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| Introduction | |
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| The Basics of Cultural Competency | |
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| Working in the Law Enforcement Culture | |
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| Worlds Apart: Demographics, Similarities, Differences, Values, Mindsets, and Occupational Hazards | |
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| Managing the Therapeutic Alliance | |
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| Transparency | |
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| Guns in Your Office | |
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| Confidentiality and Ethics | |
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| Legal Issues | |
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| The Emergency Responder's Exhaustion Syndrome | |
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| Categories of Stress | |
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| The Key Characteristics of ERES | |
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| Growing Old in a Young Person's Profession | |
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| At the Academy and on Probation | |
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| The Honeymoon Phase | |
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| The Early Middle Years | |
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| Plateauing: The Late Middle Years | |
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| Resolution: Moving toward Retirement | |
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| Retirement | |
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| Line-of-Duty Issues | |
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| Death by 1,000 Cuts: Critical Incidents, Trauma, and Posttraumatic Stress Injuries | |
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| Critical Incidents | |
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| Who Is at Risk for Developing Posttraumatic Stress Injuries? | |
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| Core Beliefs | |
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| Therapeutic Interventions | |
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| Betrayal: The Hidden Critical Incident | |
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| Thrown to the Wolves | |
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| How Childhood Injuries Complicate the Experience of Betrayal | |
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| Treating Betrayal | |
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| Shift Work and Sleep Deprivation | |
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| The Three Shifts | |
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| Sleep Deprivation | |
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| Shift Work and the Family | |
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| Self-Medication | |
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| What Is Sleep? | |
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| Sleep Hygiene | |
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| Treatment Tactics | |
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| Reading Your Client: Assessment Strategies | |
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| Introduction to Assessment | |
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| Introducing Assessment to Your Client | |
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| Assessment Scales | |
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| Sharing Test Results with Your Client | |
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| A Caution about Test Interpretation and Validity Questions | |
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| Treatment Strategies | |
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| Avoidance and Secrets | |
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| Cognitive-Behavioral Therapy | |
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| Working with Triggers | |
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| Prolonged Exposure Therapy | |
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| Eye Movement Desensitization and Reprocessing (EMDR) | |
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| Resourcing | |
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| Narrative Therapy | |
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| Problem Solving | |
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| Debriefings | |
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| Peer Support | |
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| Virtual Environment | |
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| Resilience and Posttraumatic Growth | |
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| Rescripting Nightmares | |
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| Spirituality | |
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| Socratic Dialogue | |
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| Residential Treatment | |
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| When Your Client Needs Medication | |
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| Resistance | |
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| ACOEM Guidelines | |
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| Areas of Special Concern | |
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| Common Presenting Problems | |
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| Alcoholism, Substance Abuse, and Other Addictions | |
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| Choir Practice: A Brief History of Drinking and Law Enforcement | |
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| The Current Situation | |
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| Assessing for Alcohol Abuse | |
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| Other Addictions | |
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| Treatment for Addiction | |
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| Depression and Suicide | |
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| Statistics and Prevalence Rates | |
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| Why Do Officers Commit Suicide? | |
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| Guns and Psychiatric Hospitalization | |
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| Aftermath: Helping an Agency after a Suicide | |
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| The Politics of Death | |
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| Suicide Prevention | |
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| Somatization, Panic Attacks, and Stress Reduction | |
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| Health Problems | |
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| Injuries | |
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| Psychological Trauma | |
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| Panic Disorder | |
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| Hypervigilance | |
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| Stress Reduction Strategies | |
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| Self-Hypnosis | |
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| Working with Police Families | |
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| Resilience and the Police Family | |
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| Defining Resilience | |
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| Police Family Needs and Assets | |
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| Goals and Strategies of Police Family Therapy | |
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| Some Words about Discrimination | |
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| Givens and Paradoxes | |
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| The Givens | |
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| The Police Officer's Paradox | |
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| Deconstructing the Police Officer's Paradox | |
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| "Why Didn't You Shoot Him in the Leg?": Police Family Communication | |
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| Tell All/Tell Nothing: What, Where, When, and How to Talk | |
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| Myths of Communication | |
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| Trauma and Family Communication | |
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| Vicarious Trauma | |
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| Additional Considerations for Children | |
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| The First Responder Relationship | |
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| The Advantages | |
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| The Disadvantages | |
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| Cops' Kids | |
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| Strengthening the First Responder Relationship | |
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| Infidelity, Divorce, and Domestic Abuse | |
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| Infidelity | |
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| Divorce | |
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| Domestic Abuse | |
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| When Cops Are Victims of Abuse | |
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| Reporting Domestic Abuse | |
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| Getting Started | |
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| Special Considerations for Treating Other First Responders | |
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| Fire Fighters | |
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| Fire Service Families | |
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| Dispatchers | |
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| Correctional Officers | |
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| Breaking and Entering | |
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| Put On Your Anthropologist's Hat | |
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| Be a Self-Starter | |
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| Match Your Skills and Interests to the Underserved Needs of Local Law Enforcement | |
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| Engage in Rigorous Self-Assessment | |
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| Appendix: Residential Treatment/Group Therapy | |
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| Resources | |
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| References | |
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| Index | |