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FIRST RESPONDER ISSUES

First responder: A person who is trained or designated to be the first to arrive and provide assistance at the scene of an emergency.

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First responders are repeatedly placed in harm’s way.

As implied by the name, first responders include police officers, firefighters, paramedics, emergency medical technicians, and search and rescue personnel. In addition to exposure to critical events that threaten their own safety and security, first responders often have demanding work schedules and roles that are physically challenging. For many, shift work can create struggles related to recovery, meaningful social engagements with others, and work-life harmony.

The continuous and cumulative exposure to critical incidents among first responders can contribute to the development, or worsening, of mental health issues. This is particularly true in two instances. First, when critical events are experienced that are deeply disturbing such as the death of a baby or child, suicide, burns, or those involving someone who is a friend/family member. And, second, when there is a perceived, or real, lack of control related to work or the environment.

First responding firefights running towards danger and a stretcher in the background along with other first responders

Mental health concerns can include:





  • Difficulty “switching off”
  • Isolation and social withdrawal
  • Fatigue and sleep issues
  • Self-blame
  • Substance use
  • Compassion fatigue, vicarious (secondary) trauma, and burnout
  • Suicidal ideation

Stretcher in an ambulance with an individual in the background

Many first responders with mental health concerns do not pursue, or delay, treatment.

A number of barriers impact help-seeking among first responders. Some common barriers include difficulties scheduling an appointment, not knowing where to seek help, concerns about confidentiality, and fears that counseling services will have a negative career impact. It is important to note that when these barriers are not overcome, distress and impairment associated with mental health issues can contribute to a number of consequences.

Consequences of untreated mental health issues include:



  • Being less effective on the job
  • Early retirement
  • Higher rates of sickness and absenteeism
  • Medical issues



Counseling and therapy at Wellness Grove…

Our clinicians are competent in addressing issues faced by first responders. We offer confidential and flexible delivery of services well beyond the typical 9-5 business hours. We are also committed to working with agencies and organizations that share in our mission to reduce mental health stigma and promote wellness among its first responders and staff.

Our in-person (outpatient) counseling services are offered in Canton OH (near Akron, North Canton, and Massillon). We also offer telemental health sessions to all Ohio residents.

Wellness Grove

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