Cross-sectional analysis of the association between perceived barriers to behavioral health care and intentions to leave the U.S. Army.

The attrition of service members is a costly concern for the U.S. military and can lead to reduced readiness. While there have been studies identifying reasons for attrition, little is known about the relationship between perceived barriers to behavioral health care and attrition. A cross-sectional survey was conducted as part of a behavioral health epidemiological consultation at a U.S. Army division (n=5,842) during the COVID-19 pandemic in 2020. Odds of intending to leave the Army increased by 6% for each additional perceived barrier to behavioral health care. Soldiers' concerns about the potential negative impacts on their careers or work environments were the most frequently cited barriers to behavioral health care.