First Responder Mental Health: A New Approach to Peer Support

The REACT program provides a unique approach by training first responders to become peer support providers (PSPs). The goal is to equip them with skills to recognize, evaluate, advocate, coordinate, and track stress injuries within their colleagues. These PSPs share similar experiences and understanding, which can foster a unique level of empathy and connection. This is significant because traditional approaches often fall short, highlighting the need for innovative, accessible solutions. The REACT program directly addresses this need, fostering a culture of support and resilience within their communities.

The REACT program is structured around four key modules. Module 1 focuses on understanding mental health disorders such as PTSD and acute stress disorder, while emphasizing that PSPs are not meant to diagnose or treat. Module 2 is about identifying stress injuries, using a shared mental model and language to recognize and discuss them. Module 3 focuses on initiating and maintaining conversations, including motivational interviewing techniques and addressing stigma. Finally, Module 4 introduces acute stress management techniques like anger management and cognitive restructuring principles. Each module builds upon the previous one, providing a comprehensive training experience.

The 'train-the-trainer' methodology is a core element of the REACT program. This means that first responders are trained to train others. This approach is crucial because it creates a sustainable network of support within public safety agencies. It multiplies the program's impact, allowing for wider dissemination of knowledge and skills. The goal is to foster a culture of ongoing learning and support, ensuring that the principles and practices of REACT are consistently reinforced and accessible to all personnel.

The REACT program is designed to help first responders recognize the signs of stress injuries and mental health challenges in their colleagues. The training provides a shared mental model and language to discuss these issues, which is important because first responders face traumatic situations daily. The program focuses on equipping first responders with the ability to identify common mental health disorders like PTSD and acute stress disorder. By recognizing these issues early, first responders can support their colleagues before conditions worsen.

The pilot study results showed that the REACT program is promising for improving mental health support for first responders. The participants demonstrated increased knowledge and self-efficacy in providing peer support, indicating the training's effectiveness. This is important because it suggests that the program is achieving its goals of empowering first responders to support each other. The increased self-efficacy suggests that first responders feel more confident and capable in providing peer support, leading to a more supportive and resilient environment.