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1.
J Autism Dev Disord ; 53(3): 887-900, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-34255235

RESUMO

Law enforcement officers (LEOs) may use physical force unnecessarily or escalate problem behavior when attempting to gain the compliance of individuals with autism spectrum disorder (ASD) (Copenhaver & Tewksbury in American Journal of Criminal Justice 44:309-333, 2019). Although specialized training may remedy this problem, the relatively small literature on such training programs indicates the need for further research (Railey et al. in Focus on Autism and Other Developmental Disabilities, 2020). This study used simulations with actors to evaluate the outcomes of performance-based instruction on strategies to promote compliance when LEOs respond to calls involving individuals with ASD. Results for three LEOs and 24 police cadets demonstrated the efficacy of behavioral skills training (BST) for teaching LEOs how to interact more effectively with individuals with ASD. Results also suggested that hands-on training should supplement commonly used forms of didactic instruction.


Assuntos
Transtorno do Espectro Autista , Aplicação da Lei , Polícia , Humanos , Transtorno Autístico , Polícia/educação , Polícia/normas , Estados Unidos , Aplicação da Lei/métodos
2.
Int J Law Psychiatry ; 83: 101815, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-35753095

RESUMO

Background People with intellectual disabilities are over-represented in the criminal justice system. The United Nations' Convention on the Rights of Persons with Disabilities (UNCRPD) enshrines a right to equal access to justice for persons with disabilities (Article 13, UNCRPD). Accessible information is a key aspect of exercising this right. Yet, many jurisdictions, including Ireland, are yet to develop accessible information for disabled people who may be arrested. Aims This paper describes the collaborative development through multidisciplinary and advocate consensus of an accessible (Easy -to- Read) Notice of Rights (ERNR) for people with intellectual disabilities in police custody in Ireland. Methods Guidelines developed by Ireland's representative organisation for people with intellectual disabilities and examples of international practice were used to develop a draft ERNR by the primary researcher in partnership with an expert from a representative organisation for people with intellectual disabilities. The ERNR was developed thereafter through two focus groups with a view to achieving consensus with a focus on accessibility, accuracy and layout. This included a multidisciplinary focus group with participants from a representative organisation for people with intellectual disabilities, psychology, speech and language therapy, the police force, public health, forensic psychiatry, mental health, law and, subsequently, a focus group of people with lived experience of intellectual disability. Results Progressive development of the ERNR resulted in incremental improvements in textual accuracy as well as the inclusion of more accessible language and imagery. Originality/value This is the first attempt at developing an easy-to-read document relating to the legal rights of suspects in police custody in Ireland and, accordingly, this procedural innovation promises to assist, not just persons with intellectual disabilities, but also those with limited literacy at the point of arrest. The methodology used in the preparation of the document, employing a focus group to achieve consensus with participation from both multiple disciplines and persons with an intellectual disability, is in harmony with the ethos of the UNCPRD. This methodology may usefully be employed by other member states that have ratified the Convention but have yet to develop accessible version of the legal rights and entitlements that extend to arrested persons under their domestic law.


Assuntos
Acesso à Informação , Direitos Civis , Competência Mental , Pessoas com Deficiência Mental , Prisioneiros , Comunicação , Consenso , Direito Penal , Pessoas com Deficiência , Direitos Humanos , Humanos , Deficiência Intelectual , Colaboração Intersetorial , Irlanda , Aplicação da Lei , Alfabetização , Polícia/normas , Nações Unidas/normas
3.
PLoS One ; 16(8): e0256084, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34388182

RESUMO

Building rapport during police interviews is argued as important for improving on the completeness and accuracy of information provided by witnesses and victims. However, little experimental research has clearly operationalised rapport and investigated the impact of rapport behaviours on episodic memory. Eighty adults watched a video of a mock crime event and 24-hours later were randomly allocated to an interview condition where verbal and/or behavioural (non-verbal) rapport techniques were manipulated. Memorial performance measures revealed significantly more correct information, without a concomitant increase in errors, was elicited when behavioural rapport was present, a superiority effect found in both the free and probed recall phase of interviews. The presence of verbal rapport was found to reduce recall accuracy in the free recall phase of interviews. Post-interview feedback revealed significant multivariate effects for the presence of behavioural (only) rapport and combined (behavioural + verbal) rapport. Participants rated their interview experience far more positively when these types of rapport were present compared to when verbal (only) rapport or no rapport was present. These findings add weight to the importance of rapport in supporting eyewitness cognition, highlighting the potential consequences of impoverished social behaviours for building rapport during dyadic interactions, suggesting 'doing' rather than simply 'saying' may be more beneficial.


Assuntos
Cognição/fisiologia , Crime/estatística & dados numéricos , Prova Pericial/estatística & dados numéricos , Relações Interpessoais , Rememoração Mental/fisiologia , Polícia/normas , Adolescente , Adulto , Feminino , Humanos , Masculino , Memória Episódica , Pessoa de Meia-Idade , Polícia/psicologia , Comportamento Social , Adulto Jovem
5.
J Racial Ethn Health Disparities ; 7(4): 590-591, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32514784

RESUMO

As a community member of the Connecticut Racial Profiling Prohibition Project Advisory Board, I wish to acknowledge the group for its work, but to make clear there is much more to be done. While the state's data show more parity across departments, we know that unconscious bias and racism still exists. I wish to advocate for the committee's work to focus on answering three new questions. 1. How does the community feel about its relationship with the police? 2. How do those who are stopped by the police feel about their experience? 3. To what extent do the police understand the principles of unconscious bias, racism, and trauma-informed policing? How effectively do they use that knowledge to help work with communities in policing?


Assuntos
Negro ou Afro-Americano/psicologia , Direitos Civis , Polícia/educação , Polícia/psicologia , Polícia/normas , Política Pública , Racismo/prevenção & controle , Racismo/psicologia , Connecticut , Guias como Assunto , Humanos
6.
Child Abuse Negl ; 106: 104554, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32460202

RESUMO

Children are harmed by exposure to domestic violence (DV) and in extreme cases can become homicide victims themselves. A critical role for police responding to domestic violence calls is to assess risk for future violence. Training and procedural guidelines for assessment and intervention are often focused on adult victims, and children tend to be overlooked. OBJECTIVE: The objective of the current study is to identify the challenges police officers perceive in dealing with children in the context of DV occurrences. PARTICIPANTS, SETTING & METHODS: Interviews with police officers (n = 15) in Ontario, Canada were used to explore police officers' experiences addressing the needs of families experiencing DV. A dual deductive/inductive approach to a thematic analysis at the semantic level was undertaken (Braun & Clarke, 2006) to explore themes. RESULTS: The major themes from the interviews centered on: (a) challenges relating to knowledge, skills, and resources; (b) challenges from discrepancies in required procedures; and (c) challenges associated to police relations with families. These challenges all impact the police response to children in DV occurrences. CONCLUSIONS: Police recognize the challenges they face in addressing children in DV occurrences. The implications for improved practice are discussed and include the need for increased collaboration, awareness, and training.


Assuntos
Violência Doméstica/psicologia , Polícia/normas , Análise de Dados , Feminino , Humanos , Masculino , Medição de Risco , Inquéritos e Questionários
7.
CNS Spectr ; 25(5): 723-733, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32089148

RESUMO

OBJECTIVE: The purpose of this study was to engage in a collaborative process with a variety of stakeholders to develop the Brief Intervention to Promote Service Engagement (BIPSE), which aims to enhance the therapeutic relationship between probation officers and probationers with serious mental illnesses (SMI). METHODS: The BIPSE intervention was developed through a multistage "design for implementation" process, including a series of stakeholder meetings, observations of probation supervision sessions, incorporating existing intervention approaches, and workshopping initial BIPSE components with three randomly selected officers from a specialized mental health probation unit. Acceptability and feasibility of BIPSE components were assessed through focus groups with probation officers, additional observations of probation sessions, and qualitative interviews with probationers with SMI. RESULTS: Two foundational components of the BIPSE intervention were identified during the stakeholder meetings and observations: (1) engagement and (2) shared decision-making. These two components inform and undergird the intervention's third component, strategic case management. During focus groups, probation officers expressed interest in using the modified tools they were given and also saw the benefit of structuring their sessions. Probationers expressed their appreciation for the caring and collaborative nature with which their probation officers approached their sessions. CONCLUSION: Building a therapeutic relationship between probation officers and probationers with SMI is an essential task toward improving mental health and criminal justice outcomes. The BIPSE development and refinement process demonstrates that interventions targeting the therapeutic relationship are acceptable to officers and clients, and can be tailored and feasibly structured into standard probation practices.


Assuntos
Integração Comunitária , Serviços Comunitários de Saúde Mental/métodos , Saúde Mental/legislação & jurisprudência , Polícia/normas , Participação dos Interessados , Humanos , Polícia/psicologia , Reabilitação Psiquiátrica/métodos , Reabilitação Psiquiátrica/organização & administração
8.
J Law Med Ethics ; 48(4_suppl): 39-46, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33404313

RESUMO

This qualitative study identifies police interactions with gun violence co-victims as a crucial, overlooked component of police unresponsiveness, particularly in minority communities where perceptions of police illegitimacy and legal estrangement are relatively high. Gun violence co-victims in three cities participated in online surveys, in which they described pervasive disregard by police in the aftermath of their loved ones' shooting victimization. We build on the checklist model that has improved public safety outcomes in other complex, high-intensity professional contexts to propose a checklist for police detectives to follow in the aftermath of gun violence. To build the checklist, we also reviewed the general orders of five police departments to better understand what guidance, if any, is currently given to police personnel regarding how they should interact with gun violence victims.


Assuntos
Lista de Checagem , Vítimas de Crime/psicologia , Família/psicologia , Violência com Arma de Fogo/psicologia , Aplicação da Lei/métodos , Polícia/normas , Humanos , Políticas , Pesquisa Qualitativa , Segurança , Estados Unidos/epidemiologia
9.
CNS Spectr ; 25(2): 181-195, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31779722

RESUMO

De-institutionalization of mental health patients has evolved, over nearly 3 generations now, to a status quo of mental health patients experiencing myriad contacts with first-responders, primarily police, in lieu of care. The current institutions in which these patients rotate through are psychiatric emergency units, emergency rooms, jails, and prisons. Although more police are now specially trained to respond to calls that involve mental health patients, the criminalization of persons with mental illness has been steadily increasing over the past several decades. There have also been deaths. The Crisis Intervention Team (CIT) model fosters mental health acumen among first responders, and facilitates collaboration among first responders, mental health professionals, and mental health patients and their families. Here, we review some modern, large city configurations of CIT, the co-responder model, the mitigating effects of critically situated community-based programs, as well as barriers to the success of joint efforts to better address this pressing problem.


Assuntos
Psiquiatria Legal/normas , Pessoas Mentalmente Doentes/legislação & jurisprudência , Polícia/educação , Humanos , Serviços de Saúde Mental/normas , Pessoas Mentalmente Doentes/psicologia , Polícia/normas , Violência/legislação & jurisprudência , Violência/prevenção & controle
10.
J Dev Behav Pediatr ; 40(9): 659-668, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31658112

RESUMO

Increased visibility of adverse encounters between individuals with autism spectrum disorder (ASD) and law enforcement (LE) has stimulated a dialog among providers. There are a variety of contributing factors to the increase, including the recognized lack of training of LE professionals on the needs of individuals with ASD and the paucity of awareness of resources by the families of these individuals. The aim of this article is to provide insight into developmental-behavioral pediatric professionals, to enhance safety and reduce adverse outcomes for individuals with ASD in schools and the community.


Assuntos
Transtorno do Espectro Autista , Colaboração Intersetorial , Aplicação da Lei , Segurança do Paciente , Polícia , Adolescente , Humanos , Masculino , Polícia/educação , Polícia/normas
11.
Int Emerg Nurs ; 47: 100790, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31492589

RESUMO

BACKGROUND: Increasing presentations to the Emergency Department (ED) via police (which include detainees, prisoners and community residing persons) and the increase in chronic and mental health illness in detainee and prisoner populations has prompted an increased requirement for healthcare delivery within the custodial environment. This study aimed to describe the Watch House Emergency Nurse (WHEN) role, focusing on structures and processes underpinning the role. METHODS: In this qualitative, descriptive study, semi-structured interviews were undertaken in 2015 with 14 key stakeholders from health, police, and ambulance services. Interviews were analysed using content analysis to inform the findings. FINDINGS: Important structural elements of the WHEN role included an ED triage competent registered nurse, a 2-day integrated training program, and clear guidelines to provide a framework for identifying, prioritising and managing healthcare needs. Important process elements were clear communication between nurses, police, and medical staff, and a clear understanding of roles and responsibilities to facilitate continuity of care and appropriate referral. The underpinning perceived benefit of the WHEN role was 'safety'. This was in terms of personal, professional, and detainee safety. CONCLUSION: The structures and processes underpinning the innovative WHEN role provides a valuable foundation for guiding evaluations of other nursing roles in other early custody settings.


Assuntos
Enfermagem em Emergência/normas , Modelos de Enfermagem , Enfermagem em Emergência/métodos , Enfermagem em Emergência/estatística & dados numéricos , Humanos , Entrevistas como Assunto/métodos , Polícia/normas , Polícia/estatística & dados numéricos , Avaliação de Processos em Cuidados de Saúde/métodos , Pesquisa Qualitativa , Queensland
12.
Occup Med (Lond) ; 69(8-9): 541-548, 2019 Dec 31.
Artigo em Inglês | MEDLINE | ID: mdl-31424077

RESUMO

BACKGROUND: Police academies need fit recruits to successfully engage in training activities. In a previous retrospective study, we documented that recruits with poor fitness at entry to the academy had significantly lower graduation rates, and we also suggested evidence-based entry-level fitness recommendations. AIMS: To validate our findings in a prospective cohort of police recruits. METHODS: Recruits entering Massachusetts municipal police academies during 2015-16 were followed prospectively until they dropped out, failed or successfully graduated their academy classes. Entry-level fitness was quantified at the start of each training class using: body composition, push-ups, sit-ups, sit-and-reach and 1.5-mile run time. The primary outcome of interest was the odds of failure (not successfully graduating from an academy). We used logistic regression to assess the probability of not graduating, based on entry-level fitness. RESULTS: On average, successful graduates were leaner and possessed better overall entry-level fitness. After adjusting for age, gender and body mass index, several fitness measures were strongly associated with academy failure: fewer sit-ups completed (OR 9.6 (95% CI 3.5-26.3) (≤15 versus 41-60)); fewer push-ups completed (OR 6.7 (95% CI 2.5-17.5) (≤20 versus 41-60)); and slower run times (OR 18.4 (95% CI 6.8-50.2) (1.5 miles in > 15 min 20 s versus 10 min 37 s to 12 min 33 s)). The prospective study results supported previously suggested minimum entry-level fitness (95% graduation rate) and target (98% graduation rate) recommendations. CONCLUSIONS: Push-ups completed and 1.5-mile run time at police academy entry were successfully validated as predictors of successful academy graduation, while sit-ups were also a strong independent predictor in the prospective study.


Assuntos
Sucesso Acadêmico , Aptidão Física/fisiologia , Polícia/educação , Adulto , Índice de Massa Corporal , Estudos de Coortes , Teste de Esforço/estatística & dados numéricos , Feminino , Humanos , Masculino , Massachusetts , Polícia/normas , Estudos Prospectivos , Corrida/fisiologia
13.
Work ; 63(4): 615-622, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31282456

RESUMO

BACKGROUND: The general physical task demands of law enforcement may suggest that police Officers are of similar fitness levels across cities, states and countries. OBJECTIVE: To investigate whether fitness levels of police Officers from two different United States (U.S.) Law Enforcement Agencies (LEA) are similar. METHODS: Retrospective data were analysed from two LEAs (LEA1 n = 79 and LEA2 n = 319). The data for Officers included: age, mass, 1-minute push-up repetitions, 1-minute sit-up repetitions, vertical jump height, 2.4 km run time (LEA 1) and 20-meter Multi-Stage Fitness Test results (LEA 2). Independent samples t-tests were used to compare anthropometric and fitness data between LEA with significance set at 0.05. RESULTS: Officers from LEA1 weighed significantly less and performed significantly better than Officers from LEA2 on all fitness measures. When comparing male Officers alone, there was no statistical difference in age and mass; nonetheless, Officers from LEA1 significantly outperformed Officers from LEA2 on all fitness measures. CONCLUSION: While similarities / differences in job tasks performed between these two LEA are not known, the results from this study suggest differences in fitness between these two different U.S. LEA. Fitness standards and training protocols need to be developed and contextualized to each LEA's specific population and needs.


Assuntos
Avaliação de Desempenho Profissional/estatística & dados numéricos , Teste de Esforço/estatística & dados numéricos , Aplicação da Lei , Aptidão Física/fisiologia , Polícia/estatística & dados numéricos , Adulto , Fatores Etários , Avaliação de Desempenho Profissional/normas , Treino Aeróbico , Teste de Esforço/normas , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Resistência Física/fisiologia , Polícia/normas , Estudos Retrospectivos , Fatores Sexuais , Estados Unidos , Adulto Jovem
14.
Int J Audiol ; 58(11): 798-804, 2019 11.
Artigo em Inglês | MEDLINE | ID: mdl-31154860

RESUMO

Objective: Develop valid and defensible hearing standards for Ontario constables to ensure safe and efficient operations. Design: Research involved three steps: (1) identification of hearing critical (HC) tasks, (2) characterisation of real-world noise environments where these tasks are performed (3) and establishment of screening criteria and protocols for determining fitness for duty. Study sample: Three panels of subject matter experts (SMEs) from different Ontario police services participated in Steps 1 and 3. Result: Fifty-one HC tasks conducted in 25 different environments were identified. Acceptable levels of speech communication in noise were based on environments with the highest frequency, importance and difficulty ratings. The ability to understand soft speech was also deemed critical. These translated into a 2 dB maximum elevation in the Noise Composite speech recognition threshold (SRT) with the Hearing-In-Noise-Test and a threshold in quiet of 35 dBA or better. Conclusions: Speech communication modelling methodology greatly facilitates the task of developing fitness for duty hearing standards, but participation of SMEs is crucial for face validity.


Assuntos
Perda Auditiva/diagnóstico , Testes Auditivos/normas , Serviços de Saúde do Trabalhador/normas , Seleção de Pessoal/normas , Polícia/normas , Adulto , Feminino , Testes Auditivos/métodos , Humanos , Masculino , Ruído , Serviços de Saúde do Trabalhador/métodos , Ontário , Mascaramento Perceptivo , Seleção de Pessoal/métodos , Percepção da Fala
15.
Work ; 63(2): 243-251, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31156205

RESUMO

BACKGROUND: Military occupations require heightened vigilance with resultant sleep disturbances, increased anxiety and reduced vigilance. OBJECTIVE: To compare yoga with physical training to reduce insomnia, anxiety and increase vigilance in security personnel. METHODS: One hundred and twelve Border Security Force personnel (BSF group, males; mean age±SD = 30.4±7.4 years) were compared with 112 personnel of a private security firm (SIS group). The BSF group received yoga for nine days and the SIS group received physical training for the same period. Assessments were at baseline and after 9 days, with the digit vigilance test (DVT), Spielberger's STAI-S, and a sleep rating questionnaire. RESULTS: (1) Between groups: (i) at baseline the BSF group had higher vigilance and more daytime naps compared to the SIS group and (ii) after nine days the SIS group had higher state anxiety compared to the BSF group (ANOVA, Bonferroni adjusted post-hoc comparisons; SPSS Version 24.0) (2) In post-pre intervention comparisons (i) the BSF group increased vigilance and decreased state anxiety after yoga, with improved sleep, while (ii) the SIS group showed increased vigilance after physical training. CONCLUSION: Yoga may improve sleep, reduce anxiety while increasing vigilance in occupations requiring vigilance.


Assuntos
Ansiedade/terapia , Polícia/normas , Yoga/psicologia , Adulto , Análise de Variância , Ansiedade/psicologia , Feminino , Humanos , Índia , Masculino , Militares/psicologia , Militares/estatística & dados numéricos , Condicionamento Físico Humano/métodos , Condicionamento Físico Humano/normas , Polícia/estatística & dados numéricos , Psicometria/instrumentação , Psicometria/métodos , Autorrelato , Transtornos do Sono-Vigília/psicologia , Transtornos do Sono-Vigília/terapia
16.
Health Soc Care Community ; 27(3): e112-e124, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30325548

RESUMO

Police are increasingly being called upon to respond to people experiencing suicidal crisis. Such incidents are a challenging aspect of modern policing. This paper reports on an integrative review study that aimed to investigate police responses to individuals displaying suicidal or self-harming behaviours. Six electronic databases were searched for peer-reviewed articles published between 2007 and 2017 relating to police responses to individuals in suicidal crisis. The review identified 12 studies that met the inclusion criteria. A content analysis was conducted to identify and describe the key characteristics emerging from the literature, which identified four themes: "characteristics of individuals"; "the use of violence and weapons"; "contact with police prior to suicide"; and, "police officer training". Findings from this study indicate that individuals involved in incidents of suicidal and self-harm crisis with police are often male, aged between 35 and 40 years, single and/or having relationship issues, with a history of mental health issues and in recent contact with police prior to the incident of suicidal crisis-either as a victim or a perpetrator. The results highlight that large proportions of individuals in suicidal crisis within a community located incident are likely to present with violent or aggressive behaviour and in many situations are armed with a weapon used to either threaten or injure police and/or bystanders or self-harm. Training and education can have a positive impact from the perspective of police responding to individuals in suicidal crisis. Limitations in the current evidence are identified and implications for future research are outlined.


Assuntos
Polícia/organização & administração , Comportamento Autodestrutivo/epidemiologia , Ideação Suicida , Adulto , Bases de Dados Factuais , Feminino , Humanos , Capacitação em Serviço , Masculino , Saúde Mental , Polícia/normas , Violência , Armas
17.
J Occup Environ Med ; 61(2): e51-e55, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30531373

RESUMO

OBJECTIVES: To characterize somatotype profile and analyze the association between somatotype components, physical, and physiological variables in special police unit (SPU) officers. METHODS: One hundred eight male SPU officers, aged 42.5 ±â€Š4.1 years. Somatotype profile, predicted maximal oxygen consumption (VO2max), and physical performance tests were evaluated. RESULTS: The mean somatotypes were 4.04-6.38-1.22. All values clustered amongst the endo-mesomorphism (86%) while mesomorphy was the dominant component (98%). The mean of predicted VO2max was 50.3 ±â€Š5.2 mL kg min. The body mass index (BMI) is more than or equal to 30 was associated to a lowest predicted VO2max (r = 0.613). The VO2max negatively correlated with mesomorphy (r = -0.251). Mesomorphy somatotype was positively associated with maximal and explosive strength tests. CONCLUSION: Our findings indicated that somatotype profile can be used as an accurate method to assess body physique and shape in SPU officers and an ecto-mesomorphism profile was associated to superior performance in physical and physiological measures.


Assuntos
Aptidão Física , Polícia/estatística & dados numéricos , Somatotipos , Adulto , Teste de Esforço , Nível de Saúde , Humanos , Masculino , Saúde Ocupacional/estatística & dados numéricos , Consumo de Oxigênio , Polícia/normas
18.
Am J Addict ; 27(8): 608-611, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30516331

RESUMO

BACKGROUND AND OBJECTIVES: Policing practices do not reflect recent decriminalization of drug possession in Mexico. We assessed knowledge of cannabis law as part of a police education program (PEP) post-drug law reform in Tijuana. METHODS: Officers took pre-/post-PEP surveys; random subsample (n = 759) received follow-up assessments. Longitudinal logistic regression (pre-, post-, 3-months post-PEP) measured knowledge of cannabis law. RESULTS: PEP increased conceptual knowledge of cannabis law from baseline to post-training (AOR = 56.1, CI: 41.0-76.8) and 3 months post-PEP (AOR = 11.3, CI: 9.0-14.2). CONCLUSION AND SCIENTIFIC SIGNIFICANCE: PEPs improve police knowledge of cannabis law. Reforms should be bundled with PEPs to improve policy implementation. (Am J Addict 2018;XX:XX-XX).


Assuntos
Cannabis , Abuso de Maconha , Polícia , Ensino , Adulto , Avaliação Educacional , Feminino , Humanos , Masculino , Abuso de Maconha/epidemiologia , Abuso de Maconha/prevenção & controle , México , Polícia/educação , Polícia/normas , Inquéritos e Questionários
19.
BMC Psychiatry ; 18(1): 256, 2018 08 15.
Artigo em Inglês | MEDLINE | ID: mdl-30111302

RESUMO

BACKGROUND: Police mental health street triage is an increasingly common intervention when dealing with police incidents in which there is a suspected mental health component. We conducted a systematic review of street triage interventions with three aims. First, to identify papers reporting on models of co-response police mental health street triage. Second, to identify the characteristics of service users who come in to contact with these triage services. Third, to evaluate the effectiveness of co-response triage services. METHODS: We conducted a systematic review. We searched the following databases: Ovid MEDLINE, Embase, PsycINFO, EBSCO CINAHL, Scopus, Thompson Reuters Web of Science Core Collection, The Cochrane Library, ProQuest National Criminal Justice Reference Service Abstracts, ProQuest Dissertations & Theses, EThoS, and OpenGrey. We searched reference and citation lists. We also searched for other grey literature through Google, screening the first 100 PDFs of each of our search terms. We performed a narrative synthesis of our results. RESULTS: Our search identified 11,553 studies. After screening, 26 were eligible. Over two-thirds (69%) had been published within the last 3 years. We did not identify any randomised control trials. Results indicated that street triage might reduce the number of people taken to a place of safety under S136 of the Mental Health Act where that power exists, or reduce the use of police custody in other jurisdictions. CONCLUSIONS: There remains a lack of evidence to evaluate the effectiveness of street triage and the characteristics, experience, and outcomes of service users. There is also wide variation in the implementation of the co-response model, with differences in hours of operation, staffing, and incident response.


Assuntos
Comportamento Criminoso , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Saúde Mental , Polícia/psicologia , Triagem/métodos , Direito Penal/métodos , Direito Penal/normas , Humanos , Aplicação da Lei/métodos , Saúde Mental/normas , Serviços de Saúde Mental/normas , Polícia/normas , Triagem/normas
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