Mental health training, attitudes toward support, and screening positive for mental disorders

Cognitive Behaviour Therapy, Год журнала: 2019, Номер 49(1), С. 55 - 73

Опубликована: Фев. 22, 2019

Public Safety Personnel (PSP; e.g. correctional workers, dispatchers, firefighters, paramedics, police) are frequently exposed to potentially traumatic events (PTEs). Several mental health training program categories (e.g. critical incident stress management (CISM), debriefing, peer support, psychoeducation, first aid, Road Mental Readiness [R2MR]) exist as efforts minimize the impact of exposures, often using cognitive behavioral therapy model content, but with limited effectiveness research. The current study assessed PSP perceptions access professional (i.e. physicians, psychologists, psychiatrists, employee assistance programs, chaplains) and non-professional spouse, friends, colleagues, leadership) associations between health. Participants included 4,020 currently serving participants. Data were analyzed cross-tabulations logistic regressions. Most reported support; nevertheless, most would a spouse (74%) many never, or only last resort, support (43-60%) leaders (67%). Participation in any category was associated lower (p < .01) rates for some, not all, disorders, no robust differences across categories. Revisions programs may improve willingness interim, spouses also be beneficial.

Язык: Английский

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A longitudinal assessment of the road to mental readiness training among municipal police

Cognitive Behaviour Therapy, Год журнала: 2018, Номер 47(6), С. 508 - 528

Опубликована: Июнь 18, 2018

Police agencies increasingly implement training programs to protect mental health. The Road Mental Readiness (R2MR) program was designed by the Canadian military increase health resilience. A version of R2MR adapted for municipal police Health Commission Canada (MHCC). current research assess program, as and delivered MHCC, in a sample. Participants were 147 agency employees (57% women) who received single session. completed pre- post-training self-report questionnaires, follow-ups at 6 12 months. questionnaires assessed symptoms, work engagement, resiliency, knowledge, stigma. Multilevel modeling analyses within-participant changes over time. results consistent with other session interventions; specifically, there no significant resilience, or engagement (p > .05). There small, but < .05), reductions stigma that may facilitate help-seeking among police; relatedly, open-ended response fields, participants commonly described helpful changing attitudes improving communication. More material produce larger, sustained gains, more published is critically needed.

Язык: Английский

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Anxiety-related psychopathology and chronic pain comorbidity among public safety personnel

Journal of Anxiety Disorders, Год журнала: 2018, Номер 55, С. 48 - 55

Опубликована: Март 18, 2018

Canadian Public Safety Personnel (PSP; e.g., correctional service officers, dispatchers, firefighters, paramedics, police officers) regularly experience potentially traumatic, painful, and injurious events.Such exposures increase risk for developing mental disorders chronic pain, which both involve substantial personal social costs.The interrelationship between pain is well-established, can be mutually maintaining; accordingly, understanding the relationship health among PSP important improving care.Unfortunately, available research on such comorbidity sparse.The current study was designed to provide initial estimates of comorbidities across diverse PSP.Participants included 5093 (32% women) in six categories (i.e., Call Center Operators/Dispatchers, Correctional Workers, Firefighters, Municipal/Provincial Police, Paramedics, Royal Mounted Police) who participated a large survey.The survey established self-report measures pain.In total sample, 23.1% respondents selfreported clinically significant comorbid concerns with pain.The results indicated reported were significantly more likely screen positive posttraumatic stress disorder (PTSD), major depressive disorder, generalized anxiety alcohol use disorder.There differences categories; but, most consistent indications PTSD, disorder.Comorbidity prevalent.Health care providers should assess symptom domains.

Язык: Английский

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Role Identity, Dissonance, and Distress among Paramedics

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(4), С. 2115 - 2115

Опубликована: Фев. 13, 2022

Role identity theory describes the purpose and meaning in life that comes, part, from occupying social roles. While robustly linked to health wellbeing, this may become unideal when an individual is unable fulfill perceived requirements of especially salient role manner they believe should. Amid high rates mental illness among public safety personnel, we interviewed a purposely selected sample 21 paramedics single service Ontario, Canada, explore incongruence between espoused able-to-enact paramedic identity. Situated interpretivist epistemology using successive rounds thematic analysis, developed framework for dissonance wherein chronic, identity-relevant disruptive events cause emotional psychological distress. some participants were able recalibrate their sense self understanding role, others, was irreconcilable, contributing disability lost time work. In addition novel perspective on our work also offers modest contribution context as example consider disruption through chronic workplace stress.

Язык: Английский

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Monthly Mental Health Self-Monitoring and Positive Changes in Mental Health Disorder Symptoms Scores Among Royal Canadian Mounted Police Cadets

Опубликована: Янв. 29, 2025

Язык: Английский

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Developing a Canadian fatigue risk management standard for first responders: Defining the scope

Safety Science, Год журнала: 2020, Номер 134, С. 105044 - 105044

Опубликована: Окт. 26, 2020

Язык: Английский

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Identifying Features of a System of Practice to Inform a Contemporary Competency Framework for Paramedics in Canada

Healthcare, Год журнала: 2024, Номер 12(9), С. 946 - 946

Опубликована: Май 5, 2024

Introduction: Paramedic practice is highly variable, occurs in diverse contexts, and involves the assessment management of a range presentations varying acuity across lifespan. As result, attempts to define paramedic have been challenging incomplete. This has led inaccurate or under-representations that can ultimately affect education, assessment, delivery care. In this study, we outline our efforts better identify, explore, represent professional when developing national competency framework for paramedics Canada. Methods: We used systems-thinking approach identify settings, features, influences on makes use role influence system features at microsystem, mesosystem, exosystem, macrosystem, supra-macrosystem, chronosystem levels ways provide new insights. methods such as rich pictures, diagramming, systems mapping explore relationships between these contexts features. Findings: When examine paramedicine, multiple layers become evident within them start see details ought be considered any future development work. Our exploration highlights considers person receiving care, caregivers, paramedics. It collaboration co-located dispersed teams are composed other health social care professionals, public safety personnel, others. Practice enacted geographical, cultural, social, technical subject policy, regulatory, legislative influence. Conclusion: Using approach, developed detailed map inform initial stages more representative, comprehensive, contemporary

Язык: Английский

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Associations between Trauma Exposure and Physical Conditions among Public Safety Personnel: Associations entre l’exposition à un traumatisme et les problèmes physiques chez le personnel de la santé publique

The Canadian Journal of Psychiatry, Год журнала: 2020, Номер 65(8), С. 548 - 558

Опубликована: Апрель 10, 2020

Background: Trauma exposure is associated with adverse health-related correlates, including physical comorbidities, and highly prevalent among public safety personnel (PSP). The current study (1) examined the association between context of index trauma (part job vs. other) conditions (2) established prevalence according to PSP category (e.g., police, paramedic) type serious accident, assault) in a large Canadian sample PSP. Methods: completed an online survey September 2016 January 2017. Multivariable logistic regressions associations (i.e., part condition categories. Cross-tabulations chi-square analyses whether significantly differed type. Results: There were 5,267 included study. Results from most stringent model demonstrated that, compared who experienced their any other context, it as had reduced odds “other” (adjusted ratio = 0.73, 95% confidence interval, 0.57 0.94, P < 0.05). also revealed significant differences across all categories select types. Conclusion: highlight relevance outside occupational may have implications for positive impact stress inoculation resiliency training programs

Язык: Английский

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Grappling with Chronic Pain and Poverty during the COVID-19 Pandemic

Canadian Journal of Pain, Год журнала: 2020, Номер 4(1), С. 125 - 128

Опубликована: Янв. 1, 2020

The world is facing unprecedented challenges with the COVID-19 pandemic. This pandemic has drawn attention to importance, failings, and weaknesses of health systems around world, brough...

Язык: Английский

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Prevalence of musculoskeletal disorders among Canadian firefighters: A systematic review and meta-analysis

Journal of Military Veteran and Family Health, Год журнала: 2020, Номер 6(1), С. 83 - 97

Опубликована: Май 1, 2020

Introduction: Firefighters are set to respond a number of dynamic demands within their roles that extend well beyond fire suppression. These tasks (i.e., heavy lifting, awkward postures) and unpredictable nature likely contributing factors musculoskeletal disorders (MSDs). Several individual studies have assessed the prevalence MSDs among Canadian firefighters. Therefore, systematic review meta-analysis was conducted critically appraise quality body available literature provide pooled point- period-prevalence estimates anatomical regions Methods: The MEDLINE, Embase, PubMed Web Science databases were searched from inception November 2018. Cross-sectional cohort with (point- period-) career/professional firefighters in Canada identified appraised. defined as sprains/strains, fractures/dislocations self-reported bodily pain (chronic or acute). Period- point-prevalence calculated, study-specific using random-effects model. Results: Five eligible (3 prospective, 2 retrospective) included, total 4,143 participants had mean age range 34 (SD = 8.5) 42.6 9.7) years. reported types included sprain strain, fractures, head, neck, shoulder, elbow, arm, hand, back, upper thigh, knee, foot pain. estimate shoulder 23.00% studies, 312 1,491 firefighters, 95% CI, 15.00–33.00), back 27.0% 367 18.00–38.00), knee 27.00% (2 180 684 11.00–48.00). one-year all sprain/strain injuries (all parts) 10.0% 278 2,652 7.00–14.00). Discussion: High (1 4 firefighters) shoulder-, back-, knee-related This emphasizes need for early assessment, intervention, injury prevention strategies reflect how units work together maximize ergonomic efficiency prevention.

Язык: Английский

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