Krameddine Yasmeen I, Silverstone Peter H
Department of Psychiatry, University of Alberta , Edmonton, AB , Canada.
Front Psychiatry. 2015 Jan 14;5:186. doi: 10.3389/fpsyt.2014.00186. eCollection 2014.
There have been repeated instances of police forces having violent, sometimes fatal, interactions with individuals with mental illness. Police forces are frequently first responders to those with mental illness. Despite this, training police in how to best interact with individuals who have a mental illness has been poorly studied. The present article reviews the literature examining mental illness training programs delivered to law-enforcement officers. Some of the key findings are the benefits of training utilizing realistic "hands-on" scenarios, which focus primarily on verbal and non-verbal communication, increasing empathy, and de-escalation strategies. Current issues in training police officers are firstly the tendency for organizations to provide training without proper outcome measures of effectiveness, secondly the focus of training is on changing attitudes although there is little evidence to demonstrate this relates to behavioral change, and thirdly the belief that a mental health training program given on a single occasion is sufficient to improve interactions over the longer-term. Future police training needs to address these issues.
警察部队与患有精神疾病的人发生暴力互动,有时甚至导致死亡的情况屡见不鲜。警察部队经常是精神疾病患者的第一接触者。尽管如此,针对警察如何与精神疾病患者进行最佳互动的培训却鲜有研究。本文回顾了有关向执法人员提供精神疾病培训项目的文献。一些关键发现包括利用现实的“实践”场景进行培训的好处,这些场景主要侧重于言语和非言语沟通、增强同理心以及缓和策略。目前培训警察存在的问题,首先是各组织倾向于在没有适当的有效性成果衡量标准的情况下提供培训;其次,培训重点是改变态度,尽管几乎没有证据表明这与行为改变有关;第三,认为一次性提供的心理健康培训项目足以在长期内改善互动。未来警察培训需要解决这些问题。