Canadian Institute of Public Safety Research and Treatment (CIPSRT), University of Regina, Regina, SK S4S 0A2, Canada.
Fisheries and Marine Institute, Memorial University of Newfoundland, St. John's, NL A1C 5R3, Canada.
Int J Environ Res Public Health. 2022 Nov 26;19(23):15734. doi: 10.3390/ijerph192315734.
Public Safety Personnel (PSP) including members of the Canadian Coast Guard (CCG) and Conservation and Protection (C&P) officers, are regularly exposed to potentially psychologically traumatic events (PPTEs) and other occupational stressors. Several mental health training programs (e.g., critical incident stress management [CISM], critical incident stress debriefing [CISD], peer support, mental health first aid, Road to Mental Readiness [R2MR]) exist as efforts to minimize the impact of exposures. To help inform on the impact of several categories of mental health training programs (i.e., CISM, CISD, mental health first aid, Peer Support, R2MR) for improving attitudes toward support and willingness to access supports among CCG and C&P officers, the current study assessed CCG and C&P Officers perceptions of access to professional (i.e., physicians, psychologists, psychiatrists, employee assistance programs, chaplains) and non-professional (i.e., spouse, friends, colleagues, leadership) support, and associations between training and mental health. Participants ( = 341; 58.4% male) completed an online survey assessing perceptions of support, experience with mental health training and symptoms of mental health disorders. CCG and C&P Officers reported access to professional and non-professional support; however, most indicated they would first access a spouse (73.8%), a friend (64.7%), or a physician (52.9%). Many participants would never, or only as a last resort, access other professional supports (24.0% to 47.9%), a CCG or C&P colleague (67.5%), or their leadership (75.7%). Participants who received any mental health training reported a lower prevalence of positive screens for all mental health disorders compared to those who did not received training; but no statistically significant associations were observed between mental health training categories and decreased odds for screening positive for mental disorders. The current results suggest that the mental health training categories yield comparable results; nevertheless, further research is needed to assess the shared and unique content across each training program. The results highlight the need to increase willingness to access professional and non-professional support among CCG and C&P Officers. Revisions to training programs for leadership and colleagues to reduce stigma around mental health challenges and support for PSP spouses, friends, and physicians may be beneficial.
公共安全人员(PSP)包括加拿大海岸警卫队(CCG)和保护与保护(C&P)官员,经常接触到潜在的心理创伤事件(PPTE)和其他职业压力源。目前已经有几个心理健康培训项目(如:危机事件应激管理[CISM]、危机事件应激晤谈[CISD]、同伴支持、心理健康急救、心理准备之路[R2MR]),以尽量减少暴露的影响。为了帮助了解几类心理健康培训项目(即:CISM、CISD、心理健康急救、同伴支持、R2MR)对改善 CCG 和 C&P 官员对支持的态度和获得支持的意愿的影响,本研究评估了 CCG 和 C&P 官员对获得专业(即:医生、心理学家、精神病学家、员工援助计划、牧师)和非专业(即:配偶、朋友、同事、领导)支持的看法,以及培训与心理健康之间的关联。参与者(n=341;58.4%为男性)完成了一项在线调查,评估了对支持的看法、心理健康培训经验和心理健康障碍症状。CCG 和 C&P 官员报告了获得专业和非专业支持的情况;然而,大多数人表示他们将首先联系配偶(73.8%)、朋友(64.7%)或医生(52.9%)。许多参与者表示,他们永远不会,或者只有在万不得已的情况下,才会寻求其他专业支持(24.0%到 47.9%)、CCG 或 C&P 同事(67.5%)或领导(75.7%)。接受任何心理健康培训的参与者报告称,所有心理健康障碍的阳性筛查率都低于未接受培训的参与者;但在心理健康培训类别与心理健康障碍筛查阳性的几率降低之间未观察到统计学上的显著关联。目前的结果表明,这些心理健康培训类别产生了可比的结果;然而,仍需要进一步研究来评估每个培训项目的共享和独特内容。研究结果强调了需要提高 CCG 和 C&P 官员获得专业和非专业支持的意愿。为 PSP 配偶、朋友和医生修改领导和同事培训计划,以减少对心理健康挑战的污名化,并为 PSP 配偶、朋友和医生提供支持,可能会有所帮助。