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Phelps AJ, Madden K, Carleton RN, Johnson L, Carey LB, Mercier JM, Mellor A, Baills J, Forbes D, Devenish-Meares P, Hosseiny F, Dell L. Towards a Holistic Model of Care for Moral Injury: An Australian and New Zealand Investigation into the Role of Police Chaplains in Supporting Police Members following exposure to Moral Transgression. J Relig Health 2023; 62:3995-4015. [PMID: 37697218 PMCID: PMC10682271 DOI: 10.1007/s10943-023-01908-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/22/2023] [Indexed: 09/13/2023]
Abstract
Police members can be exposed to morally transgressive events with potential for lasting psychosocial and spiritual harm. Through interviews with police members and police chaplains across Australia and New Zealand, this qualitative study explores the current role that police chaplains play in supporting members exposed to morally transgressive events. The availability of chaplains across police services and the close alignment between the support they offer, and the support sought by police, indicates they have an important role. However, a holistic approach should also consider organizational factors, the role of leaders, and access to evidence-based treatment in collaboration with mental health practitioners.
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Affiliation(s)
- Andrea J Phelps
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Level 3, 161 Barry Street, Carlton, VIC, 3053, Australia.
| | - Kelsey Madden
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Level 3, 161 Barry Street, Carlton, VIC, 3053, Australia
| | | | - Lucinda Johnson
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Level 3, 161 Barry Street, Carlton, VIC, 3053, Australia
| | - Lindsay B Carey
- School of Psychology and Public Health, La Trobe University, Melbourne, VIC, Australia
| | | | - Andrew Mellor
- National Police Chaplaincy Group, Brisbane, Queensland, Australia
| | - Jeffrey Baills
- National Police Chaplaincy Group, Brisbane, Queensland, Australia
| | - David Forbes
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Level 3, 161 Barry Street, Carlton, VIC, 3053, Australia
| | | | | | - Lisa Dell
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Level 3, 161 Barry Street, Carlton, VIC, 3053, Australia
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Jones KA, Freijah I, Carey L, Carleton RN, Devenish-Meares P, Dell L, Rodrigues S, Madden K, Johnson L, Hosseiny F, Phelps AJ. Correction to: Moral Injury, Chaplaincy and Mental Health Provider Approaches to Treatment: A Scoping Review. J Relig Health 2022; 61:2632-2633. [PMID: 35429280 PMCID: PMC9142428 DOI: 10.1007/s10943-022-01560-2] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
- Kimberley A Jones
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia
| | - Isabella Freijah
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia
| | - Lindsay Carey
- Department of Public Health, La Trobe University, Melbourne, Australia
| | | | - Peter Devenish-Meares
- Graduate School of Business, Queensland University of Technology, Brisbane, Australia
| | - Lisa Dell
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia
| | - Sara Rodrigues
- Canadian Centre of Excellence On Post-Traumatic Stress Disorder (PTSD) and Related Mental Health Conditions, Ottawa, Canada
| | - Kelsey Madden
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia
| | - Lucinda Johnson
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia
| | - Fardous Hosseiny
- Canadian Centre of Excellence On Post-Traumatic Stress Disorder (PTSD) and Related Mental Health Conditions, Ottawa, Canada
| | - Andrea J Phelps
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia.
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Jones KA, Freijah I, Carey L, Carleton RN, Devenish-Meares P, Dell L, Rodrigues S, Madden K, Johnson L, Hosseiny F, Phelps AJ. Moral Injury, Chaplaincy and Mental Health Provider Approaches to Treatment: A Scoping Review. J Relig Health 2022; 61:1051-1094. [PMID: 35290554 PMCID: PMC8922078 DOI: 10.1007/s10943-022-01534-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 02/14/2022] [Indexed: 06/14/2023]
Abstract
The aim of this research was to describe the evidence examining the approaches taken by mental health providers (MHPs) and chaplains to address symptoms related to moral injury (MI) or exposure to potentially morally injurious events (PMIEs). This research also considers the implications for a holistic approach to address symptoms related to MI that combines mental health and chaplaincy work. A scoping review of literature was conducted using Medline, PsycINFO, Embase, Central Register of Controlled Trials, Proquest, Philosphers Index, CINAHL, SocINDEX, Academic Search Complete, Web of Science and Scopus databases using search terms related to MI and chaplaincy approaches or psychological approaches to MI. The search identified 35 eligible studies: 26 quantitative studies and nine qualitative studies. Most quantitative studies (n = 33) were conducted in military samples. The studies examined interventions delivered by chaplains (n = 5), MHPs (n = 23) and combined approaches (n = 7). Most studies used symptoms of post-traumatic stress disorder (PTSD) and/or depression as primary outcomes. Various approaches to addressing MI have been reported in the literature, including MHP, chaplaincy and combined approaches, however, there is currently limited evidence to support the effectiveness of any approach. There is a need for high quality empirical studies assessing the effectiveness of interventions designed to address MI-related symptoms. Outcome measures should include the breadth of psychosocial and spiritual impacts of MI if we are to establish the benefits of MHP and chaplaincy approaches and the potential incremental value of combining both approaches into a holistic model of care.
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Affiliation(s)
- Kimberley A Jones
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia
| | - Isabella Freijah
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia
| | - Lindsay Carey
- Department of Public Health, La Trobe University, Melbourne, Australia
| | | | - Peter Devenish-Meares
- Graduate School of Business, Queensland University of Technology, Brisbane, Australia
| | - Lisa Dell
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia
| | - Sara Rodrigues
- Canadian Centre of Excellence on Post-Traumatic Stress Disorder (PTSD) and Related Mental Health Conditions, Ottawa, Canada
| | - Kelsey Madden
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia
| | - Lucinda Johnson
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia
| | - Fardous Hosseiny
- Department of Public Health, La Trobe University, Melbourne, Australia
| | - Andrea J Phelps
- Phoenix Australia - Centre for Posttraumatic Mental Health, Department of Psychiatry, University of Melbourne, Carlton, VIC, 3053, Australia.
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Devenish-Meares P. Call to Compassionate Self-Care: Introducing Self-Compassion Into the Workplace Treatment Process. Journal of Spirituality in Mental Health 2015. [DOI: 10.1080/19349637.2015.985579] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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