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J Health Care Chaplain. 2020 Feb 07;1-12. doi: 10.1080/08854726.2020.1723193. Epub 2020 Feb 07.

Who sees the chaplain? Characteristics and correlates of behavioral health care-seeking in the military.

Journal of health care chaplaincy

Josh B Kazman, Ian A Gutierrez, Eric R Schuler, Elizabeth A Alders, Craig A Myatt, Diana D Jeffery, Kathleen G Charters, Patricia A Deuster

Affiliations

  1. Consortium for Health and Military Performance, Department of Military and Emergency Medicine, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD, USA.
  2. Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD, USA.
  3. Department of Medical Affairs, Clinical Support Division, Defense Health Agency, Falls Church, VA, USA.

PMID: 32031506 DOI: 10.1080/08854726.2020.1723193

Abstract

Chaplains have a critical role in the military organization and health care. Using the 2015 Health-Related Behavior Survey, we compared Service Members' (SM) use of chaplaincy services to their use of other behavioral health (BH) services: 26.2% used any BH service and 8.0% met with a chaplain/clergyperson for BH. Among the 36.5% of SM who self-identified needing counseling, percentages of SMs receiving counseling were lower among those perceiving stigma associated with BH services (51.0%) than those not perceiving stigma (66.7%). Of SM who sought counseling: many used multiple counseling sources (48.0%), with the most common sources being a BH professional (71.6%), a medical doctor (37.5%), and a chaplain or clergyperson (30.2%). SM who met with a chaplain or clergyperson had more severe histories of abuse, were more likely to have a mental health diagnosis, and had fewer positive health behaviors than SM who sought other sources of counseling.

Keywords: U.S. military; counseling; duty; mental health; stigma

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