{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T15:01:23Z","timestamp":1789916483470,"version":"4.0.1"},"reference-count":36,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T00:00:00Z","timestamp":1766188800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T00:00:00Z","timestamp":1766188800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Greo Evidence Insights"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Health Serv Res Policy"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore the accessibility of mental health and gambling related support within the United Kingdom (UK) Armed Forces and investigate potential barriers to engagement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      We conducted a survey of Armed Forces service personnel (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 438) and specialist healthcare and welfare staff (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 94) regarding gambling harm and related challenges.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Personnel rarely sought on-base support and recognition of existing service provision was low. Among those who did seek help, healthcare and welfare staff were equally effective in engaging with personnel, with greater professional experience playing a key role in fostering meaningful interactions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Improving access to specialist gambling harm support may enhance help-seeking.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/13558196251409041","type":"journal-article","created":{"date-parts":[[2025,12,20]],"date-time":"2025-12-20T08:26:41Z","timestamp":1766219201000},"page":"255-266","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Help and support for gambling harm among United Kingdom Armed Forces personnel: A mixed-methods study"],"prefix":"10.1177","volume":"31","author":[{"given":"Blair","family":"Biggar","sequence":"first","affiliation":[{"name":"Swansea University"},{"name":"University of Glasgow"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Champion","sequence":"additional","affiliation":[{"name":"Swansea University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Jones","sequence":"additional","affiliation":[{"name":"Swansea University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glen","family":"Dighton","sequence":"additional","affiliation":[{"name":"Swansea University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justyn","family":"Larcombe","sequence":"additional","affiliation":[{"name":"The Recovery Course"},{"name":"Tonbridge Baptist Church"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matt","family":"Fossey","sequence":"additional","affiliation":[{"name":"Anglia Ruskin University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1319-4492","authenticated-orcid":false,"given":"Simon","family":"Dymond","sequence":"additional","affiliation":[{"name":"Swansea University"},{"name":"Reykjav\u00edk University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,12,20]]},"reference":[{"key":"e_1_3_8_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/14459795.2022.2063923"},{"key":"e_1_3_8_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40429-020-00310-2"},{"key":"e_1_3_8_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2021.107200"},{"key":"e_1_3_8_5_2","unstructured":"Public Health England. Gambling harms evidence review: summary. https:\/\/www.gov.uk\/government\/publications\/gambling-related-harms-evidence-review\/gambling-related-harms-evidence-review-summary--2 (2024) accessed 23 July 2024."},{"key":"e_1_3_8_6_2","doi-asserted-by":"publisher","DOI":"10.7205\/MILMED.173.5.452"},{"key":"e_1_3_8_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2020.07.035"},{"key":"e_1_3_8_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/military-2024-002726"},{"key":"e_1_3_8_9_2","volume-title":"Delivery of an integrated gambling harm pathway for primary care","author":"Defence Primary Healthcare","year":"2023","unstructured":"Defence Primary Healthcare. Delivery of an integrated gambling harm pathway for primary care. Ministry of Defence, 2023."},{"key":"e_1_3_8_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10899-025-10424-9"},{"key":"e_1_3_8_11_2","unstructured":"National Institute for Health and Care Excellence (NICE). Gambling-related harms: identification assessment and management. https:\/\/www.nice.org.uk\/guidance\/ng248 (2025) accessed 27 May 2025."},{"key":"e_1_3_8_12_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1003457"},{"key":"e_1_3_8_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s44202-025-00357-0"},{"key":"e_1_3_8_14_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-146-5-200703060-00004"},{"key":"e_1_3_8_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22059"},{"key":"e_1_3_8_16_2","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.111.091496"},{"key":"e_1_3_8_17_2","unstructured":"JASP Team. Jasp. Comput Software 2025. Version 0.95.2."},{"key":"e_1_3_8_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/104973200129118183"},{"key":"e_1_3_8_19_2","first-page":"1408","article-title":"Are we there yet? Data saturation in qualitative research","volume":"20","author":"Fusch PI","year":"2015","unstructured":"Fusch PI, Ness LR. Are we there yet? Data saturation in qualitative research. Qual Rep 2015; 20: 1408\u20131416.","journal-title":"Qual Rep"},{"key":"e_1_3_8_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_3_8_21_2","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2020.1769238"},{"key":"e_1_3_8_22_2","unstructured":"Ministry of Defence. Defence people health and wellbeing strategy 2022\u20132027. https:\/\/www.gov.uk\/government\/publications\/defence-people-health-and-wellbeing-strategy-2022-to-2027 (2022) accessed 27 May 2024."},{"key":"e_1_3_8_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11469-024-01414-w"},{"key":"e_1_3_8_24_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10899-013-9373-x"},{"key":"e_1_3_8_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2017.01.008"},{"key":"e_1_3_8_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/add.15952"},{"key":"e_1_3_8_27_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717000356"},{"key":"e_1_3_8_28_2","doi-asserted-by":"publisher","DOI":"10.1080\/21635781.2017.1310682"},{"key":"e_1_3_8_29_2","doi-asserted-by":"publisher","DOI":"10.1080\/09589236.2018.1429898"},{"key":"e_1_3_8_30_2","first-page":"76","article-title":"Awareness of and willingness to access support among UK military personnel who reported a mental health difficulty","volume":"9","author":"Mills A","year":"2023","unstructured":"Mills A, Fear NT, Stevelink SA. 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