Semester of Graduation

May 2026

Degree

Master of Social Work (MSW)

Department

Louisiana State University School of Social Work

Document Type

Thesis

Abstract

This study examines how potential career consequences, perceived stigma, and confidentiality concerns influence mental health help-seeking among United States Army Soldiers, with particular attention to differences across Military Occupational Specialty (MOS) categories. Despite the availability of behavioral health services, many service members delay or avoid treatment due to fears that seeking care may negatively impact their careers, including risks to promotion, deployment eligibility, and retention. Guided by Systems Theory, this research explores how interconnected military structures, policies, and cultural norms shape these perceptions and behaviors.

Using a confidential survey design, data were collected from current service members and recently separated veterans with deployment experience. The study analyzed perceptions of stigma, confidentiality, and career impact, as well as preferences for formal versus informal mental health support, comparing responses across Combat Arms, Combat Support, and Service Support roles. Findings indicate that Soldiers, particularly those in combat arms career fields, report heightened concerns about negative career consequences and reduced confidence in confidentiality, which may contribute to avoidance of formal mental health services.

These results highlight the need for policy and cultural reforms within the Department of Defense to reduce structural barriers, improve trust in confidentiality, and promote early engagement in mental health care. The study underscores the critical role of macro-level social work in advocating for systemic change to support both the well-being and mission readiness of service members.

Date

4-16-2026

Committee Chair

Dr. James Canfield

LSU Acknowledgement

1

LSU Accessibility Acknowledgment

1

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