First Response Resiliency

The expectation that we can be immersed in suffering and loss daily and not be touched by it is as unrealistic as expecting to be able to walk through water without getting wet.
--Rachel Naomi Remen, M.D.

What do we know about the first response community? The literature suggests that comparative measures such as the standardized mortality rate, accident injuries, and early retirement based on medical issues are higher than for the general population.1, 2, 3 Prolonged work related stress has been associated with mental health concerns. Indeed, a study found the five core areas where most officers fail are addictive issues, behavioral health, physical health, personality issues and
family-relationships.

The prevalence of Post-Traumatic Stress Disorder (PTSD) appears to be much higher for first responders than for the general population. PTSD is a mental/emotional disorder that potentially follows an event where an individual experienced a potential or actual loss of life or traumatic event that resulted in a sense of helplessness or horror. The regularity of these events, as evidenced in the work of EMS, police, firefighters, military, may be cumulative and add to the
risk of PTSD. Finally, such risk factors as stress, mental health concerns, alcohol abuse, divorce or separation, and the presence of a firearm in the home all contribute to the potential of intentional self-harm and suicide.

Beyond the personal needs of responders is that of the community, particularly so in post-disaster psychosocial intervention. Although there are gaps in evidence-based practice, the literature currently emphasizes stress-resistant and resilient outcomes relative to promoting a sense of safety, calming, a sense of self and community, self- efficacy, connectedness, and hope.

Responders, through their own practice of resiliency skills, have an opportunity to “mentor” not only each other, but their families and their communities as well.