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

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

Sep 14, 2022 324 likes •393 views

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

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Internal Use Only, Not for Broad Distribu7on 1

Mental Health and Public Safety Personnel

Suppor7ng All who Serve: The Canadian Ins7tute for Public Safety Research and Treatment

  • R. Nicholas Carleton, Ph.D., R.D. Psych.

– Current Scien7fic Director for CIPSRT – Rela7onships with commercial interests and poten7al conflicts of interest

  • None

– Research Support

  • Canadian Ins7tutes of Health Research
  • Canadian Ins7tute for Public Safety Research and Treatment
  • Public Safety Canada
  • Saskatchewan Health Research Founda7on
  • University of Regina

CIPSRT

  • A coast-to-coast team of Canadian researchers working with

public safety personnel execu7ves and key stakeholders on a long-term ini7a7ve to iden7fy the tools required to support the recogni7on, preven7on, and treatment of mental health concerns facing Canadian public safety personnel and their families

CIPSRT

  • Public Safety Personnel (PSP)

– Canadian Border Services, Canadian Security Intelligence Service, Correc7onal Officers, Dispatchers, Emergency Call Centre Operators, Firefighters (including volunteers), Municipal Police Officers, Paramedics, EMTs, EMS Personnel, and RCMP, as well as the team members who support all front-line efforts

» Parliamentary Report, October 2016

CIPSRT

  • Public Safety Steering CommiVee

– Diverse na7onal public safety leaders

  • Canadian Associa7on of Chiefs of Police
  • Canadian Associa7on of Fire Chiefs
  • Canadian Associa7on for Police

Governance

  • Canadian Police Associa7on
  • Correc7onal Service of Canada
  • Interna7onal Associa7on of

Firefighters

  • Paramedic Associa7on of Canada
  • Paramedic Chiefs of Canada
  • Royal Canadian Mounted Police
  • Union of Solicitor General

Employees

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CIPSRT

  • Ini7al PSP Administra7on

– Execu7ve Director

  • Steven Palmer, University of Regina

– Scien7fic Director

  • Dr. R. Nicholas Carleton, University of Regina

– Communica7ons Coordinator

  • Lisa Lefebvre, University of Regina

– Administra7ve Coordinator

  • Bonnie Pfiefer, University of Regina

– Research Coordinator

  • Kadie Hozempa, University of Regina

CIPSRT

  • Ini7al PSP Research Cluster Chairs

– Correc7ons

  • Dr. Rosemary Ricciardelli, Memorial University

– Firefighters

  • Dr. Heidi Cramm, Queen’s University

– Police

  • Dr. Greg Anderson, Jus7ce Ins7tute of Bri7sh Columbia

– Paramedics

  • Dr. Renee MacPhee, Wilfrid Laurier University

CIPSRT

  • Scien7fic Leadership and Membership Councils

– Diverse academics from many ins7tu7ons

  • Canadian Health Informa7on

Management Associa7on

  • Centre for Addic7on and Mental Health
  • Dalhousie University
  • McGill University
  • Memorial University
  • Mount Royal University
  • Queen’s University
  • Regina Qu'Appelle Health Region
  • Simon Fraser University
  • University of Alberta
  • University of Calgary
  • University of Manitoba
  • University of Ontario Ins7tute
  • f Technology
  • McGregor, Murphy
  • University of OVawa
  • University of Regina
  • Wayne State University
  • Wilfred Laurier University

CIPSRT

  • Partner and Stakeholder Organizations

– Public Safety Canada – Canadian Institute for Military and Veteran Health Research – Collaborative Centre for Justice and Safety – Mental Health Commission of Canada – Community Stakeholders

  • Badge of Life Canada, Behind the Red Serge, Community Safety Knowledge Alliance, Families
  • f the RCMP for PTSD Awareness, First Responder Mental Health Network Collaboration,

Justice Institute of British Columbia, Mood Disorders Society of Canada, Tema Conter Trust, Wounded Warriors Canada

BRIEF HISTORY BRIEF HISTORY

  • Winter 2015

– CSA and MHCC Guidelines – CACP and MHCC (2015)

  • Fall, 2015

– No7onal Development of a dedicated ins7tute for PSP – Team Building

J F M A M J J A S O N D J F M A M J J A S O N D J F 2015 2016 M A M 2017

Brief History

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  • November, 2015

– Prime Minister’s Mandate LeVer to Minister Goodale

  • Work with provinces and territories and the Minister of Health to develop

a coordinated na7onal ac7on plan on post-trauma7c stress disorder, which dispropor7onately affects public safety officers.

📄 J F M A M J J A S O N D J F M A M J J A S O N D J F 2015 2016 2017 M A M

Brief History

  • January, 2016

– Na7onal Roundtable on PTSD

  • Proposed formalizing the crea7on of a Canadian Ins7tute for Public Safety

Research and Treatment (CIPSRT) / Ins7tut canadien de recherche et de traitement en sécurité publique (ICRTSP)

🔭 📄

👩‍👪‍

J F M A M J J A S O N D J F M A M J J A S O N D J F 2015 2016 M A M 2017

Brief History

  • January, 2016

– Na7onal Roundtable on PTSD

  • OSI [Mental Health Injury] Es7mates for PSP

– Life7me exposure to poten7ally trauma7c events ~100% – Current PTSD » Single Event ~1-8%; Any Event ~7-32% – Depression ~4-37% – Alcohol Abuse ~11-32%; Alcohol Dependence ~3-8% – Chronic pain ~42-65% – Insomnia ~6.5-29%; Any sleep disorder ~40% 🔭 📄

👩‍👪‍

J F M A M J J A S O N D J F M A M J J A S O N D J F 2015 2016 M A M 2017

Brief History

  • January, 2016

– Na7onal Roundtable on PTSD

  • Interna7onal PSP Suicide Es7mates (Stanley et al., 2016)

– Many appear much higher than general popula7ons – Life7me Idea7on ~23-25%; Current Idea7on ~7-9% – Severe Idea7on ~6% – Life7me AVempts ~1-2% or higher – Deaths by Suicide – Difficult to measure with certainty – Large discrepancies influenced by sampling, high rates of underdetermined death classifica7ons, s7gma biases 🔭 📄

👩‍👪‍

J F M A M J J A S O N D J F M A M J J A S O N D J F 2015 2016 M A M 2017

Brief History

  • August, 2016

– Peer Support and Crisis Interven>on Programs in Canadian First Responders: Blue Paper

  • Peer review and CISM appear to be very good ideas
  • 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

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👩‍👪‍ 🔏

J F M A M J J A S O N D J F M A M J J A S O N D J F 2015 2016 M A M 2017

Brief History

  • September, 2016

– Launch of the Pan-Canadian Pan-Public Safety Prevalence Survey

  • Finalized with support from CIPSRT-ICRTSP
  • Develop a more robust baseline for OSIs [Mental Health Injuries]

🔭 📙 📄 📌

👩‍👪‍ 🔏

J F M A M J J A S O N D J F M A M J J A S O N D J F 2015 2016 M A M 2017

Brief History

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  • October, 2016

– Report of the Standing CommiVee on Public Safety and Na7onal Security

  • Healthy Minds, Safe Communi7es: Suppor7ng Our Public Safety Officers

Through A Na7onal Strategy For Opera7onal Stress Injuries

  • 16 Recommenda7ons

– Support a Canadian Ins/tute focused on PSP Mental Health 🔭 📙 📄 📌 📒

👩‍👪‍ 🔏

J F M A M J J A S O N D J F M A M J J A S O N D J F 2015 2016 M A M 2017

Brief History

  • October, 2016

– Report Recommenda7on Highlights

  • The Canadian Ins7tute for PSP Mental Health Research should

– Work with Sta7s7cs Canada to provide a na7onal assessment of mental health among PSP – Create a comprehensive research strategy to support PSP and their families by harnessing na7onal research capacity – Inves7gate preven7on, screening, educa7on, interven7on, and treatment measures specific to PSP and their families 🔭 📙 📄 📌 📒

👩‍👪‍ 🔏

J F M A M J J A S O N D J F M A M J J A S O N D J F 2015 2016 M A M 2017

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

– Founda7on for an epidemiology study

🔭 📙 📄 📌 📒

👩‍👪‍ 🔏

J F M A M J J A S O N D J F M A M J J A S O N D J F 2015 2016 2017 M A M 📩 🎅 👁 🗤 🔭 📕

Brief History

NEXT STEPS NEXT STEPS

Next Steps

  • Working to support developing a na7onal research strategy

per the Prime Minister’s mandate to the Public Safety Minister

– Work with provinces and territories and the Minister of Health to develop a coordinated na>onal ac>on plan on post-trauma>c stress disorder, which dispropor>onately affects public safety officers.

Next Steps

  • Short Term

– Prevalence Survey Results Under Review

  • Mental Disorder Symptoms Among Public Safety Personnel in Canada
  • Suicidal Idea>on, Plans, and APempts Among Public Safety Personnel in

Canada

– Prevalence Survey Results Under Prepara7on

  • Numerous studies, quan>ta>ve and qualita>ve
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Next Steps

  • Short Term

– PSP Mental Health Epidemiology Study

  • Sta7s7cs Canada Feasibility Study Completed
  • Required the peer-reviewed prevalence survey data (those results

available very soon)

– Commencement in 2018, pending sufficient resources – Available through the Research Data Centres

Next Steps

  • Short Term

– Single Portal Access (www.cipsrt-icrtsp.ca)

  • Under construc7on

– Release planned for July 2017 – Research results – Supported research projects – Access to reliable and accredited resources – Interac7ve capacity linking academics, clinicians, first responders, and other public safety personnel

Next Steps

  • Short Term

– Evidence-based self-report assessments

  • Brief measures assessing symptoms
  • Anonymous, prevalence survey data comparators
  • Recommenda7ons based on responses from PSP to our research teams
  • Release planned for July 2017

Next Steps Next Steps

  • Short Term

– Cluster Research Chair Mee7ng with PSSC

  • Memorial University, St. John’s NFLD, July 25, 26, 27

– Coordinated funding efforts (i.e., Universi7es, SSHRC, PSC) – Research priori7es – Strategic ins7tu7onal planning – Business case development for Federal government – Planning for the first large-scale CIPSRT Leadership mee7ng in Nov 2017 » Larger-scale funding required, efforts underway

Next Steps

  • Short Term

– Exis>ng na>onal capabili>es, exper>se and tools can be leveraged to bePer support public safety officers

  • Canadian Ins7tute for Military and Veteran Health Research (CIMVHR)

Annual Forum

– Scaffolding for Expedi7ng Research Dedicated to Public Safety Personnel – Research Theme Development at Forum

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Next Steps

  • Short Term

– Build on and support families-focused research

  • PSP are part of families and family interac7ons are part of understanding

how whole persons interact with every aspect of their lives

Next Steps

  • Medium Term

– Literature Reviews – Program Research and Evalua7ons

  • We are par7cipa7ng with PSP in Alberta doing amazing work

– Extending research to newer areas (e.g., PTSG) – Build on and support families-focused research – Longitudinal Studies

  • Tracking and Experimental

Next Steps

  • Long Term

– Fast, easy, and confiden7al access to

  • Evidence-based assessment and stepped-care treatment protocols with

no out-of-pocket costs to individual PSP

  • Access to a network of peer support members with diverse evidence-

based accredita7ons

  • A coordinated pan-Canadian mul7disciplinary team of teams

Thank You! Join Us!

  • R. Nicholas Carleton
  • R. Nicholas Carleton, Ph.D., R.D. Psych.

Department of Psychology University of Regina Nick.Carleton@uregina.ca www.cipsrt-icrtsp.ca Steve Palmer Steve Palmer Executive Director Collaborative Centre for Justice and Safety University of Regina +1-306-337-2570 steve.palmer@uregina.ca http://www.justiceandsafety.ca/

www.cipsrt-icrtsp.ca www.cipsrt-icrtsp.ca