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Perceptions of Law Enforcement Officers in Seeking Mental Health Treatment in a Right-to-Work State

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ABSTRACT

The high stress environment of law enforcement places officers at risk for a variety of mental and physical health problems; however, officers are reluctant to seek out treatment. The purpose of this study was to identify which factors associated with law enforcement officers had predictive value in the level of stigma perceived in seeking mental health treatment by currently employed, certified peace officers in Arizona. The factors included sex, age, race/ethnicity, years employed as an officer, size of the department, current rank/position within the department, the type of government operating the agency, and payment of union dues. The study included 454 participants. Participation included the completion of demographic data, the Self-Stigma of Seeking Psychological Help (SSOSH), and the Perceptions of Stigmatization by Others for Seeking Help (PSOSH). Using standard multiple regression, the most significant finding was the relationship between the size of the department and levels of stigma (p = .014); such that, the size was inversely related to the levels of perceived stigma. As the agency size increased, the perceptions of stigma decreased. Such a finding has several implications for law enforcement agencies related to preparedness and training.

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References

  • Aamodt MG, Stalnaker NA (2001) Police officer suicide: Frequency and officer profiles. In: Sheehan DC, Warren JI (eds) Suicide and law enforcement. Government Printing Office, Washington, DC, pp 383–398

    Google Scholar 

  • Addis ME, Mahalik JR (2003) Men, masculinity, and the contexts of help seeking. American Psychologist 58(1):5–14. doi:10.1037/0003-066X.58.1.5

    Article  PubMed  Google Scholar 

  • Alexander DA, Walker LG (1994) A study of methods used by Scottish police officers to cope with work-induced stress. Stress Medicine 10:131–138. doi:10.1002/smi.24601.00210

    Article  Google Scholar 

  • Andrews G, Issakidis C, Carter G (2001) Shortfall in mental health service utilization. British Journal of Psychiatry 179:417–425. doi:10.1192/bjp.179.5.417

    Article  PubMed  Google Scholar 

  • Baker M (1985) Cops: Their lives in their own words. Pocket Books, New York, NY

    Google Scholar 

  • Ballenger, J. F., Best, S. R., Metzler, T. J., Wasserman, D. A., Mohr, D. C., Liberman, A., … Marmar, C. R. (2010). Patterns and predictors of alcohol use in male and female urban police officers. The American Journal on Addiction, 20, 21-29.

  • Band S, Manuele C (1987) Stress and police officer performance: An examination of effective coping behavior. Journal of Police and Criminal Psychology 3:30–42

    Article  Google Scholar 

  • Bartol CR, Bartol AM (2004) Introduction to forensic psychology. Sage, Thousand Oaks, CA

    Google Scholar 

  • Blau TH (1995) Psychological services for law enforcement. John Wiley, New York, NY

    Google Scholar 

  • Blum LN (2000) Force under pressure: How cops live and why they die. Lantern Books, New York, NY

    Google Scholar 

  • Borum R, Philpot C (1993) Therapy with law enforcement couples: Clinical management of the “high-risk lifestyle”. The American Journal of Family Therapy 21(2):122

    Article  Google Scholar 

  • Brandl SG, Stroshine MS (2003) Toward an understanding of the physical hazards of police work. Police Quarterly 6:172–191

    Article  Google Scholar 

  • Brooks GR (1998) A new psychotherapy for traditional men. Jossey-Bass, San Francisco, CA

    Google Scholar 

  • Brooks GR, Good GE (2001) The new handbook of psychotherapy and counseling with men: A comprehensive guide to settings, problems, and treatment approaches. Jossey-Bass, San Francisco, CA

    Google Scholar 

  • Bryan CJ, Morrow CE (2011) Circumventing mental health stigma by embracing the warrior culture: Lessons learned from the defender’s edge program. Professional Psychology: Research and Practice 42(1):16–23. doi:10.1037/a0022290

    Article  Google Scholar 

  • Bui, L. (2012, January 26). Phoenix police department hiring freeze will continue. The Republic. Retrieved from http://www.azcentral.com/12news/news/articles/2012/01/25/20120125phoenix-police-hiring-freeze-continues.html#ixaa2w8tr42hM

  • Chandra A, Scott MM, Jaycox LH, Meredith LS, Tanielian T, Burnam A (2009) Racial/ethnic differences in teen and parent perspectives toward depression treatment. Journal of Adolescent Health 44:546–553. doi:10.1016/j.jadohealth.2008.10.137

    Article  PubMed  Google Scholar 

  • Cochran SD, Sullivan JG, Mays VM (2003) Prevalence of mental disorders, psychological distress, and mental services use among lesbian, gay, and bisexual adults in the United States. Journal of Consulting and Clinical Psychology 71:53–61. doi:10.1037/0022-006X.71.1.53

    Article  PubMed  PubMed Central  Google Scholar 

  • Coe, J. (2011, October 23). Arizona police departments hiring officers. The Republic. Retrieved from http://www.azcentral.com/12news/news/articles/2011/10/23/20111023arizona-police-hiring-officers.html#ixzz2w8v7thaL

  • Cohen GE, Shamus E (2009) Depressed, low self-esteem: What can exercise do for you? The Internet Journal of Allied Health Sciences and Practices 7(2):1–5, Retrieved from http://ijahsp.nova.edu

    Google Scholar 

  • Cooper M, Russell M, Skinner JB, Frone MR, Mudar P (1992) Stress and alcohol use: Moderating effects of gender, coping and alcohol expectancies. Journal of Abnormal Psychology 101:139–152

    Article  PubMed  Google Scholar 

  • Corrigan P (2004) How stigma interferes with mental health care. American Psychologist 59:614–625. doi:10.1037/0003-066X.59.7.614

    Article  PubMed  Google Scholar 

  • Cosner JA, Russell GD (2000) Law enforcement in the United States. Aspen, Gaithersburg, MD

    Google Scholar 

  • Crank JP (2004) Understanding police culture, 2nd edn. Anderson, Cincinnati, OH

    Google Scholar 

  • Crawford P, Brown B (2002) Like a friend going round: Reducing the stigma attached to mental health in rural communities. Health and Social Care in the Community 10:229–238

    Article  PubMed  Google Scholar 

  • Diala C, Muntaner C, Walrath C, Nickerson K, LaVeist T et al (2000) Racial differences in attitudes toward professional mental health care and in the use of services. American Journal of Orthopsychiatry 70:455–464. doi:10.1037/h0087736

    Article  PubMed  Google Scholar 

  • Emerson D, Hopper E (2011) Overcoming trauma through yoga: Reclaiming your body. North Atlantic Books, Berkeley, CA

    Google Scholar 

  • Evans B, Coman G, Stanley R, Burrows G (1993) Police officers’ coping strategies: An Australian police survey. Stress Medicine 9:237–246

    Article  Google Scholar 

  • Fay J, Kamena M, Benner A, Buscho A, Nagel D (2006) Emergency responder exhaustion syndrome (ERES): A perspective on stress, coping, and treatment in the emergency responder milieu. Law Enforcement Executive Forum Journal 5:159–189

    Google Scholar 

  • Fisher CB (2009) Decoding the ethics code: A practical guide for psychologists. Sage, Thousand Oaks, CA

    Google Scholar 

  • Fisher JD, Nadler A, Whitcher-Alagna S (1982) Recipient reactions to aid. Psychological Bulletin 91(1):27–54. doi:10.1037/0033-2909.91.1.27

    Article  Google Scholar 

  • Foa E, Keane T, Friedman M, Cohen J (2009) Introduction. In: Foa E, Keane T, Friedman M, Cohen J (eds) Effective treatments for PTSD: Practice guidelines from the International Society for Traumatic Stress Studies. Guilford, New York, NY, pp 1–22

    Google Scholar 

  • Fontes L (2008) Interviewing clients across cultures: A practitioner’s guide. Guilford, New York, NY

    Google Scholar 

  • Ford RE (2003) Saying one thing, meaning another: The role of parables in police training. Police Quarterly 6:84–110

    Article  Google Scholar 

  • Ganster D, Fox M, Dwyer D (2001) Explaining employees’ health care costs: A prospective examination of stressful job demands, personal control, and physiological reactivity. Journal of Applied Psychology 86:954–964

    Article  PubMed  Google Scholar 

  • Ganster D, Schaubroeck J (1991) Work stress and employee health. Journal of Management 17:235–271

    Article  Google Scholar 

  • Gentz D (1999) Critical incident reactions: A comparison of two studies ten years apart in the same police department. In: Territo L, Sewell JD (eds) Stress management in law enforcement. Carolina Academic, Durham, NC, pp 259–263

    Google Scholar 

  • Gerson R (2002) Work stress in aging police officers. Journal of Occupational and Environmental Medicine 44:160–167

    Article  Google Scholar 

  • Gersons B (1989) Patterns of PTSD among police officers following shooting incidents: A two-dimensional model and treatment implications. Journal of Traumatic Stress 2:247–257

    Article  Google Scholar 

  • Goldsmith A (1990) Taking police culture seriously: Police descretion and the limits of law. Polic Soc 1:91–114

    Article  Google Scholar 

  • Gonzalez JM, Tinsley HEA, Kreuder KR (2002) Effects of psychoeducational interventions on opinions of mental illness, attitudes toward help seeking, and expectations about psychotherapy in college students. Journal of College Student Development 43:51–63

    Google Scholar 

  • Green G, Hayes C, Dickinson D, Whittaker A, Gilheany B (2003) A mental health services user’s perspective to stigmatization. Journal of Mental Health 12:223–234

    Article  Google Scholar 

  • Grossman D (2008) On combat: The psychology and physiology of deadly conflict in war and in peace, 3rd edn. Warrior Science, U.S.

    Google Scholar 

  • Gupta A, Szymanski DM, Leong FT (2011) The model minority myth: Internalized racialism of positive stereotypes as correlates of psychological distress, and attitudes toward help-seeking. Asian American Journal of Psychology 2:101–114. doi:10.1037/a0024183

    Article  Google Scholar 

  • Hall RG (2002) A brief discussion of police culture and how it affects police responses to internal investigations and civilian oversight., Retrieved from http://www.cacole.ca/Resource%20Library/Conferences/2002%20Conference/2002%20Presentations/Hall,%20R.%202002.pdf

    Google Scholar 

  • Harpold JA, Feemster JD (2002) Negative influences of police stress. FBI Law Enforcement Journal 71:1–6

    Google Scholar 

  • Hassell KD (2006) Police organizational cultures and patrol practices. LFB, New York, NY

    Google Scholar 

  • Hickman, M. J., & Reaves, B. A. (2006, May 2). 2003 Law enforcement management and administrative statistics (Local Law Enforcement Census). Retrieved from Bureau of Justice Statistics website: http://www.bjs.ojp.usdoj.gov/index.cfm?ty=pbdetail&iid=1979

  • Husaini BA, Moore ST, Cain VA (1994) Psychiatric symptoms and help-seeking behavior among the elderly: An analysis of racial and gender differences. Journal of Gerontological Social Work 21:177–196. doi:10.1300/J083V21N03_12

    Article  Google Scholar 

  • Johnson, L. B. (1991). On the front lines: Police stress and family well-being (Hearing before the Select Committee on Children, Youth, and Families House of Representatives: 102 Congress First Session May 20). Washington, DC: Government Printing Office.

  • Joseph P, Trevisan M, Violanti J, Donahue R, Andrew M, Burchfiel C (2009) Police work and subclinical atherosclerosis. Journal of Occupational and Environmental Medicine 51:700–707

    Article  PubMed  Google Scholar 

  • Kates AR (2001) Copshock. Holbrook, Tucson, AZ

    Google Scholar 

  • Kinicki A, McFee F, Wade K (1996) Annual review: 1991-1995: Occupational health. Journal of Vocational Behavior 49:190–220

    Article  Google Scholar 

  • Kirschman E (2006) I love a cop, Revth edn. Guilford, New York, NY

    Google Scholar 

  • Kirschman E, Kamena M, Fay J (2014) Counseling cops: What clinicians need to know. Guilford, New York, NY

    Google Scholar 

  • Komiya N, Good GE, Sherrod NB (2000) Emotional openness as a predictor of college students’ attitudes toward seeking psychological help. Journal of Counseling Psychology 47:138–143. doi:10.1037//0022-0167.47.1.138

    Article  Google Scholar 

  • Krantz DS, Contrada R, Hill D, Friedler E (1988) Environmental stress and biobehavioral antecedents of coronary heart disease. Journal of Consulting and Clinical Psychology 56:333–341

    Article  PubMed  Google Scholar 

  • Levenson RL (2007) Prevention of traumatic stress in law enforcement personnel: A cursory look at the role of peer support and critical incident stress management. The Forensic Examiner 16:16–19

    Google Scholar 

  • Levenson RL, Dwyer LA (2003) Peer support in law enforcement: Past, present, and future. International Journal of Emergency Mental Health 5:147–152

    PubMed  Google Scholar 

  • Linton JC (1995) Acute stress management with public safety personnel: Opportunities for clinical training and pro bono community service. Professional Psychology: Research and Practice 26:566–573. doi:10.1037/0735-7028.26.6.566

    Article  Google Scholar 

  • Lumb RC, Breazeale C (2002) Police officer attitudes and community policing implementation: Developing strategies for durable organizational change. Policing and Society 13:91–107

    Article  Google Scholar 

  • Mackenzie CS, Gekoski WL, Knox VJ (2006) Age, gender, and the underutilization of mental health services: The influence of help-seeking attitudes. Aging Mental Health 10:574–582

    Article  PubMed  Google Scholar 

  • Mann J, Neece J (1990) Workers’ compensation for law enforcement related Post Traumatic Stress Disorder. Behavioral Sciences and the Law 8:447–456

    Article  Google Scholar 

  • Marshall BD, Prescott MR, Liberzon I, Tamburrino MB, Calabrese JR, Galea S (2012) Coincident posttraumatic stress disorder and depression predict alcohol abuse during and after deployment among Army National Guard soldiers. Drug and Alcohol Dependence 124:193–199

    Article  PubMed  Google Scholar 

  • McFarlane A (1988) The longitudinal course of post-traumatic morbidity: The range of outcomes and their predictors. Journal of Nervous and Mental Disease 176:30–39

    Article  PubMed  Google Scholar 

  • McFarlane A (2000) Posttraumatic stress disorder: A model of the longitudinal course and the role of risk factors. Journal of Clinical Psychiatry 61:15–20

    PubMed  Google Scholar 

  • McGoldrick M, Giordano J, Garcia-Preto N (eds) (2005) Ethnicity and family therapy, 3rd edn. Guilford, New York, NY

    Google Scholar 

  • Miller L (1995) Tough guys: Psychotherapeutic strategies with law enforcement and emergency services personnel. Psychotherapy 32:592–600

    Article  Google Scholar 

  • Moran C, Britton N (1994) Emergency work experience and reactions to traumatic incidents. Journal of Traumatic Stress 7:575–585

    Article  PubMed  Google Scholar 

  • Mitchell JT (1988) The history, status and future of critical incident stress debriefings. Journal of the Emergency Medical Services 13:47–52

    Google Scholar 

  • Mitchell JT, Everly GS (1996) Critical incident stress debriefing: An operations manual for the prevention of traumatic stress among emergency services and disaster workers, 2nd edn. Chevron, Ellicott City, MD

    Google Scholar 

  • Nadler A, Fisher JD (1986) The role of threat to self-esteem and perceived control in recipient reaction to help: Theory development and empirical validation. In: Berkowitz L (ed) Advances in experimental social psychology. Academic, San Diego, CA, pp 81–122

    Google Scholar 

  • Narrow W, Regier D, Norquist G, Rae D, Kennedy C, Arons B (2000) Mental health service use by Americans with severe mental illnesses. Social Psychiatry and Psychiatric Epidemiology 35:147–155

    Article  PubMed  Google Scholar 

  • Neidig PH, Seng AF, Russell HE (1992a) Interspousal aggression in law enforcement personnel attending the FOP Biennial Conference. National FOP Journal 25–28

  • Neidig PH, Russell HE, Seng AF (1992b) Interspousal aggression in law enforcement families: A preliminary investigation. Police Studies 15(1):30–38

    Google Scholar 

  • Norris F (1992) Epidemiology of trauma: Frequency and impact of different potentially traumatic events on different demographic groups. Journal of Consulting and Clinical Psychology 60:409–418

    Article  PubMed  Google Scholar 

  • Overton S, Medina S (2008) The stigma of mental illness. Journal of Counseling and Development 86:143–151

    Article  Google Scholar 

  • Page KS, Jacobs SC (2011) Surviving the shift: Rural police stress and counseling services. Psychological Services 8:12–22

    Article  Google Scholar 

  • Paton D, Violanti J, Burke K, Gerhke A (2009) From recruit to retirement: A career-length assessment of posttraumatic stress in police officers. Charles C. Thomas, Springfield, IL

    Google Scholar 

  • Robinson H, Sigman M, Wilson J (1997) Duty-related stressors and PTSD symptoms in suburban police officers. Psychological Reports 81:835–845

    Article  PubMed  Google Scholar 

  • Shin J (2002) Help-seeking behaviors by Korean immigrants for depression. Issues in Mental Health Nursing 23:461–476. doi:10.1080/01612840290052640

    Article  PubMed  Google Scholar 

  • Silva MN (1991) The delivery of mental health services to law enforcement officers. In: Reese JT, Horn JM, Dunning C (eds) Critical incidents in policing. FBI, Washington, DC, pp 335–341

    Google Scholar 

  • Sirey JA, Bruce ML, Alexopoulos GS, Perlick DA, Friedman SJ, Meyers BS (2001) Stigma as a barrier to recovery: Perceived stigma and patient-rated severity of illness as predictors of antidepressant drug adherence. Psychiatric Services 52:1615–1620

    Article  PubMed  Google Scholar 

  • Skolnick JH, Feeley MM, McCoy C (2005) Criminal justice: Introductory cases and materials, 6th edn. Foundation, New York, NY

    Google Scholar 

  • Smart L, Wegner D (1999) Covering up what can’t be seen: Concealable stigma and mental control. Journal of Personality and Social Psychology 77:474–486

    Article  PubMed  Google Scholar 

  • Solberg VS, Ritsma S, Davis BJ, Tata SP (1994) Asian American students’ severity of problems and willingness to seek help from university counseling centers: Role of previous counseling experience, gender, and ethnicity. Journal of Counseling Psychology 41:275–279. doi:10.1037/0022-0167.41.3.275

    Article  Google Scholar 

  • Stephens C, Miller I (1998) Traumatic experiences and post-traumatic stress disorder in the New Zealand police. Policing: An International Journal of Police Strategies and Management 21:178–191

    Article  Google Scholar 

  • Sue DW, Sue D (2008) Counseling the culturally diverse: Theory and practice, 5th edn. Wiley, Hoboken, NJ

    Google Scholar 

  • Tanielian T, Jaycox LH (eds) (2008) Invisible wounds of war: Psychological and cognitive injuries, their consequences, and services to assist recovery. RAND, Santa Monica, CA

    Google Scholar 

  • Toch H (2002) Stress in policing. American Psychological Association, Washington, DC

    Book  Google Scholar 

  • Violanti JM (2007) Police suicide: Epidemic in blue, 2nd edn. Thomas, Springfield, IL

    Google Scholar 

  • Violanti J, Drylie J (2008) Copicide: Concepts, cases, and controversies of suicide by cop. Charles C. Thomas, Springfield, IL

    Google Scholar 

  • Violanti J, Burchfiel C, Miller D, Andrew M, Dorn J, Wactawski-Wende J (2006) The Buffalo cardio-metabolic occupational police stress (BCOPS) pilot study: Methods and participant characteristics. Annals of Epidemiology 16:148–156

    Article  PubMed  Google Scholar 

  • Vogel DL, Heimerdinger-Edwards SR, Hammer JH, Hubbard A (2011) “Boys Don’t Cry”: Examination of the links between endorsement of masculine norms, self-stigma, and help-seeking attitudes for men from diverse backgrounds. Journal of Counseling Psychology 58:368–382. doi:10.1037/a0023688

    Article  PubMed  Google Scholar 

  • Vogel DL, Wade NG, Ascheman PL (2009) Measuring perceptions of stigmatization by others for seeking psychological help: Reliability and validity of a new stigma scale with college students. Journal of Counseling Psychology 56:301–308. doi:10.1037/a0014903

    Article  Google Scholar 

  • Vogel DL, Wade NG, Haake S (2006) Measuring the self-stigma associated with seeking psychological help. Journal of Counseling Psychology 53:325–337

    Article  Google Scholar 

  • Wahl OF (1999) Mental health consumers’ experience of stigma. Schizophrenia Bulletin 25:467–478

    Article  PubMed  Google Scholar 

  • Walker S, Katz CM (2005) The police in America: An introduction, 5th edn. McGraw-Hill, Boston, MA

    Google Scholar 

  • Wester SR, Lyubelsky J (2005) Supporting the thin blue line: Gender-sensitive therapy with male police officers. Professional Psychology: Research and Practice 36:51–58. doi:10.1037/0735-7028.36.1.51

    Article  Google Scholar 

  • Wester SR, Arndt D, Sedivy SK, Arndt L (2010) Male police officers and stigma associated with counseling: The role of anticipated risks, anticipated benefits and gender role conflict. Psychology of Men and Masculinity 11:286–302. doi:10.1037/a0019108

    Article  Google Scholar 

  • Westernick J (1990) Stress and coping mechanisms in young police officers. Australian Police Journal 44:109–113

    Google Scholar 

  • Woods JP (2014) Prioritizing emotional and mental health through peer support. The Police Chief 81(6):10–11

    Google Scholar 

  • Woody RH (2005) The police culture: Research implications for psychological services. Professional Psychology: Research and Practice 36:525–529. doi:10.1037/0735-7028.36.5.525

    Article  Google Scholar 

  • Zelig M (1987) Clinical services and demographic characteristics of police psychologists. Professional Psychology: Research and Practice 18:269–275

    Article  Google Scholar 

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  1. Arizona School of Professional Psychology, Argosy University, Phoenix, AZ, USA

    Amy K. White, Gregory Shrader & Jared Chamberlain

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  1. Amy K. White
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Correspondence to Amy K. White.

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White, A.K., Shrader, G. & Chamberlain, J. Perceptions of Law Enforcement Officers in Seeking Mental Health Treatment in a Right-to-Work State. J Police Crim Psych 31, 141–154 (2016). https://doi.org/10.1007/s11896-015-9175-4

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