Peace Officer PTSD and Compound Trauma: Operational Risks and Stigma Management DOI
Charles E. MacLean

IntechOpen eBooks, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 4, 2024

Peace officers, frequently and recurrently exposed to trauma on the job often working long shifts overtime, increasingly suffer from PTSD compound that predispose those officers develop depression, anxiety, compassion fatigue, suicidality, lead shoot sooner less accurately, over-perceive threats, under-perceive options, thereby pose unnecessarily enhanced risks themselves public. That confluence is exacerbated by toxic masculinity organizational stigma endemic in much of law enforcement can prevent afflicted seeking psychological intervention operational accommodations they desperately need. This chapter sketches current situation among American state-of-the-art stigma-reduction, stress-reduction, interventions are beginning ease adverse impacts members public with whom interact.

Language: Английский

Acceptability, feasibility, and effectiveness of internet-based cognitive behavior therapy for obsessive–compulsive disorder (OCD-NET): a naturalistic pilot trial during the COVID-19 pandemic in a psychiatric outpatient department in Germany DOI Creative Commons
Elisabeth Kohls, Sabrina Baldofski, Julia Scholl

et al.

BMC Psychiatry, Journal Year: 2025, Volume and Issue: 25(1)

Published: Jan. 30, 2025

Language: Английский

Citations

0
Optimization of Internet-Delivered Cognitive Behavioral Therapy for Canadian Leaders Within Public Safety: Qualitative Study (Preprint) DOI
Jill A. B. Price, Hugh C McCall,

Sam A Demyen

et al.

Published: Feb. 7, 2025

BACKGROUND Canadian public safety personnel (PSP) report high rates of mental health concerns and barriers to treatment. PSPNET is a clinical research unit that offers internet-delivered cognitive behavioral therapy (ICBT) free, confidential, developed with for PSP. Treatment outcomes are promising clinically significant symptom improvement (eg, anxiety, depression, posttraumatic stress) favorable treatment satisfaction. While these results promising, has yet explore ways optimize therapist-guided ICBT leaders within safety. Optimizing particularly important given their widespread organizational impact. OBJECTIVE This study aims investigate (1) the perceived stressors safety, (2) degree which existing courses tailored PSP (ie, <i>PSP Wellbeing Course</i> PTSD Course</i>) as suitable needs, (3) further leaders. METHODS included 10 clients who self-identified being in supervisory or leadership position organization completed either Course</i>. We used descriptive statistics analyze demographics, symptoms, engagement, also reflexive thematic analysis semistructured interview transcripts assess leaders’ course perceptions feedback. RESULTS reported occupational nonoccupational enrolled support own colleagues’ health. Most Course</i>, accessed 4 5 lessons (n=7, 70%), engaged therapist identified employed (n=8, 80%), White men 70%) an average age 45 years. At pretreatment, 80% endorsed symptoms one more disorders; most often depression anger (n=6, 60%). Clients attitudes toward reporting they were satisfied (n=9, 90%). Feedback content development leader case story 60%) new resources help apply skills learned context roles (n=4, 40%). Leaders recommended optimizing delivery by improving platform technology incorporating multimedia. CONCLUSIONS option needs its delivery. Future should impacts efforts other groups clients. CLINICALTRIAL ClinicalTrials.gov NCT04127032, https://www.clinicaltrials.gov/study/NCT04127032; NCT04335487, https://clinicaltrials.gov/study/NCT04335487

Language: Английский

Citations

0
Optimization of Internet-Delivered Cognitive Behavioral Therapy for Canadian Leaders Within Public Safety: Qualitative Study DOI Creative Commons
Jill A. B. Price, Hugh C McCall,

Sam A Demyen

et al.

Journal of Medical Internet Research, Journal Year: 2025, Volume and Issue: 27, P. e72321 - e72321

Published: April 17, 2025

Background Canadian public safety personnel (PSP) report high rates of mental health concerns and barriers to treatment. PSPNET is a clinical research unit that offers internet-delivered cognitive behavioral therapy (ICBT) free, confidential, developed with for PSP. Treatment outcomes are promising clinically significant symptom improvement (eg, anxiety, depression, posttraumatic stress) favorable treatment satisfaction. While these results promising, has yet explore ways optimize therapist-guided ICBT leaders within safety. Optimizing particularly important given their widespread organizational impact. Objective This study aims investigate (1) the perceived stressors safety, (2) degree which existing courses tailored PSP (ie, Wellbeing Course PTSD Course) as suitable needs, (3) further leaders. Methods included 10 clients who self-identified being in supervisory or leadership position organization completed either Course. We used descriptive statistics analyze demographics, symptoms, engagement, also reflexive thematic analysis semistructured interview transcripts assess leaders’ course perceptions feedback. Results reported occupational nonoccupational enrolled support own colleagues’ health. Most Course, accessed 4 5 lessons (n=7, 70%), engaged therapist identified employed (n=8, 80%), White men 70%) an average age 45 years. At pretreatment, 80% endorsed symptoms one more disorders; most often depression anger (n=6, 60%). Clients attitudes toward reporting they were satisfied (n=9, 90%). Feedback content development leader case story 60%) new resources help apply skills learned context roles (n=4, 40%). Leaders recommended optimizing delivery by improving platform technology incorporating multimedia. Conclusions option needs its delivery. Future should impacts efforts other groups clients. Trial Registration ClinicalTrials.gov NCT04127032, https://www.clinicaltrials.gov/study/NCT04127032; NCT04335487, https://clinicaltrials.gov/study/NCT04335487

Language: Английский

Citations

0
Case Stories in Internet-Delivered Cognitive Behavioral Therapy for Public Safety Personnel: A Mixed-Methods Study (Preprint) DOI Creative Commons
Jill A. B. Price,

Julia Gregory,

Hugh C McCall

et al.

JMIR Formative Research, Journal Year: 2024, Volume and Issue: 8, P. e64454 - e64454

Published: Sept. 20, 2024

Background Internet-delivered cognitive behavioral therapy (ICBT) is an effective and convenient means of offering to the general population. To increase access ICBT among Canadian public safety personnel (PSP)—a group that experiences elevated rates mental health concerns barriers care—a clinical research unit called PSPNET has tailored PSP, primarily through case stories PSP-specific examples within program. PSPNET’s first most frequently used program, PSP Wellbeing Course, been found reduce symptoms disorders (eg, anxiety, depression, posttraumatic stress) PSP. Little research, however, investigated clients’ perceptions in this course. Objective This study was designed expand literature on use evaluation Specifically, (1) PSP’s using theoretical model provided by Shaffer Zikmund-Fisher (2) feedback Course. Methods included 41 clients who completed Of these, 27 a bespoke questionnaire Stories Questionnaire, 10 whom also participated semistructured interview. Results Findings show Course were largely positive generally successful achieving 5 purposes (ie, informing, comforting, modeling, engaging, persuading) proposed Zikmund-Fisher. Client identified 3 tangible areas for story improvement: characters, content, delivery. Each area highlights need potential benefits development. Not all engaged with stories, though, so results must be interpreted caution. Conclusions Overall, adds growing body supporting internet-delivered interventions Trial Registration ClinicalTrials.gov NCT04127032; https://www.clinicaltrials.gov/ct2/show/NCT04127032

Language: Английский

Citations

2
Case Stories in Internet-Delivered Cognitive Behavioral Therapy for Public Safety Personnel: A Mixed-Methods Study (Preprint) DOI
Jill A. B. Price,

Julia Gregory,

Hugh C McCall

et al.

Published: July 18, 2024

BACKGROUND Internet-delivered cognitive behavioral therapy (ICBT) is an effective and convenient means of offering to the general population. To increase access ICBT among Canadian public safety personnel (PSP)—a group that experiences elevated rates mental health concerns barriers care—a clinical research unit called PSPNET has tailored PSP, primarily through case stories PSP-specific examples within program. PSPNET’s first most frequently used program, PSP Wellbeing Course, been found reduce symptoms disorders (eg, anxiety, depression, posttraumatic stress) PSP. Little research, however, investigated clients’ perceptions in this course. OBJECTIVE This study was designed expand literature on use evaluation Specifically, (1) PSP’s using theoretical model provided by Shaffer Zikmund-Fisher (2) feedback Course. METHODS included 41 clients who completed Of these, 27 a bespoke questionnaire Stories Questionnaire, 10 whom also participated semistructured interview. RESULTS Findings show Course were largely positive generally successful achieving 5 purposes (ie, informing, comforting, modeling, engaging, persuading) proposed Zikmund-Fisher. Client identified 3 tangible areas for story improvement: characters, content, delivery. Each area highlights need potential benefits development. Not all engaged with stories, though, so results must be interpreted caution. CONCLUSIONS Overall, adds growing body supporting internet-delivered interventions CLINICALTRIAL ClinicalTrials.gov NCT04127032; https://www.clinicaltrials.gov/ct2/show/NCT04127032

Language: Английский

Citations

0
Impact of an Online Discussion Forum on Self-Guided Internet-Delivered Cognitive Behavioral Therapy for Public Safety Personnel: Randomized Trial (Preprint) DOI
Hugh C McCall, Heather D. Hadjistavropoulos

Published: April 19, 2024

BACKGROUND Internet-delivered cognitive behavioral therapy (ICBT) is an effective and accessible treatment for various mental health concerns. ICBT has shown promising outcomes among public safety personnel (PSP), who experience high rates of problems face barriers to accessing other services. Client engagement clinical are better in with therapist guidance, but easier implement on a large scale when it self-guided. Therefore, important identify strategies improve self-guided digital interventions. One such strategy the use online discussion forums provide clients opportunities mutual social support. Self-guided interventions accompanied by have excellent outcomes, there need research experimentally testing impact ICBT. OBJECTIVE We aimed evaluate transdiagnostic, intervention tailored specifically PSP (which had not previously been assessed), assess adding therapist-moderated forum analyze participants’ feedback inform future implementation efforts. METHODS In this randomized trial, we randomly assigned participating (N=107) access 8-week course or without built-in forum. Enrollment participation were entirely web-based. assessed changes depression, anxiety, posttraumatic stress as well several secondary outcome measures (eg, satisfaction) using questionnaires at pre-enrollment, postenrollment, 20-week postenrollment time points. Mixed methods analyses included multilevel modeling qualitative content analysis. RESULTS Participants engaged minimally forum, creating 9 posts. There no differences between participants (56/107, 52.3%) those (51/107, 47.7%). Across conditions, reported clinically significant symptoms during enrollment showed statistically reductions (<i>P</i>&lt;.05 <i>d</i>&gt;0.97 all cases). also good satisfaction, 43% (46/107) fully completing study 96% (79/82) indicating that was worth their time. CONCLUSIONS Previous forums. Although our across poor, contrast previous research. discuss possible interpretations finding related population under design forum). Our findings highlight more evaluating improving CLINICALTRIAL ClinicalTrials.gov NCT05145582; https://clinicaltrials.gov/study/NCT05145582

Language: Английский

Citations

0
Impact of an Online Discussion Forum on Self-Guided Internet-Delivered Cognitive Behavioral Therapy for Public Safety Personnel: Randomized Trial DOI Creative Commons
Hugh C McCall, Heather D. Hadjistavropoulos

Journal of Medical Internet Research, Journal Year: 2024, Volume and Issue: 26, P. e59699 - e59699

Published: Aug. 14, 2024

Internet-delivered cognitive behavioral therapy (ICBT) is an effective and accessible treatment for various mental health concerns. ICBT has shown promising outcomes among public safety personnel (PSP), who experience high rates of problems face barriers to accessing other services. Client engagement clinical are better in with therapist guidance, but easier implement on a large scale when it self-guided. Therefore, important identify strategies improve self-guided digital interventions. One such strategy the use online discussion forums provide clients opportunities mutual social support. Self-guided interventions accompanied by have excellent outcomes, there need research experimentally testing impact ICBT.

Language: Английский

Citations

0
Peace Officer PTSD and Compound Trauma: Operational Risks and Stigma Management DOI
Charles E. MacLean

IntechOpen eBooks, Journal Year: 2024, Volume and Issue: unknown

Published: Oct. 4, 2024

Peace officers, frequently and recurrently exposed to trauma on the job often working long shifts overtime, increasingly suffer from PTSD compound that predispose those officers develop depression, anxiety, compassion fatigue, suicidality, lead shoot sooner less accurately, over-perceive threats, under-perceive options, thereby pose unnecessarily enhanced risks themselves public. That confluence is exacerbated by toxic masculinity organizational stigma endemic in much of law enforcement can prevent afflicted seeking psychological intervention operational accommodations they desperately need. This chapter sketches current situation among American state-of-the-art stigma-reduction, stress-reduction, interventions are beginning ease adverse impacts members public with whom interact.

Language: Английский

Citations

0