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Record Nr. |
UNINA9910751382603321 |
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Autore |
Bourke Michael L |
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Titolo |
First Responder Mental Health : A Clinician's Guide |
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Pubbl/distr/stampa |
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Cham : , : Springer International Publishing AG, , 2023 |
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©2023 |
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ISBN |
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Edizione |
[1st ed.] |
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Descrizione fisica |
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1 online resource (523 pages) |
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Altri autori (Persone) |
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Van HasseltVincent B |
BuserSam J |
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Disciplina |
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Soggetti |
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Salut mental |
Assistència en emergències |
Llibres electrònics |
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Lingua di pubblicazione |
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Formato |
Materiale a stampa |
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Livello bibliografico |
Monografia |
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Nota di contenuto |
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Intro -- Overview and Introduction -- Contents -- Contributors -- Part I: Mental Health of First Responders -- Psychological Stress Syndromes and Treatment Strategies for Law Enforcement Personnel -- Stress and Coping in Law Enforcement Professionals -- Interventions with Police Officers in Distress -- Critical Incident Stress Debriefing -- The CISD Process -- Special Modifications and Applications of CISD for Law Enforcement -- Psychotherapy with Law Enforcement Personnel -- Trust and the Therapeutic Relationship -- Therapeutic Strategies and Techniques -- Summary -- References -- Mental Health Issues in the Fire Service -- Firefighter Culture -- History -- Basic Numbers -- Volunteer/Professional -- EMS vs Fire -- Specialty Roles -- Work Schedules -- Multiple Jobs -- Sense of Family -- Paramilitary Structure -- Saving a Life -- Government Favoring Police over Fire -- Job Satisfaction -- Self-Reliance -- Mission Priority -- Natural Disasters -- Constant Reminders of Trauma -- Obstacles to Seeking Mental Health Care in the Fire Service -- Stigma -- Confidentiality -- Lack of Mental Health Care in Fire Departments -- Cultural Competence Issues -- Common Mental Health Issues Faced by Firefighters -- Posttraumatic Stress Disorder (PTSD) -- Alcohol/Substance Abuse -- Sleep Problems -- Relationship and Family Issues -- Gender Issues -- Suicide -- Line- |
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of-Duty Deaths -- Retirement -- Protective Factors Among Firefighters: What Helps? -- Components of an Effective Fire Psychology Program -- Counseling -- Families -- Retirees -- Substance Abuse Abatement -- Anger Management -- Crisis Intervention -- Consultation -- Research -- Training -- Helpful Tips for MHP's Working with Firefighters -- Summary -- References -- Psychological Health of Correctional Workers -- Clinical Disorders -- Psychological Distress -- Suicide Risk -- Secondary Traumatic Stress. |
Occupational Stress -- Prevention, Treatment Seeking, and Intervention -- Universal Approach -- Selective Approach -- Indicated Approach -- Conclusion -- References -- Crime Scene Investigators -- Types of Crime Scene Investigators -- Duties and Procedures for Search Operations -- Review of the Literature -- Stress -- Occupational Stress -- Organizational Stress -- Personal Stress -- Issues at the Crime Scene -- Acute Stress Disorder -- Posttraumatic Stress Disorder -- Physiological Factors -- Burnout -- Job Satisfaction -- Recruitment/Skills -- Coping and Defense Mechanisms -- Mental Resilience -- Emotional Distancing -- Visualization -- Social Support -- Stigma -- Avoidance -- Humor -- Summary and Conclusions -- Appendix -- References -- Emergency Communications Operators -- The True First Responders -- Occupational Hazards -- Stress: Psychological and Physiological Effects -- Call-Taking -- Law Enforcement Culture -- Resilience -- Social Support -- Friends and Family -- Peer Support -- Critical Incident Stress Management -- Mental Health Clinicians -- Summary -- References -- Part II: Assessment and Prevention -- Psychological Evaluations in Public Safety Settings -- Pre-employment Psychological Evaluations -- Guidelines and Standards -- Interview Process -- Integration of Data Sources -- Final Reports -- Psychological Fitness for Duty Evaluation -- Procedures -- FFDE Versus Critical Incident Stress Debrief -- References -- Legal Citations -- Behavioral Health Training and Peer Support Programs -- Behavioral Health Training -- Behavioral Health Training Modules -- Curriculum -- Stress -- Depression -- Substance Use -- Sleep Disturbances -- Anxiety -- Posttraumatic Stress Disorder -- Suicide -- Additional Training Modules -- Treatment/Intervention Options -- Available Resources -- Discussion -- Effectiveness -- Limitations -- Peer Support Programs. |
Overview -- Guidelines -- Advantages -- Disadvantages -- Utilization -- Personnel Attitudes and Perceptions -- Current Program Methods -- Law Enforcement -- Fire Rescue -- Emergency Dispatchers -- Differences Among First Responder Groups -- Summary -- References -- Psychological Safeguarding and First Responder Wellness -- Suicidal Ideation -- Depression -- First-Responder Wellness -- What Stops First Responders from Seeking Help -- Posttraumatic Stress Disorder -- Secondary Traumatic Stress -- Vicarious Trauma -- Safeguarding -- Online Investigation -- Peer Support -- Environmental Factors -- Check-Ins with the Safeguard Clinician -- Independence -- Feedback -- Assessment -- The Catch-22 -- Clinical Competence -- Conclusion -- References -- Wellness, Resilience, and Mindfulness -- Defining Wellness, Resilience, and Mindfulness -- Resilience -- Mindfulness -- Wellness -- Resilience, Mindfulness, and Wellness in First Responders: A Brief Literature Review -- Law Enforcement Officers -- Treatments and Interventions -- Wellness Programs and Initiatives -- Firefighters -- Treatments and Interventions -- Emergency Medical Services -- Emergency Dispatch -- Large-Scale Implementation -- Assess Department Needs -- Develop a Curriculum -- Train Program Facilitators -- Program Launch -- Program Evaluation and Feedback -- Promote Sustainability -- Client-Focused Implementation -- |
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Considerations for Implementation -- Limitations and Future Directions -- Conclusions -- References -- Critical Incident Stress Management (CISM) -- Part I. A Sensible Staff Support System -- CISM History -- CISM Defined -- Early Crisis Intervention History -- Crisis Intervention in Disasters -- Crisis Intervention Specifically for Emergency Services Personnel -- Police Psychological Services Contribute to CISM Development -- Critical Incident Stress Management Arrives. |
Critical Incidents, Stress, and Crisis -- Characteristics of Crises -- Crisis Intervention -- Goals of Crisis Intervention -- The Seven Principles of Crisis Intervention -- The "ASIF" Approach to Crisis Intervention -- Characteristics of Sensible Staff Support Programs -- Critical Incident Stress -- Signs and Symptoms of Critical Incident Stress -- Part II. Components, Applications, and Research -- Fundamental Components of a CISM Program -- Steps in Individual Crisis Support -- Group Support Services -- Four CISM Group Interventions -- Rest, Information, and Transition Services (RITS) -- Crisis Management Briefing (CMB) -- Defusing -- Critical Incident Stress Debriefing -- Effectiveness of CISM -- Summary -- References -- Part III: Treatment Strategies -- Cognitive Behavioral Therapy (CBT) -- Background on Cognitive Behavioral Therapy (CBT) -- Variations of CBT -- Application of CBT -- Stressor-Related Disorders -- Anxiety Disorders -- Mood Disorders -- Substance Use Disorders -- Relationship Distress -- CBT with First Responders and Public Safety Personnel -- Case Example -- Conclusion -- References -- The Benefits of Eye Movement Desensitization Reprocessing in a Law Enforcement Population -- Trauma Exposure in Law Enforcement -- History and Mechanisms of EMDR Treatment -- Phases of EMDR -- Impact of Trauma on Memory -- Efficacy of EMDR for PTSD Symptoms in Law Enforcement -- Other Psychological and Medical Concerns for Law Enforcement Officers -- Occupational and Organizational Stressors -- Integrating Law Enforcement Culture and Mental Health -- Resilience -- Conclusion -- References -- Exposure Treatments and First Responders: An Embedded Behavioral Health Perspective -- Clinical Vignette: PTSD Treatment with a Sheriff's Deputy -- Exposure and Common First Responder Mental Health Issues. |
Evidence for Exposure-Based Treatments for Common First Responder Diagnoses -- Embedded Behavioral Health -- Clinical Vignette: PTSD Treatment and Panic with a Paramedic -- Underutilization of Exposure Therapy -- Clinical Vignette: Treating Cannabis Use Disorder with a Firefighter -- Conclusions, Limitations, and Future Directions -- References -- Psychopharmacologic Treatment of Psychiatric Disorders in First Responders -- Posttraumatic Stress Disorder -- Depression -- Anxiety Disorders -- Panic Disorder -- Bipolar Disorder -- Substance Use Disorders -- Opioid Use Disorder (Medication-Assisted Treatment) -- Insomnia -- Summary -- References -- Virtual Reality Treatments -- Psychological Disorders Following Exposure to Traumatic Events in First Responders -- Virtual Reality to Enhance the Efficacy of Exposure Therapy -- Why Virtual Reality? -- Why Olfaction? -- Initial Development of Virtual Reality for the Treatment of PTSD -- Development and Validation of a VR System Specifically Addressing the Traumas of First Responders -- Is VR Necessary for Positive Treatment Outcome? -- Future Directions -- Summary -- References -- Motivational Interviewing in Clinical Work with First Responders -- Introduction to Motivational Interviewing -- Occupational Stress and Mental Health Stigma -- What Is Motivational Interviewing? -- The Spirit of MI -- The Processes of Motivational Interviewing -- Engaging -- Open-Ended Questions -- Affirmations -- Reflective Listening -- Summaries -- Normalizing -- Focusing -- Asking Permission -- |
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Evoking -- Evoking Change Talk -- Evoking Statements of Self-Efficacy -- Values and Goals -- Decisional Balance -- Providing Feedback -- Scaling Questions -- Readiness to Change -- Exploring Confidence and Importance -- Use of Discrepancy -- Planning -- Development and Maintenance of MI Skills -- Conclusion -- References. |
Part IV: Special Topics. |
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