Mental Health of Royal Canadian Mounted Police at the Start of the Cadet Training Program

Author:

Carleton R. Nicholas1ORCID,Jamshidi Laleh2,Maguire Kirby Q.2,Lix Lisa M.3,Stewart Sherry H.4,Afifi Tracie O.3ORCID,Sareen Jitender5,Andrews Katie L.2ORCID,Jones Nicholas A.6,Nisbet Jolan2ORCID,Sauer-Zavala Shannon7,Neary J. Patrick8,Brunet Alain9,Krätzig Gregory P.10,Fletcher Amber J.11,Teckchandani Taylor A.12,Keane Terence M.13ORCID,Asmundson Gordon J.G.1

Affiliation:

1. Anxiety and Illness Behaviours Laboratory, Department of Psychology, University of Regina, Regina, SK, Canada

2. Canadian Institute for Public Safety Research and Treatment (CIPSRT), University of Regina, Regina, SK, Canada

3. Department of Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada

4. Mood, Anxiety, and Addiction Comorbidity (MAAC) Lab, Departments of Psychiatry and Psychology & Neuroscience, Dalhousie University, Halifax, NS, Canada

5. Departments of Psychiatry and  Community Health Sciences, University of Manitoba, Winnipeg, MB, Canada

6. Department of Justice Studies, University of Regina, Regina, SK, Canada

7. Treatment Innovation for Psychological Services Research Program, Department of Psychology, University of Kentucky, Lexington, KY, USA

8. Faculty of Kinesiology & Health Studies, University of Regina, Regina, SK, Canada

9. McGill's Psychiatry Department, Douglas Institute Research Center, Montreal, QC, Canada

10. Department of Psychology, University of Regina, Regina, SK, Canada

11. Department of Sociology and Social Studies, University of Regina, Regina, SK, Canada

12. Faculty of Kinesiology and Health Studies, University of Regina, Regina, SK, Canada

13. National Center for PTSD, Behavioral Science Division, VA Boston Healthcare System & Boston University School of Medicine, Boston, MA, USA

Abstract

Objective Serving Royal Canadian Mounted Police (RCMP) have screened positive for one or more mental disorders based on self-reported symptoms with substantial prevalence (i.e., 50.2%). Mental health challenges for military and paramilitary populations have historically been attributed to insufficient recruit screening; however, cadet mental health when starting the Cadet Training Program (CTP) was unknown. Our objective was to estimate RCMP Cadet mental health when starting the CTP and test for sociodemographic differences. Method Cadets starting the CTP completed a survey assessing self-reported mental health symptoms ( n = 772, 72.0% male) and a clinical interview ( n = 736, 74.4% male) with a clinician or supervised trainee using the Mini-International Neuropsychiatric Interview to assess current and past mental health. Results The percentage of participants screening positive for one or more current mental disorders based on self-reported symptoms (15.0%) was higher than the diagnostic prevalence for the general population (10.1%); however, based on clinical interviews, participants were less likely to screen positive for any current mental disorder (6.3%) than the general population. Participants were also less likely to screen positive for any past mental disorder based on self-report (3.9%) and clinical interviews (12.5%) than the general population (33.1%). Females were more likely to score higher than males (all ps<.01; Cohen's ds .23 to .32) on several self-report mental disorder symptom measures. Conclusions The current results are the first to describe RCMP cadet mental health when starting the CTP. The data evidenced a lower prevalence of anxiety, depressive, and trauma-related mental disorders than the general population based on clinical interviews, contrasting notions that more rigorous mental health screening would reduce the high prevalence of mental disorders among serving RCMP. Instead, protecting RCMP mental health may require ongoing efforts to mitigate operational and organizational stressors.

Funder

Medavie Foundation

Royal Canadian Mounted Police

Publisher

SAGE Publications

Subject

Psychiatry and Mental health

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