- Research Article
- 10.1139/facets-2025-0218
A review of interventions for distressed public safety personnel not engaged in formal services
- Jan 01, 2026
- FACETS
- Aaron Palachi + 2 more +2
Public safety personnel (PSP) are regularly exposed to potentially psychologically traumatic events (PPTEs) and face elevated rates of psychological distress and crisis. Despite this, many do not access formal mental health services due to stigma and systemic barriers. Nonformal interventions may be more accessible, including organizational and peer support and crisis lines, but remain underexamined. This scoping review synthesized empirical studies published until December 2024. Eligible studies examined nonformal interventions for PSP experiencing distress or crisis; inferred if participants had elevated mental health symptoms or were post-exposure to a PPTE and voluntarily sought support. Thirty-four studies met inclusion criteria. Interventions included trauma-focused (e.g., eye movement desensitization and reprocessing), cognitive behavioural therapy (CBT)-based, mindfulness, psychological first aid, debriefing, and psychosocial support. Most interventions demonstrated short-term symptom reduction, feasibility, and reduced barriers to care, however, results remain mixed. Common limitations included small samples, excluding PSP in crisis, and minimal long-term follow-up. This review highlights significant gaps in interventions targeting PSP in crisis. While trauma- and CBT-based approaches show promise, research remains limited and fragmented. Urgent efforts are needed to develop and evaluate tailored, accessible interventions, especially for high-risk and equity-deserving PSP, within a responsive, stepped-care framework.
Read more