Remote Mental Healthcare for First Responders in Alberta

The internet opened up new possibilities for mental health support: telehealth. Early telehealth was simple, using phone calls and basic video conferencing to connect first responders with mental health professionals. This made it easier for first responders in remote areas, or those with mobility issues, to start getting care and address barriers to mental health care.

Coming out of the pandemic, telehealth services has been integrated into most organizations and clinics allowing healthcare providers access to those in remote and rural areas.

Different Methods for Remote Care

Using remote technologies in mental healthcare for first responders isn’t a “one-size-fits-all” solution. There are many different methods, each with its own benefits, and each suited to different mental health conditions and individual circumstances.

• Video Conferencing: A Face-to-Face Connection

  Video conferencing provides real-time, visual interaction between the first responder and the therapist. It’s similar to a traditional therapy session, but without needing to be in the same room. This is helpful for first responders who live far from specialized care centers or have trouble with transportation. This method works well for therapies like Cognitive Behavioral Therapy (CBT) and Prolonged Exposure (PE) therapy, often used in treating Post-Traumatic Stress Disorder (PTSD). Research on video conferencing for these therapies is in a study published by the National Institutes of Health.

• Mobile Apps: Support in Your Pocket

  Mobile applications have become useful tools in mental healthcare. These apps offer features like tracking symptoms, monitoring mood, guided meditation exercises, and connecting with peer support groups. Examples include the PTSD Coach and CBT-i Coach apps, developed by the VA, which provide resources and coping strategies. More information about these apps is available on the VA’s PTSD website.

  

• Telephone-Based Therapy: The Comfort of a Call

  For some first responders, video conferencing might not be available or preferred. Telephone-based therapy provides a familiar and comfortable way to communicate, especially for those less familiar with new technology. Phone-based therapy can be effective for supportive counseling and crisis intervention, offering immediate support when needed.

• Asynchronous Communication: Connecting on Your Schedule

  Asynchronous communication, often using secure messaging, allows communication between first responders and therapists that doesn’t happen in real-time. This is useful for questions that don’t need an immediate answer, help with medication, or scheduling appointments. It provides flexibility and convenience.

• Virtual Reality: Facing Trauma in a Safe Space

  Virtual Reality (VR) is a developing technology in mental healthcare, showing potential in treating PTSD in first responders. VR therapy, especially for prolonged exposure, uses virtual environments to simulate situations that trigger the first responder’s trauma. This happens in a safe, controlled setting, guided by a therapist, allowing them to process their experiences and develop coping skills. Research shows VR therapy can significantly reduce PTSD symptoms, as noted in a study from the National Institutes of Health.

  

Matching the Method to the Need

The effectiveness of these telehealth methods often depends on the specific mental health condition:

• PTSD: Video conferencing is effective for delivering CBT and PE therapy. Mobile apps, like PTSD Coach, offer extra resources and coping tools.
• Depression and Anxiety: Video conferencing and telephone-based therapy are suitable for providing treatments like CBT and Interpersonal Therapy (IPT). These methods provide the necessary interaction and support.
• Substance Use Disorders: Telehealth can offer counseling, support groups, and help with medication. However, in-person care may still be needed for detox and stabilization.
• Effectiveness in a Canadian Context: The Canadian Psychological Association references a study showing that psychotherapy delivered through videoconferencing is as effective as in-person therapy. This suggests the benefits of telehealth within the Canadian healthcare system. More information is available on the Canadian Psychological Association’s website.

Ethical Considerations and Challenges

While telehealth has great potential, there are important ethical considerations and challenges to ensure responsible and effective use.

A major concern is ensuring the privacy and security of sensitive information. Telehealth platforms must comply with privacy regulations. In the United States, this means following the Health Insurance Portability and Accountability Act (HIPAA). Details about HIPAA are on the HIPAA Journal website. In Canada, the equivalent legislation is the Personal Information Protection and Electronic Documents Act (PIPEDA). Information on PIPEDA is available on the website of the Office of the Privacy Commissioner of Canada.

Accessibility is another challenge. Telehealth relies on access to technology, including reliable internet and devices. First responders in rural areas, or those with limited finances, may face barriers to mental health care access due to this “digital divide.”

Digital literacy is a related concern. Even with access to technology, some may not have the skills or confidence to use it effectively. Older first responders may have less experience with digital tools. Providing training and support can help them become comfortable with the technology.

Building a strong therapeutic relationship can be more difficult remotely. Therapists need to be mindful of building trust with first responders in telehealth environments.

Managing emergency situations during remote sessions requires careful planning. Therapists need protocols to address crises, such as suicidal thoughts or self-harm, and to ensure the first responder’s safety.

Current Trends and Future Directions

The field of remote mental healthcare for first responders is rapidly evolving. Key trends and future directions include:

The Rise of Artificial Intelligence (AI) and Machine Learning (ML): AI and ML are beginning to transform mental healthcare. These technologies can create personalized treatment plans, considering the first responder’s history, symptoms, and preferences. AI can analyze data to predict treatment outcomes and help identify those at risk of suicide or other crises.

Personalized Approaches: There’s a growing focus on treating each first responder as an individual. This involves considering their background, trauma experiences, co-occurring conditions, and personal preferences for treatment. The goal is a care plan tailored to each first responder’s needs.

Integration with Wearable Technology: Wearable sensors, like smartwatches, can collect physiological data, including heart rate, sleep patterns, and activity levels. This data can provide insights into a first responder’s mental well-being and response to treatment.

Expansion of Mobile Mental Health: Mobile apps are becoming more diverse, offering a broader range of features and integrating with other telehealth platforms. We can expect apps with more interactive and personalized support, potentially using AI and virtual reality.

Accessing Services: VAC and AHS

For first responders in Canada, two main organizations provide mental healthcare services, including telehealth options:

• Veterans Affairs Canada (VAC): VAC supports the mental health support for veterans. They offer access to OSI clinics across the country, providing specialized care for operational stress injuries. VAC also provides online mental health resources and covers the costs of services from approved providers, including telehealth. For details, visit the VAC website.
• Alberta Health Services (AHS): AHS provides mental health services to all Alberta residents, including first responders. AHS offers various telehealth options within its mental health programs. While specific first responder-focused telehealth programs may not be listed, first responders can access general mental health services that incorporate telehealth. The AHS Addiction & Mental Health section provides details: AHS Addiction & Mental Health. Contact AHS directly for the most up-to-date information.

Next Steps

Remote mental healthcare offers significant potential for improving the lives of first responders by increasing access, flexibility and personalized care. While there are challenges, ongoing innovation, and a commitment to ethical standards are creating a future where all first responders have options to mental health support they deserve, no matter their circumstances or where they reside.

Contact Responders First today to discuss your options and find out more about getting the care you need. We are ready to connect you to the best support available.

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.