Reducing psychiatric stigma and discrimination - Evaluating an educational intervention with the police force in England

Reducing psychiatric stigma and discrimination - Evaluating an educational intervention with the police force in England
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DOI:
10.1007/s00127-003-0641-4
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发表时间:
2003-06-01
影响因子:
4.4
通讯作者:
Graham, T
Graham, T
中科院分区:
医学2区
文献类型:
--
作者:
Pinfold, V;Huxley, P;Graham, T

文献摘要

被引文献

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背景世界各地都有一些方案挑战对有精神健康问题的人和相关歧视行为的负面刻板印象,但描述实践中有效方法的证据基础仍然不发达。本文对英国警察部队心理健康培训干预的有效性进行了评估。方法109名警务人员参加培训讲习班,完成问卷调查前后详细的知识、态度和行为干预。结果平均态度得分从基线的2.4分下降到随访时的2.3分(p<0.0001),采用5分利克特量表。评估了五个关键的信息陈述--与基线相比,70%的病例在后续行动中成功地报告了更多的信息;然而,将有精神健康问题的人与总体上的暴力行为联系起来的刻板印象没有得到成功的挑战。三分之一的案件报告了对警察工作的积极影响,特别是改善了警官和受试者之间的沟通。结论短期的教育干预可以改变参与者对有心理健康问题的人的态度,并使警察感到更知情和更有信心支持精神困难的人。
Background Across the world there are programmes challenging negative stereotypes of people with mental health problems and associated discriminatory behaviours, but the evidence base describing what works in practice is still underdeveloped. This paper evaluates the effectiveness of a mental health training intervention with the police force in England. Method A total of 109 police officers attended training workshops and completed pre- and post-questionnaires detailing knowledge, attitudes and behavioural interventions. Results Mean attitude scores fell from 2.4 at baseline to 2.3 at follow-up (p < 0.0001) using a 5-point Likert scale. Five key message statements were assessed - 70% of cases successfully reported more messages at follow-up as compared to baseline; however, the stereotype linking people with mental health problems with violent behaviour overall was not successfully challenged. Positive impacts on police work, particularly improvements in communication between officers and subjects, were reported by a third of cases. Conclusions Short educational interventions can produce changes in participants' reported attitudes towards people with mental health problems, and can leave police officers feeling more informed and more confident to support people in mental distress.