Page 43 - Top Cover Issue 9
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TOP COVER ISSUE 9  43

                                                                                                       FEATURE


       HEALTHY



       STRATEGIES FOR




       PSYCHOLOGICAL




       WELL-BEING


                                                                                     WRITTEN BY CLAIRE MCDOWALL
                                                                                         WWW.SAFEHORIZON.CO.UK














       some cases having to advocate for the Officer because they are   those in authority “do what’s right” and avoid betrayal of those
       vulnerable, have difficulty with memory and confusion and   they have a duty to care for. 2
       because discussing work matters can exacerbate their symptoms,   Research overwhelmingly supports the fact that the actions
       particularly anger or rage.                             and behaviour of the organisation and those with authority,
         It is by no means a given that Police Officers will develop full   where benevolent, can protect Officers against PTSD or where
       diagnostic PTSD and research has not been able to determine a   malevolent, be the most significant instigator of its development.
       particular personality type or personal history to account for why   PTSD is not the result of a personal defect or weakness. People
       some people are more susceptible than others. I would certainly   who have strong beliefs about right from wrong and justice,
                                                               who have genuine compassion for victims of crime, most likely
                                                               to be first on the scene and first through the door, have a ‘can
                                                               do’ attitude, protect colleagues before caring for themselves and
          PTSD is not the result of a personal                 tend to stay in front line roles can become saturated by incidents.
                                                               Moral injury in conjunction with PTSD or secondary traumatic
                   defect or weakness.                         stress can be the tipping point. Organisations should not fear a
                                                               deluge of applications for adjustments or ill health retirement
                                                               when Officers are made aware of PTSD and the signs and
                                                               symptoms.
                                                                   ‘Providing educational materials and raising awareness about
       say that long service in mainly front line policing roles increases   post incident reactions does not increase the number of symptoms
       the risk. However, much can be implemented by organisations to   reported’ (Mitchell et al., 2000). 3
       reduce the risk including educating Officers on PTSD, vicarious    A mindful, respectful, supportive and equitable constabulary
       traumatization, secondary traumatic stress and compassion   and police authority could reduce the number of applications for
       fatigue. This can result in prevention, lessen the impact of   ill health retirement and injury on duty awards, reduce sickness
       symptoms, encourage early intervention and treatment and   absence levels, increase the effectiveness and commitment of its
       improve the likelihood of recovery.                     workforce and promote healthy family life  ■
         ‘Work environment factors such as dissatisfaction with
       organizational support predicted PTSD symptoms in Police
       Officers’ (Carlier et al., 1997). 1                     1 Carlier et al., 1997, King et.al, 1995: cited in Maguen et al., 2009, Routine work
         King et al. (1995)says a malevolent work environment is the   environment stress and PTSD symptoms in Police Officers, Journal of Nervous and
       strongest precursor to post-traumatic symptoms over and above   Mental Disease, 197(10), 754-760
       combat, threat and atrocities. Threat to life has less effect on post-  2 Shay, J., (2003), Achilles in Vietnam: Combat Trauma and The Undoing Of
       trauma symptoms than other occupational and environmental   Character (First ed.). New York, U.S.A: Scribner.
       factors (Maguen et al., 2009) and Dr. Shay (the founder of ‘Moral   3  Mitchell et al., (2000), Managing Post Incident Reactions in the Police Service.
       Injury’) says lifelong psychological injury can be prevented when   Sudbury, Suffolk: HSE Books
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