Abstract

The variation in the definition of a veteran, and the preference for quantitative methods, has created mixed findings regarding the process of veteran help-seeking (HS) for mental health/alcohol issues. To understand HS enablers/barriers for those having ceased military employment, a systematic review of qualitative HS literature is warranted. Six databases were searched. Data were analysed thematically. From 1,154 titles/abstracts screened, six studies elicited four themes: military culture, problem severity, the system, and relationships/support. Enablers/barriers were individual and group specific. Alcohol was often an initial HS barrier whereas mental health symptomology and peer/community support were enablers. Themes collectively suggest HS is a progressive journey. Many studies had reporting issues so fully assessing study quality was challenging. Limited qualitative studies exist concerning those having ceased service altogether. A qualitative approach is advantageous as underlying processes can be explored. Interventions could improve the HS process/journey, at individual and group/community levels.

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