Insights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment

Beahm, Janine D.; McCall, Hugh C.; Carleton, R. Nicholas; Titov, Nickolai; Dear, Blake F.; Hadjistavropoulos, Heather D.

doi:10.1016/j.invent.2021.100481

Cited by 18 publications

(36 citation statements)

References 49 publications

(70 reference statements)

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“…Furthermore, 54/62 (86%) of study participants found that the course made them feel more confident in their symptommanagement abilities, and 61/62 (98%) of participants found that the course was worth their time. Qualitative data from a PSP sample with 11% CWs demonstrated positive client views of the PSP Well-being course and that the program was suitable for developing coping skills and normalizing mental health experiences (68).…”

Section: Provision Of Evidence-based and Structured E-cbt Programsmentioning

confidence: 93%

“…In 2019, the Government of Canada initiated a National Action Plan (67) in which e-CBT was identified as a potential solution to overcome barriers to care and provide mental healthcare to PSP (68). To date, only two e-CBT programs have been tailored for CWs (69)(70)(71).…”

Section: Provision Of Evidence-based and Structured E-cbt Programsmentioning

confidence: 99%

“…Although confidentiality is a frequent concern of CWs, most prefer therapist-guided e-CBT to self-guided e-CBT (37,68). The inclusion of a therapist in online mental health interventions can help mitigate feelings of isolation and enhance accountability (95).…”

Section: Variable Therapist-engagementmentioning

confidence: 99%

“…In addition, PSP report barriers to face-to-face treatment such as unaffordability, not being understood by the therapist or counselor, time constraints and concerns about mental health stigma (66). Moreover, the therapeutic alliance is strengthened when PSP work with therapists who have sufficient knowledge and experience working with this population (65,68). A more customized and option-friendly approach is needed for both the intervention and the degree of therapist contact.…”

Section: Variable Therapist-engagementmentioning

confidence: 99%

“…To enhance engagement, online interventions should draw on sector-specific examples and case studies that make it easier for users to relate their experiences. Because feelings of isolation and loneliness frequently co-occur with mental health concerns, tailored online interventions can improve engagement by reducing stigma and normalizing how common mental health concerns are amongst CWs and other PSPs (68). A recent e-CBT intervention for PSPs guided by Oinas-Kukkonen and Harjumaa's persuasive systems design (PSD) (125) demonstrated increased engagement in users (68).…”

Section: Enhancing Engagement By Acknowledging Unique Experiences And...mentioning

confidence: 99%

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Benefits of Digital Mental Health Care Interventions for Correctional Workers and Other Public Safety Personnel: A Narrative Review

et al. 2022

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Chronic exposure to stressors and potentially psychologically traumatic events contributes to the high prevalence of mental health disorders in correctional workers (CWs) and other public safety personnel (PSP). Digital mental health interventions are an accessible and scalable method of improving and maintaining the mental health of this population. The current review explores the benefits of digital mental health interventions for PSP–with a focus on CWs–and how these innovations can address the limitations in in-person mental health care. A systematic literature search of five databases (Medline, PsycInfo, Embase, CINAHL, Google Scholar) was conducted until March 2022. The search yielded 16 publications that focused on digital mental health interventions or care available to CWs and other PSP. The benefits of digital innovations were summarized into five categories which discussed (1) their ability to enhance accessibility and reduce stigma; (2) the provision of evidence-based and structured psychotherapy programs; (3) variability in the degree of therapist engagement; (4) the integration of proactive interventions; and (5) enhancing engagement by acknowledging unique experiences and interpersonal relationships. Although digital mental health technologies for CWs are still in their infancy, there is strong evidence to support their effectiveness in ameliorating symptoms of mental distress. Future research should consider how ethnicity, gender, culture, sexual orientation, and socioeconomic status can be integrated into these therapies and how the interplay between different stakeholders and organizations can impact the effectiveness of online therapies and programs.

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Section: Provision Of Evidence-based and Structured E-cbt Programsmentioning

confidence: 93%

Section: Provision Of Evidence-based and Structured E-cbt Programsmentioning

confidence: 99%

Section: Variable Therapist-engagementmentioning

confidence: 99%

Section: Variable Therapist-engagementmentioning

confidence: 99%

Section: Enhancing Engagement By Acknowledging Unique Experiences And...mentioning

confidence: 99%

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Benefits of Digital Mental Health Care Interventions for Correctional Workers and Other Public Safety Personnel: A Narrative Review

et al. 2022

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Internet-delivered cognitive behavioural therapy for symptoms of PTSD among public safety personnel: Initial outcomes of an open cohort preference trial of transdiagnostic and disorder-specific therapy

McCall

Dear

Landry

et al. 2023

Internet Interventions

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Perceptions of client stories in internet-delivered cognitive behaviour therapy: A mixed-methods evaluation

Hadjistavropoulos,

Hill,

Philipp-Muller

et al. 2023

Internet Interventions

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Insights into internet-delivered cognitive behavioural therapy for public safety personnel: Exploration of client experiences during and after treatment

Cited by 18 publications

References 49 publications

Benefits of Digital Mental Health Care Interventions for Correctional Workers and Other Public Safety Personnel: A Narrative Review

Benefits of Digital Mental Health Care Interventions for Correctional Workers and Other Public Safety Personnel: A Narrative Review

Internet-delivered cognitive behavioural therapy for symptoms of PTSD among public safety personnel: Initial outcomes of an open cohort preference trial of transdiagnostic and disorder-specific therapy

Perceptions of client stories in internet-delivered cognitive behaviour therapy: A mixed-methods evaluation

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