"What gets people in the door": An integrative model of student veteran mental health service use and opportunities for communication

J Am Coll Health. 2024 Nov;72(8):2764-2774. doi: 10.1080/07448481.2022.2129977. Epub 2022 Oct 13.

Abstract

Objective: To explore barriers and facilitators to mental health care among the student service member and veteran (SSM/V) population, develop an integrative model of mental health service use, and identify health communication opportunities. Participants: Participants were 21 current and former SSM/Vs recruited online and via snowball sampling. Methods: We conducted an emergent thematic analysis of in-depth interviews that took place in February 2021. Results: We identified eight major themes. Two were contextual (military culture, SSM/V identities), three were navigational (career repercussions, recognizing need, service availability/quality), and three were paths forward (high-quality accessible services, veteran peers/spaces, relevant outreach). Conclusions: We recommend higher education institutions promote SSM/V spaces, position mental health care as utilitarian, improve everyday mental health literacy, highlight service accessibility and quality, and deliver communications that reflect the diversity of SSM/V identities beyond the "warrior" archetype.

Keywords: Health communication; help seeking; mental health outreach; qualitative research; student veterans.

MeSH terms

  • Adult
  • Communication
  • Female
  • Health Services Accessibility / statistics & numerical data
  • Humans
  • Interviews as Topic
  • Male
  • Mental Health Services*
  • Middle Aged
  • Qualitative Research
  • Students* / psychology
  • Students* / statistics & numerical data
  • Universities / organization & administration
  • Veterans* / psychology
  • Veterans* / statistics & numerical data
  • Young Adult