# Structural challenges in the search for mental health services among military police officers: an integrative review

**Authors:** Lara Gardênia Bezerra de Melo, Diana Lívia de Sales Lima, Heronildo Almeida Luna Fernandes, Ysabele Yngrydh Valente Silva, Alvaro Micael Duarte Fonseca, Ellany Gurgel Cosme do Nascimento

PMC · DOI: 10.15649/cuidarte.4131 · Revista Cuidarte · 2025-03-27

## TL;DR

This review explores the structural challenges military police officers face when seeking mental health services, highlighting barriers and potential solutions.

## Contribution

The study identifies key structural barriers and facilitators to mental health service use among military police officers.

## Key findings

- Social stigma, lack of knowledge, and organizational deficiencies hinder mental health service use.
- Family support and professional development encourage help-seeking behavior.
- More research is needed to evaluate and improve mental health programs for police officers.

## Abstract

Military police officers daily face stressful and potentially traumatic situations, resulting in a high prevalence of occupational stress and mental comorbidities within this group. Despite this, the pursuit of mental health services by these professionals encounters structural challenges that are still insufficiently discussed.

To determine the factors that most influence the search for, provision of, and utilization of mental health services by police officers through an integrative literature review.

The search for articles was conducted using the following databases: Virtual Health Library (VHL), MEDLINE, Scopus, and Embase. After the selection process, 23 articles were included for analysis in this review.

The main findings indicate that social stigma, lack of knowledge on the subject, and organizational deficiencies are critical aspects that hinder the pursuit of psychological well-being services in the police field.

Despite the many barriers to police officers seeking mental health care, it was highlighted that family support and professional development are positively related to help-seeking behavior.

Further research is needed to evaluate mental health programs and better understand the difficulties in implementing these services. Promoting the search for psychological help is essential to improving police officers' health and population's safety.

## Full-text entities

- **Diseases:** physical impairment (MESH:D059445), mental and emotional weakness (MESH:D018908), mental health disorder (OMIM:603663), anxiety (MESH:D001007), PTSD (MESH:D013313), , respiratory, gastrointestinal, dermatological and musculoskeletal (MESH:D012818), depression (MESH:D003866), emotional and cognitive disorders (MESH:D003072), Trauma (MESH:D014947), suicidal ideation (MESH:D001072), COVID-19 (MESH:D000086382)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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## References

39 references — full list in the complete paper: https://tomesphere.com/paper/PMC12143920/full.md

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Source: https://tomesphere.com/paper/PMC12143920