There is a movement currently going on about stigma and mental illness. In emergency services, if we admit to having a challenge, we do not want our brothers and sisters looking at us in a different light. Why? Are we not human? Who among us are perfect?
Part of the Stigma Free movement should be understanding your challenges, as well as other people's challenges. Sources indicate that "one-in-five Americans live with a mental health condition." Think about that for a minute; one-in-five. If you have five responders on a truck, one of them may have a mental health issue. Twenty percent of your department may have an issue. Are you or a member of your family or department one that is living with it, but did not seek any help? Are we judging others that have the courage to admit that they need some help?
Let's look at some things that might be in our stations. There may be a member who has lost someone so close to them that they will have a difficult time making it through the upcoming holidays because they are battling with depression as they grieve. There may be someone who is still having challenges because of a really bad call and they may have PTSD.
I know people who are bi-polar, have addictions, in major depression, had a stroke, etc. Should we just tell them to "suck it up, buttercup"? NO! How would you want to be treated? What if it was your child or family member?
Compassion goes a long way. Whatever mental issues they have does not identify them.
One of my best friends is blind. I do not think of him as "Blind Steve". He is just Steve and life goes on. He will tell me if he needs my assistance. Other times I let him know about a situation coming up that he may need to know about.
If a person in your department has a substance abuse challenge, are you going to just get rid of him from your department, or are you going to be a brother and come along side of them and help to lead them to a program that can assist them. The person may be a great responder BUT they have a challenge and need help.
It is perfectly alright to see a psychologist, psychiatrist, or doctor and get the help that is needed. If you have physical challenges, hopefully you go to the doctor and get help, so why not mental health? Why not take the course Mental Health First Aid?
'Do not fear, for I am with you; Do not anxiously look about you, for I am your God I will strengthen you, surely I will help you. Surely I will uphold you with My righteous right hand.' - Isaiah 41:10 Do not keep trying to make it on your own. God is with you during your struggles. Seek out the help that you, a family member, or member of service may need. Understand those who have the challenges. Let us remove the stigma in emergency services. Let us first get the help that we need and understand those who have mental health issues.
Let emergency services be Stigma Free. Let us get to the point where the stations are safe for all. Let us try to help those with mental health issues.
Chaplain Didymus McHugh promotes Stigma Free for firefighters, law enforcement (police) and EMS.
We are all a family, brothers and sisters in emergency services. Someone told me that we are a dysfunctional family but we are a family nonetheless, and we are a tight group. But let me ask you this, do we really pay attention to our brothers and sisters? Can you tell when something is bothering someone on your truck or in your station?
We need to look out for our brothers and sisters so we all come home from a call, but this also means when we are not on a scene as well. We need to know each other enough to start seeing differences in behavior. Is someone showing signs that critical incident stress is affecting them, or is it (should I even think the words) depression or thoughts of dying by means of suicide? So many of us do not want to ever say or hear the words depression or suicide. I know that the usual response to someone who is experiencing depression is “well get over it” or “just snap out of it”. These are not helpful words.
There are many things that can get someone to the point of depression. We can have family, financial, or health issues. We may be experiencing effects of critical incident stress or other things. Some medications, which we have to take, or surgery that we have had may cause us to feel depressed. But if we keep it to ourselves, we wallow in our own self-pity and our challenges then have our permission to run our lives. If we keep it and do not vent or ask for help, we put ourselves into our own prison.
To be a true brother, we need to care about each other. When people are not acting their “normal”, you may want to ask the person “how are things going?” Let’s face it, we are not the “normal” that society thinks of when they think of normal. We appear to be a little off center but that’s okay because that’s how emergency services is. Sometimes we need to talk to others that can relate to us in our “normal” state.
One challenge, that we have, is that we are the rescuers. We go into burning buildings that nobody else would enter. We go into places of chemical spills, we are used to rescuing everyone else. Sometimes we have to remember that it is okay for us to ask to be rescued. If you are having a code, can you perform CPR on yourself? So why think that you can handle your depression or suicidal thoughts by yourself.
Remember, we ARE family. There are people that are willing to listen and help you get the help that you need. Have you tried your department chaplain of the CISM team? The CISM team knows therapists that actually know our culture. Hopefully, the people with depression will connect with a therapist that can help them. Yes, I know that many times we want to handle everything ourselves but there are times where it is okay to hang up the hero cape and admit that we need help.
According to the National Fallen Firefighters Foundation, it is estimated that suicide is four times more likely to happen than a line of duty death. Think on that. What do we see? We all have been exposed to people who have attempted to die via suicide or have died by means of suicide.
There are resources out there. Serve and Protect is a 24/7/365 crisis line for emergency services, where you can also speak to therapists or chaplains (serveprotect.org or 615-373-8000). But you also have the National Suicide Prevention Lifeline (suicideprevetionlifeline.org or 800-273-TALK (8255)). Go on the website for the National Suicide Prevention Lifeline and look at the signs so that you can notice some of the warning signs or review the information for yourself, if you are having challenges.
Many of us are afraid of speaking the words “depression” or “suicide”, but by not speaking these topics does not mean that they do not exist. We use thermal imaging cameras to see hotspots in buildings to prevent a fire in buildings. We do not have TIC’s to see what is going on in people’s minds. We need to ask them and if we are the one going through the depression or having thoughts of hurting ourselves, we need to not be proud and keep it all to ourselves.
We are brave enough to join the fire department in the first place, we need to be brave enough to ask for help or help someone else get the proper help.
Instead of getting a CPR save or pulling someone out of a building and getting a save, how would you feel about saving a brother or sister? We are family. Don’t be afraid to discuss this issue, the life you save may be your own.
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Supporting substance abuse and mental health recovery efforts in New Jersey
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