‘I’m not sick!…Are you?’ Groupthink in police services as a barrier to collecting mental health data

Despite the high prevalence of mental disorders among Canadian police officers, treatment-seeking is lower than expected. Toward understanding how mental health services can be tailored for higher utilization by police, we aim to uncover factors that contribute to stigma and barriers to use, specifically within the context of group dynamics between officers. Nine semi-structured focus groups and one interview were conducted with civilian and non-civilian police service employees in Ontario, Canada. Data were coded to allow for themes to emerge from the transcripts. Participant voices (n=33) revealed the presence of three characteristics of Janis’ groupthink: high group cohesion, conditions that create high stress and low self-esteem, and operating under directive leadership; each creating pressures that serve as barriers to treatment-seeking [Janis IL (1972) Victims of Groupthink: A Psychological Study of Foreign-Policy Decisions And Fiascoes. Boston: Houghton Mifflin]. Groupthink offers a potential explanation about why police, despite a high prevalence of mental disorders and access to mental health services, do not seek treatment as expected. Janis’s theory of groupthink is supported by police officer dialogue in focus groups. Understanding police group interactions can better inform prevention and treatment programs, ultimately leading to better access and use of existing mental health services, a reduction in stigma associated with treatment-seeking, and a healthier police workforce.