The Royal Canadian Mounted Police (RCMP) Study: protocol for a prospective investigation of mental health risk and resilience factors

Health Promotion and Chronic Disease Prevention in Canada, Год журнала: 2022, Номер 42(8), С. 319 - 333

Опубликована: Авг. 1, 2022

The Royal Canadian Mounted Police (RCMP), like all public safety personnel (PSP), are frequently exposed to potentially psychologically traumatic events that contribute posttraumatic stress injuries (PTSI). Addressing PTSI is impeded by the limited available research. In this protocol paper, we describe RCMP Study, part of concerted efforts reduce improving access evidence-based assessments, treatments and training as well participant recruitment Study developments date. has been designed (1) develop, deploy assess impact a system for ongoing annual, monthly daily assessments; (2) evaluate associations between demographic variables PTSI; (3) longitudinally individual differences associated with (4) augment Cadet Training Program skills proactively mitigate (5) augmented condition (ATC) versus standard (STC). Participants in STC (n = 480) ATC assessed before after annually 5 years on their deployment date; they also complete brief surveys. results expected benefit mental health participants, PSP reducing among who serve.Les membres de la Gendarmerie royale du Canada (GRC), comme l’ensemble sécurité publique, sont fréquemment exposés à des événements potentiellement traumatiques sur le plan psychologique qui contribuent survenue blessures post­traumatique. Le peu travaux recherche disponibles sujet limite l’étude ces blessures. présent article décrit l'étude GRC, fait partie concertés que GRC déployés pour réduire les posttraumatique en améliorant l'accès aux évaluations, traitements et formations fondés données probantes, recrutement ainsi développements ce jour. L’étude été conçue : 1) élaborer mettre place un système d’évaluations annuelles, mensuelles quotidiennes fondées probantes évaluer l’effet; 2) entre démographiques post­traumatique; 3) manière longitudinale différences individuelles associées 4) intégrer au Programme formation cadets compétences permettant d’atténuer façon proactive post­traumatique 5) l’effet renforcée (FR) par rapport (FS). Les participants FS FR évalués avant après formation, chaque année pendant cinq ans compter date leur déploiement; ils répondent également courts sondages mensuels quotidiens. résultats devraient être bénéfiques santé mentale tous car contribueront ceux servent population.Research how (PTSIs) (RCMP) events. taught PTSI. recruited into study receive other mitigating serve.On dispose recherches moyens chez (GRC) psychologique. point post­traumatique, offerte effets. recrutés dans cadre vue suivre une déploiement. l’étude, autres contribuant atténuer service population.

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Canadian Public Safety Personnel and Occupational Stressors: How PSP Interpret Stressors on Duty

International Journal of Environmental Research and Public Health, Год журнала: 2020, Номер 17(13), С. 4736 - 4736

Опубликована: Июль 1, 2020

Canadian public safety personnel (e.g., correctional workers, firefighters) experience potential stressors as a function of their occupation. Occupational can include organizational job context) and operational content) elements. Operational exposures to potentially psychologically traumatic events) may be inevitable, but opportunities exist mitigate other occupational for personnel. Research exploring the diverse forms stress among remains sparse. In our current qualitative study we provide insights into how interpret stressors. We use semi-grounded thematic approach analyze what reported when asked further comment on or work experiences in two open-ended fields an online survey. more comprehensive understanding that are unique occupations. Beyond known stressors, respondents (n = 1238; n 828) substantial difficulties with (interpersonal relationship dynamics; workload distribution, resources, administrative obligations) (vigilance, location, interacting public) Some mitigated better support

Язык: Английский

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Physiological Responses to Organizational Stressors Among Police Managers

Applied Psychophysiology and Biofeedback, Год журнала: 2024, Номер 49(1), С. 85 - 102

Опубликована: Янв. 20, 2024

Abstract Police officers demonstrate increased risk of physical and mental health conditions due to repeated prolonged exposure stressful occupational conditions. Occupational stress is broken into two types: operational stress, related the content field duties (e.g., demands); organizational cultural structural contexts interpersonal relationships). Applied police research focuses on physiological activation in tasks as a mechanism explaining non-optimal performance outcomes. However, recent survey-based studies indicate numerous stressors associated with self-reported symptoms. The question whether elicit significant activity remains unknown. current proof-of-concept study tests hypothesis that managers will display reactivity before, during, after engaging reality-based scenarios representative management developed from evidence-based pedagogical approaches. A sample 25 training (7 female, M = 16 +/- 5.3 years experience) completed 5 scenarios, including resolving heated conflict between colleagues, delivering negative feedback subordinate, critical incident command. Significant increases heart rate relative rest were observed during all tasks, anticipation several tasks. Greater reactive longer recovery times. Sex differences relationships objective biological subjective psychological measures are discussed. findings responses similar levels despite absence or aerobic exertion. Implications for

Язык: Английский

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Paramedic Willingness to Report Violence Following the Introduction of a Novel, Point-of-Event Reporting Process in a Single Canadian Paramedic Service

International Journal of Environmental Research and Public Health, Год журнала: 2024, Номер 21(3), С. 363 - 363

Опубликована: Март 19, 2024

Violence against paramedics is increasingly recognized as an important occupational health problem, but pervasive and institutionalized underreporting hinders efforts at risk mitigation. Earlier research has shown that the organizational culture within paramedicine may contribute to underreporting, researchers have recommended involving in development of violence prevention policies, including reporting systems. Eighteen months after launch a new system Peel Region, Ontario, Canada, we surveyed about their experiences violent encounters. Our objectives were assess willingness report explore factors influence decisions file report. Between September December 2022, total 204 (33% eligible) chose participate, whom 67% (N = 137) had experienced since process, with 83% 114) incidents least some time. After thematically analyzing free-text survey responses, found participants cited accessibility process desire promote accountability among perpetrators while contributing safer workplace motivating factors. Their report, however, could be influenced by perceived ‘volitionality’ severity encounters, particularly context (un)supportive co-workers supervisors. Ultimately, participants’ belief would lead meaningful change service was key driver behavior.

Язык: Английский

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Prevalence and Characteristics of Violence against Paramedics in a Single Canadian Site

International Journal of Environmental Research and Public Health, Год журнала: 2023, Номер 20(17), С. 6644 - 6644

Опубликована: Авг. 24, 2023

Violence against paramedics has been described as a 'serious public health problem' but one that remains 'vastly underreported', owing to an organizational culture stigmatizes reporting-hindering efforts at risk mitigation in addition creating gap research. Leveraging novel reporting process developed after extensive stakeholder consultation and embedded within the electronic patient care record, our objective was provide descriptive profile of violence single paramedic service Ontario, Canada. Between 1 February 2021 31 January 2023, total 374 Peel Region (48% workforce) generated 941 reports, which 40% documented physical (n = 364) or sexual 19) assault. The typically perpetrated by patients (78%) primarily took place scene 9-1-1 call (47%); however, violent behavior frequently persisted recurred while transit hospital arrival. Collectively, mental health, alcohol, drug use were listed contributing circumstances 83% reports. In all, 81 physically harmed because On average, data correspond filing report every 18 h, being assaulted 46 injured 9 days.

Язык: Английский

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Correctional Work: Reflections Regarding Suicide

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(8), С. 4280 - 4280

Опубликована: Апрель 17, 2021

The Public Health Agency of Canada declared suicide a public health problem in (2016). Employees working correctional services, researchers find, experience high rates life-time suicidal ideation comparison to other safety professionals and the general population. Suicide behaviours (i.e., ideation, planning, attempts, death) are multifactorial phenomenon, explained part by Interpersonal-Psychological Theory that suggests attempted is facilitated perceived burdensomeness, lost sense belonging, feeling hopelessness, progressively reduced fear death, as well capacity planning engage lethal attempt. In current study, we unpack factors can influence reported workers. Our intent make explicit experiences small sample (n = 25) workers relation behaviours, highlighting stories recovery acknowledging importance facilitating psychologically safe workplaces. Analysis entailed an inductive semi-grounded emergent theme approach. Participants identified certain risk being able induce such marital or family problems difficulties at work bullying difficult conditions). Having children partner may act preventing for those with ideation. sought help from professionals, their doctor, psychologist, Employee Assistance Program (EAP); however, lack organisational supports recognition issue employer two elements hinder search help.

Язык: Английский

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Mental Disorder Symptoms and the Relationship with Resilience among Paramedics in a Single Canadian Site

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(8), С. 4879 - 4879

Опубликована: Апрель 17, 2022

There is growing recognition in research and policy of a mental health crisis among Canada's paramedics; however, despite this, epidemiological surveillance the problem its infancy. Just weeks before emergence COVID-19 pandemic, we surveyed paramedics from single, large, urban paramedic service Ontario, Canada to assess for symptom clusters consistent with post-traumatic stress disorder (PTSD), major depressive disorder, generalized anxiety identify potential risk factors each. In total, received 589 completed surveys (97% completion rate) found that 11% screened positive PTSD, 15% one four active-duty screening any three as recently February 2020. adjusted analyses, screen varied function employment classification, gender, self-reported resilience, previous experience member service's peer support team. Our findings position disorders at high rates-a likely have worsened since onset pandemic. We echo calls researchers policymakers urgent action Canada.

Язык: Английский

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Psychological First Aid Intervention after Exposure to a Traumatic Event at Work among Emergency Medical Services Workers

Annals of Work Exposures and Health, Год журнала: 2022, Номер 66(7), С. 946 - 959

Опубликована: Фев. 9, 2022

Psychological First Aid (PFA) is a promising early intervention for managing mental health symptoms and providing psychosocial support after exposure to traumatic event (TE) among high-risk organizations such as Emergency Medical Service (EMS). However, recipients' experience with PFA remains understudied. This study aimed explore the perception of EMS workers (n = 13) who received administered by peer helper using qualitative inductive approach. Findings from thematic analysis indicated that addresses workers' immediate needs in congruence Hobfoll's five essential principles enhance coping recovery TE. Specific components intervention, its time-sensitive nature closeness peers, were especially appreciated workers. The appeared have beneficial impact on recipients, regarding reduction stigma, increase help-seeking behaviors, decrease organizational difficulties. In conclusion, offered helpers recipients first step toward supporting aftermath workplace trauma. These findings contribute current literature informing further research about other quantitative studies aiming test PFA's efficacy settings.

Язык: Английский

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The relationship between role identity and mental health among paramedics

Journal of Workplace Behavioral Health, Год журнала: 2021, Номер 37(1), С. 31 - 46

Опубликована: Окт. 10, 2021

Role identity theory describes the beneficial effects on health as a result of purpose and meaning from occupying social roles. Amid high rates mental illness among paramedics, we surveyed 589 (97%) paramedics single site in Ontario, Canada evaluated for relationships between four dimensions previously validated paramedic role scale symptoms various disorders. Although did not observe relationship disorder symptoms, note with interest differences across demographic categories that challenge previous characterizations profession warrant further investigation.

Язык: Английский

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Assessing the impact of the Royal Canadian Mounted Police (RCMP) protocol and Emotional Resilience Skills Training (ERST) among diverse public safety personnel

BMC Psychology, Год журнала: 2022, Номер 10(1)

Опубликована: Дек. 9, 2022

Abstract Background Public safety personnel (PSP; e.g., border services personnel, correctional workers, firefighters, paramedics, police, public communicators) are frequently exposed to potentially psychologically traumatic events. Such events contribute substantial and growing challenges from posttraumatic stress injuries (PTSIs), including but not limited disorder. Methods The current protocol paper describes the PSP PTSI Study (i.e., design, measures, materials, hypotheses, planned analyses, expected implications, limitations), which was originally designed evaluate an evidence-informed, proactive system of mental health assessment training among Royal Canadian Mounted Police for delivery diverse municipal communicators). Specifically, will: (1) adapt, implement, assess impact a ongoing annual, monthly, daily) evidence-based assessments; (2) associations between demographic variables PTSI; (3) longitudinally individual differences associated with and, (4) providing tailored version Emotional Resilience Skills Training developed in mitigating PTSIs based on Unified Protocol Transdiagnostic Treatment Disorders. Participants assessed pre- post-training, then at follow-up 1-year after training. assessments include clinical interviews, self-report surveys brief daily monthly assessments, biometric data. also participant recruitment developments date. Discussion is opportunity test, improve set tools as part evidence-informed solution protect health. provides details inform support translation results well informing supporting replication efforts by other researchers. Trial registration Hypotheses Registration: aspredicted.org, #90136. Registered 7 March 2022—Prospectively registered. registration: ClinicalTrials.gov, NCT05530642. 1 September 2022—Retrospectively subsequent benefit all participants ultimately, PSP.

Язык: Английский

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