Peer support and crisis-focused psychological interventions designed to mitigate post-traumatic stress injuries among public safety and frontline healthcare personnel: a systematic review

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dc.contributor.authorAnderson, Gregory, S.
dc.contributor.authorDi Nota, Paula, M.
dc.contributor.authorGroll, Dianne
dc.contributor.authorCarleton, R. Nicholas
dc.date.accessioned2023-03-03T16:40:00Z
dc.date.available2023-03-03T16:40:00Z
dc.date.issued2020-10-20
dc.description© 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).en_US
dc.description.abstractPublic safety personnel (PSP) and frontline healthcare professionals (FHP) are frequently exposed to potentially psychologically traumatic events (PPTEs), and report increased rates of post-traumatic stress injuries (PTSIs). Despite widespread implementation and repeated calls for research, effectiveness evidence for organizational post-exposure PTSI mitigation services remains lacking. The current systematic review synthesized and appraised recent (2008–December 2019) empirical research from 22 electronic databases following a population–intervention–comparison–outcome framework. Eligible studies investigated the effectiveness of organizational peer support and crisis-focused psychological interventions designed to mitigate PTSIs among PSP, FHP, and other PPTE-exposed workers. The review included 14 eligible studies (n = 18,849 participants) that were synthesized with qualitative narrative analyses. The absence of pre–post-evaluations and the use of inconsistent outcome measures precluded quantitative meta-analysis. Thematic services included diverse programming for critical incident stress debriefing, critical incident stress management, peer support, psychological first aid, and trauma risk management. Designs included randomized control trials, retrospective cohort studies, and cross-sectional studies. Outcome measures included PPTE impacts, absenteeism, substance use, suicide rates, psychiatric symptoms, risk assessments, stigma, and global assessments of functioning. Quality assessment indicated limited strength of evidence and failures to control for pre-existing PTSIs, which would significantly bias program effectiveness evaluations for reducing PTSIs post-PPTE.en_US
dc.description.authorstatusFacultyen_US
dc.description.peerreviewyesen_US
dc.description.sponsorshipThis research was funded by WorkSafeBC, grant number RS2019-SP13 (G.S.A.). The APC was funded by the granting agency. The views, results, opinions and conclusions expressed herein do not represent the views of WorkSafeBC.en_US
dc.identifier.citationAnderson, G. S., Di Nota, P. M., Groll, D., & Carleton, R. N. (2020). Peer support and crisis-focused psychological interventions designed to mitigate post-traumatic stress injuries among public safety and frontline healthcare personnel: a systematic review. International Journal of Environmental Research and Public Health, 17, 7645. https://doi.org/10.3390/ijerph17207645en_US
dc.identifier.doihttps://doi.org/10.3390/ijerph17207645
dc.identifier.urihttps://hdl.handle.net/10294/15825
dc.language.isoenen_US
dc.publisherMultidisciplinary Digital Publishing Instituteen_US
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectpost-traumatic stress injuriesen_US
dc.subjectmental health servicesen_US
dc.subjectoccupational healthen_US
dc.subjectCISDen_US
dc.subjectCISMen_US
dc.subjectsystematic reviewen_US
dc.titlePeer support and crisis-focused psychological interventions designed to mitigate post-traumatic stress injuries among public safety and frontline healthcare personnel: a systematic reviewen_US
dc.typeArticleen_US
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