Due to occupational stress and exposure to potentially traumatic events, firefighters are at an increased risk for the development of many behavioral health conditions. While volunteer and career firefighters represent two distinct subgroups, little research has examined differences in the availability of, and barriers to, behavioral health care between these populations. This study examined perceived availability and barriers to behavioral health care services among 2,156 career and 227 volunteer firefighters. Volunteer firefighters were less likely to report availability of drug and alcohol or family and couple services, but more likely to report availability of a trained peer support system and follow-up care compared to career firefighters. Volunteer firefighters were over five times more likely to consider cost a barrier to accessing behavioral health services compared to career firefighters; however, they were less likely to report lack of support from leadership, fear of breach of confidentiality, and clinicians who are unaware of work culture as barriers. Volunteer and career firefighters were equally likely to report stigma as a barrier. These findings have important implications for understanding how to strengthen departmental resources and to design targeted interventions to increase access to behavioral health services. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

中文翻译：

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职业消防员与志愿消防员：感知可用性的差异和行为保健的障碍。

由于职业压力和暴露于潜在的创伤性事件，消防员出现许多行为健康状况的风险增加。虽然志愿者和职业消防员代表两个不同的亚群体，但很少有研究探讨这些人群之间行为保健的可用性和障碍的差异。这项研究调查了 2,156 名职业消防员和 227 名志愿消防员对行为健康护理服务的感知可用性和障碍。与职业消防员相比，志愿消防员不太可能报告是否有药物和酒精或家庭和夫妻服务，但更有可能报告是否有受过训练的同伴支持系统和后续护理。与职业消防员相比，志愿消防员认为成本是获得行为健康服务障碍的可能性高出五倍以上；然而，他们不太可能报告缺乏领导层的支持、担心泄露机密以及临床医生不了解工作文化等障碍。志愿者和职业消防员同样可能将耻辱视为障碍。这些发现对于了解如何加强部门资源和设计有针对性的干预措施以增加获得行为健康服务的机会具有重要意义。（PsycInfo 数据库记录 (c) 2022 APA，保留所有权利）。