Preliminary evidence of effects of crisis intervention team training on self-efficacy and social distance. 2008

Masuma Bahora, and Sonya Hanafi, and Victoria H Chien, and Michael T Compton
Department of Behavioral Sciences and Health Education, Rollins School of Public Health of Emory University, Atlanta, GA 30303, USA.

OBJECTIVE The Crisis Intervention Team (CIT) program is a collaborative model involving mental health professionals and law enforcement officers that is being implemented in a multitude of localities across the country. This study had two main objectives: (1) To assess perceptions of self-efficacy and desired social distance of control officers and officers entering CIT training with regard to individuals with psychiatric syndromes (depression and schizophrenia) and individuals with substance dependence (alcohol and cocaine), and (2) To examine the effects, if any, of CIT training on self-efficacy and social distance. METHODS Between March and July 2006, a survey was administered to 34 control police officers, 58 officers just before a 40-h CIT training program, and 40 of these officers upon completion of the training. RESULTS At baseline, pre-CIT officers did not differ from control non-CIT officers in terms of self-efficacy or social distance relating to the four disorders. Officers trained in CIT demonstrated enhanced self-efficacy for interacting with individuals with depression, cocaine dependence, schizophrenia, and alcohol dependence. Additionally, CIT-trained officers reported reduced social distance regarding individuals with these four psychiatric conditions. Regarding the schizophrenia vignette, there was a significant interaction between pre-CIT/post-CIT status and family history of psychiatric treatment in the prediction of social distance. CONCLUSIONS Enhancements in self-efficacy and reductions in social distance may have important implications in terms of improving officers' interactions with people with mental illnesses and substance use disorders. Given the importance of the problem of law enforcement/criminal justice involvement among people with such illnesses, and the dearth of research on this growing collaborative service model, further research is needed on officer-level outcomes of the CIT program.

UI MeSH Term Description Entries
D007398 Interpersonal Relations The reciprocal interaction of two or more persons. Social Relationships,Husband-Wife Communication,Partner Communication,Communication, Husband-Wife,Communication, Partner,Husband Wife Communication,Husband-Wife Communications,Interpersonal Relation,Partner Communications,Relation, Interpersonal,Relationship, Social,Social Relationship
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D003299 Cooperative Behavior The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed) Compliant Behavior,Behavior, Compliant,Behavior, Cooperative,Compliant Behaviors,Cooperative Behaviors
D003419 Crisis Intervention Brief therapeutic approach which is ameliorative rather than curative of acute psychiatric emergencies. Used in contexts such as emergency rooms of psychiatric or general hospitals, or in the home or place of crisis occurrence, this treatment approach focuses on interpersonal and intrapsychic factors and environmental modification. (APA Thesaurus of Psychological Index Terms, 7th ed) Brief Advice,Brief Interventions,Brief Treatment,Critical Incident Stress Debriefing,Screening and Brief Intervention,Advice, Brief,Brief Intervention,Brief Treatments,Crisis Interventions,Intervention, Brief,Intervention, Crisis,Treatment, Brief
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001523 Mental Disorders Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function. Mental Illness,Psychiatric Diseases,Psychiatric Disorders,Psychiatric Illness,Behavior Disorders,Diagnosis, Psychiatric,Mental Disorders, Severe,Psychiatric Diagnosis,Illness, Mental,Mental Disorder,Mental Disorder, Severe,Mental Illnesses,Psychiatric Disease,Psychiatric Disorder,Psychiatric Illnesses,Severe Mental Disorder,Severe Mental Disorders
D012929 Psychological Distance The degree of a person's detachment from emotional involvement with people or situations.(APA Thesaurus of Psychological Index Terms accessed 12/29/2020) Distance, Psychological,Psychological Distances

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