Mental health disorder symptom changes among public safety personnel after emotional resilience skills training

Comprehensive Psychiatry, Год журнала: 2025, Номер 138, С. 152580 - 152580

Опубликована: Фев. 5, 2025

Public safety personnel (PSP) are frequently exposed to psychologically traumatic events. The exposures potentiate posttraumatic stress injuries (PTSIs), including disorder (PTSD). Royal Canadian Mounted Police (RCMP) Protocol was designed mitigate PTSIs using ongoing monitoring and PSP-delivered Emotional Resilience Skills Training (ERST) based on the Unified for Transdiagnostic Treatment of Disorders. current study pilot-tested ERST effectiveness among diverse PSP. A 16-month longitudinal design engaged serving PSP (n = 119; 34 % female; firefighters, municipal police, paramedics, public communicators) who completed ERST. Participants were assessed symptoms PTSIs, but not limited PTSD, at pre- post-training, 1-year follow-up self-report measures clinical interviews. There reductions in diagnostic interview positive screens PTSD other PTSI from post-training (ps < 0.05), with mental health sustained or improved follow-up. Improvements observed firefighters (Cohen's d 0.40 0.71), police 0.28 0.38), paramedics 0.20 0.56), communicators 0.05 0.14). Ongoing ERST, can produce small large improvements PSP, challenges, variations influenced by pre-training factors organizational supports. replication extension research appears warranted. Hypotheses Registration: aspredicted.org, #90136. Registered 7 March 2022 - Prospectively registered. ClinicalTrials.gov, NCT05530642.

Язык: Английский

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Canadian Nurses' Interprofessional Work Stressors: A Qualitative Study

Nursing and Health Sciences, Год журнала: 2025, Номер 27(2)

Опубликована: Апрель 6, 2025

ABSTRACT Nurses are at risk of adverse mental health symptoms due to frequent exposure workplace stressors, but less is known about nurses' experiences with interprofessional stressors. This study was designed understand perspectives on stressors in the workplace. rated exposures stressful events through an online survey and were invited comment event they perceived be most distressing impactful. We exclusively considered open‐ended responses that described ( n = 505) used a multi‐phase, semi‐grounded, constructed qualitative approach represent experiences. physicians, management, co‐workers. The involved impacts patient care, witnessing cruel or harmful actions, lack support among teams. Many associated may traumatic morally injurious. Interprofessional modifiable factor nursing environment must addressed well‐being retain this vital workforce.

Язык: Английский

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Military Cultural Competency in Canadian Sexual Assault Support Centers: “Not Here for Lessons”

Journal of Social Service Research, Год журнала: 2025, Номер unknown, С. 1 - 12

Опубликована: Апрель 16, 2025

Язык: Английский

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Rapid response to COVID-19: addressing challenges and increasing the mental readiness of public safety personnel

Health Promotion and Chronic Disease Prevention in Canada, Год журнала: 2020, Номер 40(11/12), С. 350 - 355

Опубликована: Сен. 1, 2020

Highlights • The COVID-19 pandemic has underscored the essential role of public safety personnel in serving and protecting all Canadians.• Public were reporting challenges with mental health well-being before pandemic; accordingly, new stressors may mean need additional resources to sustainably help them us.• This article suggests elements support that be attainable avenues for supporting wellbeing during protracted stress caused by pandemic.• Sustained self-care critical maintaining pandemic.

Язык: Английский

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Stakeholder experiences of a public safety personnel work reintegration program

Journal of Community Safety and Well-Being, Год журнала: 2023, Номер 8(Suppl_1), С. S23 - S31

Опубликована: Фев. 23, 2023

Public safety personnel (PSP) are at risk of experiencing operational stress injuries (OSIs). The functional impairments caused by OSIs can contribute to challenges with returning pre-injury requirements. A Canadian municipal policing agency developed a peer-led workplace reintegration program (RP) assist PSP in their after an illness or injury. Although this RP has been used internationally, there is paucity research on and its implementation organizations. perspectives key stakeholders important for capturing the current state RPs future directions advocacy, implementation, sustainability, spread RP, set stage research. purpose study was explore experiences engaged creation, facilitation, execution Alberta, Canada. This will help identify strengths, barriers, facilitators, needs, processes, attitudes associated direction qualitative thematic analysis focus groups (N=8) involving (N=30) from five organizations conducted using community-engaged approach as part larger mixed-methods study. Four themes emerged participants: (1) Integral elements success, (2) (3) Key areas growth, (4) Evolution Program. While highly regarded stakeholders, it essential that evidence-based guide evaluation, modification, spread, scale globally.

Язык: Английский

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Exploring the Perspectives of Clients and Clinicians Regarding Digitally Delivered Psychotherapies Utilized for Trauma-Affected Populations.

medRxiv (Cold Spring Harbor Laboratory), Год журнала: 2024, Номер unknown

Опубликована: Апрель 13, 2024

Abstract During the COVID-19 pandemic, many clinical sites shifted towards digital delivery of mental health services. However, there is still much to learn regarding using digitally delivered psychotherapies in trauma-affected populations, including military members, Veterans, and public safety personnel. This study examined perceptions utilized for trauma-maffected as reported by Canadian personnel who completed such interventions clinicians provided them. Specifically, we explored imposed shift use, what changed with this rapid shift, needs, problems, solutions arose, important future considerations associated delivering trauma-focused adjunct treatments digitally. Quantitative survey data were collected from 11 patients (military post-traumatic stress injury) 12 clinicians. Survey questions adapted Alberta Quality Matrix Health (AQMH) Unified Theory Acceptance Use Technology (UTAUT) model. As a follow-up, participants invited participate either semi-structured qualitative interview or focus group further explore their perspectives on therapies. Four clients 19 clinician participated an group. In interview/focus results, patient that trauma therapies offered similar treatment effectiveness in-person while also improving access. Participants indicated unique advantages delivery, increased accessibility treatment, cost effectiveness, more efficient use resources. some struggled platforms felt less comfortable working environment. Further research larger, diverse population required corroborate our results identify other avenues which populations can be engaged improved upon. Author Summary Many service faced unexpected shifts services comply mandated physical distancing restrictions put place during pandemic. There completed, provided, populations. exploration aims increase understanding strengths limitations mode delivery. Patient Some struggling of, on, platforms. confirm using,

Язык: Английский

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Trouble with the curve: the 90–9-1 rule to measure volitional participation inequalities among Royal Canadian Mounted Police cadets during training

Frontiers in Psychiatry, Год журнала: 2024, Номер 15

Опубликована: Май 28, 2024

Objective The Royal Canadian Mounted Police (RCMP) Study includes longitudinal multimodal assessments of RCMP cadets from pre-training (i.e., starting the Cadet Training Program [CTP]) to post-deployment and for five years thereafter. data allow investigating multidimensionality volitional participation in digital health collection frameworks within serial platforms impact inequalities by classifying using 90–9-1 rule. By as Lurkers, Contributors, Superusers formally described rule, where 90% actors do not participate, 9% seldom contribute, 1% contribute substantially allows assessing relationships between self-monitoring behaviors well whether mental disorder symptoms at CTP) were associated with subsequent participation. Methods Participants asked complete a Full Assessment prior their training CTP, short daily surveys throughout training. Participation frequency was process participants rank ordered number completed classified into one three categories. assessment CTP included screening tools generalized anxiety (GAD), major depressive (MDD), posttraumatic stress (PTSD), alcohol use (AUD), panic (PD). Kruskal-Wallis H test used assess differences rates symptom groups each measure pre-training, Spearman’s Rho associations amongst self-reported tool responses during CTP. Results There 18557 survey records collected 772 participants. rank-ordering produced categories line rule: who top ( n =8) 6.4% all recordings; Contributors next =68) 49.2% Lurkers =695) 44.4% recordings. had largest proportion positive screens disorders pre-training. Conclusion creation highly individualized, population-based injury programs has been limited an incomplete understanding causal protective factors health. Disproportionate disengagement persons screen further compounds difficulty current results suggest challenges may be less likely engage some forms proactive also provide useful information about participation, adherence, engagement that can inform evidence-based paradigm shifts health-related occupational populations.

Язык: Английский

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Evaluating the before operational stress program: comparing in-person and virtual delivery

Frontiers in Psychology, Год журнала: 2024, Номер 15

Опубликована: Июль 25, 2024

Public safety personnel (PSP) are at increased risk for posttraumatic stress injuries (PTSI). Before Operational Stress (BOS) is a mental health program PSP with preliminary support mitigating PTSI. The current study compared the effectiveness of delivering BOS in-person by registered clinician (i.e., Intensive) to virtually delivery trained Classroom).

Язык: Английский

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Case Stories in Internet-Delivered Cognitive Behavioral Therapy for Public Safety Personnel: A Mixed-Methods Study (Preprint)

JMIR Formative Research, Год журнала: 2024, Номер 8, С. e64454 - e64454

Опубликована: Сен. 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

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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