Mental Health of Protective Services Workers: Results From the National Epidemiologic Survey on Alcohol and Related Conditions

2013 ◽  
Vol 7 (1) ◽  
pp. 36-45 ◽  
Author(s):  
Christopher N. Kaufmann ◽  
Lainie Rutkow ◽  
Adam P. Spira ◽  
Ramin Mojtabai
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
Mental Disorders ◽  
Alcohol Use Disorders ◽  
Traumatic Events ◽  
Early Career ◽  
Protective Services ◽  
Potentially Traumatic Events ◽  
Epidemiologic Survey

AbstractObjectivesTo determine the prevalence of mental disorders in a nationally representative sample of protective services workers (PSWs), compare it to that of adults in other occupations, and determine if an association exists between trauma exposure and 3-year incident psychiatric disorders in PSWs.MethodsData from the longitudinal US National Epidemiologic Survey on Alcohol and Related Conditions waves 1 (fielded 2001-2002) and 2 (fielded 2004-2005) were used to compare the prevalence of mental disorders at baseline in a representative sample of PSWs to that of adults in other occupations. Among PSWs, we also explored the association between recent exposure to potentially traumatic events and the development of mood, anxiety, and alcohol-use disorders over a 3-year follow-up period.ResultsAt baseline, PSWs had a lifetime prevalence of mental and alcohol-use disorders similar to that of adults in other occupations. However, PSWs experienced a greater variety of potentially traumatic events between baseline and follow-up. Exposure to a greater number of different trauma types was associated with increased odds of incident mood (adjusted odds ratio [AOR] = 1.87, 95% CI = 1.09-3.22, P = .024), and alcohol-use disorders (AOR = 1.84, 95% CI = 1.16-2.91, P = .011). These associations were particularly strong among early career PSWs who joined the profession between waves 1 and 2 (AOR = 2.30, 95% CI = 1.26-4.19, P = .008, for mood disorders; AOR = 2.44, 95% CI = 1.30-4.58, P = .007, for alcohol-use disorders).ConclusionsWhile PSWs do not appear to have a higher prevalence of mental health problems than workers in other occupations, they are more likely to experience multiple types of potentially traumatic events. PSWs who are exposed to multiple types of potentially traumatic events are at increased risk of developing new mental disorders, particularly in the early stages of their careers. Developing curricula in coping skills and providing timely interventions for early career PSWs may help reduce future psychiatric morbidity in these workers. (Disaster Med Public Health Preparedness. 2013;7:36-45)

scholarly journals The impact of potentially traumatic events on the mental health of males who have served in the military: Findings from the Australian National Survey of Mental Health and Wellbeing

2016 ◽  
Vol 51 (7) ◽  
pp. 693-702
Author(s):  
Darryl Wade ◽  
Louise Mewton ◽  
Tracey Varker ◽  
Andrea Phelps ◽  
David Forbes
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Traumatic Events ◽  
Community Members ◽  
Unexpected Events ◽  
Potentially Traumatic Events ◽  
Health And Wellbeing ◽  
Increased Risk ◽  
Australian Defence Force ◽  
The Impact

Objective: The study investigated the impact of potentially traumatic events on mental health outcomes among males who had ever served in the Australian Defence Force. Method: Data from a nationally representative household survey of Australian residents, the 2007 National Survey of Mental Health and Wellbeing, were used for this study. Results: Compared with community members, Australian Defence Force males were significantly more likely to have experienced not only deployment and other war-like events but also accidents or other unexpected events, and trauma to someone close. For non-deployed males, Australian Defence Force members were at increased risk of accidents or other unexpected events compared to community members. After controlling for the effect of potentially traumatic events that were more prevalent among all Australian Defence Force members, the increased risk of mental disorders among Australian Defence Force members was no longer evident. For non-deployed males, Australian Defence Force and community members were at comparable risk of poor mental health outcomes. A significant minority of Australian Defence Force members had onset of a mental disorder prior to their first deployment. Conclusions: Deployment and other potentially traumatic events among Australian Defence Force members can help to explain their increased vulnerability to mental disorders compared with community members. Providers should routinely enquire about a range of potentially traumatic events among serving and ex-serving military personnel.

scholarly journals 231The West Australian Burden of Disease Study 2015: mental health in Aboriginal West Australians

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Michelle Hobday ◽  
Ann-Marie Chapman ◽  
Tracy Dixon ◽  
Parveen Fathima ◽  
Julianne Garcia ◽  
...  
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
Mental Disorders ◽  
Anxiety Disorders ◽  
Burden Of Disease ◽  
Alcohol Use Disorders ◽  
Aboriginal Population ◽  
Disease Study ◽  
Policy And Planning ◽  
All Diseases

Abstract Background Mental disorders represent a growing health problem: an estimated 45% of Australians experience a mental disorder in their lifetime. The Western Australian (WA) Burden of Disease study 2015 produced detailed data for sub-populations within the state to inform policy and planning. Using this, we describe the burden of mental, substance use disorders and self-inflicted injuries in the WA Aboriginal population. Methods The study generated estimates for over 200 diseases to create ranked disease-level estimates of burden in the WA Aboriginal population for the first time. Eleven individual conditions in the mental disorders disease group, and suicide and self-inflicted injuries were analysed. Results Mental disorders contributed 18% of Aboriginal male and 16% of Aboriginal female DALYs in WA. Among Aboriginal males, alcohol use disorders ranked 3rd among all diseases (ASR: 33.6 DALYs per 1,000 males). Among Aboriginal females, anxiety disorders ranked 3rd (ASR: 17.3 per 1,000 females). Suicide and self-inflicted injuries ranked 2nd among all diseases among Aboriginal males (ASR: 39.8 DALYs per 1,000 males) and 5th among Aboriginal females (ASR: 10.8 per 1,000 females). Conclusions The study highlighted the high burden of disease from mental disorders and self-inflicted injuries among Aboriginal West Australians: self-inflicted injuries, alcohol use disorders and anxiety disorders ranked in the top 10 of all diseases. Key messages Mental disorders contribute substantially to the disease burden in WA among the Aboriginal residents. The findings can inform health policy and planning around mental health in the Aboriginal population, as well as informing social and liquor licensing policy.

scholarly journals Hospital morbidity and alcohol consumption in less severe psychiatric disorder: 7-year outcomes

2006 ◽  
Vol 188 (6) ◽  
pp. 554-559 ◽  
Author(s):  
Robert J. Tait ◽  
Gary K. Hulse
Keyword(s):  
Mental Health ◽  
Alcohol Consumption ◽  
Alcohol Use ◽  
Hospital Admissions ◽  
Psychiatric Morbidity ◽  
Alcohol Use Disorders ◽  
Population Based ◽  
Hospital Morbidity ◽  
First Time

BackgroundSubstance use by people with severe psychiatric morbidity is associated with negative outcomes.AimsTo assess in adults with less severe psychiatric morbidity the relationship between alcohol consumption and subsequent 7-year hospital admissions, and the development and recurrence of alcohol use disorders.MethodFollow-up data were assembled via a population-based hospital record-linkage system.ResultsBaseline alcohol use groups were: dependent (n=31), harmful (n=114), moderate (n=621) and abstinent (n=249). The moderate but not the abstinent group had fewer mental health admissions and a longer time to first admission than the harmful and dependent groups. Both the moderate and the abstinent groups had longer times to ‘all-cause’ admissions than the dependent group. Many of those with alcohol use disorders at baseline relapsed (66%) but few (14%) developed a first-time alcohol use disorder.ConclusionsOverall, moderate alcohol consumption among those with less severe psychiatric morbidity was not associated with more mental health admissions; those with alcohol dependence had poorer health outcomes than the remaining categories.

scholarly journals Patient satisfaction with treatment for alcohol use disorders: comparing patients with and without severe mental health symptoms

2016 ◽  
Vol Volume 10 ◽  
pp. 1489-1500 ◽  
Author(s):  
Stacey McCallum ◽  
Jane Andrews ◽  
Matthew Gaughwin ◽  
Deborah Turnbull ◽  
Antonina Mikocka-Walus
Keyword(s):  
Mental Health ◽  
Patient Satisfaction ◽  
Alcohol Use ◽  
Alcohol Use Disorders ◽  
Mental Health Symptoms ◽  
Health Symptoms ◽  
Satisfaction With Treatment

scholarly journals Update on the management of alcohol use disorders

2019 ◽  
Vol 26 (2) ◽  
pp. 82-91
Author(s):  
Julia M. A. Sinclair ◽  
Aimee O'Neill
Keyword(s):  
Mental Health ◽  
Alcohol Use ◽  
Mental Health Services ◽  
Health Services ◽  
Alcohol Use Disorders ◽  
Teachable Moment ◽  
Management Options

SUMMARYAlcohol use disorders (AUD) are common, particularly in patients attending mental health services. Clinicians are often hesitant to explore with patients their relationship with alcohol and the role that it has in their presenting complaint, despite being ideally placed to optimise on a ‘teachable moment’ and initiate treatment, where necessary. This article provides an overview of AUD and their identification and management options.

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