Journal articles: 'Mental health personnel'

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Hegedűs, Katalin. "Health protection of health care personnel working with seriously ill patients." Mentálhigiéné és Pszichoszomatika 13, no. 2 (June 2012): 243–52. http://dx.doi.org/10.1556/mental.13.2012.2.8.

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Hayes, Catherine. "Mental health problems in military personnel." British Journal of Mental Health Nursing 1, no. 2 (January 2012): 102–7. http://dx.doi.org/10.12968/bjmh.2012.1.2.102.

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Pickett, T., D. Rothman, E. F. Crawford, M. Brancu, J. A. Fairbank, and H. S. Kudler. "Mental Health Among Military Personnel and Veterans." North Carolina Medical Journal 76, no. 5 (November 1, 2015): 299–306. http://dx.doi.org/10.18043/ncm.76.5.299.

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Milliard, Beth, and Robert Chrismas. "Mental Health Secretariat: Collaboration for public safety personnel (PSP) mental health in Ontario." Journal of Community Safety and Well-Being 8, Suppl_1 (February 23, 2023): S64—S68. http://dx.doi.org/10.35502/jcswb.295.

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Mental health issues, and more specifically suicide, within the policing community have been a growing concern in recent years. In 2018 alone, there were nine suicides among active and retired police officers in the province of Ontario. At the time, nine suicides in one year were shocking and began to raise focused awareness of mental health challenges facing the profession. In 2021, the Ontario Ministry of the Solicitor General created Mental Health Collaborative Tables comprised of key stakeholders, subject matter experts, public safety personnel (PSP) with lived experience, mental health clinicians, and researchers. The Mental Health Secretariat (MHS) is responsible for supporting the tables. The MHS is accountable to the Deputy Solicitor General and has a mandate to provide a provincial action plan to address mental health issues among PSP. This article explains key observations regarding Ontario’s innovative approach to improving mental health supports for PSP and describes the perspective offered by Karen Prokopec, Manager, MHS at Ontario Ministry of the Solicitor General, and her colleague, Zarsanga Popal, Senior Performance Measurement and Evaluation Specialist with the MHS, on the establishment of the MHS.

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Brown-Johnson, Cati, Cheyenne DeShields, Matthew McCaa, Natalie Connell, Susan N. Giannitrapani, Wendy Thanassi, Elizabeth M. Yano, Sara J. Singer, Karl A. Lorenz, and Karleen Giannitrapani. "Qualitative interview study of strategies to support healthcare personnel mental health through an occupational health lens." BMJ Open 14, no. 1 (January 2024): e075920. http://dx.doi.org/10.1136/bmjopen-2023-075920.

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BackgroundEmployee Occupational Health (‘occupational health’) clinicians have expansive perspectives of the experience of healthcare personnel. Integrating mental health into the purview of occupational health is a newer approach that could combat historical limitations of healthcare personnel mental health programmes, which have been isolated and underused.ObjectiveWe aimed to document innovation and opportunities for supporting healthcare personnel mental health through occupational health clinicians. This work was part of a national qualitative needs assessment of employee occupational health clinicians during COVID-19 who were very much at the centre of organisational responses.DesignThis qualitative needs assessment included key informant interviews obtained using snowball sampling methods.ParticipantsWe interviewed 43 US Veterans Health Administration occupational health clinicians from 29 facilities.ApproachThis analysis focused on personnel mental health needs and opportunities, using consensus coding of interview transcripts and modified member checking.Key resultsThree major opportunities to support mental health through occupational health involved: (1) expanded mental health needs of healthcare personnel, including opportunities to support work-related concerns (eg, traumatic deployments), home-based concerns and bereavement (eg, working with chaplains); (2) leveraging expanded roles and protocols to address healthcare personnel mental health concerns, including opportunities in expanding occupational health roles, cross-disciplinary partnerships (eg, with employee assistance programmes (EAP)) and process/protocol (eg, acute suicidal ideation pathways) and (3) need for supporting occupational health clinicians’ own mental health, including opportunities to address overwork/burn-out with adequate staffing/resources.ConclusionsOccupational health can enact strategies to support personnel mental health: to structurally sustain attention, use social cognition tools (eg, suicidality protocols or expanded job descriptions); to leverage distributed attention, enhance interdisciplinary collaboration (eg, chaplains for bereavement support or EAP) and to equip systems with resources and allow for flexibility during crises, including increased staffing.

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Wagner, Laura M., Maria Huijbregts, Lisa G. Sokoloff, Renee Wisniewski, Leenah Walsh, Sid Feldman, and David K. Conn. "Implementation of Mental Health Huddles on Dementia Care Units." Canadian Journal on Aging / La Revue canadienne du vieillissement 33, no. 3 (August 7, 2014): 235–45. http://dx.doi.org/10.1017/s0714980814000166.

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RÉSUMÉLes comportements réactifs sont communs chez les résidents des unités de soins de longue durée (SLD), mais le personnel en soins directs reçoit peu de formation, de support ou d’opportunités de discuter et de collaborer pour gérer ces comportements. Pour ce projet de recherche-action participative, nous avons utilisé la technique du caucus de santé mentale pour faciliter la discussion et la gestion des comportements réactifs. Nous avons impliqué des membres du personnel en soins directs (p. ex., travailleurs de soutien personnel, infirmières autorisées et auxiliaires autorisées, personnel d’entretient) dans l’apprentissage de l’utilisation des caucus. Ces caucus ont servi de forums pour informer le personnel, résoudre des problèmes et développer des plans d’action centrés sur le client. Cinquante-six caucus ont eu lieu sur une période de 12 semaines, chacun impliquant de deux à sept membres du personnel en soins directs. Des groupes de discussion auxquels ont pris part nos participants ont indiqué une amélioration de la collaboration, du travail d’équipe, du support et de la communication au sein du personnel lors de la discussion de comportements réactifs spécifiques. Les caucus de santé mentale ont offert au personnel en SLD l’opportunité de collaborer et d’aborder des stratégies pour optimiser les soins du client. Des études supplémentaires sur l’impact des caucus sur les soins du client sont nécessaires.

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STAUDENMEIER, JAMES J., and DAVID G. BROWN. "Mental Disorders Among Military Personnel." American Journal of Psychiatry 160, no. 6 (June 2003): 1190—a—1190. http://dx.doi.org/10.1176/appi.ajp.160.6.1190-a.

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BROWN, GEORGE R. "Mental Disorders Among Military Personnel." American Journal of Psychiatry 160, no. 6 (June 2003): 1190—b—1191. http://dx.doi.org/10.1176/appi.ajp.160.6.1190-b.

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Morgan, Jessica Kelley, Laurel Hourani, and Stephen Tueller. "Health-Related Coping Behaviors and Mental Health in Military Personnel." Military Medicine 182, no. 3 (March 2017): e1620-e1627. http://dx.doi.org/10.7205/milmed-d-16-00165.

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Cooper, John A., Mark C. Creamer, and David Forbes. "Mental health initiatives for veterans and serving personnel." Medical Journal of Australia 185, no. 8 (October 2006): 453. http://dx.doi.org/10.5694/j.1326-5377.2006.tb00646.x.

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Forbes, Harriet J., Nicola T. Fear, Amy Iversen, and Christopher Dandeker. "THE MENTAL HEALTH OF UK ARMED FORCES PERSONNEL." RUSI Journal 156, no. 2 (April 2011): 14–20. http://dx.doi.org/10.1080/03071847.2011.576470.

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Wagner, Shannon L., Nicole White, Cheryl Regehr, Marc White, Lynn E. Alden, Nicholas Buys, Mary G. Carey, et al. "Ambulance personnel: Systematic review of mental health symptoms." Traumatology 26, no. 4 (December 2020): 370–87. http://dx.doi.org/10.1037/trm0000251.

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The Lancet. "The mental health of UK military personnel revisited." Lancet 375, no. 9727 (May 2010): 1666. http://dx.doi.org/10.1016/s0140-6736(10)60717-9.

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Zhang, Erliang, Huilun Li, Hangyu Han, Yuhua Wang, Shuheng Cui, Jie Zhang, Minzhi Chen, et al. "Dietary Rhythmicity and Mental Health Among Airline Personnel." JAMA Network Open 7, no. 7 (July 15, 2024): e2422266. http://dx.doi.org/10.1001/jamanetworkopen.2024.22266.

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ImportanceMisaligned dietary rhythmicity has been associated with metabolic diseases; however, its association with mental health remains largely unexplored.ObjectiveTo examine the association between dietary rhythms and the mental health condition of shift workers, specifically airline crew members.Design, Setting, and ParticipantsThis cross-sectional study analyzed data collected from the Civil Aviation Health Cohort of China, an ongoing large-scale health survey of pilots, flight attendants, and air security officers employed by major airline companies in China. Participants aged 18 to 60 years were invited through text messages to complete a web-based survey. The data collection period was December 2022 to March 2023. Statistical analysis was performed from July 24, 2023, to April 12, 2024.ExposureData on timing of breakfast and dinner on workdays and rest days, daily time windows for food intake, and meal and eating jet lags were collected and calculated.Main Outcomes and MeasuresAnxiety and depressive symptoms were measured using the 7-item Generalized Anxiety Disorder Assessment and the 9-item Patient Health Questionnaire. Multivariate logistic regressions were performed to evaluate the associations of anxiety and depression with meal timing, eating window time, meal jet lag (ie, delayed meals), and eating jet lag (ie, delayed eating). All models were adjusted for individual socioeconomic, demographic, and lifestyle characteristics.ResultsOf the 22 617 participants (median [IQR] age, 29.1 [26.3-33.7] years; 13 712 males [60.6%]), 1755 (7.8%) had anxiety and 2768 (12.2%) had depression. After controlling for confounding factors, having dinner after 8 pm on morning-shift days was associated with increased odds of anxiety (adjusted odds ratio [AOR], 1.78; 95% CI, 1.53-2.05) and depression (AOR, 2.01; 95% CI, 1.78-2.27), compared with consuming dinner before 8 pm. Similar results were observed on night-shift days and rest days. An eating window of less than 12 hours was associated with reduced odds of anxiety (AOR, 0.84; 95% CI, 0.75-0.93) and depression (AOR, 0.81; 95% CI, 0.75-0.89) on morning-shift days; the results remained significant on rest days. Delayed dinner on morning-shift days was associated with increased odds of anxiety (AOR, 1.32; 95% CI, 1.13-1.54) and depression (AOR, 1.39; 95% CI, 1.22-1.58). On night-shift days, delayed dinner was associated with higher odds of anxiety (AOR, 1.22; 95% CI, 1.06-1.39) and depression (AOR, 1.21; 95% CI, 1.08-1.36). On morning-shift days, delayed eating rhythms were associated with higher odds of depression (AOR, 1.35; 95% CI, 1.13-1.61), whereas advanced eating rhythms were associated with lower odds of anxiety (AOR, 0.78; 95% CI, 0.70-0.87).Conclusions and RelevanceThis cross-sectional study found that meal timing, long eating window, and meal jet lags were associated with increased odds of depression and anxiety. These findings underscore the need for interventions and supportive policies that help mitigate the adverse implications of shift work and irregular working hours for the mental health of shift workers.

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Micheal, G. L., N. T. Fear, and J. Hacker Hughes. "Mental Health Referrals to the Falkland Islands British Military Mental Health Team, 1986-96." Journal of The Royal Naval Medical Service 93, no. 1 (March 2007): 12–16. http://dx.doi.org/10.1136/jrnms-93-12.

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AbstractObjectivesTo examine the pattern of out-patient mental health care referrals for military personnel deployed to the Falklands Islands, 1986-96.MethodsData from referral books of British Military Community Mental Health Nurses based in the Falkland Islands were abstracted, entered into an electronic database and analysed.ResultsOver the period 1986-96, 538 Service personnel were referred to the mental health out-patient facility on the Falkland Islands. The majority were male (96%) and junior ranks (81%). Approximately a third of patients were referred for reasons relating to alcohol (31%) and for over two-thirds of patients no follow-up was required (68%). Differences were observed by Service with the Army having more referrals due to alcohol than the other two Services, whilst the Navy had more deliberate self-harm referrals and the RAF more referrals for anxiety.ConclusionsThe lack of information on the total population deployed to the Falkland Islands over this period limit the interpretation of the results.

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Chu, Carol, Ian H. Stanley, Melanie A. Hom, Ingrid C. Lim, and Thomas E. Joiner. "Deployment, Mental Health Problems, Suicidality, and Use of Mental Health Services Among Military Personnel." Military Behavioral Health 4, no. 3 (February 16, 2016): 243–50. http://dx.doi.org/10.1080/21635781.2016.1153533.

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Olugbile, Olufemi, M. P. Zachariah, O. Coker, O. Kuyinu, and B. Isichei. "Provision of mental health services in Nigeria." International Psychiatry 5, no. 2 (April 2008): 32–34. http://dx.doi.org/10.1192/s1749367600005555.

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Nigeria, like other African countries, is short of personnel trained in mental healthcare. Efforts to tackle the problem have often focused on increasing the numbers of psychiatrists and nurses in the field. These efforts, over the past 20 years, have not appeared to have greatly improved service delivery at the grass roots. Most of the specialist centres where such highly trained personnel work are in urban areas and for a large part of the population access to them is limited by distance and cost.

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Palmer, John. "MILTITARY POLICE TRAUMA AND MENTAL HEALTH SUPPORT." Journal of Intelligence, Conflict, and Warfare 5, no. 3 (January 31, 2023): 200–203. http://dx.doi.org/10.21810/jicw.v5i3.5198.

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On November 23, 2022, Master Warrant Officer (MWO) John Palmer, CD, presented on Military Police Trauma and Mental Health Support. The presentation was followed by a question-and-answer period with questions from the audience and CASIS-Vancouver executives. The key points discussed were the mental health and impact of trauma on Military Police (MP) personnel, the diverse range of services which are coordinated through the different Canadian Armed Forces (CAF) programs, and the realization of how MP personnel are continually exposed to trauma sources (domestic and outside of Canada deployments). Received: 2022-12-08Revised: 2022-12-09

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Paskevska, Yu A. "APPROACHES TO DETERMINING THE INDICATORS OF MENTAL HEALTH OF PERSONNEL OF PENITENTIARY INSTITUTIONS." Scientific Herald of Sivershchyna. Series: Education. Social and Behavioural Sciences 2022, no. 2 (October 3, 2022): 164–75. http://dx.doi.org/10.32755/sjeducation.2022.02.164.

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The article is devoted to the analysis of approaches to determining criteria and indicators of the mental health. It is noted that the relevance of the research is determined by the importance of the phenomenon of the mental health for successful professional activity by personnel in the penitentiary system. A definition is proposed that the level of the mental health of the personnel of penitentiary institutions will depend on how developed their mental functions are, how quickly they react to changes (emotionally, thoughts, actions), what psychological features they have and what kind of relationships they have with different social groups. Mental health provides an age-appropriate level of adaptation to changes in the surrounding environment and is manifested through the adequacy of behavioral manifestations. The article presents approaches to structuring the criteria for mental health of the personnel of penitentiary institutions in accordance with the manifestation of the mental: mental states, processes, properties, taking into account the specifics of the conditions of professional activity. Important criteria for the mental health of the personnel of penitentiary institutions are highlighted: the ability to act in a situation of uncertainty, having developed stress resistance, resilience, critical attitude, the ability to plan, self-control, the ability to maintain activity for a long time in extreme situations, mental balance, the need for career self-development. Emphasis has been placed on the application of the mental health assessment system, which will ensure the timely identification of the peculiarities of the development of the penitentiary system personnel, as well as allow, in the context of the psychohygiene and psychoprevention program, to identify and neutralize the factors that cause maladaptation, deformation of the need-motivation sphere, and inhibit the processes of personal and professional development. Key words: mental health, personnel of penitentiary institutions, criteria of the mental health, professional activity, mental processes, mental states, mental properties, psychoprevention.

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Thériault, François L., William Gardner, Franco Momoli, Bryan G. Garber, Mila Kingsbury, Zahra Clayborne, Daniel Y. Cousineau-Short, Hugues Sampasa-Kanyinga, Hannah Landry, and Ian Colman. "Mental Health Service Use in Depressed Military Personnel: A Systematic Review." Military Medicine 185, no. 7-8 (February 17, 2020): e1255-e1262. http://dx.doi.org/10.1093/milmed/usaa015.

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Abstract Introduction Major depression is a leading cause of morbidity in military personnel and an important impediment to operational readiness in military organizations. Although treatment options are available, a large proportion of individuals with depression do not access mental health services. Quantifying and closing this treatment gap is a public health priority. However, the scientific literature on the major depression treatment gap in military organizations has never been systematically reviewed. Methods We systematically searched the EMBASE, MEDLINE, and PsychINFO databases for studies measuring recent mental health service use in personnel serving in the armed forces of a Five-Eye country (Australia, Canada, New Zealand, the United Kingdom, or the United States). We excluded studies conducted with retired veterans. Because of the substantial heterogeneity in included studies, we did not pool their results. Instead, we computed median period prevalence of mental health service use. Results Twenty-eight studies were included in the systematic review; 12 had estimated mental health service use in personnel with depression, and another 16 had estimated mental health service use in personnel with depression or another mental health disorder. The period prevalence of mental health service use in depressed military personnel ranged from 20 to 75% in 12 included studies, with a median of 48%, over 2–12 months. The other 16 studies yielded similar conclusions; they reported period prevalence of mental health service use in personnel with any mental health disorder ranging from 14 to 75%, with a median of 36%, over 1–12 months. The median was higher in studies relying on diagnostic interviews to identify depressed personnel, compared to studies relying on screening tools (60% vs. 44%). Conclusions There is a large treatment gap for major depression in particular, and for mental health disorders in general, among military personnel. However, our results highlight the association between the use of measurement tools and treatment gaps: estimated treatment gaps were larger when depressed patients were identified by screening tools instead of diagnostic interviews. Researchers should be wary of overestimating the mental health treatment gap when using screening tools in future studies.

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Rochmawati, Dwi Heppy, Betie Febriana, and Sri Mulyono. "Early Detection of Mental Health Problems Health Personnel During Covid-19 Pandemic." Indonesian Journal of Global Health Research 4, no. 1 (January 27, 2022): 31–40. http://dx.doi.org/10.37287/ijghr.v4i1.784.

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The determination of the pandemic condition by WHO has caused various public responses and psychosocial problems. This research is important because the spread of the virus is very fast, widespread and mass causes cases to increase and have an impact not only on physical but also psychological conditions, causing mental health problems. Various efforts have been made by the government to combat the epidemic, community participation involving individuals, families and community groups is urgently needed to solve this problem. The purpose of this study was to identify mental health problems experienced by health workers due to the COVID-19 pandemic and to develop a model for early detection of mental health problems. This research method uses a quantitative approach with three stages of research. The first research stage is the exploration of mental health problems experienced by health workers. The second stage is developing a model for early detection of mental health problems and providing mental health and psychosocial support. The third stage is the use of early detection models in handling mental health problems for health workers. The method of data collection was carried out using a Self-Reporting Questionnaire (SRQ) questionnaire and the implementation of Habit Adaptation met the criteria. The sample was taken using purposive sampling technique. Data was obtained using a questionnaire and analized by the paired t test. The results showed that there was a difference between pre-test and post-test, meaning that that interventions are effective in addressing physical and psychosocial health problems.

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Thériault, François L., Bryan G. Garber, Franco Momoli, William Gardner, Mark A. Zamorski, and Ian Colman. "Mental Health Service Utilization in Depressed Canadian Armed Forces Personnel." Canadian Journal of Psychiatry 64, no. 1 (July 17, 2018): 59–67. http://dx.doi.org/10.1177/0706743718787792.

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Background: Major depression is prevalent, impactful, and treatable in military populations, but not all depressed personnel seek professional care in a given year. Care-seeking patterns (including the use of primary vs. specialty care) and factors associated with the likelihood of mental health service utilization in depressed military personnel are poorly understood. Methods: Our sample included 520 Regular Force respondents to the 2013 Canadian Forces Mental Health Survey. All study participants had past-year major depression. Subjects reported whether they had spoken about their mental health with at least one health professional in the past 12 months. We used multivariate Poisson regression to explore factors associated with past-year mental health service use. Results: Three-quarters of Canadian military personnel with past-year depression had sought mental health care in the previous 12 months. Among care-seeking personnel, 70% had seen a psychologist or psychiatrist, while 5% had exclusively received care from a primary care physician. Belief in the effectiveness of mental health care was the factor most strongly associated with care seeking. Female gender, functional impairments, and psychiatric comorbidities were also associated with care seeking. Surprisingly, stigma perceptions had no independent association with care seeking. Conclusions: The proportion of depressed Canadian Armed Forces personnel who seek professional care and who access specialty mental health care is higher than in most other populations. However, an important minority of patients are not accessing health services. Efforts to further increase mental health service utilization in the Canadian military should continue to target beliefs about the effectiveness of mental health care.

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West, Christine, Bruce Bernard, Charles Mueller, Margaret Kitt, Richard Driscoll, and Sangwoo Tak. "Mental Health Outcomes in Police Personnel After Hurricane Katrina." Journal of Occupational and Environmental Medicine 50, no. 6 (June 2008): 689–95. http://dx.doi.org/10.1097/jom.0b013e3181638685.

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Deahl, Martin. "Service personnel move to NHS mental health inpatient care." Lancet 376, no. 9754 (November 2010): 1717–19. http://dx.doi.org/10.1016/s0140-6736(10)61190-7.

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Vig, K. D., J. E. Mason, R. N. Carleton, G. J. G. Asmundson, G. S. Anderson, and D. Groll. "Mental health and social support among public safety personnel." Occupational Medicine 70, no. 6 (July 24, 2020): 427–33. http://dx.doi.org/10.1093/occmed/kqaa129.

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Abstract Background Social support may be a protective factor for the mental health of public safety personnel (PSP), who are frequently exposed to potentially psychologically traumatic events and report substantial post-traumatic stress disorder (PTSD) and major depressive disorder (MDD) symptoms. Research examining perceived social support and its association with PTSD and MDD in different PSP categories (e.g. firefighters, paramedics) is limited. Aims To examine differences in perceived social support across PSP and determine whether perceived social support is associated with differences in rates of MDD and PTSD. Methods We asked Canadian PSP, including correctional workers and officers, public safety communications officials, firefighters, paramedics, municipal and provincial police officers, and Royal Canadian Mounted Police (RCMP) officers, to complete an online anonymous survey that assessed socio-demographic information (e.g. occupation, sex, marital status, service years), social supports and symptoms of mental disorders, including PTSD and MDD. Analyses included ANOVA and logistic regression models. Results Perceived social support differed by PSP occupation. RCMP officers reported lower social support than all other PSP except paramedics. For most PSP categories, PSP who reported greater social support were less likely to screen positive for PTSD (adjusted odds ratios [AORs]: 0.90–0.93). Across all PSP categories, greater perceived social support was associated with a decreased likelihood of screening positive for MDD (AORs: 0.85–0.91). Conclusions Perceived social support differs across some PSP categories and predicts PTSD and MDD diagnostic status. Studies involving diagnostic clinical interviews, longitudinal designs and social support interventions are needed to replicate and extend our results.

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Rowan, Anderson B., Wendy J. Travis, Cameron B. Richardson, and Travis R. Adams. "Military Mental Health Personnel Deployment Survey: A Secondary Analysis." Military Medicine 185, no. 3-4 (October 23, 2019): e340-e346. http://dx.doi.org/10.1093/milmed/usz275.

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Abstract Introduction Military mental health personnel (MMHP) have increasingly engaged in deployment-related roles in closer proximity to combat environments. Although studies examining deployment-related outcomes among military health care personnel have found combat exposure (CE) positively related to psychological problems, no studies of MMHP have investigated CE or its association with psychological outcomes. This study seeks to provide descriptive data on CE and perceived impacts associated with deployment, as well as explore how CE, perceptions of preparedness for deployment, difficulties during deployment (DDD), and meaningful work during deployment relate to appraisal of problems after deployment (ie, sleep problems, interpersonal withdrawal, depressive symptoms, and work problems). Materials and Methods Archival postdeployment survey data from 113 U.S. Air Force MMHP previously deployed to Iraq or Afghanistan were utilized to determine descriptive statistics on CE and other factors. Additionally, hierarchical linear regression was utilized to test relationships between CE, DDD, preparation for deployment, and meaningful work with reports of sleep problems, interpersonal withdrawal, work problems, and depression symptoms. The study was approved by the Institutional Review Board of the U.S. Air Force Academy. Results MMHP reported an average of 1.58 (standard deviation = 1.03) combat-related events and DDD included: (1) being away from family/close friends (62%), (2) uncertain redeployment date (35%), (3) difficulty adapting to a new situation (35%), and (4) working long hours (31%), with 66% endorsing two or more areas of difficulty. Most MMHP reported feeling prepared for deployment both professionally (91%) and personally (87%), as well as that their family was prepared (83%). Additionally, nearly all reported at least one meaningful work experience while deployed (96%) with positive impacts on their clients, being the most frequent (89%). Furthermore, CE predicted both sleep difficulties and interpersonal withdrawal. MMHP who perceived their deployment experience as difficult also had higher rates of postdeployment difficulties. Finally, we found no relationship between perceived deployment preparation and postdeployment outcomes. Conclusions This is the first study of MMHP reporting CE rates and examining relationships between perceived outcomes and CE, deployment preparation, difficulties during deployment, and meaningful work. The vast majority of MMHP were exposed to more than one combat-related event; however, this rate of CE appears lower than what has been reported among a similar sample of military health care personnel. Although CE predicted difficulties, appraisals of difficulties during deployment experience predicted the highest rates of postdeployment difficulties, accounting for nearly a quarter or more of the outcome variance. The lack of relationship between deployment preparation and meaningful work is inconsistent with prior research and may be because of the limited response range in our sample. Additionally, other methodological limitations include: (1) cross-sectional study design, (2) lack of validated measures, and (3) the long-term retrospective nature of the assessment. Future research should incorporate more rigorous methodologies and assess constructs absent in this archival data set. Despite these limitations, this study provides important preliminary data to support future research development and funding. Additionally, the results may be used to normalize associated impacts and promote help seeking among MMHP.

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Hanwella, Raveen, and Varuni de Silva. "Mental health of Special Forces personnel deployed in battle." Social Psychiatry and Psychiatric Epidemiology 47, no. 8 (October 29, 2011): 1343–51. http://dx.doi.org/10.1007/s00127-011-0442-0.

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N, Navya, Brahmdeep Sindhu, Padmakali Banerjee, Nehal Sindhu, and Manpreet Ola. "Mental health issues of fire personnel: an exploratory study." Journal of Psychology & Clinical Psychiatry 11, no. 1 (January 17, 2020): 1–5. http://dx.doi.org/10.15406/jpcpy.2020.11.00662.

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The primary goal of the current study was to add to the literature regarding mental health implications of fire service membership. In the present study, 100 fire personnel were selected working in Haryana state of India. The DSM V cross cutting Questionnaire was used to assess mental health issues of the fire personnel and the results suggested that firefighters self-reported greater posttraumatic symptomatology on anger and substance issue domain of the test. In addition, the firefighters reported more distress on several subscales of the DSM V cross cutting Questionnaire

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Karamushka, Liudmyla. "The problem of psychological health promoting technologies in war conditions." Організаційна психологія Економічна психологія 2, no. 32 (July 12, 2024): 41–58. http://dx.doi.org/10.31108/2.2024.2.32.4.

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Introduction. An important condition for promoting vital activities of an individual/group/organization/society is the development and use of effective psychological technologies. New psychological help technologies are especially important in the conditions of the RF's war against Ukraine, which is associated with uncertainty, chronic stress, and a threat to life and physical and mental health of people, as well as with the people's need to combine their jobs with volunteer activities. Aim: to determine the content and main components of psychological technologies, to analyze the main directions of development of war-time psychological help technologies, in particular, educational personnel's mental health promoting technologies. Methods: analysis and systematization of relevant literature; theoretical analysis of the problem in question; the author's own experience as a counselor and psychotherapist. Results. The author described the content and main components of psychological technologies, analyzed the main areas of development of war-time psychological help technologies as well as considered the achievements and limitations in the development of war-time mental health promoting technologies. Th author also analyzed the approaches to the development of technologies for promoting mental health of educational personnel and emphasized the need for their further development. Conclusions. The results of the analysis of the content and main components of psychological technologies, the areas of the development of war-time psychological help technologies, in particular the technologies for promoting mental health of individuals and educational personnel, can contribute to spreading psychological technologies among psychologists as well as promote the development of new technologies, in particular, those to help educational personnel in war conditions.

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Ricciardelli, Rosemary, R. Nicholas Carleton, Taylor Mooney, and Heidi Cramm. "“Playing the system”: Structural factors potentiating mental health stigma, challenging awareness, and creating barriers to care for Canadian public safety personnel." Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine 24, no. 3 (September 16, 2018): 259–78. http://dx.doi.org/10.1177/1363459318800167.

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There are growing concerns about the impact of public safety work on the mental health of public safety personnel; as such, we explored systemic and individual factors that might dissuade public safety personnel from seeking care. Public safety personnel barriers to care-seeking include the stigma associated with mental disorders and frequent reports of insufficient access to care. To better understand barriers to care-seeking, we thematically analyzed the optional open-ended final comments provided by over 828 Canadian public safety personnel as part of a larger online survey designed to assess the prevalence of mental disorders among public safety personnel. Our results indicated that systematic processes may have (1) shaped public safety personnel decisions for care-seeking, (2) influenced how care-seekers were viewed by their colleagues, and (3) encouraged under-awareness of personal mental health needs. We described how public safety personnel who do seek care may be viewed by others; in particular, we identified widespread participant suspicion that coworkers who took the time to address their mental health needs were “abusing the system.” We explored what constitutes “abusing the system” and how organizational structures—systematic processes within different public safety organizations—might facilitate such notions of abuse. We found that understaffing may increase scrutiny of injured public safety personnel by those left to manage the additional burden; in addition, cynicism and unacknowledged structural stigma may emerge, preventing the other public safety personnel from identifying their mental health needs and seeking help. Finally, we discuss how system-level stigma can be potentiated by fiscal constraints when public safety personnel take any leave of absence, inadvertently contributing to an organizational culture wherein help-seeking for employment-related mental health concerns becomes unacceptable. Implications for public safety personnel training and future research needs are discussed.

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Farhat Ullah, Sara Qayum, and Anwar Khan. "An Evaluation of Police Mental Health Issues in Peshawar, Pakistan." Progressive Research Journal of Arts & Humanities (PRJAH) 4, no. 1 (April 6, 2022): 41–53. http://dx.doi.org/10.51872/prjah.vol4.iss1.180.

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Police officers throughout the world in general and in Pakistan in a particular face a variety of pressures, which is particularly true in underdeveloped nations like Pakistan. The aim of this research was to know about mental health (MH) problems and risks as well as issues among police officers that they face during their duty in the Police Service of Pakistan, in addition to collect suggestions for workplace, wellness and interventions that would be an appropriate for police personnel. For the primary data collection, twenty five police personnel from the various ranks- were interviewed in person and over the phone from the field duty and inside police stations too. Mental health issues, health behavior, occupation, and possible positive workplace interventions were all discussed throughout the interviews from the informants. The thematic analysis strategy was employed for data analysis. Higher levels of work anxiety and stress, as well as Post Traumatic Stress Disorder (PSTD), and depression were noted among police personnel. Overloading, working hours, Culture of policing, and organizational changes were all mentioned as major pressures. Some of the police personnel acknowledged advances in managing and promoting mental health in their job, but they listed intrusions such as counselling, training, and workplace modifications as the necessary to tackle mental health challenges in police personnel.

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Granek, Leeat, Ora Nakash, Samuel Ariad, Shahar Shapira, and Merav Ben-David. "Cancer Patients' Mental Health Distress and Suicidality." Crisis 40, no. 6 (November 2019): 429–36. http://dx.doi.org/10.1027/0227-5910/a000591.

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Abstract. Background: A substantial number of people with cancer endorse suicidality when compared with the general population. Thus, oncology healthcare workers may experience the death of a patient to suicide over their careers. Aims: To explore the impact of patients' mental health distress and suicidality on oncology personnel with a secondary aim of exploring how personnel cope with these types of events. Method: We interviewed 61 healthcare professionals (HCPs) at two cancer centers. The grounded theory method (GT) was used. Results: The impact of patients' mental health distress and suicidal ideation on oncology HCPs included sadness, depression, worry and concern, and feeling emotionally overwhelmed. The impact of patient suicide on HCPs included trauma, guilt, and surprise. Oncology personnel reported a change in practice, including communication style, being attuned to patient cues, and changing the physical environment. Coping strategies included colleague support, seeking professional help, and setting boundaries between their work and home life. Limitations: It is likely that HCPs who participated in the study represent those who are more willing to discuss issues related to suicide. Thus, the impact of patient suicide on healthcare providers may be even more pronounced among the general oncology HCP community. Conclusion: Given the higher risk of suicide among cancer patients, it is necessary to increase awareness about the impact these events may have on HCPs. Professional guidelines can highlight the need for a balance between ensuring the availability of informal support and more formal methods of help.

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Bannakiet, Panvipa, and Porntip Keyuranon. "Innovative Knowledge Management Tool of the Visually Impaired Students’ Mental Health Care for Teachers, Parents and Public Health Personnel." Journal of Educational Issues 8, no. 2 (September 13, 2022): 373. http://dx.doi.org/10.5296/jei.v8i2.20123.

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Research on innovative knowledge management tool of the visually impaired students’ mental health care for teachers, parents and public health personnel is an academic investigation for research and development purpose. Knowledge management was employed in the early stage of the investigation. The objectives of this study were comprised of 1) developing an innovation to be used by teachers, parents, and public health personnel to provide support to the visually impaired children; 2) sharing knowledge regarding mental health support of the visually impaired students to vision teachers, parents, and relevant public health personnel; and 3) outlining a number of approaches for mental health support to visually impaired children. This study began with an interview with relevant individuals to identify various issues of innovative development with knowledge management. A knowledge management team was formed with participating blind schools which aimed to measure the knowledge level of each school, to design and develop an innovation, to provide access to the knowledge and to identify methods for knowledge sharing. The innovation was adopted in five schools, where the presentation of the investigation results, and knowledge sharing forums were required. There were three main findings: 1) the innovative knowledge management tool was perceived as a handbook with both regular font and braille codes for teachers, parents, and public health personnel to assist visually impaired children with their mental health. The E1/E2 efficiency score of the handbook was 83.55/82.36 which was higher than the stated requirements; 2) Teachers, parents, and public health personnel received a statistically significant higher mean score of cognitive disabilities in mental health support of visually impaired children after the use of the handbook at the.05 level; and 3) a policy recommendation at school, Education Area Office, and Department of Mental Health served as a guideline of mental health support for children with visual impairment.

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Mulligan, Kathleen, Norman Jones, Mark Davies, Peter McAllister, Nicola T. Fear, Simon Wessely, and Neil Greenberg. "Effects of home on the mental health of British forces serving in Iraq and Afghanistan." British Journal of Psychiatry 201, no. 3 (September 2012): 193–98. http://dx.doi.org/10.1192/bjp.bp.111.097527.

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BackgroundMost studies of the mental health of UK armed forces focus on retrospective accounts of deployment and few sample personnel while they are deployed.AimsThis study reports the results of a survey of deployed personnel, examining the perceived impact of events at home and military support for the family on current mental health during the deployment.MethodSurveys were conducted with 2042 British forces personnel serving in Iraq and Afghanistan. Prevalence of common mental disorders was assessed with the 12-item General Health Questionnaire (GHQ-12) and post-traumatic stress disorder (PTSD) was assessed with the PTSD Checklist – Civilian version (PCL-C).ResultsThe prevalence of common mental disorders was 17.8% and of probable PTSD was 2.8%. Perceived home difficulties significantly influenced the mental health of deployed personnel; the greater the perception of negative events in the home environment, the greater the reporting of adverse mental health effects. This finding was independent of combat exposure and was only partially mitigated by being well led and reporting subjectively good unit cohesion; however, the effect of the totality of home-front events was not improved by the latter. Poor perceived military support for the family had a detrimental impact on deployment mental health.ConclusionsThe armed forces offer many support services to the partners and families of deployed personnel and ensuring that the efforts being made on their behalf are well communicated might improve the mental health of deployed personnel.

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Hsieh, Chi-Ming, and Bi-Kun Tsai. "Effects of Social Support on the Stress-Health Relationship: Gender Comparison among Military Personnel." International Journal of Environmental Research and Public Health 16, no. 8 (April 12, 2019): 1317. http://dx.doi.org/10.3390/ijerph16081317.

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The purpose of this study was to investigate how the role of workplace social support and gender affect the relationship between work stress and the physical and mental health of military personnel in Taiwan. The analysis results reveal that military personnel expressed significantly high perceptions of work-related stress. Social support from supervisors and colleagues is a crucial factor in buffering the effect of work-related stress on perceived health, and increasing the physical and mental health among military personnel. This study shows that male personnel who perceived higher stress and gained more social support from supervisors and colleagues than female personnel were less likely to have physical and mental issues than female personnel. Managerial implications and suggestions could serve as references in managing work-related stress, enhancing social support occurring in the military workplace, and reducing job dissatisfaction, which in turn improves the health and well-being of military personnel in Taiwan.

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Al-Wathinani, Ahmed M., Mohannad A. Almusallam, Nawaf A. Albaqami, Mohammed Aljuaid, Abdullah A. Alghamdi, Mohammad A. Alhallaf, and Krzysztof Goniewicz. "Enhancing Psychological Resilience: Examining the Impact of Managerial Support on Mental Health Outcomes for Saudi Ambulance Personnel." Healthcare 11, no. 9 (April 29, 2023): 1277. http://dx.doi.org/10.3390/healthcare11091277.

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Ambulance personnel are among the groups with high mental health risks. This study aims to investigate the role of managerial support in determining the mental well-being of ambulance personnel, a group at high risk for mental health issues. A descriptive, cross-sectional survey design was conducted in Riyadh, Saudi Arabia, in February 2022, involving a convenience sample of 354 ambulance personnel. An online survey was distributed via social media platforms. Manager behavior and mental well-being were assessed using the Manager Behavior Questionnaire (MBQ) and the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS). The participants represented nearly equal-sized groups from different agencies, with 50.3% residing in the Riyadh Region and 67.5% aged between 25 and 34. The mean score for manager behavior was 2.92 ± 1.124, while the mental well-being scale’s mean score was 3.398 ± 0.8219. Variance analyses revealed statistically significant differences in manager behavior concerning gender, age, residence, and years of experience (p < 0.05), as well as in the mental well-being of ambulance personnel. Generalized linear regression analysis demonstrated a statistically significant relationship between manager behavior and mental well-being (p < 0.01). Focusing on improving organizational management behaviors is a promising strategy for enhancing mental health interventions among ambulance personnel. Further research is recommended to monitor the mental health of these professionals and develop evidence-based interventions to support their well-being.

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Stevelink, Sharon, Margaret Jones, Lisa Hull, David Pernet, Shirlee MacCrimmon, Laura Goodwin, Deirdre MacManus, et al. "O5C.3 The mental health impact of deployment to iraq and afghanistan: what does the current data show?" Occupational and Environmental Medicine 76, Suppl 1 (April 2019): A46.1—A46. http://dx.doi.org/10.1136/oem-2019-epi.124.

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The longer term mental health outcomes of UK serving and ex-serving personnel have been the subject of much speculation. The latest research findings from the third phase of a longitudinal study will be presented, which is the only military cohort study of its kind in the UK. Data was collected among 8093 personnel between 2014 and 2016. The study examined the prevalence of mental disorders and alcohol misuse, whether rates differed between serving and ex-serving regular personnel and the impact of various deployment exposures. The prevalence of probable posttraumatic stress disorder was 6.2% (95% confidence interval (CI) 5.5–6.9), 21.9% (95% CI 20.8–23.0) for common mental disorders and 10.0% (95% CI 9.2–10.9) for alcohol misuse. Deployment to Iraq or Afghanistan and self-reported role during deployment were associated with significantly worse mental health outcomes and alcohol misuse in ex-serving regular personnel but not in currently serving regular personnel. There was no association with number of deployments for any outcome. The findings highlight the importance of the continued monitoring of following personnel throughout their military career and beyond. The implications of the study outcomes will be discussed in the light of the mental health provision for serving and ex-serving personnel.

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Rowan, Anderson B., Wendy J. Travis, David A. Shwalb, William C. Isler, Jisuk Park, and Jennifer Kimura. "Postdeployment Psychological Health and Interpersonal Problems Among Air Force Mental Health Personnel." Military Psychology 27, no. 4 (July 2015): 242–51. http://dx.doi.org/10.1037/mil0000076.

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Waitzkin, Howard, Mario Cruz, Bryant Shuey, Daniel Smithers, Laura Muncy, and Marylou Noble. "Military Personnel Who Seek Health and Mental Health Services Outside the Military." Military Medicine 183, no. 5-6 (February 5, 2018): e232-e240. http://dx.doi.org/10.1093/milmed/usx051.

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Rudakova, Svetlana, Liudmyla Shchetinina, Nataliiа Danylevych, Yaroslav Kasianenko, and Taras Kytsak. "Mental health of staff under quarantine restrictions." Social and labour relations: theory and practice 10, no. 2 (July 13, 2021): 43–50. http://dx.doi.org/10.21511/slrtp.10(2).2020.05.

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The article considers the approaches to the management of the mental health of staff in the context of quarantine restrictions based on human-oriented values. The purpose of the study is to analyze the current factors influencing the mental health of staff as an important management problem, the solution of which involves the use of innovative methods and management practices for its preservation and improvement. The study substantiated the need to assess the factors of negative impact on the mental health of staff in order to eliminate them or reduce their effects. It has been proven that ensuring the mental health of staff is one of the main tasks of organizations, as the socio-economic losses from its deterioration are significant. In the course of research of theoretical approaches to an estimation of indicators of a condition of mental health of the personnel the own point of view on value and urgency of its preservation for the organizations is formed; the importance of its impact on staff productivity is determined. The method of sociological research determined that in the conditions of remote regime during quarantine such factors (causes) of stress as: overtime, work without breaks, low level of recognition and remuneration, lack of employment guarantees, insufficient support of managers, managers and/or colleagues, high emotional involvement of employees, poor communication, negatively affect the mental health and productivity of staff. Approaches to improving the mental health of staff based on innovative management practices have been developed.

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Britt, Thomas W., Maurice L. Sipos, Zachary Klinefelter, and Amy B. Adler. "Determinants of mental and physical health treatment-seeking among military personnel." British Journal of Psychiatry 217, no. 2 (July 1, 2019): 420–26. http://dx.doi.org/10.1192/bjp.2019.155.

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BackgroundAlthough research has documented factors influencing whether military personnel seek treatment for mental health problems, less research has focused on determinants of treatment-seeking for physical health problems.AimsTo explicitly compare the barriers and facilitators of treatment-seeking for mental and physical health problems.MethodUS soldiers (n = 2048) completed a survey with measures of barriers and facilitators of treatment-seeking for mental and physical health problems as well as measures of somatic symptoms and mental health.ResultsThe top barrier for both mental and physical health treatment-seeking was a preference for handling problems oneself. The top facilitators for both symptom types were related to treatment improving quality of life. Differential endorsement of barriers occurred for treatment of mental versus physical health symptoms. In contrast, facilitators were endorsed more for physical than for mental health treatment. While there were few gender differences, officers reported more barriers and facilitators than did enlisted personnel. Screening positive for mental or physical health problems was associated with greater endorsement of both barriers and facilitators for physical and mental health treatment, respectively.ConclusionsThe leading barriers and facilitators for seeking treatment for mental health and physical problems are relatively similar, suggesting that health education should consider decision-making in seeking both mental and physical healthcare. Interventions should be tailored to reduce barriers for officers and improve facilitators for junior enlisted personnel, and address barriers and facilitators for service members screening positive for a mental or physical health problem.

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Grimm, Carsten James, Ian de Terte, Darrin Hodgetts, and Stephen Kearney. "Narratives of transformation and recovery in New Zealand Defence Force personnel accessing mental health support." Journal of Military, Veteran and Family Health 10, no. 3 (June 1, 2024): 98–108. http://dx.doi.org/10.3138/jmvfh-2023-0086.

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LAY SUMMARY The way military personnel describe seeking support for difficult mental health experiences can highlight what helped recovery and what impeded it. This study examined stories of accessing care told by New Zealand Defence Force (NZDF) military members to understand their unique perspectives on mental health recovery. In total, 21 NZDF military personnel who were treated for mental health concerns were interviewed. Results showed how personnel described experiences of being supported through the NZDF mental health system, how hard it was to seek help, and how challenging the process was to get better. In general, participants described positive outcomes, where they felt supported to recover and become better versions of themselves through the process. Results highlight that growth from mental health struggles for NZDF military personnel is possible and can be supported. Discussion focuses on things leaders and organizations can do to ensure military service members are encouraged to feel they are in control of their own recovery process.

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Lee, Min Sun, and Eun Jin Lee. "Depressive Symptoms and Mental Health of Military Social Service Personnel." Journal of Korean Academy of psychiatric and Mental Health Nursing 33, no. 1 (March 31, 2024): 1–8. http://dx.doi.org/10.12934/jkpmhn.2024.33.1.1.

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Purpose: This study aims to find the mental health characteristics and factors affecting depressive symptoms in military social service personnel.Methods: This descriptive investigation retrospective cohort study analyzed secondary data of social service personnel at I City for five years from April 2016 to May 2020. The Center for Epidemiological Studies-Depression Scale, the Alcohol Use Disorder Identification Test-K, the Paranoia Scale, and the Reynolds Suicidal Ideation Questionnaire were used to examine the mental health of social service personnel.Results: Compared to the military social service personnel with no depression, depressed social service personnel were more paranoid (t=7.13, p<.001), and had more suicidal ideas (t=7.44, p<.001). Depressive symptoms had a significant positive correlation with alcohol use disorder scores (r=.262, p<.001), paranoid ideas (r=.594, p<.01), and suicidal ideas (r=.594, p<.01). Alcohol use disorder scores (β=.16, t=2.86, p=.005), paranoid scores (β=.30, t=4.34, p<.001), and suicidal ideas (β=.42, t=5.95, p<.001) predicted depressive symptoms (R2=.49, p<.001).Conclusion: Alcohol addiction, paranoid ideas, and suicidal ideas were found to be factors that affect depressive symptoms in military social service personnel.

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Camilo Lesmez-Peralta, Juan, Orlando E. Contreras-Pacheco, and Juan Felipe Reyes-Rodríguez. "Subjective vitality of night workers: Association with physical and mental health." Problems and Perspectives in Management 20, no. 1 (February 18, 2022): 277–87. http://dx.doi.org/10.21511/ppm.20(1).2022.23.

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Night work is one of the most recognized responsibilities of security personnel. Feeling vital is a necessary condition for assuring proper development of this function. Thus, the analysis of its effects on physical and mental conditions is a relevant resource for achieving adequate results at individual and organizational levels. Based on a questionnaire applied to 184 private security guards in Colombia, this study examines the subjective vitality of the personnel working during night shifts and its association with self-perceptions regarding their physical and mental health. Additionally, it analyzes the interference that various demographic variables exert on these relationships. By using partial least squares structural equation modeling, the study found that subjective vitality significantly affects night workers’ mental health more than their physical health. That is, subjective vitality among respondents explains 51% of the variability of mental health and 36% of the variability of physical health. A further significant effect of physical health on mental health was also evidenced, in which the former explains the 25% of the latter variability. When comparing results between genders, the study shows that the variability of mental health explained by subjective vitality among women is larger than among men (75% vs. 28%). These results are discussed in light of the theoretical aspects of organizational behavior and are grounded around their potential to address the phenomenon of human resource management in practice. Practical implications include the need for organizational schemes that balance physical and mental health among night workers. AcknowledgmentsThe authors want to acknowledge the 184 Colombian security guards who provided their time to complete the questionnaire for this study.

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Dell, Lisa. "Long-term mental health impacts of wounded UK combat personnel." Lancet Psychiatry 9, no. 7 (July 2022): 526–27. http://dx.doi.org/10.1016/s2215-0366(22)00194-8.

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Christensen, Brandon N., and Joanne Yaffe. "Factors Affecting Mental Health Service Utilization Among Deployed Military Personnel." Military Medicine 177, no. 3 (March 2012): 278–83. http://dx.doi.org/10.7205/milmed-d-11-00353.

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Remigio-Baker, RA, JM Bailie, M. Casswell, LD Hungerford, I. Babakhanyan, and ML Ettenhofer. "Race differences in mental health recovery among concussed military personnel." Annals of Epidemiology 61 (September 2021): 21–22. http://dx.doi.org/10.1016/j.annepidem.2021.05.034.

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Cawkill, P., M. Jones, N. T. Fear, N. Jones, M. Fertout, S. Wessely, and N. Greenberg. "Mental health of UK Armed Forces medical personnel post-deployment." Occupational Medicine 65, no. 2 (February 17, 2015): 157–64. http://dx.doi.org/10.1093/occmed/kqu200.

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Kanesarajah, J., M. Waller, W. Y. Zheng, and A. J. Dobson. "Unit cohesion, traumatic exposure and mental health of military personnel." Occupational Medicine 66, no. 4 (February 12, 2016): 308–15. http://dx.doi.org/10.1093/occmed/kqw009.

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Sundin, J., N. Jones, N. Greenberg, R. J. Rona, M. Hotopf, S. Wessely, and N. T. Fear. "Mental health among commando, airborne and other UK infantry personnel." Occupational Medicine 60, no. 7 (September 5, 2010): 552–59. http://dx.doi.org/10.1093/occmed/kqq129.

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Journal articles on the topic 'Mental health personnel'

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