Firefighters and their families must have access to counseling and psychological support.
Initiative 13 means that firefighters and EMS professionals and their families must have the resources to deal with the various complications that their jobs can bring to their lives, especially issues regarding emotional and psychological stress. They must also have help available to deal with the problems in living that all of us sometimes face, regardless of the work we do, especially regarding family, finances or even drug and alcohol issues. Health and safety standards (like the NFPA 1500 Standard on Firefighter Health and Safety) require that assistance programs be made available to ensure that such services are there when needed.
Inside Initiative 13
New Model for Exposure to Potentially Traumatic Events
Understanding the new model for Initiative 13 dealing with firefighter behavioral health begins with an overview of the Protocol for Exposure to Occupational Stress. At the heart of the following flow chart or model is an understanding that firefighters and EMTs do not all respond similarly to traumatic events-thus, we have adopted the practice of calling them potentially traumatic events (PTEs). What’s different about firefighters and other first responders and why understanding their occupational stress is critical has to do with the “unfortunate regularity” of these workers to horrible, dangerous and stressful situations.
The model and accompanying notes explain the components of determining who is impacted and who may need assistance. It recommends the use of the Trauma Screen Questionnaire as a widely accessible tool for individuals to understand if they are in need of behavioral assistance.
From Employee Assistance Programs (EAP) to Behavioral Health Assistance Programs (BHAP)
Firefighters and EMS personnel have chosen careers that can sometimes magnify the stresses, strains and issues in living that all of us face. Those careers can also add additional layers of stress and demand due to the nature of the work involved and the conditions, schedules and circumstances under which the work is done. The need for work/life assistance programs is therefore a critical part of both occupational health and wellness programming and an essential feature in any employee benefit package. Often fire departments are confused as to the type of behavioral health assistance they should offer. Likewise, many EAP providers are not familiar with the fire service and therefore do not know what help they should market to first responder organizations. The guide From EAP to BHAP will help both fire departments and providers craft solutions that will best serve their firefighters and EMS professionals.
- From Employee Assistance Programs (EAP) to Behavioral Health Assistance Programs (BHAP)
- NFPA 1500 – Standard on Fire Department Occupational Safety and Health Program
This area of the Initiative 13 website provides fire departments with information on the current standards and a template for building and evaluating an effective Request for Proposals (RFPs) to recruit BHAP providers. The site also provides prospective vendors with guidance as to how to build a cost-effective proposal by utilizing resources available from Everyone Goes Home® partners and other easily accessible programs to satisfy the requirements of the standard.
Depression & Suicide in the Fire Service
Increased attention to suicides among firefighters has led to a strong sense of urgency among many fire service organizations, and a heightened desire to take strong and immediate preventive action. However, up until this point there has been very little in the way of strong evidence to shape those responses or guide responsible action.
As a first step in coordinating industry-wide efforts to address this issue, the National Fallen Firefighters Foundation (NFFF) convened a summit meeting July 11-12, 2011 in Baltimore, Maryland to discuss Issues of Depression and Suicide in the Fire Service. The NFFF, as a part of its Firefighter Life Safety Initiative 13 of the Everyone Goes Home® project, has been at the forefront in developing a consensus-driven agenda to focus efforts and resources to address the behavioral health needs of firefighters and their families.
» Read More: Suicide and Depression White Paper
» Meeting Report: Issues of Depression and Suicide in the Fire Service
» Second Meeting Report: Confronting Suicide in the Fire Service
email [email protected] or call 703-201-1238.
As part of its commitment to bringing the best resources available to Initiative 13, the National Fallen Firefighters Foundation (NFFF) brought leading experts in employee assistance research and practice together with representatives of major fire service constituency organizations to determine the best practices, approaches and standards of care currently available, and to develop ways to ensure that firefighters and their families could have ready access to cost-effective and clinically efficacious assistance.
Among the products of that three-year effort were revisions to NFPA 1500 with respect to behavioral health assistance programs (now referred to as BHAPs) and occupational exposure to atypically stressful events (formerly referred to as “critical incident stress programs”). Based on input from researchers, practitioners, fire departments and fire service organizations, the new standards are designed to help fire departments clearly specify the services their members need through these programs; the levels and standards of care they should expect; and provide a framework for evaluating proposals and programs to determine the best for their agencies. The Firefighter Life Safety Initiative 13 effort also developed a number of resource programs to assist providers of behavioral health care in acquiring the latest in evidence-supported best practice skills through easily accessible, low-cost products developed by leading research and training programs in behavioral sciences and behavioral health. Working in concert, this will allow departments and their providers to ensure that firefighters and their families receive the best care and assistance at the lowest possible cost.
Initiative 13 Resources
- 16 Initiatives for the Wildland Firefighter
- Everyone Goes Home® in the Wildland
- Fire Service Behavioral Health Management Guide
- Evaluation of Fire Fighters’ Mental Health Symptoms and Exposure to Traumatic Events, Job Stress, and Bloodborne Pathogens
- ACT: Help a Firefighter Struggling with Suicidal Thoughts (Poster – Vertical)
Initiative 13 Research
- PTSD symptoms and suicidal thoughts and behaviors among firefighters
- Behavioral Health Programs in the Fire Service
- Early Mental Health Intervention for First Responders
- Psychological First Aid for First Responders
- Psychological Support Factors for MFRE Firefighters
Checking In: A Behavioral Health Size-Up Podcast
This podcast supports this initiative by providing information on behavioral health topics that fire departments face every day. The goal is to provide a foundation for a discussion on how to address behavioral health practices to help firefighters and their families. This podcast is managed by the National Fallen Firefighters Foundation and is hosted by Craig Luecke.
Latest Initiative 13 News
- Wildland Firefighters Want to be Sure Everyone Goes Home® – Wildland firefighters from around the country say the status quo about safety must change. Too many wildland firefighters are dying and getting hurt. This is the key message from a series of listening sessions the NFFF held across the country.
» A Conversation with Vicki Minor & Ron Siarnicki
» 16 Initiatives for the Wildland Firefighter
» Everyone Goes Home® in the Wildland
- Make Health, Safety and Wellness Your Department’s Priority – The September issue of Firehouse Magazine features the 2018 Fire Service Health and Safety Report. This 32-page supplement emphasizes the value of a progressive, safety-focused fire service culture, and provides information and resources to help firefighters implement the 16 Firefighter Life Safety Initiatives.
- Carrying the Weight of PTSD to Raise Awareness and Support – Like many people in the fire service, the gravity of what Diana has seen and experienced lingered with her, leading to a diagnosis of Post Traumatic Stress Disorder (PTSD). In 2009, she began competing in off-road trail races and triathlons to deal with her PTSD symptoms and found great healing in the sport.
- Send the Everyone Goes Home® Program Your SOPs – We’re collecting information about SOPs on cancer reduction, violent incidents, mental health, and response policies to highlight best practices.
- National Fallen Firefighters Foundation Launches Survey on Suicide Prevention Efforts – The NFFF has partnered with Dr. Sally Spencer-Thomas, a leading suicidologist with experience in developing innovative programs for first responders. As part of this assessment, Dr. Spencer-Thomas created a survey to gather feedback from fire service members (active, retired and non-uniformed), support groups (clinicians, EAP providers, chaplaincy groups, etc.) and family members.
- Everyone Goes Home® Program Wants Your SOPs – We’re collecting information about SOPs on cancer reduction, violent incidents, mental health, and response policies to highlight best practices.
- Finding peace of mind and wellness for the fire service – A variety of departments provided their expertise to develop the guide to help others create a successful behavioral health program. It emphasizes the key roles department leadership, firefighters, peer support and clinical support play to maintain these efforts.
- Strategic Vision Helps Ensure Firefighter Safety and Enhance Service – To help fire departments around the nation adopt the 16 initiatives, the National Fallen Firefighters Foundation has created a new handbook, The Strategic Vision Guide: An Action Plan Using the 16 Firefighter Life Safety Initiatives.
- Newport News Safety Officer Promotes Mental Health Awareness, Awarded Virginia Firefighter of the Year – Newport News Fire Department Safety Officer Lt. Sidney Lucus was named Virginia’s Firefighter of the Year for a new mental health peer support program he organized and help launch for the city inside station #1 downtown.
- ACT Now to prevent firefighter suicides – The risk of firefighter suicide is a growing concern within the fire service. More research has become a priority to better understand the issue and assist in developing interventions. A recent study of 893 firefighters by Florida State University and published in the latest issue of the Journal of Psychiatric Research shows a strong relationship between post-traumatic stress symptoms (PTSS) and suicidal thoughts and attempts among firefighters.