Firehouses – Can they breed a change in behavioral health?
As a retired fire captain from the suburbs of Chicago, a licensed counselor and founder of Firefighter Behavioral Health Alliance (FBHA) I say absolutely! Why do I believe this? Because these are my brothers and sisters, men and women who can do great things. I believe it is our time, their time, to not change the fire culture, but to enhance it. This can be achieved by understanding how behavioral health plays a role in their lives and how they can be proactive in creating successful behavioral health programs for their departments.
When I founded FBHA in 2011, FBHA began to track and validate firefighter and EMT suicides. I quickly found behavioral health education or the lack of it
is a global issue. This year alone I will have flown over 110,000 air miles educating firefighters and EMS organizations about addictions, PTSD, depression, cultural brainwashing and suicide awareness/prevention. One of our seven workshops that we have developed is called “How to create a successful behavioral health program”. This article will outline those ideas for fire departments across the globe. They might not all apply since I do not truly know if their departments work like we do here in the States but hopefully it will inspire someone to make changes for their organization.
Behavioral health program development
The following are some recommendations that should be addressed when developing a Behavioral Health program. FBHA recommends the steps in order as described below. Such behavioral health issues include, but not limited to are stress, anxiety, addictions, depression, medical conditions, PTSD and suicidal ideations.
The Fire Department/EMS organization considers its members to be the most vital function of their organization and as such is taking a proactive stance in this arena. The development of a proactive behavioral health program is a major step to providing the best mental health care for members and their families. Programs and responsibilities to be developed by this department are as follows:
FBHA believes education is a key component of any successful behavioral health program. The awareness, knowledge and looking for signs and symptoms of such issues as anxiety, depression, PTS, addictions, suicidal ideations and much more brings to life the reality that some of us may suffer and that it is okay to ask for help. Within this educational process you tend to see those who want to become involved in the building of a behavioral health program for your organization. Our recommendation is to begin with behavioral health workshops to get buy-in from your personnel.
Peer Support Teams (PST) are a vital function within a behavioral health program; therefore the behavioral health program needs to adopt and sustain a peer support program. This group will be selected through a specific set of criteria’s, trained and then function as the first line of help for members of said organization who are seeking help. A Licensed Counselor will oversee the peer support program and when a peer support member needs to escalate a member’s issue they will contact the Licensed Counselor for guidance.
The third step is to develop behavioral health guidelines/policies that will outline the steps involved on how to handle behavioral health issues when they occur. The guidance needed by officers and members is imperative to creating solutions when challenged with behavioral health situations.
In working with the Training Officer of an organization, the Peer Support Team (PST) will develop classes on behavioral health for the members of their department. Such training will be based on the schedule of training on a yearly basis.
Develop a working relationship with the Department’s Employee Assistance Program (EAP). This is accomplished through training of staff counselors who might have the opportunity to work on a professional basis with the firefighters/EMS of your department and their family members. In addition, the PST or Training Officer will facilitate a working relationship with EAP counselors by inviting them for tours of the department, visit training sessions and with approval of the Chief complete some ride time to gain insight into the Fire and EMS culture.
Development of local counseling resources to assist those members who are uncomfortable in working with the fire departments EAP counselors. The local resources will be trained by an outside entity or the Training Officer to understand the functions of their department and its members. These counselors will specialize in PTSD, Depression, Marriage Counseling, Financial, etc. They will be available to members and their families who seek professional help.
With the understanding that faith plays a major role in some member’s life, the department will develop and sustain a relationship with local Chaplains. If needed, this group will also be trained to understand the culture of firefighters, EMS and family members.
The Department will develop programs and classes for family members of its firefighters/EMS. Family members are a key component to any behavioral health program. Recognition of signs and symptoms that members display, as well as in themselves are key to early intervention of any behavioral health issues.
The department will create a learning atmosphere on behavioral health, which will include behavioral awareness in the Fire and EMS academies and Fire/EMS officer courses.
A department may institute that the PST can respond to fire/EMS calls when needed due to the nature of the emergency incident. They will not be involved in any operational issues but there incase members on the call request their assistance and observe any emotional or behaviors resulting from the call.
The Department will build a relationship with recognized groups such as Critical Incident Stress management (CISM) teams, neighboring fire departments, police or other organizations to promote a good working relationship for all involved.
The Department will make a commitment to assist those members who will be retiring within a 12-18- month period. Emotional Detachment from the job is a realistic possibility so planning will take place to help the member adjust to his/her impending retirement.
The training, developing and sustaining a program does not happen overnight. It takes at least two years to implement. It can be done in stages and there has to be a small budget for this development. The cost of losing our members is unimaginable and not in a financial aspect but one of an emotional aspect, especially when an organization is hit by a suicide of a member.
FBHA is the only organization that tracks and validates these tragic events in the U.S. As of November 10, 2016 FBHA has validated 911 firefighter and EMS suicides. We estimate only a 40% reporting to us. In 2015 we validated 101 FF’s and 31 EMT’s. To date, in 2016, we are at 81 FF’s and 27 EMT’s. (Please see graphs on years)
We track ages, ranks, states, method, reasons, gender and years. FBHA has included these graphs within this article. We have reports from Canada as well as some Internationally. Remember, this is a global issue.
In summary, we were never trained on how this job will affect us. We were never told how we would carry horrific images the rest of our lives, have sleep issues, become angry, close down communications with our loved ones and the list goes on. But it is our TIME! Our time to make changes within our firehouses, within our own lives. The question now is will you become involved?
For more information, go to www.ffbha.org