"THE MENTAL HEALTH PRESCRIPTION"

The Badge of Life -- Psychological Survival for Police Officers
Contents
INTRODUCTION
Meet Our Board of Directors
The Myths
Lack of Police Suicide Numbers
SETTING UP A POLICE SUICIDE PREVENTION PROGRAM
"THE MENTAL HEALTH PRESCRIPTION"
Academy Training
Academy Curriculum
POLICE RETIREES
Costs
For Grieving Families
Police Suicide Numbers 2008
FAQ's on Police Suicide
Contact Us/Comment
Links and Books on Police Suicide

Badge of Life mental health prescription

THE ANNUAL MENTAL HEALTH PRESCRIPTION

 

 

 

 

 

 

What is it?

 

The Annual Mental Health Prescription (MHP) is an effort to take the focus away from the constant drumbeat of “suicide-suicide-suicide” in our programs and begin focusing on “mental health for police officers.”

 

We call this nothing more than good, preventive self care--self care that makes sense for people involved in one of the world's highest stress occupations and known for traumatic psychological injury.

 

Officers are encouraged, through this training, to visit a therapist or other mental health professional once a year, with the same diligence they get their teeth cleaned or go for an annual physical examination.  Visits can be within the departmental mental health program or through the officer’s personal health coverage.  Officers are encouraged to make this visit whether they believe it is needed or not—in fact, it is explained that if they don’t feel the need, they definitely should go.


Team members Andy O'Hara and Catherine Leon, LCSW, describe the Mental Health Prescription

One visit is a minimum, of course.  If the officer feels the need for more, or if more are recommended by the therapist, we hope they will take advantage of it.

 

The key is—we have a foot in the door!  Once they have entered the therapist’s office, they have gone farther than 95 percent of their predecessors.  

 

Already, from polling cadet classes, we find a huge percentage that is already familiar with therapy—through personal experience (divorces, family issues) or by knowing someone close who has.  They see it as a “positive.”

 

Q.  I don’t want to see a departmental therapist.

 

A.  You don’t have to.  Many departments offer free counseling through “employee counseling services” that are confidential.  If you are uncomfortable with those as well, go through your own health plan.

 

Q.  What if I don’t think I need it?

 

A.  Think of it as preventative, like getting your teeth cleaned every year or getting a physical exam. 

 

Q.  How will I introduce myself?

 

A.  Simply, truthfully.  As a police officer with one or 20 years experience who wishes to discuss some incidents that have disturbed you.

 

Q.  So what if no incidents are “disturbing” me?

 

A.  That’s fine.  Simply point out to the therapist that you are in a high-stress occupation, that you are exposed to repeated trauma, and you wish to discuss your experiences and how they may be affecting you.  Remember, cumulative PTSD is killing many officers and the source problems are not always obvious.  There may be a generalized anxiety, for example, that the officer is unaware of.  Therapy is a journey of discovery.  The reason for the “Prescription” is to discover problems before they become crises.  You may not pin down “the problem” in one visit, but therapists are trained to spot the need for additional therapy.

 

Q.  Shouldn’t I find a therapist knowledgable about cop work?

 

A.  That’s up to you.  You may find such a therapist has a quicker grasp of your issues.  Conversely, you may find a therapist with a clean slate has no preconceptions based on prior experiences.  They are in the mental health business—you are in the law enforcement business.

 

Q.  What if I refuse to go?

 

A.  Some of you will.  It’s your choice. For those of you who do go, certainly no harm will be done and, in all likelihood, you will walk out with a few more tools to handle the next year and feel reassurred.  

 

Daniel L. Cameron, a retired CHP officer with an MA in athletic training, made a novel comparison.  Upon hearing of the MHP program, he responded, "Remember back to when you learned how to ride a bike, play ball, learned to shoot and write reports. Before you were taught to do this stuff you didn't really know how to do it. You may of had an idea, but until someone showed you how to do it properly, you didn't really know how to do it.

"Going to see a counselor is exactly like this. These folks are trained on what to look for and how to treat it. Just like going to your doctor when you have an injury, or hiring a personal coach to teach you how to do something better, these folks just help you be you. No stigma for hiring a baseball coach, a riding coach, taking classes from a teacher, etc, so there shouldn't be any stigma for seeing a counselor.  This is just someone 'Checking my swing' and making sure 'I have the correct grip on the bat' type of thing. It's actually pretty cool!"

 

 

_________________________

 

One retired officer responded, "This is just someone 'Checking my swing' and making sure 'I have the correct grip on the bat' type of thing. It's actually pretty cool!"

_________________________ 

 

 

WHY IT WORKS:

Departments with and without suicide prevention programs continue to experience suicides at an unacceptable rate.  The Los Angeles Police Department, held up by many as a model because they long ago hired a staff of 19 psychologists "to provide training for Department personnel on topics such as Stress management, suicide prevention, and anger management"  recently admitted it still has a major problem, with 19 suicides in 9 years.  Out of desperation, they are now bringing in a “public relations firm”—another floundering, expensive shot in the dark.  According to another report, suicides among San Diego Police officers are even worse than those of Los Angeles.

 

As noted researcher John Violanti noted, “From the very first day in the police academy, recruit officers are told that they are someone unique, far different from the average person and certainly beyond psychological harm.”  In some respects, he points out, this is akin to the "adolescent invulnerability" that is quickly demolished by life experience.

 

What is problematic is that this veneer of vulnerability is shattered quickly on the road, making academy preparation such as we propose all the more crucial.

 

"I see [the Mental Health Prescription] as a possible useful tool in the prevention of fully developed PTSD and possible maladaptive coping among police officers. In a sense," says Violanti, "it is “inoculation” against future psychological problems. Given the stress and strain associated with police work, such an endeavor is well worth the time invested by departments."

 

By implementing and encouraging the "Mental Health Prescription," we aren't waiting for Humpty-Dumpty to fall.  We aren't even waiting for "warning signs" that he's teetering.  We make sure the officer stands on solid footing from "Day One," is mindful of the dangers of psychological trauma, and is both comfortable and ready to deal with it long before it even occurs.