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First Response Resilience V3.0 Workbook
First Response Resilience V3.0 Workbook
First Response Resilience V3.0 Workbook
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First Response Resilience V3.0 Workbook

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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?

LanguageEnglish
PublisherMichael Marks
Release dateSep 26, 2018
ISBN9780463579985
First Response Resilience V3.0 Workbook

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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,

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