期刊论文详细信息
BMC Psychiatry
The effectiveness of an anti-stigma intervention in a basic police officer training programme: a controlled study
Urban Markström1  Lars Hansson2 
[1] Department of Social Work, Umeå University, Umeå, Sweden;Department of Health Sciences, Lund University, Lund, Sweden
关键词: Police officer;    Discrimination;    Anti-stigma intervention;   
Others  :  1123748
DOI  :  10.1186/1471-244X-14-55
 received in 2014-01-16, accepted in 2014-02-21,  发布年份 2014
PDF
【 摘 要 】

Background

Stigma and discrimination are still prominent features of the life situation of persons with mental illness, adding to the burden of the illness, causing a lowered self-esteem, quality of life and affecting possibilities of adequate housing and work. It is also a major barrier to help seeking. The deinstitutionalization of mental health services has led to a significant increase in contacts between the police and persons with mental illness. It has been argued that police officers should be provided education and training to enable them to interact adaptively and with good outcomes with people with mental illness. The present study is investigating the effectiveness of an anti-stigma intervention in a basic police officer training programme at a university in Sweden.

Methods

The study was performed as a controlled pre-post intervention study using a comparison group, and a 6-month follow-up of the intervention group. Attitudes, mental health literacy and intentional behaviour were assessed. Main analyses were made on an intention to treat basis using repeated measures ANOVA. A total of 120 participants at a basic police officer training programme were included.

Results

Time by group analyses showed improvements in the intervention group in overall score of attitudes and regarding the subscale Open minded and pro integration, in intentional behaviour (willingness to work with) and in 4 out of 6 items assessing mental health literacy. At the 6-month follow-up the intervention group had, as compared to baseline, improved attitudes in both overall score and in two of the subscales. Intentional behaviour had also improved in terms of an increased willingness to live or work with a person with mental health problems. Mental health literacy had improved in 3 out of 6 items.

Conclusions

The anti-stigma intervention proved to be effective in changing attitudes, mental health literacy and intentional behaviour. Improvements mainly endured at the 6-month follow-up. The intervention seems promising in facilitating encounters between the police and persons with mental illness. Further studies are needed to disentangle the relative effectiveness of the components of the intervention before further implementation.

【 授权许可】

   
2014 Hansson and Markström; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150216043159419.pdf 201KB PDF download
【 参考文献 】
  • [1]Schomerus G, Schwahn C, Holzinger A, Corrigan PW, Grabe HJ, Carta MG, Angermeyer MC: Evolution of public attitudes about mental illness: a systematic review and meta-analysis. Acta Psychiatr Scand 1996, 125:440-452.
  • [2]Livingston JD, Boyd JE: Correlates and consequences of internalized stigma for people living with mental illness: a systematic review and meta-analysis. Soc Sci Med 2010, 71(12):2150-2161.
  • [3]Rüsch N, Angermeyer MC, Corrigan P: Mental illness stigma. Concepts, consequences and initiatives to reduce stigma. Eur Psychiatr 2005, 20:529-539.
  • [4]Sharac J, McCrone P, Clement S, Thornicroft G: The economic impact of mental health stigma and discrimination: a systematic review. Epidemiol Psichiatr Soc 2010, 19(3):223-232.
  • [5]Gulliver A, Griffiths KM, Christensen H: Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry 2010, 10:113. BioMed Central Full Text
  • [6]Andrews G, Henderson S, Hall W: Prevalence, co-morbidity, disability and service utilisation. Overview of the Australian National Mental Health Survey. Br J Psychiatry 2001, 178:145-153.
  • [7]Sirey JA, Bruce ML, Alexopoulus GS, Perlick DA, Raue P, Friedmann SJ, Meyers BS: Perceived stigma as a predictor of treatment discontinuation in young and older outpatients with depression. Am J Psychiatry 2001, 158:479-481.
  • [8]Watson AC, Corrigan PW, Ottati V: Police responses to persons with mental illness: does the label matter? J Am Acad Psychiatry Law 2004, 32(4):378-385.
  • [9]Lamb H, Weinberger LE, DeCuir WJ: The police and mental health. Psychiatr Serv 2002, 53:1266-1271.
  • [10]Heslop L, Hartford K, Rona H, Stitt L, Schrecker T: Trends in police contacts with persons with serious mental illness in London, Ontario. 2002. [Paper presented at the first annual conference on Police/Mental health liaison, Montreal, Canada]
  • [11]Brink J, Livingston J, Desmarais S, Greaves C, Maxwell V, Michalak E, Parent R, Verdun-Jones S, Weaver C: A study of how people with mental illness perceive and interact with the police. Mental Health Commission of Canada: Calgary, Alberta; 2011.
  • [12]Cordner G: People with mental illness. 2006. [Office of Community Oriented Policing Series, U.S. Department of Justice. Problems-Specific Guides Series]
  • [13]Kaminski R, DiGiovanni C, Downs R: The use of force between the police and persons with impaired judgment. Police Quarterly 2004, 7(3):311-338.
  • [14]Cotton DH: The Attitudes of Canadian Police Officers toward the Mentally Ill. Int J Law Psychiatry 2004, 27:135-146.
  • [15]Thornicroft G, Brohan E, Rose D, Sartorius N, Leese M: Global pattern of experienced and anticipated discrimination against people with schizophrenia: a cross-sectional study. Lancet 2009, 373:408-415.
  • [16]Lasalvia A, Zoppei S, Van Bortel T, Bonetto C, Cristofalo D, Wahlbeck K, Bacle SV, Van Audenhove C, van Weeghel J, Reneses B, Germanavicius A, Economou M, Lanfredi M, Ando S, Sartorius N, Lopez-Ibor JJ, Thornicroft G, ASPEN/INDIGO Study Group: Global pattern of experienced and anticipated discrimination reported by people with major depressive disorder: a cross-sectional survey. Lancet 2013, 381(9860):55-62.
  • [17]Hansson L, Stjernswärd S, Svensson B: Perceived and anticipated discrimination in people with mental illness – an interview study. Nord J Psychiatry 2013, 13:1-7.
  • [18]Corker E, Hamilton S, Henderson C, Weeks C, Pinfold V, Rose D, Williams P, Flach C, Gill V, Lewis-Holmes E, Thornicroft G: Experiences of discrimination among people using mental health services in England 2008–2011. Br J Psychiatry 2013, 55:s58-s63.
  • [19]Trovato F: Community Policing and the emotionally disturbed persons: are we meeting their needs?. Niagara Falls, New York: Niagara University; 2000. [Master thesis]
  • [20]Psarra V, Sestrini M, Santa Z, Petsas D, Gerontas A, Garnetas C, Kontis K: Greek police officers’ attitudes towards the mentally ill. Int J Law Psychiatry 2008, 31(1):77-85.
  • [21]Watson AC, Corrigan PW, Ottati V: Police officers’ attitudes toward and decisions about persons with mental illness. Psychiatr Serv 2004, 55(1):49-53.
  • [22]Thompson L, Borum R: Crisis Intervention Teams (CIT): considerations for knowledge transfer. Law Enforcement Executive Forum 2006, 6(3):25-36.
  • [23]Watson AC, Morabito MS, Draine J, Ottati V: Improving police response to persons with mental illness: a multi-level conceptualization of CIT. Int J Law Psychiatry 2008, 31(4):359-368.
  • [24]Krameddine YI, Demarco D, Hassel R, Silverstone PH: A novel training program for police officers that improves interactions with mentally Ill individuals and is cost-effective. Front Psychiatry 2013, 4(9):1-10.
  • [25]Wundsam K, Pitschel-Walz G, Leucht S, Kissling W: Psychiatric patients and relatives instruct German police officers - an anti-stigma project of “BASTA - the alliance for mentally ill people”. Psychiatr Prax 2007, 34(4):181-187. In German
  • [26]Pinfold V, Huxley P, Thornicroft G, Farmer P, Toulmin H, Graham T: Reducing psychiatric stigma and discrimination–evaluating an educational intervention with the police force in England. Soc Psychiatry Psychiatr Epidemiol 2003, 38(6):337-344.
  • [27]Taylor SM, Dear MJ: Scaling community attitudes toward the mentally ill. Schizophr Bull 1981, 7(2):225-240.
  • [28]Högberg T, Magnusson A, Ewertzon M, Lützén K: Attitudes towards mental illness in Sweden: adaptation and development of the community attitudes towards mental illness questionnaire. Int J Ment Health Nurs 2008, 17:302-310.
  • [29]Evans-Lacko S, Little K, Meltzer H, Rose D, Rhydderch D, Henderson C, Thornicroft G: Development and psychometric properties of the mental health knowledge schedule. Can J Psychiatry 2010, 55:440-448.
  • [30]Evans-Lacko S, Rose D, Little K, Flach D, Rhydderch D, Henderson C, Thornicroft G: Development and psychometric properties of the Reported and Intended Behaviour Scale (RIBS): a stigma-related behaviour measure. Epidemiol Psychiatr Sci 2011, 20:263-271.
  • [31]Corrigan PW, Morris SB, Michaels PJ, Rafacz JD, Rüsch N: Challenging the public stigma of mental illness: a meta-analysis of outcome studies. Psychiatr Serv 2012, 63(10):963-973.
  文献评价指标  
  下载次数:10次 浏览次数:16次