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Economic evaluation of a psychological surveillance and support programme in the UK police force

Paul McCrone (Department of Education, Health and Human Sciences, University of Greenwich ILD, London, UK)
Noreen Tehrani (Noreen Tehrani Associates, London, UK)
Romin Tehrani (Noreen Tehrani Associates, London, UK)
Alex Horsley (Noreen Tehrani Associates, London, UK)
Ian Hesketh (Alliance Manchester Business School, The University of Manchester, Manchester, UK)

International Journal of Emergency Services

ISSN: 2047-0894

Article publication date: 6 August 2024

Issue publication date: 29 November 2024

38

Abstract

Purpose

Police officers in the UK frequently experience traumatic events and work pressures, and these can have a detrimental impact on mental health. A psychological surveillance programme has been implemented and clinically evaluated. This paper reports an economic evaluation of the programme.

Design/methodology/approach

A decision analytic model was developed to explore programme costs, outcomes and return on investment for a notional cohort of 1,000 police personnel (officers and staff). The model parameters were obtained from a large data set of sequential psychological surveillance results. Changes in individual work productivity were derived from a workability measure included in the survey.

Findings

The modelled expected total cost incurred to screen 1,000 participants was £84,287 ($106,971). The expected net increase in work productivity for those receiving interventions was valued at £241,672 ($306,713). This result represents a return on investment of 187%. Sensitivity analyses showed that the model was robust to changes in key parameters.

Research limitations/implications

Police personnel experiencing traumatic events may need specialist support from occupational health services or psychological therapy. Screening or surveillance can detect mental health problems, but its cost-effectiveness has been previously unknown.

Practical implications

The value for money of providing surveillance within the police force to detect mental health problems is assessed in this research. The gains in terms of increased work are evident. In similar environmental working conditions, this could extend to emergency services globally.

Social implications

The police are often called upon to deal with the lowest points in people’s lives. The findings have implications for police forces wishing to support officers to be able to provide the best of themselves in these situations.

Originality/value

There have been no previous studies in policing that have concluded that running a psychological surveillance programme in policing is financially viable. Although this requires initial investment, this paper models that the extra costs incurred are more than offset by improved work productivity.

Keywords

Citation

McCrone, P., Tehrani, N., Tehrani, R., Horsley, A. and Hesketh, I. (2024), "Economic evaluation of a psychological surveillance and support programme in the UK police force", International Journal of Emergency Services, Vol. 13 No. 3, pp. 259-270. https://doi.org/10.1108/IJES-03-2024-0020

Publisher

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Emerald Publishing Limited

Copyright © 2024, Emerald Publishing Limited

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