Mental health training, attitudes toward support, and screening positive for mental disorders
Mental health training, attitudes toward support, and screening positive for mental disorders
复制标题
DOI：
10.1080/16506073.2019.1575900
复制
发表时间：
2020-01-02
影响因子：
4.7
通讯作者：
Camp, Ronald D.
中科院分区：
文献类型：
--
作者：
Carleton, R. Nicholas;Afifi, Tracie O.;Camp, Ronald D.
公共安全人员（PSP）例如矫正工作者、调度员、消防员、护理人员、警察）经常暴露于潜在创伤事件（PTE）。存在几种心理健康培训计划类别（例如，突发事件压力管理（CISM）、汇报、同伴支持、心理教育、心理健康急救、心理准备之路[R2 MR]），以尽量减少暴露的影响，通常使用认知行为治疗模型内容，但有效性研究有限。目前的研究评估了PSP获得专业（即医生，心理学家，精神病学家，员工援助计划，牧师）和非专业（即配偶，朋友，同事，领导）支持的看法，以及培训和心理健康之间的关联。参与者包括4，020名在职的PSP参与者。使用交叉表和逻辑回归分析数据。大多数PSP报告获得专业和非专业支持;然而，大多数人会首先寻求配偶（74%），许多人永远不会或只是作为最后手段寻求专业支持（43-60%）或PSP领导人（67%）。参加任何心理健康培训类别与某些但不是所有精神障碍的较低（p 0.01）率相关，各类别之间没有显著差异。修订培训计划可能会提高获得专业支持的意愿;在此期间，对PSP配偶和领导人的培训和支持也可能是有益的。
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, mental health first aid, Road to Mental Readiness [R2MR]) exist as efforts to minimize the impact of exposures, often using cognitive behavioral therapy model content, but with limited effectiveness research. The current study assessed PSP perceptions of access to professional (i.e. physicians, psychologists, psychiatrists, employee assistance programs, chaplains) and non-professional (i.e. spouse, friends, colleagues, leadership) support, and associations between training and mental health. Participants included 4,020 currently serving PSP participants. Data were analyzed using cross-tabulations and logistic regressions. Most PSP reported access to professional and non-professional support; nevertheless, most would first access a spouse (74%) and many would never, or only as a last resort, access professional support (43-60%) or PSP leaders (67%). Participation in any mental health training category was associated with lower (p .01) rates for some, but not all, mental disorders, with no robust differences across categories. Revisions to training programs may improve willingness to access professional support; in the interim, training and support for PSP spouses and leaders may also be beneficial.