Mental Health of Royal Canadian Mounted Police at the Start of the Cadet Training Program

The Canadian Journal of Psychiatry, Год журнала: 2023, Номер 68(9), С. 651 - 662

Опубликована: Май 2, 2023

Objective Serving Royal Canadian Mounted Police (RCMP) have screened positive for one or more mental disorders based on self-reported symptoms with substantial prevalence (i.e., 50.2%). Mental health challenges military and paramilitary populations historically been attributed to insufficient recruit screening; however, cadet when starting the Cadet Training Program (CTP) was unknown. Our objective estimate RCMP CTP test sociodemographic differences. Method Cadets completed a survey assessing ( n = 772, 72.0% male) clinical interview 736, 74.4% clinician supervised trainee using Mini-International Neuropsychiatric Interview assess current past health. Results The percentage of participants screening (15.0%) higher than diagnostic general population (10.1%); interviews, were less likely screen any disorder (6.3%) population. Participants also self-report (3.9%) interviews (12.5%) (33.1%). Females score males (all ps<.01; Cohen's ds .23 .32) several symptom measures. Conclusions results are first describe CTP. data evidenced lower anxiety, depressive, trauma-related contrasting notions that rigorous would reduce high among serving RCMP. Instead, protecting may require ongoing efforts mitigate operational organizational stressors.

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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Pilot Study Exploring the Perspectives of Canadian Clients Who Received Digitally Delivered Psychotherapies Utilized for Trauma-Affected Populations

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(2), С. 220 - 220

Опубликована: Фев. 4, 2025

The digital delivery of mental health services became increasingly common following the onset COVID-19 pandemic. There is still much to learn regarding tailoring interventions for trauma-affected populations (military members, Veterans, public safety personnel). Through current pilot study, we explored perceptions digitally delivered psychotherapies utilized populations, as reported by Canadian military and personnel who completed such interventions. Quantitative data were collected from 11 clients with posttraumatic stress injury). Survey questions based on Alberta Quality Matrix Health Unified Theory Acceptance Use Technology model. As a follow-up, invited partake in semi-structured interview further explore their perspectives trauma-focused adjunct therapies. Four participated an interview. client participants that trauma therapies offered similar treatment effectiveness in-person while also improving access. indicated several unique advantages delivery, including increased accessibility treatment, cost-effectiveness, more efficient use resources, although small sample size limits generalizability our findings. Further research larger, diverse population required corroborate results identify other avenues which can be engaged improved upon.

Язык: Английский

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The Impact of Military Sexual Misconduct on the Deployment Experiences of Woman-Identifying Canadian Veterans

Armed Forces & Society, Год журнала: 2025, Номер unknown

Опубликована: Март 12, 2025

The present research examined how military sexual misconduct (MSM) impacts the perceived experiences of unit cohesion in a sample woman-identifying Canadian Veterans. Semi-structured interviews were conducted with 13 veterans, asking questions about deployment-related factors (e.g., rewarding/challenging aspects). Although MSM was not explicitly probed for, it widely discussed relation to participants’ cohesion. Thematic analysis yielded three themes describing feelings cohesion—value, acceptance, and unity. In contexts where present, participants described being undermined, resulting degraded experience absent, value, unity as improved, well an enhanced These findings provide exploratory model by which consider impact on gendered

Язык: Английский

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The Effectiveness of Debriefing on the Mental Health of Rescue Teams: A Systematic Review

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(4), С. 590 - 590

Опубликована: Апрель 9, 2025

Background: Rescue teams and emergency services face high levels of mental health problems due to their frequent exposure traumatic situations. Critical incident stress debriefing (CISD) is widely used as a psychological intervention for responders military personnel exposed events. However, its effectiveness remains controversial, with systematic reviews yielding mixed results some evidence negative harmful outcomes. This review, conducted according PRISMA guidelines, evaluates the on efficacy CISD in mitigating distress preventing post-traumatic disorder (PTSD). Methods: A search was PubMed PsycINFO from inception November 2024. Eligibility criteria included randomized controlled trials (RCTs) cohort studies assessing impact PTSD, anxiety, depression, distress. Two independent reviewers screened studies, extracted data, assessed risk bias using PEDro scale. Data narrative synthesis applicable. Results: total 6 out 371 were included, comprising 4751 participants. The scale showed that one study methodological quality, four acceptable two had deficiencies. findings revealed outcomes: while reported reduction PTSD symptoms, others found no significant effect or even potential harm. Heterogeneity implementation, population characteristics, quality influenced results. Risk moderate several limitations sample size follow-up duration. No specific effects have been studied mountain rescue teams. Conclusions: Current does not unequivocally support Given concerns adverse effects, alternative methods, such Battlemind debriefing, warrant further exploration. Future research should focus well-powered RCTs standardized protocols enhance reliability.

Язык: Английский

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Optimization of Internet-Delivered Cognitive Behavioral Therapy for Canadian Leaders Within Public Safety: Qualitative Study (Preprint)

Опубликована: Фев. 7, 2025

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. 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. 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. 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. option needs its delivery. Future should impacts efforts other groups clients. ClinicalTrials.gov NCT04127032, https://www.clinicaltrials.gov/study/NCT04127032; NCT04335487, https://clinicaltrials.gov/study/NCT04335487

Язык: Английский

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Optimization of Internet-Delivered Cognitive Behavioral Therapy for Canadian Leaders Within Public Safety: Qualitative Study

Journal of Medical Internet Research, Год журнала: 2025, Номер 27, С. e72321 - e72321

Опубликована: Апрель 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

Язык: Английский

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A brief workplace intervention for anxiety sensitivity aimed at reducing the risk of posttraumatic stress in first responders

Cognitive Behaviour Therapy, Год журнала: 2025, Номер unknown, С. 1 - 21

Опубликована: Апрель 24, 2025

First responders are repeatedly exposed to trauma in the course of their work, increasing vulnerability posttraumatic stress disorder (PTSD). Efforts reduce risk PTSD could focus on individual factors that increase for PTSD. Although many these immutable, others, such as high anxiety sensitivity (AS), can theoretically be targeted and fortified through intervention. The current study investigated effectiveness a brief (single session) cognitive behavioural therapy AS intervention vs. waitlist control reducing AS, subsequently mitigating related mental health symptoms. Participants were 179 first from eight workplaces Canada. was delivered remotely group format. Workplaces randomly assigned or control. completed self-report questionnaire pre-intervention, one-week post-intervention, 8 months later (and at comparable time points condition). Hierarchical linear regressions revealed conditions did not predict (a) during follow-up (b) symptoms eight-month follow-up. Theoretical clinical implications, including recommendations specific interventions involving responders, discussed detail.

Язык: Английский

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Exploring the Perspectives of Canadian Clinicians Regarding Digitally Delivered Psychotherapies Utilized for Trauma-Affected Populations

International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(1), С. 81 - 81

Опубликована: Янв. 9, 2025

Many clinical sites shifted towards digital delivery of mental health services during the COVID-19 pandemic. There is still much to learn regarding tailoring digitally delivered interventions for trauma-affected populations. The current study examined perceptions Canadian clinicians who provided psychotherapies utilized Specifically, we explored shift use, what changed with this rapid shift, needs, problems, and solutions arose, important future considerations associated delivering trauma-focused adjunct treatments digitally. Survey data were collected from 12 clinician participants. Surveys adapted Alberta Quality Matrix Health Unified Theory Acceptance Use Technology model. As a follow-up, participants invited participate in either semi-structured qualitative interview or focus group further explore their perspectives on therapies. Twenty-four partook an group. supported use populations, sharing that these appeared offer similar quality care in-person delivery. Further research required address clinicians' concerns (e.g., patient safety) identify other avenues which populations can be engaged improved upon.

Язык: Английский

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Feeling Detached: The Central Role of Detachment in a Network Study of Posttraumatic Stress Symptoms in Public Safety Personnel

European Journal of Trauma & Dissociation, Год журнала: 2025, Номер unknown, С. 100505 - 100505

Опубликована: Янв. 1, 2025

Язык: Английский

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