First Response Resilience V3.0 Workbook
By Michael Marks, Jeff Dyar and Phil Callahan
()
About this ebook
Firefighters, police, and Emergency Medical Services (EMS) are often the first responders to deal with emergencies and incidents that threaten health and life. The expectation that we can be immersed in these incidents and not be affected by them is unrealistic. Decades of research demonstrate we are impacted by these work-related challenges (Andress & Corey, 1978; Bryant & Harvey, 1996). First Response Resilience V3.0 provides you with tools to build mental armor to better deal with these challenges that can erode your peak performance and quality of life.
Your first inclination might be to dismiss the idea of mental armor, perhaps believing that you are invulnerable to mental injury. But, look at some realities. Every forty seconds a person completes suicide somewhere in the world; over eight hundred thousand people per year (Suicide, 2014). In the United States (US), suicide is the second leading cause of death for 10 to 34 year-olds (CDC, 2016). Findings further show an elevated risk for suicide among fire, police, and EMS as compared to the general population (Newland, Barber, Rose, & Young, 2015; Stanley, Hom, Hagan, & Joiner, 2015; Stanley, Hom, & Joiner, 2016). Workplace suicide for protective service occupations, that includes police and fire, is 3.5 times greater than the overall US worker (Tiesman, Konda, Hartley, Menéndez, Ridenour, & Hendricks, 2015). Indeed, police officers and firefighters are more likely to die by suicide than in the line of duty. Consider that in 2017, at least 103 firefighters and 140 police officers died by suicide as compared to 93 firefighter and 129 officer line-of-duty deaths in the US (“Study: Police Officers,” 2018). What then puts us at such great risk?
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Book preview
First Response Resilience V3.0 Workbook - Michael Marks
First Response
Resilience V3.0
Workbook
Philip Callahan, Ph.D, EMTP
Michael Wm. Marks, Ph.D., ABPP
Jeff Dyar, B.S., EMTPe, EFO
2018 © MMarks and PCallahan
All rights reserved. No part of this publication may be reproduced or distributed in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage or retrieval system, without the prior written consent of the authors.
Smashwords Edition
Table of Contents
Introduction
Belief
Recall a past Belief challenge
Apply Belief to a current challenge
Reflecting on Belief
How am I doing?
Persistence
Recall a past Persistence challenge
Apply Persistence to a current challenge
Reflecting on Persistence
How am I doing?
Strength
Recall a past Strength challenge
Apply Strength to a current challenge
Reflecting on Strength
How am I doing?
Trust
Recall a past Trust challenge
Apply Trust to current needs or a specific challenge
Reflecting on Trust
How am I doing?
Adaptability
Recall a past Adaptability challenge
Apply Adaptability to a current challenge
Reflecting on Adaptability
How am I doing?
Am I resilient?
Appendix
Adaptability
Responder resilience flashcard …
Belief
Persistence
Strength
Trust
Introduction
Firefighters, police, and Emergency Medical Services (EMS) are often the first responders to deal with emergencies and incidents that threaten health and life. The expectation that we can be immersed in these incidents and not be affected by them is unrealistic. Decades of research demonstrate we are impacted by these work-related challenges (Andress & Corey, 1978; Bryant & Harvey, 1996). First Response Resilience V3.0 provides you with tools to build mental armor to better deal with these challenges that can erode your peak performance and quality of life.
Your first inclination might be to dismiss the idea of mental armor, perhaps believing that you are invulnerable to mental injury. But, look at some realities. Every forty seconds a person completes suicide somewhere in the world; over eight hundred thousand people per year (Suicide, 2014). In the United States (US), suicide is the second leading cause of death for 10 to 34 year-olds (CDC, 2016). Findings further show an elevated risk for suicide among fire, police, and EMS as compared to the general population (Newland, Barber, Rose, & Young, 2015; Stanley, Hom, Hagan, & Joiner, 2015; Stanley, Hom, & Joiner, 2016). Workplace suicide for protective service occupations, that includes police and fire, is 3.5 times greater than the overall US worker (Tiesman, Konda, Hartley, Menéndez, Ridenour, & Hendricks, 2015). Indeed, police officers and firefighters are more likely to die by suicide than in the line of duty. Consider that in 2017, at least 103 firefighters and 140 police officers died by suicide as compared to 93 firefighter and 129 officer line-of-duty deaths in the US (Study: Police Officers,
2018). What then puts us at such great risk?
Some of the environmental risk factors contributing to suicide include exposure to war, disaster, stresses of acculturation, discrimination, sense of isolation, abuse, violence, and conflictual relationships (Suicide, 2014). Consider that as first responders we are frequently exposed to disaster as well as the consequences of violence and conflictual relationships.
Risk factors, at a more personal level, include previous suicide attempts, mental health disorders, such as Post Traumatic Stress Disorder (PTSD), alcohol, chronic pain, financial, and family history (CDC, 2016). PTSD can follow an event or cumulative events where we experience a potential or actual loss of life or a traumatic event that results in a sense of helplessness or horror. The consequences of PTSD may show as avoidance, numbing, blame of self or others, persisting poor emotional state, difficulty concentrating, and reckless or destructive behavior (American Psychiatric Association, 2013). Consider that PTSD among first responders is some 10 times greater than that of the general population (Berger, Coutinho, Figueira, Donnelly & Siebert, 2009; Berger, Coutinho, FigueiraMarques-Portella, Luz, Neylan, ... & Mendlowicz, 2012; Sterud, Ekeberg, & Hem, 2006). Why is PTSD so critical? A very high percentage of all individuals who die by suicide have at least one identifiable psychiatric disorder (Bertolote, Fleischmann, De Leo, & Wasserman, 2004; Bolton, James, Gunnell, & Turecki, 2015; Ilgen, Bohnert, Ignacio, McCarthy, Valenstein, Kim, & Blow, 2010). Thus, those individuals dealing with PTSD are potentially at higher risk of suicide (Sareen, Cox,