Table 3

Barriers to and facilitators for disclosure of MHC/SA

CategoriesSubcategoriesSoldiers with MHC/SASoldiers without MHC/SAMHC/SA prof.
 Fear of career consequencesLosing employment (and subsequent financial concerns).
Not being allowed to do what you like most about your job (eg, no deployment, no training, no flying).
Lack of career advancement.x
 Fear of social rejectionFear of being seen as weak.
Fear of being rejected by the group.
Gossip culture of the military.x
 Lack of Leadership SupportSupervisor’s negative attitude towards MHC/SA
Supervisor’s lack of understanding (and taking it seriously)
Supervisor’s lack of time for a conversation.x
Supervisor’s lack of knowledge and experience.
No personal (trusting) relationship with supervisor.
 Lack of communication skills surrounding MHC/SASoldier’s lack of skills to talk about own MHC/SA.
Coworker’s lack of skills to start conversation about MHC/SA.x
Supervisor’s lack of skills to start conversation about MHC/SA.
 Workplace culture
Denial of symptoms of MHC/SA.x
‘We can do it’ mind set.
Feeling shame for having MHC/SA.
 Anticipated positive resultsDisclosing to set an example and help others.x
Disclosing in order to heal/recover.xx
 Leadership supportSupervisor who makes time for a conversation.x
Trusting relationship with supervisor.
Supervisor’s positive attitude towards MHC/SA.
 Work-related MHC/SAEasier to disclose MHC/SA if they are a result of work/deployment due to perception that this is respected (especially posttraumatic stress disorder).x
  • ✓Indicates that subcategory was brought up and discussed by participants within a specific group of participants.

  • XIndicates that subcategory was not mentioned within specific group of participants.

  • MHC/SA, mental health condition and/or substance abuse.