Veterans affairs and academic medical center affiliations: the north Texas experience.

OBJECTIVE: The authors review the more than 30-year history of the academic affiliation between the Department of Psychiatry at the University of Texas Southwestern Medical Center in Dallas and the Mental Health Service at the Veterans Affairs North Texas Health Care System. METHODS: The authors interviewed individuals involved at various stages in developing this affiliation about decisions and challenges. RESULTS: The academic association has been very successful on the whole, though not consistently so. At this time, a flourishing educational and research program is in place and seems stable. CONCLUSION: It is not clear how generalizable the Dallas experience is. Both sides of this affiliation have overcome obstacles. Persistence and patience have been crucial, especially when one or the other side produced temporarily insurmountable obstacles. It appears that the decision to pursue the recruitment of both researchers and educators to the North Texas Veterans Health Care System from the beginning may have been crucial in developing a fuller academic collaboration.

Mental health training for law enforcement professionals.

The purpose of this pilot study was to determine topics of interest and preferred modalities of training for police officers in their work with persons with mental illness. Police officers across Massachusetts attending in-service mental health training were asked to rate the importance of potential mental health topics and the effectiveness of potential training modalities on a Likert-type scale. Additional data collected included the officer's experience, level of education, motivation for attendance, previous attendance of post-academy mental health training, and preferences for length, frequency, training site, and trainer qualifications. A t test was used to determine if there were significant differences (p < .05) between those who volunteered and those who were mandated to attend the training. Repeated-measures ANOVAs were used to determine if there were significant differences (p < .05) between mental health topics and lecture formats and to determine the effect of education and experience on the results. Although all topics suggested were rated, primarily, as fairly important, the topics of Dangerousness, Suicide by Cop, Decreasing Suicide Risk, Mental Health Law, and Your Potential Liability for Bad Outcomes were given the highest ratings. Role-playing was rated significantly lower than other training modalities, while Videos and Small Group Discussion had the highest mean scores. Level of prior education had no significant effect on the ratings, but officers with more experience rated the importance of mental illness as a training topic significantly higher than officers with less experience. This survey suggests that police officers are interested in learning more about working with persons with mental illness and view it as an important aspect of the job.