Postal survey research was conducted between September and November, 1986, to gather information concerning the evolution, existence and extent of mental health services available to police personnel. Questionnaires were mailed to all 366 municipal, county, and state police agencies in the United States that employed 200 or more workers. Usable data were obtained from 76.8% of the agencies surveyed. Of the 281 respondents who returned usable data, 65.1% reported the existence of mental health services available to their police personnel. The majority of respondents (58.6%) perceived their mental health programs as being equally reactive and preventive in orientation. The most frequently reported existing components were outside agency counseling, stress management seminars, and testing of potential police recruits. Over half (54.8%) of the responding police agencies reported having between 10 and 19 components in their respective mental health programs. The implementation dates and evolution of twenty-five (25) components were examined, and specific components of various police agencies were also revealed. The majority of respondents (70.7%) reported their mental health programs were available to sworn and nonsworn personnel and their families. Almost all respondents (98.3%) viewed their programs as being cost effective. Also, most agencies were satisfied with the four treatment resources listed, which included in-house counseling, outside agency counseling, hospital in-patient programs, and alcohol/drug rehabilitation centers. Slightly over half (50.8%) of the respondents stated their service programs were entitled "Employee Assistance Program." Of the 300 staff workers holding mental health degrees, 101 were reported to have doctoral degrees in psychology. The most frequently reported personality theory utilized by staff members was eclecticism (48.5%). The prevailing high interest in police mental health services is discussed as well as possible reasons why some police managers may be apathetic towards the implementation of such services. Ways of educating police managers as to the benefits of police mental health programs are listed as well as topics for future research.

Introduction: Family-focused cognitive behavioural therapy (FFCBT) is emphasized as an approach to optimize treatment outcomes for early-onset obsessive-compulsive disorder (OCD). Parental engagement is critical to successful treatment. However, few studies have examined how to promote parental engagement during FFCBT. Additionally, from a parental perspective, there is a limited understanding of factors that influence parental engagement throughout treatment, including the role of nurses. Aims: To determine (i) how parents experience and understand their engagement in FFCBT provided for their child with early-onset OCD in community or outpatient mental health programs, and (ii) how parents describe the role of nurses related to parental engagement during the treatment process. Methods: This study used an interpretive description approach. Semi-structured interviews were completed with parents (n = 17) recruited from community or outpatient children’s mental health programs in the Hamilton Region of Southwestern Ontario. Treatment provider interviews (n = 9) augmented the data collected from parents’ perceptions of their engagement and the role of nurses during FFCBT. Interviews were analyzed using Braun and Clark’s (2006) thematic analysis process. Results: A conceptualized model was constructed to display and communicate the individual, interpersonal, and contextual influences identified by parents and treatment providers. These influences facilitated or inhibited parental engagement during treatment across distinct phases, levels, and stages of engagement. Six distinct nursing roles were identified that promoted parental engagement throughout treatment. / Dissertation / Doctor of Philosophy (PhD) / Without effective treatment, pediatric obsessive-compulsive disorder (OCD) can interfere with childhood development. Early-onset OCD is a unique subtype of the disorder involving pediatric patients with symptoms that present before the age of 10 years. Family-focused cognitive behavioural therapy (FFCBT) emphasizing parental involvement is commonly used to treat pediatric OCD. However, parental engagement during FFCBT, including nurses’ roles, is poorly understood. This study aimed to increase knowledge about parental engagement during FFCBT for children with early-onset OCD receiving treatment in community programs. Data analysis of parent and treatment provider interviews identified various factors and how nurses influenced parental engagement during FFCBT. A model was made to display how these factors helped or hindered parental engagement during treatment and how nurses promoted engagement across three distinct phases. This new knowledge informed recommendations to promote parental engagement for treatment providers, improve service development and delivery, and strengthen nursing education.

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Between June and August, 1983, a postal survey was conducted to gather information on industrial mental health programs in mid-sized corporations in the Dallas-Fort Worth Metroplex. The sample included all companies listed in Standard and Poor's Register of Corporations, Directors, and Executives (1982) with an employee population of 500 to 2,000. Approximately 27% of the responding corporations indicated that they had formal existing industrial mental health programs. The responses indicated that the majority of formal industrial mental health programs were located in banking, insurance, high technology, media, and professional enterprises. The relationship between the size of companies and the provision of services was curvilinear.