T Compton Michael, Bakeman Roger, Broussard Beth, D'Orio Barbara, C Watson Amy
Columbia University College of Physicians and Surgeons, Department of Psychiatry, New York State Psychiatric Institute, New York, NY, USA.
Georgia State University, Department of Psychology, Atlanta, GA, USA.
Behav Sci Law. 2017 Sep;35(5-6):470-479. doi: 10.1002/bsl.2301. Epub 2017 Sep 22.
Officers' volunteering for Crisis Intervention Team (CIT) training-rather than being assigned-is assumed to be an important, beneficial self-selection bias. This bias remains poorly characterized, though CIT officers are more likely to be female and to have had exposure to the mental health field. We determined whether or not self-selection is beneficial with regard to knowledge, attitudes, and skills, as well as level of force used (i.e., no or low force versus any form of physical force) and disposition of subjects, in actual encounters. We compared CIT-trained officers who had volunteered with those who had been assigned using data from two prior, linked studies that compared CIT-trained and non-CIT officers on knowledge, attitudes, and skills (251 CIT-trained officers; 68% had volunteered), as well as behaviors (517 actual encounters provided by 91 CIT-trained officers; 70% had volunteered). Of 28 scores on knowledge, attitudes, and skills compared, six were statistically significantly different (p < .01) and another eight were marginally significant (.01 < p < .05). Furthermore, although CIT officers who had volunteered were more likely to report use of some form of physical force as we had defined it (which included the use of handcuffs), when they did so they were more likely to refer to treatment services and less likely to make an arrest. These effects were apparent even when taking into account effects of gender, having had exposure to the mental health field, empathy, and other covariates. In conclusion, we found evidence for benefits of self-selection/volunteering that should be further characterized, as it appears to be associated with better outcomes with regard to key attitudes, skills, and behaviors.
警官自愿参加危机干预小组(CIT)培训而非被指定参加,被认为是一种重要且有益的自我选择偏差。尽管CIT警官更有可能是女性且接触过心理健康领域,但这种偏差的特征仍不太明确。我们确定了在实际遭遇中,自我选择在知识、态度、技能、使用武力程度(即不使用或低武力与任何形式的身体武力)以及对对象的处置方面是否有益。我们使用两项先前相关研究的数据,比较了自愿参加CIT培训的警官和被指定参加的警官,这两项研究比较了CIT培训警官和非CIT警官在知识、态度和技能方面的差异(251名接受CIT培训的警官;68%是自愿参加的),以及行为差异(91名接受CIT培训的警官提供了517次实际遭遇情况;70%是自愿参加的)。在比较的28项知识、态度和技能得分中,有6项在统计学上有显著差异(p <.01),另有8项差异不显著(.01 < p <.05)。此外,尽管自愿参加的CIT警官更有可能报告使用我们所定义的某种形式的身体武力(包括使用手铐),但当他们这样做时,更有可能提及治疗服务,而逮捕的可能性较小。即使考虑到性别、接触心理健康领域、同理心和其他协变量的影响,这些效果仍然明显。总之,我们发现了自我选择/自愿参加的益处的证据,应进一步加以描述,因为它似乎与关键态度、技能和行为方面的更好结果相关。