Mind Over Mayday

Tag: advocacy

  • Breaking the Stigma: My Journey Through Crisis to Wellness

    Breaking the Stigma: My Journey Through Crisis to Wellness

    The pager vibrates, the tones drop, the trauma alert is heard overhead, and the adrenaline rush kicks in. For first responders and healthcare workers, this cycle is the rhythm of life. We’re the ones who answer the call, who rush in when others run out. We’re the caregivers, the problem-solvers, the ones people count on during their worst days. But what happens when the caregivers need care themselves? What happens when the very people who are trained to be strong for others find themselves struggling? For far too long, the answer has been silence—silence driven by fear, stigma, and the unrelenting pressures of our professions.

    I know this silence intimately. For years, I lived it. I’ve been the one who brushed off my own struggles, convincing myself that asking for help would be a sign of weakness, or worse, proof that I didn’t belong in this line of work. There’s an unspoken rule in our world: “If you can’t handle the job, get out of the business.” It’s a mantra designed to weed out those who don’t belong, but it’s also a trap. It keeps too many of us—good, capable, compassionate people—from acknowledging our humanity. It kept me from acknowledging mine.

    The demands of this life don’t help. Twelve-hour night shifts, back-to-back calls, and an endless stream of people who need us—there’s rarely time to eat, let alone to seek out therapy or other forms of care. And when we do manage to carve out the time, the resources are often scarce. Mental health care tailored to the unique needs of first responders and healthcare workers is hard to come by. The general resources available are often ill-equipped to address the cumulative trauma and high-stakes pressures we face. It’s easier to push it all down, to tell ourselves, “I’ll deal with it later.” But later never comes—until it’s too late.

    That’s what happened to some of my colleagues. I’ll never forget the heartbreak of attending their funerals, standing shoulder to shoulder with others who wore the same uniforms, all of us asking the same agonizing question: Why didn’t they reach out? But I knew the answer. They didn’t reach out for the same reasons I hadn’t. The stigma. The fear of judgment. The crushing weight of shame.

    Those losses were a turning point for me. They forced me to confront the reality that even the strongest among us—the ones who seem to have it all together—can struggle to a devastating degree. I realized that if I wanted to continue doing the work I love—and to be the mother, friend, and colleague my loved ones deserved—I had to start taking care of myself. I had to stop seeing my mental health as an inconvenience or a weakness and start treating it as the foundation of everything else in my life.

    It wasn’t easy. In the beginning, I felt an almost unbearable sense of shame. Asking for help felt like admitting failure. But I’ve come to understand that it’s the opposite. Asking for help is one of the bravest things we can do. It’s an acknowledgment that we’re human, that we’re not invincible—and that’s okay. It’s okay because we matter. You matter. I matter. We’re irreplaceable in the lives of those who love us, and we’re irreplaceable in the work we do. But to keep showing up—for our families, for our patients, for our communities—we have to put on our own metaphoric oxygen masks first.

    Today, I’m no longer ashamed to say that I see a therapist, that I take psychiatric medications, that I’ve prioritized my mental health, or that I’ve set boundaries to protect my well-being. It’s not selfish. It’s survival. And it’s the only way I can continue to do this work without losing myself in the process.

    To my fellow first responders and healthcare workers: I see you. I know the weight you carry, the sacrifices you make, and the strength it takes to do what you do. But I also know that strength isn’t about pushing through no matter what. True strength is recognizing when you need support and having the courage to ask for it. It’s knowing that you can’t pour from an empty cup, and taking the steps to fill it—even when it feels impossibly hard.

    My Personal Story

    In 2023, nine months after giving birth to my daughter, I experienced a complete breakdown of my mental health. Despite the joy of welcoming her into the world, I was overcome by crippling anxiety. Scenes from my work in EMS bled into my personal life, filling my mind with horrifying images of my daughter in catastrophic situations—falling down a flight of stairs, being ejected from a vehicle, or succumbing to SIDS. These spiraling thoughts, compounded by sleepless nights, mood instability, and destructive behaviors in my relationships, pushed me into a downward spiral.

    Adding to the pressure of new motherhood—even as a mother of two—I felt I should be able to handle everything. I feared being judged as a bad mother, an incapable professional, and a burden to my family. I isolated myself, neglected my well-being, and lashed out at those I loved most. I stopped eating regularly, and the stress-induced starvation caused me to lose nearly 70 pounds in just nine months. I was physically and emotionally depleted, tempted to relapse, and teetering on the edge of complete collapse. Eventually, I reached my breaking point, culminating in a mental health crisis that led me to seek intensive treatment.

    I entered New Freedom Academy, a 30-day intensive treatment facility in Canterbury, New Hampshire, which turned out to be my lifeline. The campus was stunning—a serene environment with manicured grounds and beautifully maintained facilities that fostered healing. Clients stayed in comfortable dormitories and shared meals in a cafeteria catered by a private chef, featuring vegetables grown on-site. Daily activities included classes and therapy sessions in a bright and inviting hall, yoga and meditation led by outside instructors, and opportunities to explore the peaceful grounds. The program wasn’t a locked facility, which gave me a sense of autonomy, but it provided the structure I needed to begin my healing journey.

    Each day was carefully structured, with approximately five hours of group therapy modeled like classes. Topics ranged from substance abuse and codependency to self-love, CBT, DBT, and health and wellness. I met with a nurse practitioner to manage my medications, a licensed trauma therapist, and a case manager to coordinate care for my discharge. The staff, many of whom had personal experiences with recovery, created a space of genuine empathy and connection. It was transformational to know that I was not alone and to bond with others from diverse backgrounds—including veterans, professionals, and elderly individuals struggling with isolation.

    It wasn’t easy being separated from my daughter, but the staff reminded me that taking this time for myself was an act of love for her. Throughout my stay, my recovery community and family supported me from a distance, sending letters and gifts and arranging video calls with my daughter. What initially felt like a failure turned into one of the most empowering decisions of my life. I left the facility with a renewed sense of hope, better tools to cope with my mental health, and the realization that seeking help is an act of strength, not weakness.

    Returning home wasn’t the end of the journey but the beginning of an ongoing process. I worked with a psychiatrist to fine-tune my medications—a painstaking but worthwhile effort that required honesty and patience. I continued therapy, incorporating Eye Movement Desensitization and Reprocessing (EMDR), a technique designed to help reprocess traumatic memories. In EMDR sessions, I was guided by a therapist to recall distressing events while focusing on a series of bilateral stimuli, such as moving my eyes back and forth or following hand taps. This process helped reduce the intensity of my trauma-related emotions and reframed my experiences in a less harmful way. It was difficult but profoundly effective.

    I also took steps to rebuild my physical health after months of weight loss and neglect. I focused on a well-balanced diet, reduced caffeine intake, began journaling, and started taking supplements to address high cortisol and oxidative stress levels in my body. I returned to running, meditation, and spending time in nature. I leaned on my recovery community, attending meetings and reconnecting with loved ones. And I started this blog as a way to process my experiences and inspire others to prioritize their mental health before it’s too late.

    Slowly but surely, I began to feel stronger. My journey is far from over, but I know I’m on the right path. I’ve learned that to give my best to the people who depend on me—my children, my patients, my colleagues—I must first give that care to myself. And if sharing my story can encourage even one person to seek the help they need, then every step of this journey has been worth it.

    The Mission

    The stigma won’t disappear overnight, but it starts with us. It starts with sharing our stories, breaking the silence, and reminding each other that it’s okay to not be okay. You don’t have to carry it all alone. There’s help out there, and there’s no shame in reaching for it. Finding and affording the right care can be hard, but it is possible if you deeply explore what is out there with the same fervent effort you dedicate to your career- because ultimately your performance at work, and the longevity of your career, depends on your wellness, and the ability to show up as the best version of yourself. 

    If you’re struggling, please know this: You are not alone. Your life matters. And the world is a better place with you in it.

  • The Challenge of Asking for Help: And the Consequence of Remaining Silent

    The Challenge of Asking for Help: And the Consequence of Remaining Silent

    First responders and healthcare workers are often seen as the people who run toward danger, chaos, and pain when others turn away. We are the caregivers, the fixers, the steady hands in a storm. But what happens when the caregivers need care themselves? What happens when the healers need healing?

    For a long time, I believed I had to be invincible. The unspoken rule in our world often feels like this: if you can’t handle the heat, get out of the firehouse, ambulance, or hospital. You don’t show weakness. You don’t admit to struggling. You push through. And if you can’t, there’s a pervasive sense that maybe you shouldn’t be in this field at all.

    These beliefs are not just whispers in our heads—they’re reinforced by the environments we work in. The long shifts, unpredictable hours, and the emotional weight of the job leave little time to process what we experience, let alone seek help. And when we do consider reaching out, we face limited resources, long waitlists, and a troubling lack of mental health services tailored to the specific needs of first responders. On top of it all is the fear of judgment: Will my coworkers see me as weak? Will my supervisors think I’m not cut out for this job?

    I’ve been there. I’ve carried the shame of needing help and told myself I didn’t have time to seek it. For years, I believed that asking for care would mean I wasn’t strong enough to keep doing the job I loved. It took the suicides of several colleagues—dear friends and mentors who I admired deeply—for my perspective to change.

    When Sawyer Coleman and Scott Latulippe died by suicide, it shook me to my core. I served with the Maine EMS Honor Guard at their funerals, and it was a challenge to remain stoic in my role when the gravity of their deaths moved us all to tears. These were people many looked up to, people who were thought of as unshakable. People who others relied on, whose families and close friends remember as being positive, humorous, and calm in the midst of even the most traumatic of calls. And yet, they were quietly battling mental health struggles that ultimately led them to making devastating and permanent decisions. Their deaths forced me to confront the reality that even the strongest among us can be brought to our knees by the weight of this work. It was a wake-up call—not just for me but for so many others in our field. It made me realize that ignoring our mental health doesn’t make us stronger; it makes us vulnerable in the most dangerous way possible.

    We need to ask ourselves some hard questions: What good am I to my patients, my coworkers, or my family if I’m running on empty? How can I continue to serve others if I refuse to care for myself? The answers are painfully clear. We are irreplaceable to the people who love us. Our children and families need us. Our colleagues rely on us. And to show up for them, we have to show up for ourselves first.

    That realization changed everything for me. I stopped seeing self-care as selfish or weak and started viewing my mental health as essential to my career. I began to prioritize my wellness in ways I never had before—therapy, support groups, time to decompress, and creating boundaries around my work and personal life. I also became vocal about these changes, hoping to break the stigma and encourage others to do the same.

    It hasn’t been easy. There are still moments of doubt and guilt. But I’ve learned that vulnerability is not a weakness; it’s a strength. Asking for help doesn’t mean you’re failing—it means you’re fighting to stay in the fight. It means you’re choosing to protect your ability to care for others by caring for yourself.

    The work we do as first responders and healthcare professionals is vital. But so is our well-being. If there’s one thing I want my colleagues to understand, it’s this: You are not replaceable. You matter—not just to your patients and your team but to the people who love you. Filling your cup first isn’t just an act of self-preservation—it’s a gift to everyone who depends on you.

    If you’re struggling, please know you’re not alone. There’s no shame in needing help. In fact, seeking it might just be the bravest thing you ever do. And if sharing my story can make even one person feel less alone or encourage them to take that first step, then every word I’ve written here has been worth it.

    Let’s continue to care for each other—and ourselves. Because this work, this life, this mission—it’s worth it. And so are you.

  • Recovery in the Trenches: Navigating Sobriety in the Medical Field

    Recovery in the Trenches: Navigating Sobriety in the Medical Field

    When I stepped into the world of emergency medicine, I carried more than just a trauma bag and a drive to help others. I also carried my history—a story of survival, sobriety, and relentless hope. As a person in recovery, working in the medical field has been both a profound challenge and an incredible opportunity for connection.

    The Challenges of Recovery in the Medical Field

    Working in emergency medicine means constantly being surrounded by chaos, trauma, and moments that would shake anyone’s resolve. For someone in recovery, the stakes can feel even higher. We see patients at their worst—overdoses, withdrawal, and the physical toll of addiction. It’s impossible not to see pieces of my past in their eyes, and that can stir up emotions I thought I’d buried long ago.

    The medical field also has its own culture, one that doesn’t always prioritize mental health or sobriety. Stress is often managed with substances like alcohol, and “blowing off steam” after a tough shift can quickly spiral into unhealthy habits. For me, navigating this environment while staying true to my sobriety has required strong boundaries and an unwavering commitment to my recovery.

    Then there’s the stigma. While I openly share my story in spaces where it can help others, I know not everyone in the medical field understands what it means to be in recovery. Sometimes, I’ve felt like I had to prove that my past doesn’t define my present. But instead of being a limitation, my history has become a source of strength.

    Turning Challenges Into Opportunities

    One of the unexpected gifts of being in recovery is the ability to connect with patients on a deeply human level. When I encounter someone battling addiction or struggling through withdrawal, I don’t just see their chart or their diagnosis. I see their humanity. I see their potential.

    For example, when treating a patient who’s overdosed or in the grips of substance use, I don’t shy away from the conversation. If the moment feels right, I might say, “I’ve been where you are. It doesn’t have to end here.” Those words can be a lifeline, not just because they’re comforting, but because they come from someone who has walked the same path. I’ve seen patients’ eyes light up—not with shame, but with hope.

    These moments of connection are some of the most fulfilling parts of my job. They remind me that recovery is not just about staying sober; it’s about being of service. Every interaction is an opportunity to plant a seed, to remind someone that they’re not alone, and that change is possible.

    Self-Care as a Lifeline

    Recovery in the medical field has taught me the non-negotiable importance of self-care. Long shifts, emotional cases, and physical exhaustion can be dangerous for anyone, but for someone in recovery, they can be a slippery slope. I’ve learned to prioritize my mental and physical health—whether that’s through my morning and evening routines, regular therapy, or connecting with my support network.

    I’ve also found it essential to stay grounded in my “why.” Why did I get sober? Why did I choose this career? Reflecting on these questions keeps me aligned with my values, even on the hardest days.

    Breaking the Stigma

    If there’s one thing I’ve learned, it’s that people in recovery bring unique strengths to the medical field. We know how to rebuild after hitting rock bottom, how to empathize without judgment, and how to find resilience in the face of hardship. Yet, stigma around addiction and recovery still exists, even in healthcare.

    By sharing my story, I hope to break down that stigma—not just for my patients, but for my colleagues. Recovery isn’t a weakness; it’s a testament to strength, perseverance, and the human capacity for change. The more openly we talk about it, the more we can create a culture where vulnerability is met with support instead of shame.

    A Life of Purpose

    Being a person in recovery working in the medical field is not without its struggles, but it’s also a life filled with purpose. Every shift, I have the chance to be a light in someone else’s darkness, to offer hope when it feels like all is lost. And in doing so, I keep my own recovery alive.

    For anyone else in recovery considering or working in healthcare, know this: Your past doesn’t disqualify you. It prepares you. The empathy, resilience, and strength you’ve built are exactly what the world needs. You are proof that healing is possible, both for yourself and for the patients you serve.

    Recovery is a journey, not a destination. And for me, this journey continues in the trenches—one patient, one connection, and one day at a time.

  • Breaking Barriers: Women in the Fire Service

    Breaking Barriers: Women in the Fire Service

    The fire service has long been regarded as a male-dominated field, steeped in tradition and camaraderie. While these aspects make it unique, they also present challenges for women entering the profession. Women comprise only about 8% of firefighters in the United States, according to the National Fire Protection Association (NFPA). Yet, despite the barriers, women bring invaluable strengths to the table—both physical and mental—that enhance the fire service and benefit the communities we serve.

    Overcoming Challenges and Breaking Stereotypes

    Entering a male-dominated field often means working harder to prove your worth. Many women feel the pressure to perform at a higher standard, as they are often scrutinized more harshly than their male counterparts. This can lead to self-doubt, but it also fosters a determination to succeed. Personally, I’ve experienced this dynamic firsthand. When I joined the fire service, I faced criticism and hostility from some officers in one of my departments. These individuals frequently engaged in lewd conversations, scrutinized my work unfairly, and set me up to fail by assigning tasks without proper training or guidance. It was a difficult and toxic environment to navigate.

    However, not every department operates this way. I was fortunate to also serve in other departments where my skills and contributions were valued. These experiences taught me the importance of fostering welcoming environments where teamwork and mutual respect prevail. Ultimately, I chose to leave the toxic department and focus my efforts on places where I was encouraged to grow and thrive as a firefighter.

    The Strengths Women Bring to the Fire Service

    Women often excel in the fire service by leveraging unique strengths that complement the team dynamic. For example, being smaller in size can be an advantage in confined spaces during search-and-rescue operations. Additionally, women tend to excel in communication, empathy, and collaboration, which are essential traits in high-stress, team-oriented environments. The fire service thrives on true teamwork—everyone bringing their strengths to the table to accomplish a shared mission.

    Studies also suggest that diverse teams perform better in high-pressure situations. A 2020 report from McKinsey & Company found that diverse workplaces are 35% more likely to outperform their peers. In the fire service, this translates to better problem-solving, more innovative solutions, and ultimately, improved outcomes for the communities we serve.

    Inspired by Women Who Paved the Way

    My Aunt, a career firefighter/paramedic, was one of my earliest role models. Her dedication, resilience, and professionalism inspired me to pursue a career in the fire service and to be the best version of myself. Watching her navigate the challenges of the job while maintaining her integrity and compassion gave me a roadmap for success.

    Her example also taught me the value of mentorship and support. It is critical for women entering male-dominated fields to seek out allies and role models who can provide guidance, encouragement, and wisdom. The fire service, like any other profession, is only as strong as the people within it. By lifting each other up, we ensure the safety and success of the entire team.

    Moving Forward: Creating a More Inclusive Fire Service

    While progress has been made, there is still work to do to create a more inclusive fire service. Departments must prioritize fostering respectful, welcoming environments where all firefighters—regardless of gender—can thrive. Leadership plays a crucial role in setting the tone and addressing toxic behaviors. When women feel supported, they can contribute to their full potential, enhancing the effectiveness of the entire team.

    For those entering the fire service, my advice is to stay true to yourself, seek out departments and leaders who value your contributions, and never stop advocating for better mental health and workplace culture. The fire service is built on trust, respect, and teamwork—qualities that transcend gender and unite us in our shared mission to serve and protect.

    As women in the fire service, we may face unique challenges, but we also have unique strengths. By breaking barriers and shattering stereotypes, we pave the way for the next generation of women firefighters, creating a stronger, more inclusive fire service for all.

  • The Need for Expanded Crisis Intervention Services in Maine and Training for First Responders

    The Need for Expanded Crisis Intervention Services in Maine and Training for First Responders

    Crisis intervention is one of the most challenging yet critical aspects of public service, especially in rural states like Maine. As a first responder and mental health advocate, I’ve seen firsthand how the gaps in crisis intervention services directly affect the well-being of individuals and communities. In a state where resources are already limited, these gaps can leave vulnerable populations without the support they desperately need during moments of crisis.

    At the same time, first responders often find themselves at the forefront of these crises, acting as the first—and sometimes only—line of support. However, without proper training in crisis intervention, many of us are left feeling unprepared to provide the level of care these situations demand.

    This blog post dives into the current state of crisis intervention services in Maine, the challenges first responders face, and why Crisis Intervention Training (CIT) is essential for improving outcomes for everyone involved.

    Limited Crisis Intervention Services in Maine

    Maine faces unique challenges when it comes to crisis services:

    1. Geographical Barriers: With vast rural areas and small towns, access to crisis services can be a logistical nightmare. Individuals in remote areas may face significant delays in receiving the help they need.
    2. Understaffed Crisis Teams: Many regions lack sufficient crisis intervention professionals, meaning teams are often overworked and unable to respond promptly to calls. Wait times for follow-up care can stretch for weeks or even months.
    3. Lack of Comprehensive Support: For many individuals experiencing a mental health crisis, emergency rooms and law enforcement become the default points of contact. These systems are not designed to provide the kind of holistic care that mental health crises often require.
    4. Stigma and Misinformation: Stigma around mental health often prevents individuals from seeking help until the situation escalates into a full-blown crisis. This further strains the limited resources available.

    The Role of First Responders in Crisis Situations

    First responders—EMS, firefighters, and law enforcement—are often the first to arrive when someone is experiencing a crisis. We are tasked with de-escalating volatile situations, ensuring safety, and providing care until further support is available. Yet, without specialized training, many of us lack the tools needed to address the mental health component of these emergencies effectively.

    The emotional toll of these encounters can also weigh heavily on first responders, leading to burnout, compassion fatigue, and mental health challenges of our own. The lack of adequate training amplifies these challenges, leaving responders feeling overwhelmed and underprepared.

    The Importance of Crisis Intervention Training (CIT)

    Crisis Intervention Training equips first responders with the skills to handle mental health crises effectively. CIT focuses on de-escalation techniques, communication strategies, and understanding the signs and symptoms of mental illness. It empowers responders to:

    • De-escalate situations without the use of force.
    • Provide immediate, compassionate care to individuals in crisis.
    • Connect those in crisis with appropriate resources, reducing the likelihood of repeated emergencies.
    • Recognize their own emotional responses to these situations, fostering resilience and mental wellness.

    States that have implemented CIT programs have seen remarkable outcomes, including reduced injuries to both responders and individuals in crisis, fewer arrests of individuals experiencing mental health emergencies, and better long-term outcomes for those individuals.

    Notable examples include:

    Tennessee

    Tennessee has developed a comprehensive statewide CIT program, emphasizing collaboration between law enforcement and mental health professionals. The program focuses on training officers to de-escalate crises and connect individuals to appropriate services, resulting in reduced arrests and improved safety.

    Namitn

    Ohio

    Ohio has established a robust CIT program with a focus on community-based responses to mental health crises. The state’s approach includes specialized training for law enforcement and strong partnerships with mental health agencies, leading to better outcomes for individuals in crisis.

    Mental Health Portland

    Maryland

    Anne Arundel County’s CIT program in Maryland has been recognized for its excellence, receiving a platinum certification from CIT International. This distinction highlights the program’s adherence to best practices in crisis intervention and its success in fostering collaboration between law enforcement and mental health services.

    CBS News

    Minnesota

    Minneapolis launched the Behavioral Crisis Response (BCR) program, dispatching unarmed mental health professionals to 911 calls involving behavioral health crises. Since its inception in 2021, BCR has responded to approximately 20,000 calls, providing timely and compassionate services, and has been praised for its effectiveness in addressing mental health emergencies.

    Wikipedia

    Oregon

    Eugene’s CAHOOTS (Crisis Assistance Helping Out On The Streets) program serves as a model for alternative crisis response. Operating since 1989, CAHOOTS dispatches teams of medics and crisis workers to respond to mental health crises, reducing the burden on police and emergency medical services. The program has inspired similar initiatives across the country.

    Wikipedia

    These examples demonstrate the effectiveness of CIT programs in enhancing responses to mental health crises through training, collaboration, and innovative approaches. Implementing similar programs can lead to better outcomes for individuals in crisis and the communities they reside in.

    A Call to Action for Maine

    To address the gaps in crisis intervention services and training, Maine needs to take action:

    1. Increase Funding for Crisis Services: This includes hiring more crisis workers, expanding mobile crisis units, and improving access to follow-up care.
    2. Mandate CIT for First Responders: Making CIT a standard part of first responder training would better prepare us for the realities of our jobs and improve outcomes for individuals in crisis.
    3. Raise Awareness: Public education campaigns can help reduce the stigma surrounding mental health and encourage individuals to seek help before crises occur.
    4. Collaborate Across Disciplines: Bringing together mental health professionals, first responders, and policymakers can foster innovative solutions tailored to Maine’s unique challenges.

    Conclusion

    The role of crisis intervention is not just about responding to emergencies—it’s about creating a system of support that prevents crises from happening in the first place. For first responders like myself, Crisis Intervention Training offers a pathway to more compassionate and effective care. For Maine, investing in crisis services and training represents a commitment to the well-being of our residents and the health of our communities.

    As a state, we have an opportunity to lead the way in creating a model of crisis response that prioritizes humanity, understanding, and resilience. Let’s rise to that challenge—together.

  • The State of Mental Health Care in Maine: Limited Options, High Costs, and a Broken System

    The State of Mental Health Care in Maine: Limited Options, High Costs, and a Broken System

    Maine’s mental health system is in crisis, and the strain is felt by everyone—from first responders like myself to individuals across the state who are left without adequate care. Whether you’re navigating the system as someone seeking services or as someone supporting others in crisis, it’s impossible to ignore the profound gaps that exist between outpatient therapy and full-scale inpatient hospitalization.

    Beyond the state-run Riverview Psychiatric Center in Augusta and Dorothea Dix Psychiatric Center in Bangor, Maine has only a handful of facilities that provide inpatient psychiatric care. Spring Harbor Hospital in Westbrook, St. Mary’s Behavioral Health Services in Lewiston, and Northern Maine Medical Center in Fort Kent all offer critical services, but their capacity is limited. The number of beds available in these facilities is far too small to meet the needs of our population. When someone is in crisis, the odds of finding a bed nearby are slim, leading to long waits in emergency departments or, worse, no care at all.

    One of the most glaring issues is the lack of services that bridge the gap between outpatient therapy and inpatient hospitalization. For those experiencing a mental health crisis that doesn’t require inpatient care but goes beyond what a weekly therapy session can address, the options are nearly nonexistent. Intensive outpatient programs (IOPs) and partial hospitalization programs (PHPs), which provide structured support without requiring overnight stays, are rare in Maine. This leaves individuals in limbo—unable to access the level of care they need until their situation worsens to the point of requiring hospitalization- which is then limited by the number of beds.

    As someone who has personally needed psychiatric services, I’ve felt the frustration and fear of navigating this broken system. The financial cost of care is another barrier for many. Even with insurance, the out-of-pocket expenses for therapy, medications, and specialized programs can be overwhelming. For those without insurance or with high-deductible plans, these services are simply out of reach.

    For first responders like myself, the stakes are even higher. We’re often the ones called to respond when someone’s mental health crisis reaches a breaking point, and we see the toll that untreated mental illness takes on individuals, families, and communities. Yet, when we or our peers need help, we face the same challenges as everyone else—long waits, limited options, and prohibitive costs. This lack of support contributes to burnout, trauma, and tragically, high rates of suicide among first responders.

    What’s most disheartening is the lack of any meaningful initiatives in Maine to address these issues. Mental health funding remains insufficient, and there’s little momentum toward expanding services or making care more accessible. While telehealth has improved access for some, it’s not a solution for everyone, especially those in rural areas without reliable internet or those who need in-person support.

    We need real change. Maine must invest in creating more beds for inpatient psychiatric care, expanding intermediate care options like IOPs and PHPs, and ensuring that these services are affordable and accessible to everyone. We also need to address the workforce shortage by incentivizing mental health professionals to work in Maine, particularly in underserved areas.

    Mental health care is not a luxury—it’s a necessity. Whether you’re a first responder carrying the weight of others’ crises or an individual struggling to navigate your own, you deserve access to the care you need. It’s time for Maine to prioritize mental health and take bold steps to fix a system that is failing far too many of us.

    Advocating for Improved Mental Health Services in Maine

    To effectively advocate for improved mental health services in Maine, connecting with your local legislators is essential. You can easily find your State Senator and State Representative using the resources provided by the Maine State Legislature.

    Once you’ve identified your legislators, you can contact them using the following options:

    • Mail:
      • State Representatives: House of Representatives, 2 State House Station, Augusta, ME 04333-0002
      • State Senators: Maine State Senate, 3 State House Station, Augusta, ME 04333-0003
    • Phone:

    For a full list of contact details, including email addresses, visit the Maine House of Representatives Contact Page.

    Engaging with your local legislators is a vital step toward addressing the gaps in Maine’s mental health system. Your voice can drive meaningful changes to improve access, affordability, and availability of mental health services across the state.

  • National Legislative Efforts for First Responder Mental Health: Why We Must Keep Raising Our Voices

    National Legislative Efforts for First Responder Mental Health: Why We Must Keep Raising Our Voices

    First responders are the backbone of our communities, showing up during our worst moments to protect, heal, and save lives. Yet, the toll of witnessing trauma and carrying the weight of those experiences is often overlooked. Despite the undeniable need, resources for mental health support remain inadequate. Thankfully, there are growing efforts at the national level to address these issues, but it’s up to us to ensure they don’t fall through the cracks.

    In a previous post, I discussed how first responders can engage in policy advocacy to create meaningful change. Now, let’s dive into the current legislative efforts and why your voice is crucial in pushing these initiatives forward.

    Current Legislative Efforts

    1. First Responders Wellness Act

    Introduced in July 2024 by Senators Kirsten Gillibrand (D-NY) and Josh Hawley (R-MO), this bipartisan bill proposes the creation of a grant program to enhance mental health services for first responders. It also includes the establishment of a national mental health hotline specifically for law enforcement officers, firefighters, EMTs, and others on the frontlines.

    Current Status: The bill has been referred to the Committee on the Judiciary, where it awaits further review.

    2. CARE for First Responders Act (H.R.6415)

    Introduced in the House in November 2023, this bill seeks to provide specialized mental health, substance abuse, and crisis counseling services to first responders. The aim is to address the unique challenges these professionals face, including chronic stress and burnout.

    Current Status: Referred to the Subcommittee on Economic Development, Public Buildings, and Emergency Management for further discussion.

    3. Fighting Post-Traumatic Stress Disorder Act of 2023

    Reintroduced by Senator Chuck Grassley (R-IA) in early 2023, this legislation aims to establish programs designed to help first responders cope with the long-term effects of trauma, such as PTSD and depression.

    Current Status: Under consideration, with ongoing discussions about how to best implement and fund these programs.

    The Alarming Reality: Suicide Rates Among First Responders

    The mental health challenges faced by first responders are profound, with suicide rates notably higher than those of the general population. A study by the U.S. Fire Administration analyzing data from 2015 to 2017 found that first responders accounted for 1% of all suicides during that period. Within this group, 58% were law enforcement officers, 21% were firefighters, 18% were EMS providers, and 2% were public safety telecommunicators.

    Further research indicates that 37% of fire and EMS professionals have contemplated suicide, a rate nearly ten times higher than that of American adults. A 2018 white paper by the Ruderman Family Foundation revealed that police officers and firefighters are more likely to die by suicide than in the line of duty.

    These statistics underscore the urgent need for comprehensive mental health support tailored to the unique challenges faced by first responders.

    The Need for Continued Advocacy

    Legislative efforts like these are an incredible step forward, but they can’t stop here. Bills like the First Responders Wellness Act and the CARE for First Responders Act are only the beginning. To make real change, we need to ensure these efforts are not only passed but also expanded upon and adequately funded.

    Mental health is not a luxury—it’s a necessity for the longevity and well-being of the people who protect us. Without proper support, first responders face increased risks of burnout, PTSD, depression, substance use, and even suicide.

    What Can We Do?

    As I’ve shared before, first responders have a unique and powerful voice in policy advocacy. Here’s how we can ensure these bills move forward and inspire further action:

    1. Contact Your Representatives

    Share your story and explain why these bills matter. Personal accounts from first responders carry immense weight in demonstrating the need for change.

    2. Raise Awareness

    Use your platform, whether it’s social media, local meetings, or community events, to inform others about these legislative efforts.

    3. Collaborate

    Partner with advocacy organizations focused on first responder mental health. Groups like the National Alliance on Mental Illness (NAMI) and local firefighter and EMS unions are often at the forefront of these battles.

    4. Stay Engaged

    Track the progress of these bills and hold your representatives accountable. If progress stalls, follow up.

    A Call to Action

    The time for action is now. Legislative momentum can waver without visible public support. It’s up to us to keep the conversation alive, push for better mental health resources, and ensure that the government invests in the well-being of first responders.

    We must continue to demand more—not just for the passage of these bills, but for the expansion and funding of mental health initiatives across the board. When we advocate for ourselves and our peers, we create a safer, healthier future for everyone.

    Let’s raise our voices together and ensure that these critical efforts become law. The well-being of our first responders depends on it.

    If you’re unsure where to start with policy advocacy, check out my previous post on how first responders can get involved. Let’s make our voices heard!

  • Advocating for Mental Health in the First Responder Community: How You Can Shape Policy

    Advocating for Mental Health in the First Responder Community: How You Can Shape Policy

    First responders are the backbone of public safety, often facing traumatic and high-stress situations that take a toll on our mental health. Despite the challenges they face, mental health policies for first responders have often been overlooked or underdeveloped. As the conversation around mental health continues to evolve, there are more opportunities than ever for first responders to get involved in policy making, advocate for their needs, and make lasting change. Here’s how first responders can take an active role in advocating for better mental health policies and why it’s crucial to get involved.

    The Need for Mental Health Advocacy

    The mental health challenges faced by first responders are vast and varied, including high rates of PTSD, depression, anxiety, vicarious trauma, and suicide. Unfortunately, despite these challenges, many first responders feel that their mental health needs are not adequately addressed by existing services.

    This gap creates an opportunity for first responders to become advocates for change. By using our voices and experiences, we can push for policies that prioritize mental health support, increase funding for better programs, and reduce the stigma associated with seeking help. Advocacy at the policy level is crucial for ensuring that mental health services and support systems are accessible to those who need them most.

    Methods of Advocacy for First Responders

    1. Connect with Local, State, and National First Responder Organizations

    First responders don’t have to go it alone when advocating for mental health reform. Several national, state, and local organizations are dedicated to supporting first responders, and these groups can be a valuable resource for advocacy efforts.

    • National Advocacy Groups: Organizations like the National Association of EMTs (NAEMT), International Association of Fire Fighters (IAFF), and the Fraternal Order of Police (FOP) have established advocacy networks and are often involved in policy discussions around mental health for first responders. Joining these groups can help you gain access to resources, training, and support for policy advocacy.
    • State-Level Coalitions: Many states have their own first responder organizations that focus specifically on the needs of local teams. Getting involved in these coalitions can amplify your voice in your own state’s legislative process.

    By working with these organizations, you can not only obtain resources for yourself, but also help advocate for mental health policies that reflect the unique needs of first responders. Participating in these programs will ensure they continue to be funded, and engagement is often communicated to law makers who can advocate for their usefulness on the state level.

    2. Leverage Your Personal Experience

    One of the most powerful ways to advocate for mental health reform is by sharing your own experiences. First responders who have personally struggled with mental health challenges can help humanize the issue and demonstrate why policy change is necessary.

    • Testifying at Hearings: State and local legislatures often hold hearings on policy issues, including those related to public safety and mental health. First responders can testify at these hearings to share their stories and highlight the impact of mental health challenges on their work and well-being.
    • Written Testimonies and Letters: If you’re unable to attend a hearing in person, you can submit written testimony or letters to your state or local representatives. Personal stories make a lasting impact and can help shift the focus toward policy changes that prioritize mental health.

    3. Partner with Mental Health Experts

    To advocate effectively for mental health support, it’s important to partner with mental health professionals who understand the unique challenges faced by first responders. Collaborating with psychologists, therapists, and other mental health experts can add credibility to your advocacy efforts.

    • Workshops and Forums: Work with department leaders to host workshops, forums, or informational events within your department or community where mental health professionals can discuss the specific needs of first responders. These events can provide valuable insights into the challenges of addressing mental health and can be used as platforms to engage lawmakers.
    • Develop Collaborative Proposals: Work with leadership and mental health professionals to develop evidence-based proposals that demonstrate the need for increased mental health funding, better access to care, and reduced stigma around seeking help.

    4. Utilize Social Media and Public Campaigns

    In the digital age, social media is a powerful tool for advocacy. Using platforms like Twitter, Facebook, and Instagram, you can raise awareness about mental health issues, connect with like-minded individuals, and rally others to support your cause.

    • Hashtag Campaigns: Creating or joining hashtag campaigns that focus on mental health in the first responder community can generate momentum and visibility for your cause. For example, hashtags like #FirstResponderWellness or #MentalHealthMatters can help create a digital presence around the issue.
    • Share Your Story: Social media platforms offer an accessible way to share personal stories, raise awareness, and directly engage with policymakers. Highlighting the personal impact of mental health challenges within the first responder community can help build empathy and drive legislative action.

    5. Work with State Representatives

    Working directly with state representatives is one of the most direct ways to influence policy. First responders can leverage their relationships with lawmakers to advocate for mental health policies at the state level.

    • Meet with Your Representatives: Schedule meetings with state or local legislators to discuss the mental health needs of first responders. Bring concrete data, personal stories, and specific policy proposals to the table. Be prepared to discuss the challenges that first responders face and the benefits of implementing more comprehensive mental health programs.
    • Lobby for Change: Work with your union, association, or advocacy group to lobby for specific legislative changes. This might include advocating for funding for mental health services, expanding coverage for trauma-related treatments, or pushing for mental health education in first responder training programs.

    6. Support Mental Health Legislation

    Keep an eye on legislation related to mental health reform, especially those bills that impact first responders. When new laws are introduced, get involved by advocating for or against specific provisions that will affect the mental health of first responders.

    • Sign Petitions: Many mental health advocacy organizations circulate petitions to gather public support for legislative changes. Signing these petitions and encouraging your colleagues to do the same can show lawmakers that the issue is important to their constituents.
    • Support Mental Health Bills: If a bill is introduced in your state or local government that addresses mental health issues for first responders, show your support by attending hearings, contacting your representatives, or spreading the word among your colleagues.

    Why Advocacy Matters for First Responders

    Advocating for mental health policies is essential for creating a future where first responders receive the support and resources they need to thrive both personally and professionally. Policy changes can result in improved access to mental health services, better training programs, and increased funding for wellness initiatives. Furthermore, involvement in policy advocacy helps reduce the stigma around mental health, making it easier for first responders to seek help when they need it most.

    By getting involved in advocacy and working alongside mental health professionals and legislators, first responders can ensure that their needs are recognized and addressed. Together, we can make meaningful progress in building a healthier and more supportive environment for those who give so much to protect our communities.

    Take Action: Get Involved Today!

    • Contact Your State Representatives: Find your state’s government website to contact your elected officials directly. Maine’s list of local representatives can be found here: https://legislature.maine.gov/house/house/memberprofiles/listalpha
    • Join Advocacy Groups: Connect with organizations like the National Alliance on Mental Illness (NAMI), National Volunteer Fire Council (NVFC), or National EMS Advisory Council (NEMSAC) for opportunities to join advocacy efforts.
    • Stay Informed: Keep track of upcoming mental health legislation in your area, and get involved whenever possible.

    Your voice can make a difference—let’s make sure it’s heard.