Moghimi Elnaz, Knyahnytska Yuliya, Omrani Mohsen, Nikjoo Niloofar, Stephenson Callum, Layzell Gina, Frederic Simpson Alexander Ian, Alavi Nazanin
Department of Psychiatry, Faculty of Health Sciences, Queen's University, Kingston, ON, Canada.
Centre for Addiction and Mental Health, Toronto, ON, Canada.
Front Psychiatry. 2022 Jul 8;13:921527. doi: 10.3389/fpsyt.2022.921527. eCollection 2022.
Chronic exposure to stressors and potentially psychologically traumatic events contributes to the high prevalence of mental health disorders in correctional workers (CWs) and other public safety personnel (PSP). Digital mental health interventions are an accessible and scalable method of improving and maintaining the mental health of this population. The current review explores the benefits of digital mental health interventions for PSP-with a focus on CWs-and how these innovations can address the limitations in in-person mental health care. A systematic literature search of five databases (Medline, PsycInfo, Embase, CINAHL, Google Scholar) was conducted until March 2022. The search yielded 16 publications that focused on digital mental health interventions or care available to CWs and other PSP. The benefits of digital innovations were summarized into five categories which discussed (1) their ability to enhance accessibility and reduce stigma; (2) the provision of evidence-based and structured psychotherapy programs; (3) variability in the degree of therapist engagement; (4) the integration of proactive interventions; and (5) enhancing engagement by acknowledging unique experiences and interpersonal relationships. Although digital mental health technologies for CWs are still in their infancy, there is strong evidence to support their effectiveness in ameliorating symptoms of mental distress. Future research should consider how ethnicity, gender, culture, sexual orientation, and socioeconomic status can be integrated into these therapies and how the interplay between different stakeholders and organizations can impact the effectiveness of online therapies and programs.
长期暴露于压力源和潜在的心理创伤事件中,导致惩教人员(CWs)和其他公共安全人员(PSP)心理健康障碍的高患病率。数字心理健康干预是改善和维持这一人群心理健康的一种可及且可扩展的方法。本综述探讨了数字心理健康干预对公共安全人员(重点是惩教人员)的益处,以及这些创新如何能够解决面对面心理健康护理中的局限性。截至2022年3月,对五个数据库(Medline、PsycInfo、Embase、CINAHL、谷歌学术)进行了系统的文献检索。检索结果产生了16篇关注惩教人员和其他公共安全人员可获得的数字心理健康干预或护理的出版物。数字创新的益处被总结为五类,其中讨论了(1)它们增强可及性和减少污名的能力;(2)提供基于证据的结构化心理治疗项目;(3)治疗师参与程度的差异;(4)主动干预的整合;以及(5)通过承认独特经历和人际关系来增强参与度。尽管针对惩教人员的数字心理健康技术仍处于起步阶段,但有强有力的证据支持它们在缓解精神痛苦症状方面的有效性。未来的研究应考虑如何将种族、性别、文化、性取向和社会经济地位纳入这些治疗方法,以及不同利益相关者和组织之间的相互作用如何影响在线治疗和项目的有效性。