Organizational Factors and Their Impact on Mental Health in Public Safety Organizations.

Megan Edgelow, Emma Scholefield, Matthew McPherson, Kathleen Legassick, Jessica Novecosky
Author Information
  1. Megan Edgelow: School of Rehabilitation Therapy, Queen's University, Kingston, ON K7L 3N6, Canada. ORCID
  2. Emma Scholefield: School of Rehabilitation Therapy, Queen's University, Kingston, ON K7L 3N6, Canada.
  3. Matthew McPherson: School of Rehabilitation Therapy, Queen's University, Kingston, ON K7L 3N6, Canada. ORCID
  4. Kathleen Legassick: School of Rehabilitation Therapy, Queen's University, Kingston, ON K7L 3N6, Canada.
  5. Jessica Novecosky: School of Rehabilitation Therapy, Queen's University, Kingston, ON K7L 3N6, Canada.

Abstract

Public safety personnel (PSP), including correctional officers, firefighters, paramedics, and police officers, have higher rates of mental health conditions than other types of workers. This scoping review maps the impact of organizational factors on PSP mental health, reviewing applicable English language primary studies from 2000-2021. JBI methodology for scoping reviews was followed. After screening, 97 primary studies remained for analysis. Police officers ( = 48) were the most frequent population studied. Correctional officers ( = 27) and paramedics ( = 27) were the second most frequently identified population, followed by career firefighters ( = 20). Lack of supervisor support was the most frequently cited negative organizational factor ( = 23), followed by negative workplace culture ( = 21), and lack of co-worker support ( = 14). Co-worker support ( = 10) was the most frequently identified positive organizational factor, followed by supervisor support ( = 8) and positive workplace culture ( = 5). This scoping review is the first to map organizational factors and their impact on PSP mental health across public safety organizations. The results of this review can inform discussions related to organizational factors, and their relationship to operational and personal factors, to assist in considering which factors are the most impactful on mental health, and which are most amenable to change.

Keywords

References

  1. J Occup Rehabil. 2021 Mar;31(1):197-206 [PMID: 32617784]
  2. Arch Environ Occup Health. 2022;77(4):282-292 [PMID: 33653231]
  3. Adm Policy Ment Health. 2019 Mar;46(2):167-174 [PMID: 30392147]
  4. Behav Modif. 2022 Mar;46(2):374-394 [PMID: 34433285]
  5. Cyberpsychol Behav Soc Netw. 2018 Feb;21(2):138-143 [PMID: 29048939]
  6. Can J Psychiatry. 2018 Jan;63(1):54-64 [PMID: 28845686]
  7. Policing. 2017 Nov;40(4):642-656 [PMID: 30846905]
  8. Stress Health. 2021 Oct;37(4):613-630 [PMID: 34597464]
  9. Br J Clin Psychol. 2005 Jun;44(Pt 2):215-26 [PMID: 16004656]
  10. J Crim Justice. 2020 Sep-Oct;70:101717 [PMID: 32836499]
  11. Health Psychol Open. 2016 Mar 16;3(1):2055102916628380 [PMID: 28070386]
  12. Saf Health Work. 2019 Mar;10(1):30-38 [PMID: 30949378]
  13. Prehosp Emerg Care. 2019 May-Jun;23(3):346-355 [PMID: 30118629]
  14. Probat J. 2022 Mar;69(1):86-106 [PMID: 35340787]
  15. Police Pract Res. 2020;21(6):702-716 [PMID: 33408592]
  16. Int J Environ Res Public Health. 2021 Jun 11;18(12): [PMID: 34208321]
  17. J Community Health. 2013 Feb;38(1):178-86 [PMID: 22843315]
  18. Psychiatr Psychol Law. 2021 May 14;29(2):223-240 [PMID: 35755149]
  19. Work. 2007;28(3):199-207 [PMID: 17429146]
  20. BMJ. 2021 Mar 29;372:n71 [PMID: 33782057]
  21. Occup Med (Lond). 2003 Jun;53(4):256-64 [PMID: 12815123]
  22. Front Psychol. 2020 Jul 10;11:1036 [PMID: 32754074]
  23. Violence Vict. 2020 Feb 1;35(1):88-107 [PMID: 32015071]
  24. BMC Public Health. 2013 Jan 29;13:82 [PMID: 23356379]
  25. Am J Ind Med. 2018 Feb;61(2):181-185 [PMID: 29159835]
  26. Police Q. 2018 Dec 1;21(4):440-460 [PMID: 30906189]
  27. Prehosp Emerg Care. 2018 Mar-Apr;22(2):229-236 [PMID: 28841102]
  28. Police Pract Res. 2016;17(5):408-419 [PMID: 26752981]
  29. Cogn Behav Ther. 2022 Jan;51(1):3-20 [PMID: 33554743]
  30. Occup Med (Lond). 2010 Oct;60(7):560-5 [PMID: 20819805]
  31. J Occup Environ Med. 2016 Sep;58(9):e325-34 [PMID: 27483335]
  32. Am J Ind Med. 2021 May;64(5):414-430 [PMID: 33503677]
  33. Int J Environ Res Public Health. 2020 Feb 14;17(4): [PMID: 32075062]
  34. J Emerg Manag. 2018 May/Jun;16(3):173-182 [PMID: 30044490]
  35. Accid Anal Prev. 2012 Mar;45:694-704 [PMID: 22269559]
  36. Arch Environ Occup Health. 2019;74(4):215-222 [PMID: 29068787]
  37. Int Arch Occup Environ Health. 2022 Mar;95(2):425-435 [PMID: 33987771]
  38. J Psychiatr Res. 2021 May;137:673-680 [PMID: 33189356]
  39. J Trauma Stress. 2019 Oct;32(5):688-700 [PMID: 31553502]
  40. Health (London). 2020 May;24(3):259-278 [PMID: 32283964]
  41. Occup Med (Lond). 2020 Apr 20;70(2):131-134 [PMID: 32020193]
  42. Occup Med (Lond). 2021 Nov 6;71(8):351-357 [PMID: 34415342]
  43. Injury. 2017 Nov;48(11):2470-2477 [PMID: 28964511]
  44. Rev Epidemiol Sante Publique. 2005 Apr;53(2):127-42 [PMID: 16012372]
  45. Saf Health Work. 2015 Mar;6(1):25-9 [PMID: 25830066]
  46. Psychol Trauma. 2016 May;8(3):343-7 [PMID: 26460494]
  47. Ann Work Expo Health. 2021 May 3;65(4):432-445 [PMID: 33604596]
  48. Psychosom Med. 2002 Mar-Apr;64(2):345-52 [PMID: 11914452]
  49. Ann Intern Med. 2018 Oct 2;169(7):467-473 [PMID: 30178033]
  50. J Law Enforc Leadersh Ethics. 2014 Mar;1(1):31-48 [PMID: 28480317]
  51. Psychol Health. 2012;27(12):1426-47 [PMID: 22612444]
  52. BMJ Open. 2019 Dec 1;9(11):e030302 [PMID: 31791964]
  53. Work. 2020;67(2):295-312 [PMID: 33044211]
  54. Biomed Res Int. 2019 Mar 20;2019:6740207 [PMID: 31016195]
  55. Aust Health Rev. 2001;24(4):135-45 [PMID: 11842701]
  56. J Police Crim Psychol. 2022;37(1):173-182 [PMID: 34776601]
  57. Occup Med (Lond). 2018 May 17;68(3):165-170 [PMID: 29546431]
  58. BMC Public Health. 2019 Oct 15;19(1):1286 [PMID: 31615479]
  59. Int J Environ Res Public Health. 2020 Jul 01;17(13): [PMID: 32630259]
  60. Psychol Rep. 2010 Feb;106(1):19-26 [PMID: 20402422]
  61. Ann Work Expo Health. 2017 Apr 01;61(3):369-382 [PMID: 28355455]
  62. J Clin Psychol. 2019 Apr;75(4):696-709 [PMID: 30672591]
  63. Int J Environ Res Public Health. 2021 Apr 17;18(8): [PMID: 33920704]
  64. Eur J Psychotraumatol. 2021 Jan 15;12(1):1849524 [PMID: 33680343]
  65. J Safety Res. 2020 Dec;75:189-195 [PMID: 33334477]
  66. Int Arch Occup Environ Health. 2021 Feb;94(2):231-241 [PMID: 33044570]
  67. J Nerv Ment Dis. 2009 Oct;197(10):754-60 [PMID: 19829204]
  68. Appl Ergon. 2017 Mar;59(Pt A):73-83 [PMID: 27890162]
  69. Occup Med (Lond). 2016 Dec;66(9):713-718 [PMID: 27852878]
  70. Arch Psychiatr Nurs. 2018 Dec;32(6):828-835 [PMID: 30454624]
  71. BMJ. 2003 Aug 30;327(7413):480 [PMID: 12946970]
  72. Occup Med (Lond). 2020 Oct 27;70(7):496-502 [PMID: 32804235]
  73. Emerg Med Australas. 2016 Feb;28(1):62-6 [PMID: 26663592]
  74. Occup Med (Lond). 2019 Dec 31;69(8-9):577-585 [PMID: 31064010]
  75. Int J Law Psychiatry. 2010 Mar-Apr;33(2):122-9 [PMID: 20042239]
  76. Occup Med (Lond). 2019 Dec 31;69(8-9):604-609 [PMID: 31925427]
  77. CJEM. 2016 May;18(3):205-12 [PMID: 26324392]

MeSH Term

Humans
Mental Health
Police
Firefighters
Mental Disorders
Workplace

Word Cloud

Created with Highcharts 10.0.0=organizationalfactorshealthofficersmentalfollowedsupportsafetyPSPscopingreviewfrequentlyPublicfirefightersparamedicsimpactprimarystudiespopulation27identifiedsupervisornegativefactorworkplaceculturepositivefirstpublicoccupationalpersonnelincludingcorrectionalpolicehigherratesconditionstypesworkersmapsreviewingapplicableEnglishlanguage2000-2021JBImethodologyreviewsscreening97remainedanalysisPolice48frequentstudiedCorrectionalsecondcareer20Lackcited2321lackco-worker14Co-worker1085mapacrossorganizationsresultscaninformdiscussionsrelatedrelationshipoperationalpersonalassistconsideringimpactfulamenablechangeOrganizationalFactorsImpactMentalHealthSafetyOrganizationsrespondersstress

Similar Articles

Cited By