IAFF Behavioral Health Program...IAFF Behavioral Health Program Patrick Morrison, International...

IAFF Behavioral Health Program

Patrick Morrison, International Association of Fire Fighters

Assistant to the General President for Health, Safety and Medicine

May 15, 2019

INTERNATIONAL ASSOCIATION OF FIRE FIGHTERS

Fire Fighter Magazine• Recognizing Signs and Symptoms

• Fighting the Stigma

• Getting Help

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What the Research Says

• Approximately 22% of firefighters will meet criteria for PTSD during their career

• Between 7-11% of fire fighters suffer from clinical depression

• In one FEMA study, 50% of fire fighters report binge drinking in past month

• Individuals with PTSD are six times more likely to attempt suicide


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• NBC collaborated with the IAFF on a nationwide survey

• Explored behavioral health concerns in the fire service

• Nearly 7,000 IAFF members responded

Video link on the NBC study: https://youtu.be/80K7usDs_8k

What are IAFF Members Telling Us?


https://youtu.be/80K7usDs_8k

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Utilization of Behavioral Health Services

• Despite high rates of stress, 71 o/o have not used EAP • Of those that have used EAP, 64°/o found it not helpful • While most have participated in CISM, 51 °/o found it unhelpful • Behavioral health awareness education is lacking, 78°/o received none • Training on behavioral health services available through department is lacking,

51 °/o have received none

81°/o fear they will be seen as weak or unfit for duty


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IAFF Wellness Fitness Initiative (WFI)

Medical

FitnessData

Rehab

Behavioral

Implementation

Cost JustificationThe Fire Service Joint Labor

Management

Wellness-Fitness Initiative


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Slide 8: What is the IAFF doing?

What is the IAFF doing in Behavioral Health?

IAFF Online Behavioral Health Awareness Course

IAFF Peer Support Training Program

Disaster, Suicide, and LODDDeployments

Education, Technical and Legislative Assistance

IAFF Center of Excellence in Behavioral Health Treatment and Recovery

Revising NFPA 1500 and NFPA 1582 Standards

IAFF Peer Support Disaster Response Training

IAFF Resiliency Training


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Peer Support: Another Bridge to Help

What is Peer Support?• One fire fighter helping another fire fighter

• Peers are educated on critical behavioral health problems that impact the fire service

• Peers are trained to use active listening, assessment, and crisis intervention skills

• Peers provide a trusted bridge to services

• One more tool in the toolbox

My Presentation/Course Title


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Why do peer support teams need a clinician?


Peer support teams should not function with out clinical

oversight. A good clinician will play a variety of critical roles:

Provide ongoing clinical supervision to peer teams

Provide periodic education on relevant behavioral health

topics

Help vet other local clinicians and treatment facilities

Review relevant standard operating procedures (SOPs)

Accept client referrals from trained peers

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IAFF Peer Support Training

• 39 IAFF Master Instructors

• 148 classes delivered

• 3,902+ people trained

• Members from 720 locals

• 2019: On pace for 100 classes this year

Number of People Trained

1800 1692

1600

1400 1158

1200

1000 800 682

600 370 400 200

0 2016 2017 2018 2019- Ql


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Screening a Clinician

• Clinician Must Haves

• Understand fire service culture

• Embrace the peer support model

• Trained in evidence based

practices

• Be accessible

Finding the Right Clinician: 7 Questions for Are Fighters to Ask .................. ~_.,_.__., . ................................ ~ .. --.1,-.--.1,......, ......... ~ ... ---................ •~,---•~-d~~•tlw-...,. _.•w•---~ ............... ,,,,,_..., • ., =:..:.~!....,~=-=.-::::r:--r 1.,_a,la:Ule .. •nllllMllthlcilllflr,_.llfal ,.... ...... .....,.,., ................... ........ trdt

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(See guide at http://ww.iaff.org/behavioralhealth)


http://ww.iaff.org/behavioralhealth

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IAFF Center of Excellence

IAFF Center of Excellence for Behavioral Health


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Facility Overview

International Association of Fire Fighters

13

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IAFF Behavioral Health

Fire Fi hte"f g '•:''''•'."''

Bringing PTSD Out Of the J Shadows "',, /

-~--··-·-- J • f..;,lllft;,_S,....

.r......,11o.

Spring 2015

Online Awareness Course

Summer 2015

Peer Support

Course Development

January 2016

Beta Classes

Hired Behavioral

Health Specialist

Spring 2016

Launch Peer Support

March 2017

Grand Opening

April 2017

Mental Health

License


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IAFF Behavioral Health Part 2

July 2017 100th

Admission

August 2017

JACHO

September2017

Hired 2nd

Behavioral Health Specialist

October 2017

Elimination of Mental

Health Restrictions

December 2017

200th

Admission

January 2018

Grant Funded:

Resiliency

Crisis Response

May 2019

Total Treated: 750


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The IAFF Center of Excellence

Slide 17: IAFF Center of Excellence

60%40%

Other Clinical Issues

• Major Depressive Disorder

• Bipolar Disorder

• Substance Use Disorder

• Social Anxiety Disorder

• Personality disorders

• Other compulsive behaviors

PTSD= 283

Admissions as of 5/15/19

Fire Fighters experience a range of behavioral health problems, not only PTSD.

Total Members Treated at the IAFF Center of Excellence to Date: 750

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Expanding IAFF Behavioral Health Training

• IAFF Resiliency Training- Available Fall 2019

• IAFF Disaster Response Peer Training- Available Fall 2019

• IAFF Clinician’s Awareness Course – coming in 2020

• IAFF Peer Recovery Mentor Course – coming in 2020

• IAFF Suicide Intervention Training- coming in 2020


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New Course Offering: IAFF Resiliency Training

Course Format and Delivery

• One day 8-hour in-person course

• 6.5 hours of lecture, discussion, and skill building

• Two components of online pre-course content

• Individual Assessments (CD-RISC & PANAS)

• Organizational Resilience Videos

• Will be adapted to train-the-trainer


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Define Resiliency

Assess Personal Resiliency

Understand the Importance of Resiliency

Explore Accountability for Organizational Resilience

Identify Factors that Predict Resiliency

Explore Six Critical Concepts to Build Resilience

Gain Practical Skills to Build Resiliency at Work and Home

IAFF Resiliency Training

PROGRAM OBJECTIVES


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Resource Exa

New Resources Available at

iaff.behavioralhealth.org mples

Building a Comprehensive Beha··=---• LI--■&■•. .,. _____ _

10 Steps to Build Your Peer Support Proaram

Coping with Grief: Fire Fighters 1.0BTAIN I

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Post-Traumatic Stress, Acute Stress Disorder ~

How to Support a Crew Member Returning

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IAFF Behavioral Health Resource Guides


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Slide 23: PTSD Pesumptive Laws

Last updated April 4, 2019

PTSD Presumptive Laws

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Leading Causes of Death, United States, 2016

ALTS 2019 | January 21-23 | Los Angeles, CA

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Increasing Suicide Rates


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Suicide Rates by Age and Sex in the US (2016)


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Rate of Suicide by Race, US 2000-2016


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Helping Emergency Responders Overcome Act

• H.R. 1646, reintroduced in 2019

• Introduced by Rep. Bera (D-CA)

• Would develop system to collect data on

first responder suicide; require annual

report to Congress

• Would allow grant funding to establish or

enhance peer-support programs

27

Thank You

Thank You

My Presentation/Course Title

IAFF Behavioral Health Program...IAFF Behavioral Health Program Patrick Morrison, International...

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