The Growing Importance of Remote Mental Health Support for Firefighters in Alberta

Firefighting is a risky job, and the dangers aren’t just physical. Firefighters often witness traumatic events. These experiences can have a big impact on their mental well-being. In the past, support for these brave individuals was limited. It usually involved informal talks with coworkers, critical incident stress debriefings (CISD), and access to employee assistance programs (EAPs). You can find a resource outlining this history at Psychreg.org. While helpful, these methods didn’t fully address the serious psychological demands of firefighting. Today, there’s a stronger focus on providing firefighters with more accessible mental health solutions, especially mental health support for firefighters.

Over time, both the mental health community and firefighting services have gained a better understanding. This understanding involves the high rates of post-traumatic stress disorder (PTSD), depression, anxiety, substance abuse, and even suicide within the firefighting community. A very informative website detailing firefighter’s mental health is FireHero.org. PTSD in Alberta firefighters is a particular concern. Because of this, there’s a push towards providing support through remote and telehealth options. This shift is driven by several factors: better understanding of the mental health toll, the availability of new technology, the need to reach firefighters in remote areas, and providing an alternative to in-person therapy.

The COVID-19 pandemic accelerated the use of telehealth in all areas of healthcare, including mental health services. The fire service, despite some unique challenges, adapted to this new approach.

Remote and Telehealth Therapy Options

The digital age has brought significant changes to mental healthcare. Firefighters now have many different options available. Remote and virtual mental health support is available. Each method has its own advantages:

• Video Conferencing: This is similar to a traditional therapy session, but without the need to travel. Video conferencing involves real-time, face-to-face interaction between a firefighter and a mental health professional using secure video platforms. The visual connection helps the therapist see non-verbal cues.
• Mobile Applications (Apps): Many apps are now available that are specifically designed for stress management, particularly helpful for managing job stress and mental health. They include features like mindfulness exercises, mood trackers, and direct access to peer support networks. Some even offer a direct line to therapists, making support readily available.
• Text-Based Therapy: Text-based therapy offers a discreet alternative for those who aren’t comfortable with face-to-face interaction. It involves communication where messages are exchanged at convenient times for both the firefighter and the therapist. This can be done through secure messaging platforms or regular text messaging, allowing for thoughtful processing of emotions.
• Telephone-Based Services: Sometimes, the simplest solution is best. Talking on the phone is an accessible way to receive mental health support, requiring only a phone and no new technology.

How Effective Are Remote Therapies for Firefighters?

Does remote therapy actually work? For the general population, research shows that telehealth is an effective treatment, often as useful as in-person therapy for various mental health conditions. But the firefighting profession is unique. So, is telehealth equally effective for this specific group?

While research specifically on firefighters is ongoing, early results show that remote therapies offer significant benefits in several areas:

• Reducing PTSD Symptoms: Early studies suggest that telehealth interventions can significantly reduce symptoms of PTSD in Alberta firefighters.
• Improving Depression and Anxiety: Remote therapy shows promise in reducing symptoms of depression and anxiety among firefighters.
• Increasing Access to Care: This is perhaps the greatest advantage of telehealth. It eliminates geographical barriers, allowing firefighters in remote areas to get the support they need.
• Reducing Barriers: Many firefighters hesitate to seek in-person mental health services due to stigma, fear of judgment, or scheduling difficulties. Telehealth offers a more private and convenient option, minimizing these barriers.

It’s crucial to remember that the ideal type of remote therapy varies. There’s no one-size-fits-all answer. The best approach depends on individual preferences, the nature of their challenges, and their comfort with technology.

Obstacles to Remote Mental Health Access

Despite the advantages, several obstacles prevent firefighters from fully utilizing remote mental health services:

• Technological Proficiency: Not all firefighters are comfortable with technology. Older firefighters may have limited experience with computers, smartphones, or online platforms. This “digital divide” can limit access to remote therapy.
• Privacy Concerns: Firefighters deal with sensitive matters and may be concerned about the security and confidentiality of online therapy. It’s essential to ensure that platforms are secure and personal information is protected.
• Unequal Access to Technology: Not everyone has reliable internet access, which is a major barrier, especially in rural areas where many fire stations are located. Without stable internet, video conferencing and other online therapies aren’t possible.
• The “Tough” Culture: The fire service has a strong culture of toughness, which can make it hard for firefighters to admit they’re struggling. There’s often a stigma associated with seeking help for mental health.
• Lack of Organizational Support: Even if a firefighter seeks remote mental health services, they might not receive support from their superiors. Some departments may lack policies or resources to encourage using these services.
• Financial Concerns: Insurance coverage for telehealth can be inconsistent, leading to out-of-pocket expenses. Also, many fire departments have limited budgets and may lack funding for mental health programs, making it difficult to implement remote therapy.
• Limited Therapists and Programs: A shortage of qualified counselors and appropriate mental health support programs for firefighters is a significant barrier. Accessing suitable resources can be difficult despite demand.

Ethical Considerations in Remote Mental Health

Providing mental health services remotely involves important ethical considerations to protect firefighters and maintain the integrity of therapy:

• Confidentiality: Trust is fundamental to any therapeutic relationship. Guaranteeing the privacy and security of information shared during remote sessions is essential. This includes using secure, encrypted platforms and educating firefighters about confidentiality in mental health support.
• Informed Consent: Firefighters must be fully informed about remote therapy, including its limitations and potential risks, before starting. This involves transparency about the technology used, the therapist’s qualifications, and emergency procedures.
• Crisis Management: A clear plan is necessary for handling emergencies during remote sessions. Protocols should ensure firefighter safety, including knowing how to contact local emergency services and having a designated emergency contact.
• Maintaining Boundaries: Therapists must maintain appropriate boundaries in a remote setting, setting clear expectations for communication, scheduling, and availability.
• Licensing and Jurisdiction: Therapists must be licensed to practice where the firefighter receives services. Jurisdictional rules vary, and therapists must comply with regulations in each relevant location.

Initiatives and Programs in Canada and Alberta

Canada, and Alberta specifically, are addressing firefighters’ mental health needs through remote and telehealth initiatives.

• Canada-Wide Efforts:

  • The Canadian Institute for Public Safety Research and Treatment (CIPSRT) offers an Internet-delivered Cognitive Behaviour Therapy (ICBT) program to firefighters across Canada, providing evidence-based treatment for various mental health conditions.
  • The Tema Conter Memorial Trust, a well-known charity, supports first responders’ mental health, including firefighters. They offer resources, education, and the Road to Mental Readiness program, designed to reduce stigma and promote early intervention.
  • Many national and provincial organizations provide access to help and information.

• Alberta’s Actions:

  • The Alberta Fire Fighters Association (AFFA) promotes mental health awareness and works to secure resources for firefighters, advocating for policy changes and reducing stigma.
  • “Heroes’ Haven,” supported by Wounded Warriors Canada, offers specialized mental health support programs tailored to first responders, including firefighters. It provides access to trauma-informed therapy and other support.
  • Workers’ Compensation Board (WCB) – Alberta recognizes the importance of mental health support and provides resources for mental health treatment, including addressing PTSD Alberta firefighters.
  • Individual fire departments across Alberta may have their own initiatives, such as implementing telehealth programs or partnering with local mental health providers for remote services. The specifics vary by department.

Data and Statistics: The Need for Support

The need for mental health support among firefighters is supported by data.

• Higher Rates of Mental Health Issues: Firefighters experience significantly higher rates of PTSD, depression, and suicidal thoughts compared to the general population, due to traumatic events, danger exposure, and job demands.
• Studies have shown that a large group of firefighters have behavioral health issues. This includes PTSD in Alberta firefighters, depression, and thoughts of ending their own life.
• More Data is Needed: While existing data highlights the problem, more research is needed on program usage and cost-effectiveness to refine existing programs and develop new, evidence-based interventions.

If you are a firefighter in Alberta seeking support, contact Responders First. We are here to connect you with the resources and help you need.

Don Davis

15+ years of emergency response experience. Passionate about connecting our first responder communities with critical resources. Author of hundreds of articles and guides on First Responders mental health care. When not responding to emergencies, you can find me playing with my dogs, hiking, or enjoying a good book.