Virtual Trauma-Focused Therapy for Military Members, Veterans, and Public Safety Personnel With Posttraumatic Stress Injury: Systematic Scoping Review

JMIR mhealth and uhealth, Год журнала: 2020, Номер 8(9), С. e22079 - e22079

Опубликована: Авг. 1, 2020

Background A necessary shift from in-person to remote delivery of psychotherapy (eg, teletherapy, eHealth, videoconferencing) has occurred because the COVID-19 pandemic. corollary benefit is a potential fit in terms need for equitable and timely access mental health services rural locations. Owing COVID-19, there may be an increase demand timely, virtual among trauma-affected populations, including public safety personnel (PSP; eg, paramedics, police, fire, correctional officers), military members, veterans. There lack evidence on question whether digital trauma-therapies veterans, PSP leads similar outcomes delivery. Information barriers facilitators recommendations regarding digital-delivery also scarce. Objective This study aims evaluate scope quality peer-reviewed literature psychotherapeutic interventions delivered remotely synthesize knowledge needs, gaps, to, assessment posttraumatic stress injury. Methods Relevant studies were identified using MEDLINE (Medical Literature Analysis Retrieval System Online), EMBASE (Excerpta Medica dataBASE), APA (American Psychological Association) PsycINFO, CINAHL (Cumulative Index Nursing Allied Health Literature) Plus with Full Text, Military & Government Collection. For collation, analysis, summarizing, reporting results, we used CASP (Critical Skills Appraisal Program) qualitative checklist, PEDro (Physiotherapy Evidence Database) scale, level hierarchy, PRISMA-ScR (Preferred Reporting Items Systematic Reviews Meta-Analyses extension Scoping Reviews), narrative synthesis. Results total 38 included this review. effectiveness prolonged exposure therapy, cognitive processing behavioral activation treatment therapeutic was rated 1a, whereas therapy conflicting. The synthesis indicated that these therapies can as effective but reduce stigma cost while increasing therapy. Issues risk, safety, harm (ie, suicidality, enabling avoidance), privacy, security, match therapist, modality, patient warrant further consideration. influences gender, racial, cultural factors result differential outcomes, preferences, and/or needs. An investigation into other suitable needed. Conclusions Digital trauma critical area research. Although promising exists within many questions remain, cautious approach more widespread implementation warranted.

Язык: Английский

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‘A prioritizing game’: coachability in Canadian parole workplace culture

Criminal Justice Studies, Год журнала: 2025, Номер unknown, С. 1 - 21

Опубликована: Фев. 26, 2025

Язык: Английский

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Psychological health and safety of criminal justice workers: a scoping review of strategies and supporting research

Health & Justice, Год журнала: 2025, Номер 13(1)

Опубликована: Фев. 26, 2025

Abstract Background People working in the criminal justice system face substantial occupational stressors due to their roles involving high-risk situations, trauma exposure, heavy workloads, and responsibility for public safety. Consequently, they have a higher prevalence of mental health problems than general population. Employees identifying as women, Two-Spirit, Lesbian, Gay, Bisexual, Transgender, Queer, Intersexual, Asexual, all others (2SLGBTQIA+), or Black, Indigenous, Color (BIPOC), may experience additional discrimination, harassment, systemic barriers seeking receiving support. Psychoeducational psychosocial programs shown mixed effectiveness preventing reducing stress, emphasizing urgent need multi-level, comprehensive, system-wide approaches. This scoping review aimed capture consolidate recommendations from strategies, frameworks, guidelines on supporting psychological workers. Results The 65 grey 85 academic literature records presents at improving safety Findings were mapped by groups Social-Ecological Model accounted factors across individual, interpersonal, institutional, policy levels. most common recommendation was workplace training reduce stigma, encourage help-seeking, prepare workers traumatic incidents, promote culturally responsive At individual level, physical health, healthy lifestyle choices, coping strategies widely recommended. Interpersonal interventions, including peer support models wraparound care, also Institutional such fair safe conditions, harassment-free workplaces emphasized. presumptive coverage policies adequate funding staffing needs highlighted. Conclusion captured intersecting recommendations, consisting primarily individual- institutional-level supports services. Fewer discussed address structural considerations labor shortages, patchy benefits, underfunding, discrimination. highlights shared different levels, providing framework

Язык: Английский

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“Suck It Up, Buttercup”: Understanding and Overcoming Gender Disparities in Policing

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(14), С. 7627 - 7627

Опубликована: Июль 18, 2021

Women police officers report elevated symptoms of mental disorders when compared to men officers. Researchers have indicated that the occupational experience policing differs greatly among and women. Indeed, culture is characterized by hegemonic masculinity, which appears negatively impact both The current study examined contrast between experiences women Police (n = 17; 9 women) in Saskatchewan participated semi-structured interviews. Thematic network analysis identified themes related for There were six organizing relation global theme Gendered Experiences: (1) Discrimination; (2) Sexual Harassment; (3) Motherhood Parental Leave; (4) Identity; (5) Stereotypically Feminine Attributes; (6) Hegemonic Masculinity. Pervasive gender norms appear detrimental officers, as well communities they serve. results, coupled with emerging disposition progress expressed services, offer opportunities develop tailored focused interventions policies 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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Pervasive Uncertainty under Threat: Mental Health Disorders and Experiences of Uncertainty for Correctional Workers

Criminal Justice and Behavior, Год журнала: 2021, Номер 49(7), С. 991 - 1009

Опубликована: Окт. 23, 2021

Exposure to potentially psychologically traumatic events for correctional workers is high. However, the mechanisms driving high prevalence are relatively unexplained. Using data from a cross-sectional, online survey of service ( n = 845) in Ontario, Canada, collected 2017–2018, we assess mental disorders with specific focus on uncertainty workplace and between roles. We find that officers, institutional governance, probation/parole officers appear most at risk (prevalence any disorder was 56.9%, 60.3%, 59.2%, respectively). argue slightly lower among wellness, training, administrative staff may result part their more predictable work environment, where they have control. The results reaffirm need evidence-based proactive health activities, knowledge translation, treatment explore how authority without control (i.e., unpredictability work) can inform employee health.

Язык: Английский

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Efficacy, Effectiveness, and Quality of Resilience-Building Mobile Health Apps for Military, Veteran, and Public Safety Personnel Populations: Scoping Literature Review and App Evaluation

JMIR mhealth and uhealth, Год журнала: 2021, Номер 10(1), С. e26453 - e26453

Опубликована: Ноя. 19, 2021

Military members (MMs) and public safety personnel (PSP) are vulnerable to occupational stress injuries because of their job demands. When MMs PSP transition out these professions, they may continue experience mental health challenges. The development implementation resilience-building mobile (mHealth) apps as an emergent intervention platform has allowed for targeted, cost-effective, easily accessible treatment when in-person therapy be limited or unavailable. However, current mHealth app is not regulated, often lacks both clear evidence-based research the input care professionals.This study aims evaluate quality, efficacy, effectiveness targeted toward MMs, PSP, veteran populations via a scoping literature review evidence base regarding resilience evaluation free designed use among populations.The studies were selected using comprehensive search MEDLINE, CINAHL Plus, PsycINFO, SocINDEX, Academic Search Complete, Embase, Google guided by PRISMA-ScR (Preferred Reporting Items Systematic Reviews Meta-Analyses extension Scoping Reviews). A narrative synthesis resulting papers was performed. Alberta Rating Index Apps used conduct each identified apps. inclusion criteria consisted that download in either Play Store Apple App Store; updated within last 3 years; available English Canada; intended veterans, PSP.In total, 22 met evaluation. strategies offered most included psychoeducation, mindfulness, cognitive behavioral therapy, acceptance commitment therapy. Overall, 50% (11/22) had been tested randomized controlled trials, 7 (32%) evaluated other methods, 5 (23%) studied. Using Apps, scores ranged from 37 56 72, with higher rated demonstrating increased usability security features.The reviewed well-suited providing veterans. They offer easy accessibility tools while working encourage emotional professional support mind. Although function substitute services, demonstrated have potential foster significant reduction symptom severity posttraumatic disorder, depression, anxiety, conditions. In clinical practice, can supplement provide clients population-specific confidential increase engagement process.

Язык: Английский

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Organizational Factors and Their Impact on Mental Health in Public Safety Organizations

International Journal of Environmental Research and Public Health, Год журнала: 2022, Номер 19(21), С. 13993 - 13993

Опубликована: Окт. 27, 2022

Public safety personnel (PSP), including correctional officers, firefighters, paramedics, and police have higher rates of mental health conditions than other types workers. This scoping review maps the impact organizational factors on PSP health, reviewing applicable English language primary studies from 2000-2021. JBI methodology for reviews was followed. After screening, 97 remained analysis. Police officers (n = 48) were most frequent population studied. Correctional 27) paramedics second frequently identified population, followed by career firefighters 20). Lack supervisor support cited negative factor 23), workplace culture 21), lack co-worker 14). Co-worker 10) positive factor, 8) 5). is first to map their across public organizations. The results this can inform discussions related factors, relationship operational personal assist in considering which are impactful amenable change.

Язык: Английский

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International health and wellness of online child sexual exploitation police personnel: individual, management, and organizational realms of responsibility

Frontiers in Psychology, Год журнала: 2023, Номер 14

Опубликована: Май 19, 2023

Recognizing the need to better understand operational and organizational stressors as well short- long-term effects of working in area online child sexual exploitation (OCSE), Virtual Global Taskforce international health wellness study engaged current former police personnel (inclusive civilian sworn officers) this specialization. Through use an survey, (n = 516) 126) focused on a thematic exploration several topics significance: job demands (sources that create distress), general outcomes (including specific changes since joining or leaving OCSE unit), policies (beneficial aspects, suggested improvements, desired components if no policy was place), resources positive energy) personal coping strategies. units is not "one-size-fits-all" approach, proposes unique approach understanding these impacts, by showcasing findings across three distinct realms responsibility: individual level, management level highlighting ways which work toward creating holistic safeguarding maintaining personnel.

Язык: Английский

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Assessing Relative Stressors and Mental Disorders among Canadian Provincial Correctional Workers

International Journal of Environmental Research and Public Health, Год журнала: 2021, Номер 18(19), С. 10018 - 10018

Опубликована: Сен. 23, 2021

In the current study, we quantified mean stress levels of 43 occupational stressors for 868 Correctional Workers (CWs) and analyzed relationships between stressors, exposure to potentially psychologically traumatic events (PPTEs), mental health disorders. Our findings emphasize importance environment in relation CW indicate that (e.g., staff shortages, inconsistent leadership style, bureaucratic red tape) are more salient contributors than PPTEs. Finding strategies ameliorate improve style communication, support CWs maintain physical, mental, social well-being would be interventions tied significant organizational operational within study.

Язык: Английский

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