Skip to main content
Have a personal or library account? Click to login
Qualitative Study Examining Perceived Stigma and Barriers to Mental Health Care Among Student Veterans Cover

Qualitative Study Examining Perceived Stigma and Barriers to Mental Health Care Among Student Veterans

Open Access
|Dec 2022

References

  1. Albright, D. L., Fletcher, K. L., Pelts, M. D., & Taliaferro, L. (2017). Use of college mental health services among student veterans. Best Practices in Mental Health, 13(1), 6579. https://link.gale.com/apps/doc/A582634375/HRCA?u=columbiau&sid=summon&xid=6497b018
  2. Arminio, J., Yamanaka, A., Hubbard, C., Athanasiou, J., Ford, M., & Bradshaw, R. (2018). Educators acculturating to serve student veterans and service members. Journal of Student Affairs Research and Practice, 55(3), 243254. DOI: 10.1080/19496591.2018.1399895
  3. Bacevich, A. J. (2013). Breach of trust: How Americans failed their soldiers and their country. Metropolitan Books.
  4. Barry, A. E., Whiteman, S. D., & MacDermid Wadsworth, S. (2014). Student service members/veterans in higher education: A systematic review. Journal of Student Affairs Research and Practice, 51(1), 3042. DOI: 10.1515/jsarp-2014-0003
  5. Blais, R. K., & Renshaw, K. D. (2013). Stigma and demographic correlates of help-seeking intentions in returning service members. Journal of Traumatic Stress, 26(1), 7785. DOI: 10.1002/jts.21772
  6. Borsari, B., Yurasek, A., Miller, M. B., Murphy, J. G., McDevitt-Murphy, M. E., Martens, M. P., Darcy, M. G., & Carey, K. B. (2017). Student service members/veterans on campus: Challenges for reintegration. American Journal of Orthopsychiatry, 87(2), 166175. DOI: 10.1037/ort0000199
  7. Britt, T. W. (2000). The stigma of psychological problems in a work environment: Evidence from the screening of service members returning from Bosnia. Journal of Applied Social Psychology, 30(8), 15991618. DOI: 10.1111/j.1559-1816.2000.tb02457.x
  8. Britt, T. W., Greene–Shortridge, T. M., Brink, S., Nguyen, Q. B., Rath, J., Cox, A. L., Hoge, C. W., & Castro, C. A. (2008). Perceived stigma and barriers to care for psychological treatment: Implications for reactions to stressors in different contexts. Journal of Social and Clinical Psychology, 27(4), 317335. DOI: 10.1521/jscp.2008.27.4.317
  9. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77101. DOI: 10.1191/1478088706qp063oa
  10. Burla, L., Knierim, B., Barth, J., Liewald, K., Duetz, M., & Abel, T. (2008). From text to codings: Intercoder reliability assessment in qualitative content analysis. Nursing Research, 57(2), 113117. DOI: 10.1097/01.NNR.0000313482.33917.7d
  11. Canfield, J., & Weiss, E. (2015). Integrating military and veteran culture in social work education: Implications for curriculum inclusion. Journal of Social Work Education, 51(sup1), S128S144. DOI: 10.1080/10437797.2015.1001295
  12. Cheney, A. M., Koenig, C. J., Miller, C. J., Zamora, K., Wright, P., Stanley, R., Fortney, J., Burgess, J. F., & Pyne, J. M. (2018). Veteran-centered barriers to VA mental healthcare services use. BMC Health Services Research, 18(1), 114. DOI: 10.1186/s12913-018-3346-9
  13. Cohen, J. (1960). A coefficient of agreement for nominal scales. Educational and Psychological Measurement, 20(1), 3746. DOI: 10.1177/001316446002000104
  14. National Academies of Sciences, Engineering, and Medicine; Health and Medicine Division; Board on Health Care Services; Committee to Evaluate the Department of Veterans Affairs Mental Health Services. (2018). Evaluation of the Department of Veterans Affairs mental health services. National Academies Press.
  15. Cooper, A. E., Corrigan, P. W., & Watson, A. C. (2003). Mental illness stigma and care seeking. The Journal of Nervous and Mental Disease, 191(5), 339341. DOI: 10.1097/01.NMD.0000066157.47101.22
  16. Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614625. DOI: 10.1037/0003-066X.59.7.614
  17. Corrigan, P. W., Larson, J. E., & Kuwabara, S. A. (2010). Social psychology of the stigma of mental illness: Public and self-stigma models. In J. E. Maddux & J. P. Tangney (Eds.), Social Psychological Foundations of Clinical Psychology (pp. 5168). The Guilford Press.
  18. Corrigan, P. W., & Rao, D. (2012). On the self-stigma of mental illness: Stages, disclosure, and strategies for change. The Canadian Journal of Psychiatry, 57(8), 464469. DOI: 10.1177/070674371205700804
  19. Dowding, D. (2013). Best practices for mixed methods research in the health sciences John W. Creswell, Ann Carroll Klassen, Vicki L. Plano Clark, Katherine Clegg Smith for the Office of Behavioral and social sciences research; qualitative methods overview Jo Moriarty. Qualitative Social Work, 12(4), 541545. DOI: 10.1177/1473325013493540a
  20. Currier, J. M., Deiss, J., & McDermott, R. C. (2017). From whom do student veterans seek help? The Journal of Nervous and Mental Disease, 205(6), 491494. DOI: 10.1097/NMD.0000000000000673
  21. Darcy, M. G., & Powers, J. T. (2013). Student veterans: Advantages and obstacles in college transition. Journal of College Orientation, Transition, and Retention, 21(1). DOI: 10.24926/jcotr.v21i1.2860
  22. Doody, O., & Noonan, M. (2013). Preparing and conducting interviews to collect data. Nurse Researcher, 20(5), 2832. DOI: 10.7748/nr2013.05.20.5.28.e327
  23. Elnitsky, C. A., Blevins, C., Findlow, J. W., Alverio, T., & Wiese, D. (2018). Student veterans reintegrating from the military to the university with traumatic injuries: how does service use relate to health status? Archives of Physical Medicine and Rehabilitation, 99(2), S58S64. DOI: 10.1016/j.apmr.2017.10.008
  24. Garcia, H. A., McGeary, C. A., Finley, E. P., Ketchum, N. S., McGeary, D. D., & Peterson, A. L. (2015). Burnout among psychiatrists in the Veterans Health Administration. Burnout Research, 2(4), 108114. DOI: 10.1016/j.burn.2015.10.001
  25. Glover-Graf, N. M., Miller, E., & Freeman, S. (2010). Accommodating veterans with posttraumatic stress disorder symptoms in the academic setting. Rehabilitation Education, 24(1), 4356. DOI: 10.1891/088970110805029921
  26. Groenewald, T. (2004). A phenomenological research design illustrated. International Journal of Qualitative Methods, 3(1), 4255. DOI: 10.1177/160940690400300104
  27. Grossbard, J. R., Widome, R., Lust, K., Simpson, T. L., Lostutter, T. W., & Saxon, A. (2014). High-risk drinking and academic performance among college student veterans. Journal of Alcohol and Drug Education, 58(3), 2847. https://www.jstor.org/stable/48506169
  28. Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 1322. DOI: 10.1056/NEJMoa040603
  29. Kim, P. Y., Britt, T. W., Klocko, R. P., Riviere, L. A., & Adler, A. B. (2011). Stigma, negative attitudes about treatment, and utilization of mental health care among soldiers. Military Psychology, 23(1), 6581. DOI: 10.1080/08995605.2011.534415
  30. Leaf, P. J., Bruce, M. L., Tischler, G. L., & Holzer III, C. E. (1987). The relationship between demographic factors and attitudes toward mental health services. Journal of Community Psychology, 15(2), 275284. DOI: 10.1002/1520-6629(198704)15:2<;275::AID-JCOP2290150216>3.0.CO;2-J
  31. Link, B. G., & Phelan, J. C. (2001). Conceptualizing stigma. Annual Review of Sociology, 27(1), 363385. DOI: 10.1146/annurev.soc.27.1.363
  32. Livingston, W. G., Havice, P. A., Cawthon, T. W., & Fleming, D. S. (2011). Coming home: Student veterans’ articulation of college re-enrollment. Journal of Student Affairs Research and Practice, 48(3), 315331. DOI: 10.2202/1949-6605.6292
  33. MacPhail, C., Khoza, N., Abler, L., & Ranganathan, M. (2016). Process guidelines for establishing intercoder reliability in qualitative studies. Qualitative Research, 16(2), 198212. DOI: 10.1177/1468794115577012
  34. MacQueen, K. M., McLellan, E., Kay, K., & Milstein, B. (1998). Codebook development for team-based qualitative analysis. Cam Journal, 10(2), 3136. DOI: 10.1177/1525822X980100020301
  35. Markel, N., Trujillo, R., Callahan, P., & Marks, M. (2010). Resiliency and retention in veterans returning to college: Results of a pilot study [Paper presentation]. Veterans in Higher Education Conference: Listening, Responding, Changing for Student Success, Tucson, AZ, United States. DOI: 10.1037/e689352011-001
  36. Marich, J. (2010). Eye movement desensitization and reprocessing in addiction continuing care: A phenomenological study of women in recovery. Psychology of Addictive Behaviors, 24(3), 498507. DOI: 10.1037/a0018574
  37. Mattocks, K. M., Haskell, S. G., Krebs, E. E., Justice, A. C., Yano, E. M., & Brandt, C. (2012). Women at war: Understanding how women veterans cope with combat and military sexual trauma. Social Science & Medicine, 74(4), 537545. DOI: 10.1016/j.socscimed.2011.10.039
  38. Mattocks, K. M., Kauth, M. R., Sandfort, T., Matza, A. R., Sullivan, J. C., & Shipherd, J. C. (2013). Understanding health-care needs of sexual and gender minority veterans: How targeted research and policy can improve health. LGBTHealth, 1, 5057. DOI: 10.1089/lgbt.2013.0003
  39. McCaslin, S. E., Thiede, J., Vinatieri, T., Passi, H., Lyon, K. B., Ahern, D. A., Armstrong, K., & Chitaphong, K. (2014). Facilitating veterans’ academic success: Veterans Integration to Academic Leadership (VITAL) Initiative. Career Planning and Adult Development Journal, 30(3), 191209. http://ezproxy.cul.columbia.edu/login?url=https://www.proquest.com/trade-journals/facilitating-veterans-academic-success/docview/1609375155/se-2
  40. Messina, V. (2014). In and out of uniform: The transition of Iraq and Afghanistan War Veterans into higher education [Doctoral dissertation, The Graduate Center of New York]. CUNY Academic Works. https://academicworks.cuny.edu/gc_etds/74
  41. Mobbs, M. C., & Bonanno, G. A. (2018). Beyond war and PTSD: The crucial role of transition stress in the lives of military veterans: Corrigendum. Clinical Psychology Review, 60, 147. DOI: 10.1016/j.cpr.2018.01.002
  42. Mojtabai, R. (2005). Trends in contacts with mental health professionals and cost barriers to mental health care among adults with significant psychological distress in the United States: 1997–2002. American Journal of Public Health, 95(11), 20092014. DOI: 10.2105/AJPH.2003.037630
  43. Mojtabai, R., Olfson, M., & Mechanic, D. (2002). Perceived need and help-seeking in adults with mood, anxiety, or substance use disorders. Archives of General Psychiatry, 59(1), 7784. DOI: 10.1001/archpsyc.59.1.77
  44. Nash, W. P., Silva, C., & Litz, B. (2009). The historic origins of military and veteran mental health stigma and the stress injury model as a means to reduce it. Psychiatric Annals, 39(8), 789794. DOI: 10.3928/00485713-20090728-05
  45. Newins, A. R., Wilson, S. M., Hopkins, T. A., Straits-Troster, K., Kudler, H., & Calhoun, P. S. (2019). Barriers to the use of Veterans Affairs health care services among female veterans who served in Iraq and Afghanistan. Psychological Services, 16(3), 484490. DOI: 10.1037/ser0000230
  46. Norman, S. B., Rosen, J., Himmerich, S., Myers, U. S., Davis, B., Browne, K. C., & Piland, N. (2015). Student veteran perceptions of facilitators and barriers to achieving academic goals. Journal of Rehabilitation Research & Development, 52(6), 701712. DOI: 10.1682/JRRD.2015.01.0013
  47. Phelan, J. C., Link, B. G., Stueve, A., & Pescosolido, B. A. (2000). Public conceptions of mental illness in 1950 and 1996: What is mental illness and is it to be feared? Journal of Health and Social Behavior, 41(2), 188207. DOI: 10.2307/2676305
  48. Reczek, C., Thomeer, M. B., Gebhardt-Kram, L., & Umberson, D. (2020). “Go see somebody”: How spouses promote mental health care. Society and Mental Health, 10(1), 8096. DOI: 10.1177/2156869319834335
  49. Rudd, M. D., Goulding, J., & Bryan, C. J. (2011). Student veterans: A national survey exploring psychological symptoms and suicide risk. Professional Psychology: Research and Practice, 42(5), 354360. DOI: 10.1037/a0025164
  50. Rumann, C. B., & Hamrick, F. A. (2010). Student veterans in transition: Re-enrolling after war zone deployments. The Journal of Higher Education, 81(4), 431458. DOI: 10.1080/00221546.2010.11779060
  51. Rüsch, N., Angermeyer, M. C., & Corrigan, P. W. (2005). Mental illness stigma: Concepts, consequences, and initiatives to reduce stigma. European Psychiatry, 20(8), 529539. DOI: 10.1016/j.eurpsy.2005.04.004
  52. Street, A. E., Vogt, D., & Dutra, L. (2009). A new generation of women veterans: Stressors faced by women deployed to Iraq and Afghanistan. Clinical Psychology Review, 29(8), 685694. DOI: 10.1016/j.cpr.2009.08.007
  53. Strong, J. D., Crowe, B. M., & Lawson, S. (2018). Female veterans: Navigating two identities. Clinical Social Work Journal, 46(2), 9299. DOI: 10.1007/s10615-017-0636-3
  54. Tanielian, T. L. (2014). Ready to serve: Community-based provider capacity to deliver culturally competent, quality mental health care to veterans and their families. RAND Corporation. https://www.rand.org/pubs/research_reports/RR806.html. DOI: 10.7249/RR806
  55. US Department of Veteran Affairs. (2019). Annual benefits report – education. Veterans Benefits Administration. https://www.benefits.va.gov/REPORTS/abr/docs/2019-abr-v2.pdf
  56. US Department of Veteran Affairs. (2020). VA college toolkit. https://www.mentalhealth.va.gov/student-veteran/learn-about-student-veterans.asp
  57. Vogt, D. (2011). Mental health-related beliefs as a barrier to service use for military personnel and veterans: A review. Psychiatric Services, 62(2), 135142. DOI: 10.1176/ps.62.2.pss6202_0135
  58. Vogt, D., Fox, A. B., & Di Leone, B. A. (2014). Mental health beliefs and their relationship with treatment seeking among US OEF/OIF Veterans. Journal of Traumatic Stress, 27(3), 307313. DOI: 10.1002/jts.21919
  59. Wurster, K. G., Rinaldi, A. P., Woods, T. S., & Liu, W. M. (2013). First generation student veterans: Implications of poverty for psychotherapy. Journal of Clinical Psychology, 69(2), 127137. DOI: 10.1002/jclp.21952
Language: English
Page range: 239 - 252
Submitted on: Jul 14, 2022
Accepted on: Aug 16, 2022
Published on: Dec 27, 2022
Published by: Virginia Tech Publishing
In partnership with: Paradigm Publishing Services

© 2022 Kati N. Lake, Lihi Ferber, Daniel J. Kilby, Hania Mourtada, Sreelakshmi Pushpanadh, Helen Verdeli, published by Virginia Tech Publishing
This work is licensed under the Creative Commons Attribution 4.0 License.