Understanding how online solution–focused hypnotherapy can support the wellbeing of police personnel and treat symptoms of anxiety and depression

Abstract

Background: The mental health and wellbeing of police personnel has received increased attention over the last 5 years and rates of mental illness amongst employees are high. Anxiety and depression are the most common mental illnesses within the police force, yet little is known about how effective psychotherapeutic interventions are in treating the symptoms of these mental illnesses in police personnel, that is, how many police personnel recover from anxiety and depression after completing a course of psychotherapy. In the psychotherapy outcome literature, recovery rates for anxiety and depression in clinical samples following treatment are low, between 37% and 47%, suggesting similar outcomes can be expected within the police force using current therapy models. Further research into new or unused interventions is therefore needed to improve recovery rates within the police force. Method: This pilot study explored how a new type of psychotherapy, online Solution Focused Hypnotherapy (SFH), can support the wellbeing of police personnel and effectively treat symptoms of anxiety and depression. A quantitative design was used to measure changes in anxiety (GAD-7) and depression (PHQ-9) symptom severity at pre- and post-intervention and measure changes in wellness using a rating scale (Life Wellness Indicator Tool) at the end of each session. Results: A total of 42 police personnel, both officers and staff, participated in the study and 20 qualified SFH therapists delivered the online intervention. The main finding was that 78% of police personnel who completed a course of SFH and started with clinically significant symptoms of anxiety and/or depression had recovered from their illness following the intervention (i.e. scored below 5 on at least one outcome measure). A total of 97.2% of participants achieved ‘wellness’ after the intervention, compared to 19% at pre-intervention and no participants experienced an increase in symptom scores after completing the intervention. Conclusion: Online Solution Focused Hypnotherapy (SFH) can support the wellbeing of both police officers and staff and effectively treat the symptoms of anxiety and depression. Our findings suggest that SFH is an effective, well liked and safe intervention to use within the police force and provides support for more resources into a larger randomised controlled trial.

Keywords

Police wellbeing police mental health police psychotherapy

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References

Ali

Rhodes

Moreea

(2017) How durable is the effect of low intensity CBT for depression and anxiety? Remission and relapse in a longitudinal cohort study. Behaviour Research and Therapy 94: 1–8. DOI: 10.1016/j.brat.2017.04.006.

Allen

Audickas

(2020). Police Service Strength Briefing Paper No. SN–00634 In: Library

HOC

(ed). London: House of Commons Library: 4–9.

Antony

Brar

Khan

, et al. (2020) Interventions for the prevention and management of occupational stress injury in first responders: a rapid overview of reviews. Systematic Reviews 9: 1–20.

Bart

Ishak

Ganjian

, et al. (2018) The assessment and measurement of wellness in the clinical medical setting: a systematic review. Innovations in Clinical Neuroscience 1(15): 14–23.

Bell

Palmer–Conn

(2018) Police attitudes to mental ill health. International Journal of Law and Public Administration 1(2). 10.11114/ijlpa.v1i2.3878.

Berg

Hem

Lau

, et al. (2006) Help–seeking in the Norwegian police service. Journal of Occupational Health 48: 145–153. DOI: 10.1539/joh.48.145.

Brewin

Miller

Soffia

, et al. (2020) Posttraumatic stress disorder and complex posttraumatic stress disorder in UK Police officers. Psychological Medicine 52(7): 1287–1295.

Brown

Campbell

(1990) Sources of occupational stress in the police. Work & Stress 4(4): 305–318. DOI: 10.1080/02678379008256993.

Brown

Fielding

Grover

(1999) Distinguishing traumatic, vicarious and routine operational stressor exposure and attendant adverse consequences in a sample of police officers. Work & Stress 13(4): 312–325. DOI: 10.1080/02678379950019770.

10.

Cahill

(2019) Brainbox: exploring CORP, hypnotherapy today. Edition 29: p10.

11.

Clark

(2018) Realizing the mass public benefit of evidence–based psychological therapies: the IAPT program. Annual Review of Clinical Psychology 7(14): 159–183.

12.

Comer

Bianco

Hassin

, et al. (2011) Health–related quality of life across the anxiety disorders: results from the national epidemiologic survey on alcohol and related conditions (NESARC). The Journal of Clinical Psychiatry 72: 43–50.

13.

Cooling

(2002) Police! TRAUMA! Action! Safety and Health Practitioner 20(4): 34–36.

14.

Cooper

Conklin

(2015) Dropout from individual psychotherapy for major depression: a meta–analysis of randomized clinical trials. Clinical Psychology Review 40: 57–65. DOI: 10.1016/j.cpr.2015.05.001.

15.

Cuijpers

Berking

Andersson

, et al. (2013) A meta–analysis of cognitive–behavioural therapy for adult depression, alone and in comparison with other treatments. Canadian Journal of Psychiatry 58(7): 376–385. DOI: 10.1177/070674371305800702.

16.

Demou

Hale

Hunt

(2020) Understanding the mental health and wellbeing needs of police officers and staff in Scotland. Police Practice and Research 21(6): 702–716. DOI: 10.1080/15614263.2020.1772782.

17.

Elliott–Davies

(2018) Demand, capacity and welfare survey 2018: headline statistics. Police Federation. Available at: https://www.demandcapacityandwelfaresurveyheadlinestatistics2018–06–02–19–v1.pdf

18.

Fitzhugh

Michaelides

Connolly

, et al. (2019) Mindfulness in Policing A Randomised Controlled Trial of Two Online Mindfulness Resources Across Five Forces in England and Wales. Ryton-on-Dunsmore, UK: College of Policing.

19.

Henderson

Harvey

Øverland

, et al. (2011) Work and common psychiatric disorders. Journal of the Royal Society of Medicine 104(5): 198–207. DOI: 10.1258/jrsm.2011.100231.

20.

Hey

Calderon

Carroll

(2006) Use of body–mind spirit dimensions for the development of a wellness behaviour and characteristic inventory for college students. Health Promotion Practice 7(1): 125–133.

21.

Kessler

(2005) Lifetime prevalence and age–of–onset distributions of DSM–IV disorders in the national comorbidity survey replication. Archives of General Psychiatry 62: 593–602. DOI: 10.1001/archpsyc.62.6.593.

22.

Kessler

(2007) Age of onset of mental disorders: a review of recent literature. Current Opinion in Psychiatry 20: 359–364. DOI: 10.1097/YCO.0b013e32816ebc8c.

23.

Keyes

(2005) Mental illness and/or mental health? Investigating axioms of the complete state model of health. Journal of Consulting and Clinical Psychology 73(3): 539–548. DOI: 10.1037/0022-006X.73.3.539.

24.

Kop

Euwema

(2001) Occupational stress and the use of force by Dutch police. Criminal Justice and Behavior 28(5): 631–652. DOI: 10.1177/009385480102800505.

25.

Kroenke

Spitzer

Williams

(2001) The PHQ–9: validity of a brief depression severity measure. Journal of General Internal Medicine 16(9): 606–613. DOI: 10.1046/j.1525-1497.2001.016009606.x.

26.

Lebensohn

Dodds

Benn

(2013) Resident wellness behaviours: relationship to stress, depression, and burnout. Family Medicine 45(8): 541–549.

27.

Lees

Elliott

Gunning

, et al. (2019) A systematic review of the current evidence regarding interventions for anxiety, PTSD, sleepiness and fatigue in the law enforcement workplace. Industrial Health 57(6): 655–667. DOI: 10.2486/indhealth.2018-0088.

28.

Leichsenring

Steinert

Ioannidis

(2019) Toward a paradigm shift in treatment and research of mental disorders. Psychological Medicine 49: 2111–2117. DOI: 10.1017/S0033291719002265.

29.

McMillan

Gilbody

Richards

(2010) Defining successful treatment outcome in depression using the PHQ–9: a comparison of methods. Journal of Affective Disorders 127(1–3): 122–129. DOI: 10.1016/j.jad.2010.04.030.

30.

Mind (2015) Blue light scoping survey: police summary. Available at: https://www.mind.org.uk/media/4849788/blue–light–scoping–survey–police.pdf. [Accessed 09 September 2022]

31.

Myers

Sweeney

Witmer

(2000) The wheel of wellness counselling for wellness: a holistic model for treatment planning. Journal of Counselling Development 78(3): 251–266.

32.

Newton

(2022) David Newton and solution focused hypnotherapy. Available at: https://www.cpht.co.uk/david–newton–chairman–and–founder–of–cpht/ [Accessed on 25 August 2022]

33.

NHS Digital (2017) Improving access to psychological therapies (IAPT): executive summary 2017. Available at: https://www.iapt–month–jan–2017–exec–sum.pdf

34.

NICE (2011) Common mental health disorders, Guidance and guidelines. Available at: https://www.nice.org.uk/guidance/cg123 [Accessed 25 August 2022]

35.

Police Care

(2018) The job and the Life research Report. Available at: https://www.policecare.oug.uk/wp–content/uploads/PoliceCareUK_TJTL–Report–pdf [Accessed on 2 February 2022]

36.

Police Federation of England and Wales (2016) Officer demand, capcity and welfare survey descriptive statistics summary report. Organisational Support: Mental Health and Wellbeing. Research and Policy Report R064/2016. Available at: https://www.polfed.org/media/14069/welfaresurveyorganisational_support-summaryreport-25-01-2017-v1.pdf

37.

Public Health England (2019) Guidance: health matters: health and work. Available at: https://www.gov.uk/government/publications/health–matters–health–and–work/health–matters–health–and–work [Accessed on 15 August 2022]

38.

Richards

Borglin

(2011) Implementation of psychological therapies for anxiety and depression in routine practice: two year prospective cohort study. Journal of Affective Disorders 133: 51–60. DOI: 10.1016/j.jad.2011.03.024.

39.

Smith

Tang

Nutbeam

(2006) WHO health promotion glossary: new terms. Health Promotion International 21(4): 340–345. DOI: 10.1093/heapro/dal033.

40.

Spitzer

Kroenke

Williams

, et al. (2006) A brief measure for assessing generalized anxiety disorder: the GAD–7. Archives of Internal Medicine 166(10): 1092–1097. DOI: 10.1001/archinte.166.10.1092.

41.

Springer

Levy

Tolin

(2018) Remission in CBT for adult anxiety disorders: a meta–analysis. Clinical Psychology Review 61: 1–8.

42.

Stevelink

Opie

Pernet

, et al. (2020) Probable PTSD, depression and anxiety in 40,299 UK police officers and staff: prevalence, risk factors and associations with blood pressure. PLoS One 15(11). DOI: 10.1371/journal.pone.0240902.

43.

Trombka

Demarzo

Campos

, et al. (2021) Mindfulness training improves quality of life and reduces depression and anxiety symptoms among police officers: results from the POLICE study–A multicenter randomized controlled trial.Front Psychiatry 12.

44.

Tyagi

Dhar

(2014) Factors affecting health of the police officials: mediating role of job stress. Policing: An International Journal of Police Strategies & Management 37(3): 649–664. DOI: 10.1108/PIJPSM-12-2013-0128.

45.

Tylee

Jones

(2005) Managing depression in primary care. British Medical Journal 330: 800–801.

46.

Wang

Inslicht

Metzler

, et al. (2010) A prospective study of predictors of depression symptoms in police. Psychiatry Research 175: 211–216. DOI: 10.1016/j.psychres.2008.11.010.

47.

Weich

Brugha

King

, et al. (2007) Mental well–being and mental illness: findings from the adult psychiatric morbidity survey for England. British Journal of Psychiatry 199(1): 23–28. DOI: 10.1192/bjp.bp.111.091496.

48.

Widnall

Price

Trompetter

, et al. (2020) Routine cognitive behavioural therapy for anxiety and depression is more effective at repairing symptoms of psychopathology than enhancing wellbeing. Cognitive Therapy and Research 44: 28–39. DOI: 10.1007/s10608-019-10041-y

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