School of Rehabilitation Therapy, Faculty of Health Sciences, Queen's University, LDA Building, 31 George Street, Kingston, ON, K7L 3N6, Canada.
Int Arch Occup Environ Health. 2022 Apr;95(3):645-664. doi: 10.1007/s00420-021-01772-1. Epub 2021 Oct 10.
Workplace mental health is relevant to public safety organizations due to the exposure that many public safety personnel (PSP) have to psychological trauma in the course of their daily work. While the importance of attending to PSP mental health has been established, the implementation of workplace mental health interventions is not as well understood. This scoping review describes workplace mental health interventions and their implementation in public safety organizations.
English published primary studies with any publication date up to July 3, 2020 were considered. JBI methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews was followed.
89 citations met inclusion criteria out of the 62,299 found. Articles and reports found were largely published within the last decade, most frequently from Western nations, and most often applied to police, followed by firefighters. The focus of interventions was commonly stress management and resilience, and a frequent implementation strategy was multi-session group training. Comprehensive quality improvement initiatives, a focus on supervisors and managers, and interventions across primary, secondary, and tertiary prevention, were infrequent.
Public safety organizations are frequently reporting on stress management and resilience interventions for police and firefighters, implemented through multi-session group training. A focus across a range of PSP, including paramedics, corrections officers, and emergency dispatchers, using implementation strategies beyond group training, is suggested. This area of research is currently expanding, with many studies published within the past decade; ongoing evaluation of the quality of interventions and implementation strategies is recommended.
由于许多公共安全人员（PSP）在日常工作中会接触到心理创伤，因此工作场所心理健康与公共安全组织息息相关。虽然已经确定了关注 PSP 心理健康的重要性，但对工作场所心理健康干预措施的实施情况了解得还不够。本范围综述描述了公共安全组织中的工作场所心理健康干预措施及其实施情况。
考虑了截至 2020 年 7 月 3 日发表的任何出版日期的英文原始研究。遵循了 JBI 方法和系统评价和荟萃分析扩展的首选报告项目（范围综述）。
在 62,299 篇文献中，有 89 篇文献符合纳入标准。发现的文章和报告主要是在过去十年内出版的，大多数来自西方国家，最常应用于警察，其次是消防员。干预措施的重点通常是压力管理和弹性，常见的实施策略是多轮小组培训。全面的质量改进计划、关注主管和管理人员以及在初级、二级和三级预防中实施干预措施的情况并不常见。
公共安全组织经常报告警察和消防员的压力管理和弹性干预措施，通过多轮小组培训实施。建议针对包括护理人员、狱警和紧急调度员在内的各种 PSP 人员，使用小组培训以外的实施策略。这一研究领域目前正在扩展，过去十年中有许多研究发表；建议对干预措施和实施策略的质量进行持续评估。
