CIPSRT R. Nicholas Carleton, Ph.D., R.D. Psych. A coast-to-coast - PDF document

Internal Use Only, Not for Broad Distribu7on Mental Health and Public Safety Personnel Suppor7ng All who Serve: The Canadian Ins7tute for Public Safety Research and Treatment CIPSRT • R. Nicholas Carleton, Ph.D., R.D. Psych. • A coast-to-coast team of Canadian researchers working with – Current Scien7fic Director for CIPSRT public safety personnel execu7ves and key stakeholders on a – Rela7onships with commercial interests and poten7al conflicts of long-term ini7a7ve to iden7fy the tools required to support interest the recogni7on, preven7on, and treatment of mental health • None – Research Support concerns facing Canadian public safety personnel and their • Canadian Ins7tutes of Health Research families • Canadian Ins7tute for Public Safety Research and Treatment • Public Safety Canada • Saskatchewan Health Research Founda7on • University of Regina CIPSRT CIPSRT • Public Safety Personnel (PSP) • Public Safety Steering CommiVee – Canadian Border Services, Canadian Security Intelligence Service, – Diverse na7onal public safety leaders Correc7onal Officers, Dispatchers, Emergency Call Centre Operators, Canadian Associa7on of Chiefs of Police Interna7onal Associa7on of • • Firefighters (including volunteers), Municipal Police Officers, • Canadian Associa7on of Fire Chiefs Firefighters • Canadian Associa7on for Police • Paramedic Associa7on of Canada Paramedics, EMTs, EMS Personnel, and RCMP, as well as the team Governance • Paramedic Chiefs of Canada members who support all front-line efforts • Canadian Police Associa7on • Royal Canadian Mounted Police » Parliamentary Report, October 2016 • Correc7onal Service of Canada • Union of Solicitor General Employees 1

Internal Use Only, Not for Broad Distribu7on CIPSRT CIPSRT • Ini7al PSP Administra7on • Ini7al PSP Research Cluster Chairs – Execu7ve Director – Correc7ons • Steven Palmer, University of Regina • Dr. Rosemary Ricciardelli, Memorial University – Scien7fic Director – Firefighters • Dr. R. Nicholas Carleton, University of Regina • Dr. Heidi Cramm, Queen’s University – Communica7ons Coordinator – Police • Lisa Lefebvre, University of Regina • Dr. Greg Anderson, Jus7ce Ins7tute of Bri7sh Columbia – Administra7ve Coordinator – Paramedics • Bonnie Pfiefer, University of Regina – Research Coordinator • Dr. Renee MacPhee, Wilfrid Laurier University • Kadie Hozempa, University of Regina CIPSRT CIPSRT • Scien7fic Leadership and Membership Councils • Partner and Stakeholder Organizations – Diverse academics from many ins7tu7ons – Public Safety Canada • Canadian Health Informa7on • University of Alberta – Canadian Institute for Military and Veteran Health Research Management Associa7on • University of Calgary – Collaborative Centre for Justice and Safety • Centre for Addic7on and Mental Health • University of Manitoba Dalhousie University University of Ontario Ins7tute • • – Mental Health Commission of Canada McGill University of Technology • – Community Stakeholders Memorial University McGregor, Murphy • • Mount Royal University University of OVawa • Badge of Life Canada, Behind the Red Serge, Community Safety Knowledge Alliance, Families • • of the RCMP for PTSD Awareness, First Responder Mental Health Network Collaboration, • Queen’s University • University of Regina Justice Institute of British Columbia, Mood Disorders Society of Canada, Tema Conter Trust, • Regina Qu'Appelle Health Region • Wayne State University Wounded Warriors Canada • Simon Fraser University • Wilfred Laurier University 2015 2016 2017 M M O M M O M M J F A J J A S N D J F A J J A S N D J F A Brief History • Winter 2015 – CSA and MHCC Guidelines – CACP and MHCC (2015) • Fall, 2015 – No7onal Development of a dedicated ins7tute for PSP BRIEF HISTORY BRIEF HISTORY – Team Building 2

Internal Use Only, Not for Broad Distribu7on 2015 2016 2017 2015 2016 2017 M M M M M M M M M M M M F A A S O N D F A A S O N D F A F A A S O N D F A A S O N D F A J J J J J J J J J J J J J J 📄 📄 🔭 👩 ‍ 👪 ‍ Brief History Brief History • November, 2015 • January, 2016 – Prime Minister’s Mandate LeVer to Minister Goodale – Na7onal Roundtable on PTSD • Work with provinces and territories and the Minister of Health to develop • Proposed formalizing the crea7on of a Canadian Ins7tute for Public Safety a coordinated na7onal ac7on plan on post-trauma7c stress disorder, Research and Treatment (CIPSRT) / Ins7tut canadien de recherche et de which dispropor7onately affects public safety officers. traitement en sécurité publique (ICRTSP) 2015 2016 2017 2015 2016 2017 M A M A O N D M A M A O N D M A M M A M A O N D M A M A O N D M A M J F J J S J F J J S J F J F J J S J F J J S J F 📄 🔭 📄 🔭 👩 ‍ 👪 ‍ 👩 ‍ 👪 ‍ Brief History Brief History • January, 2016 • January, 2016 – Na7onal Roundtable on PTSD – Na7onal Roundtable on PTSD • OSI [Mental Health Injury] Es7mates for PSP • Interna7onal PSP Suicide Es7mates (Stanley et al., 2016) – Life7me exposure to poten7ally trauma7c events ~100% – Many appear much higher than general popula7ons – Current PTSD – Life7me Idea7on ~23-25%; Current Idea7on ~7-9% » Single Event ~1-8%; Any Event ~7-32% – Severe Idea7on ~6% – Depression ~4-37% – Life7me AVempts ~1-2% or higher – Alcohol Abuse ~11-32%; Alcohol Dependence ~3-8% – Deaths by Suicide – Difficult to measure with certainty – Chronic pain ~42-65% – Large discrepancies influenced by sampling, high rates of underdetermined death classifica7ons, s7gma biases – Insomnia ~6.5-29%; Any sleep disorder ~40% 2015 2016 2017 2015 2016 2017 M A M A O N D M A M A O N D M A M M A M A O N D M A M A O N D M A M J F J J S J F J J S J F J F J J S J F J J S J F 👩 ‍ 👪 ‍ 🔏 📙 👩 ‍ 👪 ‍ 🔏 📙 📌 📄 🔭 📄 🔭 Brief History Brief History • August, 2016 • September, 2016 – Peer Support and Crisis Interven>on Programs in Canadian First – Launch of the Pan-Canadian Pan-Public Safety Prevalence Survey Responders: Blue Paper • Finalized with support from CIPSRT-ICRTSP • Peer review and CISM appear to be very good ideas • Develop a more robust baseline for OSIs [Mental Health Injuries] • Peer-reviewed, freely available – hVp://www.jus7ceandsafety.ca • More research is needed for clear recommenda7ons as to what is best; lots of variability • No conclusive evidence of harm • Galvanized research efforts 3

Internal Use Only, Not for Broad Distribu7on 2015 2016 2017 2015 2016 2017 M M M M M M M M M M M M F A A S O N D F A A S O N D F A F A A S O N D F A A S O N D F A J J J J J J J J J J J J J J 👩 ‍ 👪 ‍ 🔏 📙 📌 📒 👩 ‍ 👪 ‍ 🔏 📙 📌 📒 📄 🔭 📄 🔭 Brief History Brief History • October, 2016 • October, 2016 – Report of the Standing CommiVee on Public Safety and Na7onal – Report Recommenda7on Highlights Security • The Canadian Ins7tute for PSP Mental Health Research should • Healthy Minds, Safe Communi7es: Suppor7ng Our Public Safety Officers – Work with Sta7s7cs Canada to provide a na7onal assessment of mental health among PSP Through A Na7onal Strategy For Opera7onal Stress Injuries – Create a comprehensive research strategy to support PSP and their families • 16 Recommenda7ons by harnessing na7onal research capacity – Support a Canadian Ins/tute focused on PSP Mental Health – Inves7gate preven7on, screening, educa7on, interven7on, and treatment measures specific to PSP and their families 2015 2016 2017 M A M A O N D M A M A O N D M A M J F J J S J F J J S J F 👩 ‍ 👪 ‍ 🔏 📩 🎅 🗤 🔭 📄 🔭 📙 📌 📒 👁 📕 Brief History • Closed the Pan-Canadian Pan-Public Safety Prevalence Survey (January 31, 2017) – More than 9000 par7cipants started – Ini7al es7mates in line with expecta7ons – Reported in March, 2017 – Peer reviews in progress • Open-access available soon NEXT STEPS NEXT STEPS – Founda7on for an epidemiology study Next Steps Next Steps • Working to support developing a na7onal research strategy • Short Term per the Prime Minister’s mandate to the Public Safety – Prevalence Survey Results Under Review Minister • Mental Disorder Symptoms Among Public Safety Personnel in Canada • Suicidal Idea>on, Plans, and APempts Among Public Safety Personnel in – Work with provinces and territories and the Minister of Health to Canada develop a coordinated na>onal ac>on plan on post-trauma>c stress – Prevalence Survey Results Under Prepara7on disorder, which dispropor>onately affects public safety officers. • Numerous studies, quan>ta>ve and qualita>ve 4