The effectiveness of an anti-stigma intervention in a basic police officer training programme: a controlled study.
The effectiveness of an anti-stigma intervention in a basic police officer training programme: a controlled study.
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DOI：
10.1186/1471-244x-14-55
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发表时间：
2014-02-25
期刊：
影响因子：
4.4
通讯作者：
Markström U
中科院分区：
文献类型：
--
作者：
Hansson L;Markström U
羞辱和歧视仍然是精神病患者生活状况的突出特点，加重了疾病的负担，降低了自尊心和生活质量，影响了适足住房和工作的可能性。这也是寻求帮助的主要障碍。精神卫生服务机构的非机构化导致警察与精神病患者之间的接触显著增加。有人认为，应向警察提供教育和培训，使他们能够适应性地与精神病患者互动，并取得良好的成果。本研究正在调查瑞典一所大学的基本警官培训方案中反污名干预措施的有效性。该研究作为对照组的干预前后对照研究进行，并对干预组进行了6个月的随访。态度，心理健康素养和故意行为进行了评估。使用重复测量ANOVA在意向治疗基础上进行主要分析。总共有120人参加了警官基本培训方案。按时间分组的分析显示，干预组在态度总分、思想开放和支持融合分项、有意行为（愿意合作）和评估心理健康素养的6个项目中的4个项目方面有所改善。在6个月的随访中，与基线相比，干预组在总分和两个分量表中的态度都有所改善。在与有精神健康问题的人一起生活或工作的意愿增加方面，故意行为也有所改善。6个项目中有3个项目的心理健康知识水平有所提高。事实证明，反污名干预措施在改变态度、心理健康知识和有意行为方面是有效的。改善主要在6个月随访时持续。这种干预似乎有望促进警察与精神病患者之间的接触。在进一步实施之前，需要进行进一步的研究，以理清干预措施各组成部分的相对有效性。
Stigma and discrimination are still prominent features of the life situation of persons with mental illness, adding to the burden of the illness, causing a lowered self-esteem, quality of life and affecting possibilities of adequate housing and work. It is also a major barrier to help seeking. The deinstitutionalization of mental health services has led to a significant increase in contacts between the police and persons with mental illness. It has been argued that police officers should be provided education and training to enable them to interact adaptively and with good outcomes with people with mental illness. The present study is investigating the effectiveness of an anti-stigma intervention in a basic police officer training programme at a university in Sweden. The study was performed as a controlled pre-post intervention study using a comparison group, and a 6-month follow-up of the intervention group. Attitudes, mental health literacy and intentional behaviour were assessed. Main analyses were made on an intention to treat basis using repeated measures ANOVA. A total of 120 participants at a basic police officer training programme were included. Time by group analyses showed improvements in the intervention group in overall score of attitudes and regarding the subscale Open minded and pro integration, in intentional behaviour (willingness to work with) and in 4 out of 6 items assessing mental health literacy. At the 6-month follow-up the intervention group had, as compared to baseline, improved attitudes in both overall score and in two of the subscales. Intentional behaviour had also improved in terms of an increased willingness to live or work with a person with mental health problems. Mental health literacy had improved in 3 out of 6 items. The anti-stigma intervention proved to be effective in changing attitudes, mental health literacy and intentional behaviour. Improvements mainly endured at the 6-month follow-up. The intervention seems promising in facilitating encounters between the police and persons with mental illness. Further studies are needed to disentangle the relative effectiveness of the components of the intervention before further implementation.