phenomenological analysis of coping with traumatic stress. (Order No. 3448468). Available from ProQuest Dissertations & Theses Global
Ramchand R, Saunders J, Osilla KC, Ebener P, Kotzias V, Thornton E, Strang L, Cahill M (2019) Suicide Prevention in U.S. Law Enforcement Agencies: a National Survey of Current Practices. J Police Crim Psychol. https://doi.org/10.1007/s11896-018-9269-x
Regehr C, Carey MG, Wagner S, Alden LE, Buys N, Corneil W, Fyfe T, Matthews L, Randall C, White M, Fraess-Phillips A, Krutop E, White N, Fleischmann M (2019) A systematic review of mental health symptoms in police officers following extreme traumatic exposures. Police Pract Res. https://doi.org/10.1080/15614263.2019.1689129
Rogers LK (1999) Post traumatic stress disorder: A police officer’s report. In Post traumatic stress disorder: A police officer’s report. Proctor Publications, pp. viii, 191–viii, 191
Rosemond KV (2018) Posttraumatic stress disorder in public safety workers: Cultural aspects and implications for effective treatment. (Order No. 10285161). Available from ProQuest Dissertations & Theses Global
Royle L, Keenan P, Farrell D (2009) Issues of stigma for first responders accessing support for post traumatic stress. In International Journal of Emergency Mental Health, vol 11, Issue 2. Chevron Publishing, pp. 79–86
Sanders-Guerrero J (2014) Officers’ and supervisors’ opinions regarding mental health services utilization among law enforcement personnel. (Order No. 3575115). Available from ProQuest Dissertations & Theses Global
Sink CL (2016) Police officers’ experience of seeking treatment after a work related trauma: A generic qualitative study. (Order No. 3731709). Available from ProQuest Dissertations & Theses Global
Soomro S, Yanos PT (2019) Predictors of mental health stigma among police officers: the role of trauma and PTSD. J Police Crim Psychol 34(2):175–183. https://doi.org/10.1007/s11896-018-9285-x
The National Institute for Occupational Safety and Health (n.d.) Public Safety Program. Retrieved December 22, 2020, from https://www.cdc.gov/niosh/programs/pubsaf/default.html
Violanti JM, Fekedulegn D, Hartley TA, Charles LE, Andrew ME, Ma CC, Burchfiel CM (2016) Highly rated and most frequent stressors among police officers: gender differences. Am J Crim Justice. https://doi.org/10.1007/s12103-016-9342-x
Violanti JM, Robinson CF, Shen R (2013) Law enforcement suicide: a national analysis. Int J Emerg Ment Health 14(3):157–162
Wolfswinkel JF, Furtmueller E, Wilderom CPM (2013) Using grounded theory as a method for rigorously reviewing literature. Eur J Inf Syst. https://doi.org/10.1057/ejis.2011.51
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NKR and JFA contributed to study design, data collection and analysis, and manuscript preparation. EBS contributed to analysis, interpretation, and manuscript preparation.
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Richards, N.K., Suarez, E.B. & Arocha, J.F. Law Enforcement Officers’ Barriers to Seeking Mental Health Services: a Scoping Review. J Police Crim Psych 36, 351–359 (2021). https://doi.org/10.1007/s11896-021-09454-x
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DOI: https://doi.org/10.1007/s11896-021-09454-x