Mental health treatment for first responders: An assessment of mental health provider needs.

IF 1.9 3区 心理学 Q3 PSYCHOLOGY, CLINICAL Psychological Services Pub Date : 2024-08-01 Epub Date: 2024-01-01 DOI:10.1037/ser0000832
Hussain-Abdulah Arjmand, Meaghan Louise O'Donnell, Andrea Putica, Nicole Sadler, Tim Peck, Jane Nursey, Tracey Varker
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Abstract

First responders experience mental health conditions at a higher rate than the general population. To improve treatment and enhance quality of care, it is important to understand the needs of those who provide mental health treatment to this population. The purpose of this study was to explore the needs of mental health providers with experience working with first responders to better understand how first responders differ from community patients, and what training and supports providers need to enhance treatment. Semistructured qualitative interviews were conducted via videocalls with 12 mental health providers who provide mental health care to Australian first responders. The interviews were transcribed verbatim and interpretative phenomenological analysis was performed. The findings highlighted the importance of identity and culture among first responders, and the need for cultural awareness and understanding among mental health providers working with this population. Various training opportunities which could enhance treatment capacities were identified, including training in accurate assessment and differential diagnosis, evidence-based trauma-focused treatments, transdiagnostic treatments, and working with specific first responder treatment characteristics (e.g., emotional detachment, rigid cognitive styles, and preferences toward structure and order). Ways in which mental health providers can be supported included facilitating professional networks between providers and connection with first responder organizations. The insights gathered from this study provide a foundation from which to consider training and support development for mental health providers working with first responders. Service level implications and directions are outlined to assist future decision making on this topic. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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急救人员的心理健康治疗:对心理健康提供者需求的评估。
与普通人相比,急救人员的心理健康问题发生率更高。为了改善治疗并提高护理质量,了解为这一人群提供心理健康治疗的人员的需求非常重要。本研究的目的是探究那些有与第一反应者合作经验的心理健康服务提供者的需求,以便更好地了解第一反应者与社区患者的不同之处,以及服务提供者需要哪些培训和支持来加强治疗。我们通过视频电话对 12 位为澳大利亚急救人员提供心理健康服务的心理健康服务提供者进行了半结构化定性访谈。访谈内容被逐字转录,并进行了解释性现象学分析。研究结果强调了第一反应者身份和文化的重要性,以及为这一人群提供服务的心理健康服务提供者对文化的认识和理解的必要性。我们发现了各种可以提高治疗能力的培训机会,包括准确评估和鉴别诊断培训、以创伤为重点的循证治疗培训、跨诊断治疗培训,以及针对第一反应者的特殊治疗特点(如情感疏离、刻板的认知风格、偏好结构和秩序)的培训。支持心理健康服务提供者的方式包括促进服务提供者之间的专业网络以及与急救人员组织的联系。从这项研究中收集到的见解为我们考虑为与第一响应者合作的心理健康服务提供者提供培 训和支持发展奠定了基础。本研究还概述了服务层面的影响和方向,以帮助未来就这一主题做出决策。(PsycInfo 数据库记录 (c) 2024 APA,保留所有权利)。
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来源期刊
Psychological Services
Psychological Services PSYCHOLOGY, CLINICAL-
CiteScore
4.20
自引率
13.00%
发文量
216
期刊介绍: Psychological Services publishes high-quality data-based articles on the broad range of psychological services. While the Division"s focus is on psychologists in "public service," usually defined as being employed by a governmental agency, Psychological Services covers the full range of psychological services provided in any service delivery setting. Psychological Services encourages submission of papers that focus on broad issues related to psychotherapy outcomes, evaluations of psychological service programs and systems, and public policy analyses.
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