ARRIVE Together:对新泽西州警察共同应对试点计划的定性过程评估。

IF 2 4区 医学 Q3 BEHAVIORAL SCIENCES Behavioral Medicine Pub Date : 2024-03-07 DOI:10.1080/08964289.2024.2324793
Joye C Anestis, Perry N Halkitis, Alana Cordeiro, Melissa J Lanman, Marian R Passannante
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引用次数: 0

摘要

在接到涉及行为健康紧急情况的电话时,执法人员往往会首先做出反应。然而,对于有行为健康问题的人来说,与执法人员的遭遇更加危险和致命。共同应对模式,即执法人员和行为健康专业人员共同应对呼叫,是为改善行为健康危机应对而开发的顶级项目之一。本研究介绍了对新泽西州共同应对试点项目的定性过程评估:"减少暴力和升级事件的替代应对措施"(ARRIVE Together)。评估的重点是共同应对团队的经验,即他们对具体部署和整个计划实施的看法。在连续 10 次遭遇后进行了半结构化访谈(每次遭遇三次访谈;2022 年 2 月至 3 月)。由两名训练有素的研究人员独立对访谈记录进行誊写和专题分析。专题分析结束后,研究人员达成共识,并编写了 SWOT 分析报告。专题分析产生了六大主题:沟通、人员配备、培训、资源、社区外联以及与未成年人的部署。总体而言,参与者对该计划充满热情,但他们也就如何改进该计划提出了许多看法。样本量、短暂的跟踪窗口以及缺乏对其他环境的普适性是最主要的限制因素。进一步的研究应包括有效性评估,并扩大到城市和郊区社区以及有色人种社区。未来的研究还应探讨后续影响,包括后续护理的可及性。当前的研究为试行共同应对模式以处理行为健康危机呼叫提供了启示。
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ARRIVE Together: A Qualitative Process Evaluation of the New Jersey State Police Co-responding Pilot Program.

Law enforcement personnel are often first to respond to calls involving behavioral health emergencies. However, encounters with law enforcement are more dangerous and lethal for people with behavioral health conditions. Co-responding models, wherein law enforcement and behavioral health professionals respond to calls together, are among the top programs developed to improve responding to behavioral health crises. The current study describes a qualitative process evaluation of a co-responding pilot program in New Jersey: "Alternative Responses to Reduce Instances of Violence & Escalation" (ARRIVE Together). The evaluation centered on the experience of the co-responding team as to their perceptions of specific deployments and of the program implementation overall. Semi-structured interviews were conducted following 10 consecutive encounters (three interviews per encounter; February-March 2022). Transcripts were transcribed and thematically analyzed by two trained researchers independently. Once thematically analyzed, researchers determined a consensus and developed a SWOT analysis report. Thematic analysis produced six major themes: communication, staffing, training, resources, community outreach, and deployments with minors. Overall, participants were enthusiastic about the program, but they shared numerous observations about ways in which the program could be improved. Sample size, the brief follow-up window, and lack of generalizability to other contexts were among the most limiting factors. Further research should include an effectiveness evaluation and extend to urban and suburban communities and communities of color. Future research should also explore after-response affects including accessibility to follow-up care. The current study gives insight into piloting a co-responding model for approaching behavioral health crisis calls.

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来源期刊
Behavioral Medicine
Behavioral Medicine 医学-行为科学
CiteScore
5.30
自引率
4.30%
发文量
44
审稿时长
>12 weeks
期刊介绍: Behavioral Medicine is a multidisciplinary peer-reviewed journal, which fosters and promotes the exchange of knowledge and the advancement of theory in the field of behavioral medicine, including but not limited to understandings of disease prevention, health promotion, health disparities, identification of health risk factors, and interventions designed to reduce health risks, ameliorate health disparities, enhancing all aspects of health. The journal seeks to advance knowledge and theory in these domains in all segments of the population and across the lifespan, in local, national, and global contexts, and with an emphasis on the synergies that exist between biological, psychological, psychosocial, and structural factors as they related to these areas of study and across health states. Behavioral Medicine publishes original empirical studies (experimental and observational research studies, quantitative and qualitative studies, evaluation studies) as well as clinical/case studies. The journal also publishes review articles, which provide systematic evaluations of the literature and propose alternative and innovative theoretical paradigms, as well as brief reports and responses to articles previously published in Behavioral Medicine.
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