An integrated workplace mental health intervention in a policing context: Protocol for a cluster randomised control trial

Anthony Daniel LaMontagne, Allison Milner, Amanda Allisey, Kathryn Page, Nicola J Reavley, Angela Martin, Irina Tchernitskaia, Andrew J Noblet, Lauren Purnell, Katrina Gisela Witt, Tessa Keegel, Peter Smith

Research output: Contribution to journalArticleOtherpeer-review

Abstract

BACKGROUND: In this paper, we present the protocol for a cluster-randomised trial to evaluate the implementation and effectiveness of a workplace mental health intervention in the state-wide police department of the south-eastern Australian state of Victoria. n. The primary aims of the intervention are to improve psychosocial working conditions and mental health literacy, and secondarily to improve mental health and organisational outcomes.
METHODS/DESIGN: The intervention was designed collaboratively with Victoria Police based on a mixed methods pilot study, and combines multi-session leadership coaching for the senior officers within stations (e.g., Sergeants, Senior Sergeants) with tailored mental health literacy training for lower and upper ranks. Intervention effectiveness will be evaluated using a two-arm cluster-randomised trial design, with 12 police stations randomly assigned to the intervention and 12 to the non-intervention/usual care control condition. Data will be collected from all police members in each station (estimated at >20 per station). Psychosocial working conditions (e.g., supervisory support, job control, job demands), mental health literacy (e.g., knowledge, confidence in assisting someone who may have a mental health problem), and mental health will be assessed using validated measures. Organisational outcomes will include organisational depression disclosure norms, organisational cynicism, and station-level sickness absence rates. The trial will be conducted following CONSORT guidelines. Identifying data will not be collected in order to protect participant privacy and to optimise participation, hence changes in primary and secondary outcomes will be assessed using a two-sample t-test comparing summary measures by arm, with weighting by cluster size.
DISCUSSION: This intervention is novel in its integration of stressor-reduction and mental health literacy-enhancing strategies. Effectiveness will be rigorously evaluated, and if positive results are observed, the intervention will be adapted across Victoria Police (total employees ~16,500) as well as possibly in other policing contexts, both nationally and internationally.
TRIAL REGISTRATION: Current Controlled Trials: ISRCTN82041334. Registered 24th July, 2014.
Original languageEnglish
Article number49
Number of pages13
JournalBMC Psychiatry
Volume16
DOIs
Publication statusPublished - 2016

Cite this

LaMontagne, Anthony Daniel ; Milner, Allison ; Allisey, Amanda ; Page, Kathryn ; Reavley, Nicola J ; Martin, Angela ; Tchernitskaia, Irina ; Noblet, Andrew J ; Purnell, Lauren ; Witt, Katrina Gisela ; Keegel, Tessa ; Smith, Peter. / An integrated workplace mental health intervention in a policing context : Protocol for a cluster randomised control trial. In: BMC Psychiatry. 2016 ; Vol. 16.
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abstract = "BACKGROUND: In this paper, we present the protocol for a cluster-randomised trial to evaluate the implementation and effectiveness of a workplace mental health intervention in the state-wide police department of the south-eastern Australian state of Victoria. n. The primary aims of the intervention are to improve psychosocial working conditions and mental health literacy, and secondarily to improve mental health and organisational outcomes.METHODS/DESIGN: The intervention was designed collaboratively with Victoria Police based on a mixed methods pilot study, and combines multi-session leadership coaching for the senior officers within stations (e.g., Sergeants, Senior Sergeants) with tailored mental health literacy training for lower and upper ranks. Intervention effectiveness will be evaluated using a two-arm cluster-randomised trial design, with 12 police stations randomly assigned to the intervention and 12 to the non-intervention/usual care control condition. Data will be collected from all police members in each station (estimated at >20 per station). Psychosocial working conditions (e.g., supervisory support, job control, job demands), mental health literacy (e.g., knowledge, confidence in assisting someone who may have a mental health problem), and mental health will be assessed using validated measures. Organisational outcomes will include organisational depression disclosure norms, organisational cynicism, and station-level sickness absence rates. The trial will be conducted following CONSORT guidelines. Identifying data will not be collected in order to protect participant privacy and to optimise participation, hence changes in primary and secondary outcomes will be assessed using a two-sample t-test comparing summary measures by arm, with weighting by cluster size.DISCUSSION: This intervention is novel in its integration of stressor-reduction and mental health literacy-enhancing strategies. Effectiveness will be rigorously evaluated, and if positive results are observed, the intervention will be adapted across Victoria Police (total employees ~16,500) as well as possibly in other policing contexts, both nationally and internationally.TRIAL REGISTRATION: Current Controlled Trials: ISRCTN82041334. Registered 24th July, 2014.",
author = "LaMontagne, {Anthony Daniel} and Allison Milner and Amanda Allisey and Kathryn Page and Reavley, {Nicola J} and Angela Martin and Irina Tchernitskaia and Noblet, {Andrew J} and Lauren Purnell and Witt, {Katrina Gisela} and Tessa Keegel and Peter Smith",
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LaMontagne, AD, Milner, A, Allisey, A, Page, K, Reavley, NJ, Martin, A, Tchernitskaia, I, Noblet, AJ, Purnell, L, Witt, KG, Keegel, T & Smith, P 2016, 'An integrated workplace mental health intervention in a policing context: Protocol for a cluster randomised control trial' BMC Psychiatry, vol. 16, 49. https://doi.org/10.1186/s12888-016-0741-9

An integrated workplace mental health intervention in a policing context : Protocol for a cluster randomised control trial. / LaMontagne, Anthony Daniel; Milner, Allison; Allisey, Amanda; Page, Kathryn; Reavley, Nicola J; Martin, Angela; Tchernitskaia, Irina; Noblet, Andrew J; Purnell, Lauren; Witt, Katrina Gisela; Keegel, Tessa; Smith, Peter.

In: BMC Psychiatry, Vol. 16, 49, 2016.

Research output: Contribution to journalArticleOtherpeer-review

TY - JOUR

T1 - An integrated workplace mental health intervention in a policing context

T2 - Protocol for a cluster randomised control trial

AU - LaMontagne, Anthony Daniel

AU - Milner, Allison

AU - Allisey, Amanda

AU - Page, Kathryn

AU - Reavley, Nicola J

AU - Martin, Angela

AU - Tchernitskaia, Irina

AU - Noblet, Andrew J

AU - Purnell, Lauren

AU - Witt, Katrina Gisela

AU - Keegel, Tessa

AU - Smith, Peter

PY - 2016

Y1 - 2016

N2 - BACKGROUND: In this paper, we present the protocol for a cluster-randomised trial to evaluate the implementation and effectiveness of a workplace mental health intervention in the state-wide police department of the south-eastern Australian state of Victoria. n. The primary aims of the intervention are to improve psychosocial working conditions and mental health literacy, and secondarily to improve mental health and organisational outcomes.METHODS/DESIGN: The intervention was designed collaboratively with Victoria Police based on a mixed methods pilot study, and combines multi-session leadership coaching for the senior officers within stations (e.g., Sergeants, Senior Sergeants) with tailored mental health literacy training for lower and upper ranks. Intervention effectiveness will be evaluated using a two-arm cluster-randomised trial design, with 12 police stations randomly assigned to the intervention and 12 to the non-intervention/usual care control condition. Data will be collected from all police members in each station (estimated at >20 per station). Psychosocial working conditions (e.g., supervisory support, job control, job demands), mental health literacy (e.g., knowledge, confidence in assisting someone who may have a mental health problem), and mental health will be assessed using validated measures. Organisational outcomes will include organisational depression disclosure norms, organisational cynicism, and station-level sickness absence rates. The trial will be conducted following CONSORT guidelines. Identifying data will not be collected in order to protect participant privacy and to optimise participation, hence changes in primary and secondary outcomes will be assessed using a two-sample t-test comparing summary measures by arm, with weighting by cluster size.DISCUSSION: This intervention is novel in its integration of stressor-reduction and mental health literacy-enhancing strategies. Effectiveness will be rigorously evaluated, and if positive results are observed, the intervention will be adapted across Victoria Police (total employees ~16,500) as well as possibly in other policing contexts, both nationally and internationally.TRIAL REGISTRATION: Current Controlled Trials: ISRCTN82041334. Registered 24th July, 2014.

AB - BACKGROUND: In this paper, we present the protocol for a cluster-randomised trial to evaluate the implementation and effectiveness of a workplace mental health intervention in the state-wide police department of the south-eastern Australian state of Victoria. n. The primary aims of the intervention are to improve psychosocial working conditions and mental health literacy, and secondarily to improve mental health and organisational outcomes.METHODS/DESIGN: The intervention was designed collaboratively with Victoria Police based on a mixed methods pilot study, and combines multi-session leadership coaching for the senior officers within stations (e.g., Sergeants, Senior Sergeants) with tailored mental health literacy training for lower and upper ranks. Intervention effectiveness will be evaluated using a two-arm cluster-randomised trial design, with 12 police stations randomly assigned to the intervention and 12 to the non-intervention/usual care control condition. Data will be collected from all police members in each station (estimated at >20 per station). Psychosocial working conditions (e.g., supervisory support, job control, job demands), mental health literacy (e.g., knowledge, confidence in assisting someone who may have a mental health problem), and mental health will be assessed using validated measures. Organisational outcomes will include organisational depression disclosure norms, organisational cynicism, and station-level sickness absence rates. The trial will be conducted following CONSORT guidelines. Identifying data will not be collected in order to protect participant privacy and to optimise participation, hence changes in primary and secondary outcomes will be assessed using a two-sample t-test comparing summary measures by arm, with weighting by cluster size.DISCUSSION: This intervention is novel in its integration of stressor-reduction and mental health literacy-enhancing strategies. Effectiveness will be rigorously evaluated, and if positive results are observed, the intervention will be adapted across Victoria Police (total employees ~16,500) as well as possibly in other policing contexts, both nationally and internationally.TRIAL REGISTRATION: Current Controlled Trials: ISRCTN82041334. Registered 24th July, 2014.

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U2 - 10.1186/s12888-016-0741-9

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JO - BMC Psychiatry

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