模拟危机干预小组（CIT）培训对警察的影响：知识、态度和自我效能如何驱动缓和技能和转介决策。
Modeling the effects of Crisis Intervention Team (CIT) training for police officers: How knowledge, attitudes, and self-efficacy drive de-escalation skills and referral decisions.
机构信息
Columbia University Vagelos College of Physicians and Surgeons, Department of Psychiatry, New York, NY, USA; New York State Psychiatric Institute, New York, NY, USA.
Council of State and Territorial Epidemiologists, Atlanta, GA, USA.
出版信息
Int J Law Psychiatry. 2022 Jul-Aug;83:101814. doi: 10.1016/j.ijlp.2022.101814. Epub 2022 Jun 24.
OBJECTIVE
Prior research on Crisis Intervention Team (CIT) training for police officers has demonstrated improvements in knowledge, attitudes, self-efficacy, and stigma, but how these factors work together to influence behavioral outcomes like de-escalation skills and referral decisions remains unstudied.
METHOD
251 CIT-trained and 335 non-CIT officers completed in-depth surveys measuring these six constructs. We used structural equation modeling to test fit of the data to our hypothesized model and made indicated changes to improve fit.
RESULTS
An alternate 8-path model (with three paths originally hypothesized being removed) fit reasonably well, and allowing path coefficients to differ for CIT and non-CIT groups resulted in models with similar fit statistics.
CONCLUSION
CIT training enhances knowledge and attitudes, both of which have beneficial effects on stigma. Though an important outcome itself, lower stigma does not have an effect on de-escalation skills and referral decisions, though self-efficacy clearly does.
目的
先前针对警察危机干预小组（CIT）培训的研究表明，该培训可提高知识、态度、自我效能感和耻辱感，但这些因素如何共同影响行为结果，如缓和技能和转介决策，仍有待研究。
方法
251 名接受过 CIT 培训的警察和 335 名未接受过 CIT 培训的警察完成了深入调查，调查内容涵盖了这六个结构。我们使用结构方程模型来检验数据对我们假设模型的拟合程度，并进行了必要的调整以改善拟合。
结果
一个具有 8 条路径的替代模型（最初假设的 3 条路径被删除）拟合得相当好，并且允许 CIT 和非 CIT 组之间的路径系数存在差异，这使得模型的拟合统计数据相似。
结论
CIT 培训可以提高知识和态度，这两者都对耻辱感产生有益影响。虽然耻辱感本身是一个重要的结果，但它对缓和技能和转介决策没有影响，而自我效能感则有明显影响。
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