Therapeutic considerations in peer support
Peer support can act as one facet of treatment alongside professional counseling, group therapy or medical treatment
By Barry Toone and Ken Wallentine
Officers are exposed to wide-ranging trauma that, when bottled up indefinitely, can lead to mental health issues, physical ailments and even suicide.
Officers consume pain daily, but don’t often share that pain with others. Often, officers will hold themselves to the idea that they must be emotionally “tough” at all times. They feel that sharing pain is a sign of weakness. The truth is everyone experiences mental health struggles – even people who do not consistently face potentially traumatic experiences on a regular basis.
Contrary to popular belief, simply being an officer does not inherently increase one’s risk of suicide, PTSD or any other mental health issue. However, just like anyone, many officers do struggle with emotional or mental health at some point during their careers. Studies have shown that generalized suicide prevention training is ineffective at helping officers manage these issues – but what is effective is peer support.
Peer support aims to help facilitate targeted intervention with at-risk individuals. Providing the right resources and encouraging treatment for these individuals has been proven to be effective and efficient at serving officers in need.
The goal of peer support
Peer support is not in competition with other forms of wellness assistance. It can act as one facet of treatment alongside professional counseling, group therapy or medical treatment.
The ultimate goal of peer support programs is to provide officers with emotional and tangible support in times of crisis. Officers will be equipped to handle their problems and will be directed toward resources to get them the help they need.
Officer peer support works because it creates a connection between the officer in crisis and their colleagues. This connection is what leads to healing. The officers build trust within the program and can openly share the pain they are experiencing. Peer support team members will ideally be trained on how to handle conversations and respond to different scenarios.
Structuring peer support teams
The structure of a peer support team often comes down to department budget or size. While the Clinical Supervisor Model is recommended, some form of peer support is better than no peer support. Here are three common models:
- Team Coordinator Model: This model, while not ideal, can be used in agencies where there is little to no funding for peer support. In the Team Coordinator Model, there is no involvement from a licensed mental health professional. This is limiting to the capabilities of the program as officers are left to make decisions on their own without professional consultation. Instead, an officer is appointed as a peer support team coordinator and peer support team members follow agency policy and guidelines.
- Clinical Advisor Model: This model serves as an effective middle ground that uses licensed mental health professionals as advisors to peer support team members. This allows team members to receive training, preparing them to adequately support other officers. The Clinical Advisor Model will typically involve a contract between the agency or department with the clinician who advises the peer support team.
- Clinical Supervisor Model: While it’s the most expensive structure, the Clinical Supervisor Model is widely preferred. This structure involves a licensed mental health professional acting as an advisor for and accepting referrals from peer support team members. The main difference here is that the clinician will provide direct counseling to agency employees and families without a referral. The inclusion of this clinician helps to equip team members effectively and provide complementary treatment for officers alongside peer support.
Take stock of where your agency falls and what kind of peer support program you can apply. While it may be tempting to devote resources to other priorities, the importance and impact of peer support are clear.
To learn about the legal considerations that need to be made when establishing a peer support program in your department, view our on-demand webinar: Peer Support: Therapeutic & Legal Considerations.
About the authors
Barry Toone is the co-founder, CEO and general counsel of Stepstone Connect, a company that maintains a network of trauma-trained clinicians throughout the United States that serves law enforcement agencies and fire departments. Stepstone provides wide-ranging mental, emotional, behavioral and health services using secure, online HIPAA-compliant technology.
Ken Wallentine is chief of the West Jordan (Utah) Police Department and former chief of law enforcement for the Utah Attorney General. He has served over three decades in public safety, is a legal expert and editor of Xiphos, a monthly national criminal procedure newsletter. He is a member of the Board of Directors of the Institute for the Prevention of In-Custody Death and serves as a use of force consultant in state and federal criminal and civil litigation across the nation.