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Mental Health Crisis Training for Police, Firefighters, and Public Health Staff

5. juli 2026 opdateret af: Hua Ho, Far Eastern Memorial Hospital

Evaluating Mental Health Crisis Training Outcomes Among Police, Firefighters, and Public Health Staff

This study evaluated whether a mental health crisis response training course improved the knowledge, confidence, and attitudes of police officers, firefighters, emergency medical personnel, and public health staff who may encounter people experiencing mental health or substance use crises.

Participants attended a four-hour training course covering mental health laws, recognition and assessment of behavioral emergencies, crisis identification, the escalation of violent behavior, communication, and de-escalation techniques. Participants voluntarily completed an online questionnaire immediately before and after the course.

The study compared participants' responses before and after training to determine whether the course improved their understanding of mental health crises, confidence in responding to these situations, and attitudes toward people with mental health conditions or substance use problems.

Studieoversigt

Status

Afsluttet

Betingelser

Detaljeret beskrivelse

This was an observational, single-group pre-post study conducted among personnel attending a mental health crisis response training program organized in New Taipei City, Taiwan. Eligible attendees included police officers, firefighters, emergency medical personnel, public health personnel, and other frontline staff involved in responding to mental health or behavioral emergencies. Participation in the research questionnaires was voluntary and was separate from participation in the training course. The study did not assign participants to receive the training or to a comparison group.

Before the course, participants who agreed to participate scanned a QR code and completed an online 32-item questionnaire. The questionnaire assessed knowledge and understanding of mental health crises, perceived confidence and self-efficacy in responding to behavioral emergencies, attitudes toward people with mental health conditions, and attitudes toward people with substance use problems.

The four-hour course included mental health legislation, initial and secondary assessment of behavioral emergencies, identification of mental health crises, recognition of the escalation of potentially violent behavior, personal and scene safety, communication strategies, and verbal de-escalation techniques. Immediately after completing the course, participants completed the corresponding online post-training questionnaire.

No personally identifying information was collected. Pre-training and post-training responses were compared to evaluate changes associated with participation in the course. Analyses included descriptive statistics and appropriate comparisons of pre-training and post-training measures according to the distribution and measurement level of each variable. Additional analyses examined whether participant characteristics were associated with training outcomes.

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

714

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • New Taipei City, Taiwan, 220
        • Far Eastern Memorinal Hospital

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn
  • Voksen
  • Ældre voksen

Tager imod sunde frivillige

Ja

Prøveudtagningsmetode

Ikke-sandsynlighedsprøve

Studiebefolkning

The study population consisted of police officers, firefighters, emergency medical personnel, mental health personnel, public health personnel, and other frontline staff who attended a four-hour mental health crisis response training program in New Taipei City, Taiwan. Course attendees were invited to voluntarily complete online questionnaires immediately before and after the training. Participation in the research questionnaires was voluntary and was not required for attendance at the training course.

Beskrivelse

Inclusion Criteria:

  • Police officers, firefighters, emergency medical personnel, mental health personnel, public health personnel, or other frontline staff attending the mental health crisis response training program organized in New Taipei City.
  • Willing to participate voluntarily after reading the questionnaire information and participant rights statement.
  • Willing to complete the online study questionnaire before and/or immediately after the training course.

Exclusion Criteria:

- No protocol-specified exclusion criteria.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Intervention / Behandling
Mental Health Crisis Training Participants
Police officers, firefighters, emergency medical personnel, public health personnel, and other frontline staff who attended a four-hour mental health crisis response training course and voluntarily completed online questionnaires immediately before and after the course.
A four-hour instructor-led training course covering mental health legislation, initial and secondary assessment of behavioral emergencies, recognition of mental health crises, escalation of potentially violent behavior, personal and scene safety, communication strategies, and verbal de-escalation techniques.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in Self-Efficacy for Managing Mental Health Crises and Behavioral Emergencies
Tidsramme: Immediately before the training session and immediately after completion of the 4-hour training session
Self-efficacy was assessed using the mean score of eight items from the study-specific questionnaire (items 6-13). Each item was rated on a 5-point confidence scale. The overall mean score ranged from 1 to 5, with higher scores indicating greater confidence in recognizing, assessing, communicating with, and responding to individuals experiencing mental health crises or behavioral emergencies. Change was calculated as the post-training mean score minus the pre-training mean score.
Immediately before the training session and immediately after completion of the 4-hour training session

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in Cognition Toward Behavioral Emergencies
Tidsramme: Immediately before the training session and immediately after completion of the 4-hour training session
Cognition toward behavioral emergencies was assessed using the mean score of six items from the study-specific questionnaire (items 15-20). Each item was rated on a 5-point agreement scale. Item 20 was reverse-coded because agreement with routine use of force represented less favorable cognition. The mean score ranged from 1 to 5, with higher scores indicating more favorable understanding and attitudes regarding behavioral emergency response. Change was calculated as the post-training score minus the pre-training score.
Immediately before the training session and immediately after completion of the 4-hour training session
Change in Stigma Toward People Experiencing Behavioral Emergencies
Tidsramme: Immediately before the training session and immediately after completion of the 4-hour training session
Stigma toward people experiencing behavioral emergencies was assessed using the mean score of six dichotomous items from the study-specific questionnaire (items 21-26). Positive recovery-oriented or interaction-related items were reverse-coded so that higher scores consistently represented greater stigma. The mean score ranged from 0 to 1, with higher scores indicating greater stigma. Change was calculated as the post-training score minus the pre-training score; a negative change indicated reduced stigma.
Immediately before the training session and immediately after completion of the 4-hour training session
Change in Stigma Toward People With Substance Use Problems
Tidsramme: Immediately before the training session and immediately after completion of the 4-hour training session
Stigma toward people with substance use problems was assessed using the mean score of six dichotomous items from the study-specific questionnaire (items 27-32). Positive recovery-oriented or interaction-related items were reverse-coded so that higher scores consistently represented greater stigma. The mean score ranged from 0 to 1, with higher scores indicating greater stigma. Change was calculated as the post-training score minus the pre-training score; a negative change indicated reduced stigma.
Immediately before the training session and immediately after completion of the 4-hour training session
Post-Training Satisfaction With the Mental Health Crisis Response Training
Tidsramme: Immediately after completion of the 4-hour training session
Training satisfaction was assessed using five items from the post-training questionnaire (items 33-37). Items evaluated the perceived usefulness of the course for participants' work, satisfaction with the instructor and course content, usefulness of practical exercises, course flow, and overall course satisfaction. Each item was rated on a 5-point Likert scale ranging from 1 to 5. The mean satisfaction score ranged from 1 to 5, with higher scores indicating greater satisfaction with the training course.
Immediately after completion of the 4-hour training session

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

7. april 2026

Primær færdiggørelse (Faktiske)

20. juni 2026

Studieafslutning (Faktiske)

20. juni 2026

Datoer for studieregistrering

Først indsendt

5. juli 2026

Først indsendt, der opfyldte QC-kriterier

5. juli 2026

Først opslået (Faktiske)

13. juli 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

13. juli 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

5. juli 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

INGEN

IPD-planbeskrivelse

Individual participant data will not be publicly shared because the study used anonymous questionnaire responses, and the participant information process did not include consent for unrestricted secondary use or public data sharing. Aggregate study results may be published. Deidentified summary data or study materials may be considered upon reasonable request, subject to approval by the principal investigator, the institution, and the relevant research ethics committee.

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