PDF(Pubmed)
Abstract：
UNASSIGNED: Transitioning to civilian life after military service can be challenging for both Veterans and their families. Accessible mental health services are crucial during this period to provide support. The objective of this review was to conduct a rapid review to capture the barriers and identify facilitators that influence access to mental health services for Veterans and their families during the post-service transition period.
UNASSIGNED: This review was conducted using the Cochrane Handbook for Systematic Reviews of Interventions as a methodological framework and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses - Rapid Review (PRISMA-RR).
UNASSIGNED: A total of 60 articles and 67 independent samples were included in the final data analyses. Across the included articles, this review identified 23 barriers and 14 facilitator themes. Issues navigating the mental health care system was identified as the main challenge among Veterans and their families, and those who received support navigating the system identified this as a significant facilitator. Applying the Theoretical Domains Framework, most of the identified barriers and facilitators were categorized into environmental context and resources domain.
UNASSIGNED: The heterogeneity in Veterans\' and Veteran families\' experiences with mental health care-seeking may suggest that access to mental health care for Veterans and Veteran families cannot be solved by addressing one type of barrier alone. Instead, coordinated efforts to address prioritized systemic, logistical, social, and inter-/intrapersonal obstacles are essential for improving access and optimizing mental health care outcomes. These insights underscore the complexity of considerations for Veterans and families accessing mental health care.
UNASSIGNED: This review was conducted using the Cochrane Handbook for Systematic Reviews of Interventions as a methodological framework and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses - Rapid Review (PRISMA-RR).
UNASSIGNED: A total of 60 articles and 67 independent samples were included in the final data analyses. Across the included articles, this review identified 23 barriers and 14 facilitator themes. Issues navigating the mental health care system was identified as the main challenge among Veterans and their families, and those who received support navigating the system identified this as a significant facilitator. Applying the Theoretical Domains Framework, most of the identified barriers and facilitators were categorized into environmental context and resources domain.
UNASSIGNED: The heterogeneity in Veterans\' and Veteran families\' experiences with mental health care-seeking may suggest that access to mental health care for Veterans and Veteran families cannot be solved by addressing one type of barrier alone. Instead, coordinated efforts to address prioritized systemic, logistical, social, and inter-/intrapersonal obstacles are essential for improving access and optimizing mental health care outcomes. These insights underscore the complexity of considerations for Veterans and families accessing mental health care.
摘要：
■服兵役后过渡到平民生活对退伍军人及其家人来说都是挑战。在此期间，无障碍精神卫生服务对于提供支持至关重要。本次审查的目的是进行快速审查，以捕获障碍，并确定在服务后过渡期内影响退伍军人及其家人获得心理健康服务的促进者。
本综述使用Cochrane干预措施系统评价手册作为方法框架进行，并遵循系统评价和荟萃分析的首选报告项目-快速评价（PRISMA-RR）。
■最终数据分析中总共包括60篇文章和67个独立样本。在包含的文章中，这项审查确定了23个障碍和14个促进者主题。引导精神卫生保健系统的问题被认为是退伍军人及其家人面临的主要挑战，和那些谁得到支持导航系统确定这是一个重要的促进。应用理论域框架，大多数已确定的障碍和促进因素被归类为环境背景和资源领域。
■退伍军人和退伍军人家庭在寻求精神卫生保健方面的经历的异质性可能表明，退伍军人和退伍军人家庭获得精神卫生保健的机会不能仅通过解决一种障碍来解决。相反，协调努力解决优先系统问题，后勤,社会,和内部/内部障碍对于改善获取和优化精神卫生保健结果至关重要。这些见解强调了退伍军人和家庭获得精神卫生保健的考虑因素的复杂性。
本综述使用Cochrane干预措施系统评价手册作为方法框架进行，并遵循系统评价和荟萃分析的首选报告项目-快速评价（PRISMA-RR）。
■最终数据分析中总共包括60篇文章和67个独立样本。在包含的文章中，这项审查确定了23个障碍和14个促进者主题。引导精神卫生保健系统的问题被认为是退伍军人及其家人面临的主要挑战，和那些谁得到支持导航系统确定这是一个重要的促进。应用理论域框架，大多数已确定的障碍和促进因素被归类为环境背景和资源领域。
■退伍军人和退伍军人家庭在寻求精神卫生保健方面的经历的异质性可能表明，退伍军人和退伍军人家庭获得精神卫生保健的机会不能仅通过解决一种障碍来解决。相反，协调努力解决优先系统问题，后勤,社会,和内部/内部障碍对于改善获取和优化精神卫生保健结果至关重要。这些见解强调了退伍军人和家庭获得精神卫生保健的考虑因素的复杂性。
