“Playing the system”: Structural factors potentiating mental health stigma, challenging awareness, and creating barriers to care for Canadian public safety personnel

Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine, Journal Year: 2018, Volume and Issue: 24(3), P. 259 - 278

Published: Sept. 16, 2018

There are growing concerns about the impact of public safety work on mental health personnel; as such, we explored systemic and individual factors that might dissuade personnel from seeking care. Public barriers to care-seeking include stigma associated with disorders frequent reports insufficient access To better understand care-seeking, thematically analyzed optional open-ended final comments provided by over 828 Canadian part a larger online survey designed assess prevalence among personnel. Our results indicated systematic processes may have (1) shaped decisions for (2) influenced how care-seekers were viewed their colleagues, (3) encouraged under-awareness personal needs. We described who do seek care be others; in particular, identified widespread participant suspicion coworkers took time address needs "abusing system." what constitutes system" organizational structures-systematic within different organizations-might facilitate such notions abuse. found understaffing increase scrutiny injured those left manage additional burden; addition, cynicism unacknowledged structural emerge, preventing other identifying help. Finally, discuss system-level can potentiated fiscal constraints when take any leave absence, inadvertently contributing an culture wherein help-seeking employment-related becomes unacceptable. Implications training future research discussed.

Language: Английский

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Barriers and Facilitators to Seeking Mental Health Care Among First Responders: “Removing the Darkness”

Journal of the American Psychiatric Nurses Association, Journal Year: 2019, Volume and Issue: 26(1), P. 43 - 54

Published: Sept. 11, 2019

BACKGROUND: First responders (FRs) are at significant risk for developing mental health (MH) problems due to the nature, frequency, and intensity of duty-related traumatic exposure. However, their culture strongly esteems strength self-reliance, which often inhibits them from seeking MH care. AIMS: This study explored factors that influenced FRs’ perceptions engagement in services. METHODS: A community-based approach individual ethnographic qualitative interviews were used. Recruitment a convenience sample firefighters emergency medical technicians/paramedics across Arkansas was facilitated by our community partners. Interviews analyzed using content analysis constant comparison. RESULTS: Analysis generated three broad perception services: (a) Knowledge, (b) Barriers help-seeking, (c) Facilitators help-seeking. Knowledge an overarching factor encompassed barriers facilitators: lack knowledge barrier help-seeking but increased served as facilitator. included five subthemes: Can’t show weakness, Fear confidentiality breech, Therapist: negative experience, Lack access availability, Family burden. Realizing “I’m not alone,” Buy-in, positive Problems got too bad, Recommendations. CONCLUSIONS: Findings provide unique perspectives FRs about how best address needs. responders, well care providers, need more thorough understanding these issues order mitigate facilitate As advocates, educators, psychiatric nurses well-positioned this at-risk population.

Language: Английский

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A Scoping Review on the Prevalence and Determinants of Post-Traumatic Stress Disorder among Military Personnel and Firefighters: Implications for Public Policy and Practice

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(3), P. 1565 - 1565

Published: Jan. 29, 2022

Firefighters and military personnel are public safety who protect the of individuals their properties. They usually exposed to traumatic events leaving them at risk developing mental health conditions such as post-traumatic stress disorder (PTSD). Increasing concern is being raised regarding impacts, specifically PTSD, among firefighters.

Language: Английский

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Factors Influencing Occupational Stress Perceived by Emergency Nurses During Prehospital Care: A Systematic Review

Psychology Research and Behavior Management, Journal Year: 2024, Volume and Issue: Volume 17, P. 501 - 528

Published: Feb. 1, 2024

Objective: To assess personal and work-related factors influencing the stress levels of nurses during prehospital care. Specifically, to identify associations between level perceived stress, degree professional experience, knowledge. Secondly, examine relationship violence in work environment. And third, investigate main protective against Methods: Systematic review PubMed, WOS, Enfispo, Cochrane, LILACS databases following PRISMA methodology (last search 08/Aug/2023). Following PECO framework, studies on occupational ambulance emergency were investigated. Studies English or Spanish, from 2013 2023, only research articles admitted, thus excluding reviews, dissertations, grey literature. Possible bias evidence assessed using critical appraisal tools GRADE. This protocol was registered PROSPERO with code CRD42023446080. Results: Fourteen selected, n=855 identified. One study a clinical trial, others observational qualitative. The very low (n=7), (n=6), moderate (n=1); any excluded due methodological bias. Five categories stressors extracted: management health service (ie, workload organisation, resources), patient care (mainly paediatric care), interpersonal (relationship peers), environmental (exposure injuries), (training, coping strategies). Violence at is frequent for nurses, implying both verbal physical aggressions. Support peers associated positive results stress. Conclusion: Managing improving resources environment are essential reduce fatigue allow emotional processes be addressed. Providing workers skills also imposes them responsibility cope Collective awareness element reducing incidence Keywords: ambulance, prehospital, care, health,

Language: Английский

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Prevalence and correlates of psychiatric symptoms among first responders in a Southern State

Archives of Psychiatric Nursing, Journal Year: 2018, Volume and Issue: 32(6), P. 828 - 835

Published: June 7, 2018

Language: Английский

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Examining Mental Health Knowledge, Stigma, and Service Use Intentions Among Public Safety Personnel

Frontiers in Psychology, Journal Year: 2020, Volume and Issue: 11

Published: May 29, 2020

Public safety personnel (PSP; e.g., communications officials [e.g., 911 call center operators/dispatchers], correctional service employees, firefighters, paramedics, police officers) experience an elevated risk for mental disorders due to inherent work-related stress. Several programs have been designed increase health knowledge, intending reduce stigma, and help-seeking (e.g., resilience training); however, extant not demonstrated sustained improvements PSP health. The current study assessed levels of use intentions in a sample Canadian compared trends published estimates symptoms across categories inform future programming.PSP completed questionnaires assessing stigma against coworkers with illness, professional intentions. Correlations among variables one-way analyses variance were conducted assess differences categories. categorized into six comparison: communication officials, workers, municipal/provincial police, Royal Mounted Police (RCMP).There significant between each variable. Correctional workers reported the most least highest services, positive screens disorders. Conversely, firefighters lowest willingness seek help, prevalence disorders.The results contrast previously hypothesized associations where education, reduction, expected improve discrepant offer potentially critical information organizational policies better support PSP. Individuals reporting may be more appropriate target audience intervention strategies, given possible, crucial role personal plays increasing ultimately, encouraging help-seeking.

Language: Английский

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The Molecular Basis of Resilience: A Narrative Review

Frontiers in Psychiatry, Journal Year: 2022, Volume and Issue: 13

Published: May 6, 2022

Resilience refers to the adaptability of a person – an ability “bounce-back” from stressors. We question if resilience can be strengthened, potentially decrease risk stress-related disorders. Unfortunately, molecular origins are complicated and not yet well understood. In this review, we examine various physiological biomarkers resilience, including associated genes, epigenetic changes, protein with resilient phenotypes. addition assessing that may indicate higher levels also review at length many confer lower lead disorders low such as anxiety depression. This large encompassing help identify possible therapeutic targets resilience. Hopefully these studies will future where prevented, rather than treated.

Language: Английский

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Mental health and help seeking among trauma-exposed emergency service staff: a qualitative evidence synthesis

BMJ Open, Journal Year: 2022, Volume and Issue: 12(2), P. e047814 - e047814

Published: Feb. 1, 2022

To identify factors and contexts that may contribute to mental health recovery from psychological difficulties for emergency service workers (ESWs) exposed occupational trauma, barriers facilitators help-seeking behaviour among trauma-exposed ESWs.ESWs are at greater risk of stressor-related psychopathology than the general population. Exposure stressors trauma observed rates post-trauma in this group with implications workforce sustainability. Types organisational interventions offered ESWs inconsistent across UK, uncertainty around how engage staff.Four databases (OVID MEDLINE, EMBASE, PsycINFO SCOPUS) were systematically searched 1 January 1980 March 2020, citation tracking reference chaining. A modified Critical Appraisal Skills Programme tool quality appraisal prompts used fatally flawed studies. Qualitative studies trauma-exposure front-line included, data extracted using a customised extraction table. Included analysed thematic synthesis.A qualitative evidence synthesis was conducted 24 meeting inclusion criteria, as defined by PerSPEcTiF framework. Fourteen descriptive themes emerged review, categorised into two overarching constructs: (1) contributing (such need downtime, peer support reassurance) (2) influencing stigma, content/form/mandatory nature interventions, literacy issues including emotional awareness education).ESWs reported disconnect between organisations' cultural positioning on trauma-related health, reality undertaking role perceived applicability usefulness interventions. Following traumatic exposure, benefitting time informal trusted colleagues. culture which encourages help seeking open dialogue reduce stigma improve ill associated exposure.

Language: Английский

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The effectiveness of psychological interventions for reducing PTSD and psychological distress in first responders: A systematic review and meta-analysis

PLoS ONE, Journal Year: 2022, Volume and Issue: 17(8), P. e0272732 - e0272732

Published: Aug. 24, 2022

First responders are faced with stressful and traumatic events in their work that may affect psychological health. The current review examined the effectiveness of interventions to treat posttraumatic stress disorder (PTSD), anxiety, depression, burnout first responders.

Language: Английский

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Occupation-Induced Fatigue and Impacts on Emergency First Responders: A Systematic Review

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(22), P. 7055 - 7055

Published: Nov. 12, 2023

Fatigue in emergency first responders (EFRs) is known to affect performance abilities and safety outcomes for both patients EFRs. The primary aim of this review was determine the main contributors occupation-induced fatigue EFRs its subsequent impacts. Following PRIMSA checklist, academic databases (Medline, Embase, CINAHL, SPORTDiscus) were searched using key terms with results subjected inclusion exclusion criteria. Populations interest firefighters, paramedics, or call centre personnel. Of 5633 records identified, 43 studies, which reported on 186 unique measures from a total population 6373 participants, informed review. Synthesis revealed caused by lack sleep during shift consistent poor quality negatively impacted cognitive function, alertness, physical mental health while increasing safety-compromising behaviours injuries. Both subjective objective assessments are necessary effective risk management that consistently fatigued at greater health, reduced increased No studies personnel, highlighting literature gap. Funding provided Australian Capital Territory Emergency Services Agency. Preregistration filed OSF: osf.io/26f3s.

Language: Английский

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