Law enforcement preferences for PTSD treatment and crisis management alternatives |
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| Authors: | Carolyn Black Becker Glenn Meyer John S Price Melissa M Graham Ashley Arsena David A Armstrong Elizabeth Ramon |
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| Institution: | 1. Department of Psychology, Trinity University, One Trinity Place, San Antonio, TX 78212-7200, USA;2. San Antonio Police Department, San Antonio, TX, USA;3. McNeese State University, Lake Charles, LA, USA;1. Departments of Psychiatry and Neuroscience, Yale University School of Medicine, New Haven;2. Clinical Neuroscience Division, National Center for PTSD, West Haven, Connecticut;3. Psychiatry Services, VA Connecticut Healthcare System, West Haven, Connecticut;4. Development Service, Tuscaloosa VA Medical Center, Tuscaloosa;5. Department of Psychiatry, University of Alabama School of Medicine, Birmingham, Alabama;6. Department of Psychiatry, University of California, San Francisco;7. San Francisco VA Medical Center, San Francisco;8. Departments of Psychiatry and Family Medicine & Public Health, University of California, San Diego, La Jolla;9. VA San Diego Healthcare System, San Diego, California;10. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington;11. VA Puget Sound Health Care System, Seattle, Washington;12. Executive Division, National Center for PTSD, White River Junction, Vermont;13. Department of Psychiatry, Geisel School of Medicine at Dartmouth, White River Junction, Vermont;14. Department of Veterans Affairs, Office of Research & Development, Washington, DC;15. Cooperative Studies Program Central Office, VA Office of Research and Development, Washington, DC;1. Maastricht University, The Netherlands;2. Netherlands Institute for Advanced Study in the Humanities and Social Sciences, The Netherlands;3. Osperon, den Bosch, The Netherlands;1. University of Lorraine, Laboratory INTERPSY, 23 Boulevard Albert 1st, 54015 Nancy, France;2. Brandeis University, Psychology Department, 415 South St. MS062, Waltham, MA 02454, USA;1. Cincinnati VA Medical Center, Trauma Recovery Center, 3200 Vine Street, Cincinnati, OH 45220, USA;2. University of Cincinnati, Department of Psychiatry and Behavioral Neuroscience, 260 Stetson Street, Suite 3200, Cincinnati, OH 45219, USA;3. Veterans Medical Research Foundation, VA San Diego Healthcare System, USA;1. Addiction Research Program, Veterans Affairs Medical Center, San Francisco, CA, USA;2. Center for Imaging of Neurodegenerative Diseases, Veterans Affairs Medical Center, San Francisco, CA, USA;3. Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden;4. Department of Psychiatry, University of California, San Francisco, CA, USA;5. Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA, USA;6. Northern California Institute for Research and Education, San Francisco, CA, USA |
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| Abstract: | Evidence-based treatments (EBT) for posttraumatic stress disorder (PTSD) remain underutilized. Analog research, however, indicates that patients may be more amenable to receiving EBT for PTSD than utilization rates suggest. This study sought to extend previous studies by investigating PTSD treatment preferences among law enforcement individuals (i.e., active duty officers, cadets, criminal justice students). We asked 379 participants, with varying trauma histories, to read a police traumatic event and imagine they had developed PTSD. Participants rated the credibility of six treatment options which they might encounter in a treatment setting, and chose their most and least preferred treatments. Next, they evaluated a widely used debriefing intervention aimed at preventing PTSD. Almost 90% of participants chose exposure or Cognitive Processing Therapy as their first or second most preferred treatment, and they rated these interventions as significantly more credible than the other four treatment options. The sample showed ambivalence regarding the perceived efficacy of debriefing but found the rationale credible. This study supports previous analog research indicating that patients may be more interested in EBT than indicated by utilization rates, and suggests that law enforcement departments should consider offering EBT to officers who develop PTSD. |
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