Tim Casey describes himself as, “a retired firefighter/paramedic, author, lecturer, public speaker and an alcoholic. As a public servant for more than 30 years, I know the hero business from the inside out, and I also know the costs of that profession; the human cost. My passion is trying to help save the lives of lifesavers. Firefighters are dying in record numbers, not on the job but by their own hands. Clinicians and therapists, although well intentioned, do not know how to help emergency workers and I want to help them understand us, and maybe save some lives along the way.
I became a professional firefighter/paramedic at 19 years of age and proceeded to work in that field for the next 31 years. Best job I ever had, the worst job I ever had, and it spanned four decades from 1979 until I retired in 2009. I delivered nine babies over those years, helped save hundreds of lives, and fought enough fire to keep me content into my golden years.
I became a firefighter quite by accident. Right out of high school, I went to work at the largest car dealership in my hometown. Things were going along well until the day I gave my unsolicited opinion to the general manager of the store. He admired the frankness of what I had to say but not the content of my statement.
Later that same day I called my father to tell him the news of my recent separation from work and to ask if he might be aware of any job openings. As in turned out he did know someone was hiring. The chief of a small fire department on the outskirts of town was looking for a firefighter. The next day I interviewed for the position and the day after that I was a fireman.
Looking back, I was too young, inexperienced, and naive to have made that decision; I had no idea of what was to come. I had stumbled into the coolest jobs any man could have. Overnight I went from being a zero to being a hero, an American icon, a firefighter.
I quite literally grew up in fire stations; I started as a teenager, I was married and divorced twice while I was a firefighter, I had three children, became an alcoholic, and survived a suicide attempt over those years. Throughout my entire adult life I was always part of a team and had tremendous resources available to me for all my decision-making – my fellow firefighters were more than willing to help me, especially the older guys who got a vicarious thrill out of hearing about my adventures.
The belief that we as firefighters are a brotherhood and sisterhood is deeply ingrained in our psyches from the outset of our career. No one outside our culture has any grasp on what it is to be a firefighter. People can imagine, but they can only guess how they might feel if they were confronted with the realities of our job.
However, their best guesses are based on film, TV, or literature; they are just that, a guess. If you have never walked in our boots, never walked through fire, death, and disaster, then you will never get it, you will never understand how we feel about each other.
That culture is one of the biggest problems facing the fire service, the notion that being a firefighter prevents us from being normal feeling people, from having emotions, from the damage our experiences, burden us with. It has to be abandoned, or we will suffer more and more tragedies like a result of “pulling on our big boy pants.”
We must learn to care for our own with the same vigor we extend to our customers. We must protect our people from these horrors, care for each other and our families, or we will attend more funerals and us will suffer the loss of great people because of pride, toughness, and bravado. I share my personal story of alcoholism and suicide so that when another firefighter is suffering and feeling they are alone in their struggle, they know they are not alone – that at least one other firefighter has stood in their shoes and made it out of the darkness. It’s me; I have, and I am willing to help in anyway I can.
Below are links to some valuable resources for a starting point.
Firefighters; they are the men and women who save property and lives. But what happens when their lives need saving? That’s the dilemma for hundreds of first-responders each year. The demands of the job and the repeated trauma they see can leave many in crisis.
Firefighters face the risk of many behavioral health concerns such as anxiety, depression, burnout and PTSD, etc. But the problem is that first responders don’t talk about behavioral health when it comes to each other. The often mentioned mantra in Fire/EMS/Law Enforcement is “We help others but never ourselves.” There is a stigma to admitting that the stress and the often disturbing scenes they respond to might be getting to them.
What makes suicide so difficult to prevent is that it is not a condition or disorder, but rather an outcome that may result from the presence (or accumulation) of many risk factors. What makes a suicide in first responders even more difficult to prevent is that they are the helpers. Who are they supposed to call for help when they are the ones who need it? Why is it so difficult for someone in Fire/EMS/Law Enforcement to ask for help? The risk of losing their peer’s respect, fear of being viewed as weak and unable to perform their jobs, fear of confidentiality, fear of losing their career? It’s no wonder, so many of the helpers suffer in silence. Many say seeking help can leave them on the fringe, considered damaged goods by their crew.
And that’s a problem; firefighter ranked number one in CareerCast’s annual survey of the most stressful jobs in 2015, just ahead of soldiers. CareerCast described the profession as, “dangerous in ever-changing conditions, with work not limited to battling blazes; firefighters also assist with medical emergencies and natural disasters.” Firefighters across the nation echo the idea of going to work each day not knowing if they will come back alive.
And that daily stress, combined with limited opportunities to talk about it, is taking a toll – as evidenced by the number 285. That’s the number of active and retired firefighters in the U.S. who are known to have taken their lives since 2012. It’s what many in the profession call “the hidden dirty little secret.” With 46 firefighters in 2015 already lost to suicide, something has to change.
It was a little- discussed topic by fire departments until Captain Jeff Dill created the Firefighter Behavioral Health Alliance (FBHA). Dill started the nonprofit after hearing about the emotional impact the World Trade Towers disaster had on firefighters in 2001, and talking with first responders about lack of mental health resources for those returning from the devastation of Hurricane Katrina in New Orleans. Captain Dill says the number of firefighter suicides that get reported is only the tip of the iceberg.
In 2004, the National Fallen Firefighters Foundation (NFFF) invited fire organization leaders to a summit on preventing line-of-duty deaths. A document titled “16 Firefighter Life Safe Initiatives” was drawn up to promote health, safety and cultural changes in the firefighting community. Number 13 calls for better access to psychological support and counseling for firefighters and their families addressing the occupational stress they face, and to counter the growing incidence of Post-Traumatic Stress Disorder cases.
Despite the effort, the problem continues. A January 2015 article in USA Today cited National Fallen Firefighters Foundation statistics that a fire department is three times more likely to experience a suicide in a given year than a line-of-duty death. They added that PTSD, depression, substance abuse and suicide were still all too common.
Slowly, more and more resources are being created to help firefighters deal with the stress of the job. The Firefighter Behavioral Health Alliance is a great first-step, with information and links to support agencies. The National Volunteer Fire Council and the National Fire Protection Association also dedicate numerous resources to linking firefighters in crisis with agencies that can help.
Some of those are:
• Emergency Ministries – providing chaplains for first-responder counseling and support,
• Rosecrance Florian Program – offering substance abuse treatment and PTSD support for firefighters and paramedics,
• NVFC Fire/EMS Helpline, 1-888-731-FIRE
• North American Firefighters Veteran Network – 24 crisis line for addiction, anxiety, stress and more,
• The Sweeney Alliance – The focus of their program First Step Hope: Not All Wounds Are Visible addresses the difficult topics that few in the first responder professions discuss or have resources for PTSD, Suicide intervention and prevention, loss and grief.
• Station House – Treatment facility exclusively for first responders, established by first responders.
• American Academy of Experts in Trauma Stress – collaborating with organizations to meet the needs of victims and survivors
GREENBELT, Md. – The National Volunteer Fire Council (NVFC) today launched the department portal component of its new Make Me a Firefighter volunteer recruitment campaign. Departments can now sign up at https://portal.nvfc.org to join the campaign and showcase their volunteer opportunities.
Volunteer firefighters make up 69 percent of the nation’s fire service, yet the number of volunteers has declined by about 12 percent since 1984. At the same time, call volume has nearly tripled. In addition, the average age of the volunteer fire service is increasing as departments are finding it difficult to reach millennials – those within the 18-34 age range.
To help departments counter these trends and increase the number of volunteers, the NVFC was awarded a SAFER grant from FEMA to conduct a nationwide recruitment campaign. The first component of the Make Me a Firefighter campaign consists of a department portal where volunteer and combination fire departments can register for the campaign and post their volunteer opportunities. Starting August 1, the NVFC will launch a public web site allowing potential volunteers to search for opportunities and connect with their local department.
This summer and fall, the NVFC will also be releasing resources through the campaign to help local fire departments recruit members. This includes recruitment ads and materials that departments can customize and localize using an online materials generator; tools to help departments reach target audiences such as millennials, women, and minorities; and training to assist departments in conducting a successful recruitment program. NVFC research has shown that there is strong interest in volunteering among millennials and minority audiences, and helping departments reach these largely untapped markets is a main goal of the campaign. Register for the campaign now at https://portal.nvfc.org so you will have access to these tools as they are released.
“Recruitment is a challenge for many volunteer and combination departments across the country,” said NVFC Chairman Kevin D. Quinn. “Yet our research shows that 44 percent of millennials are interested in volunteering with their local department. Many simply don’t know the need for volunteers exists. The Make Me a Firefighter campaign will help build awareness among the public as well as provide departments with the tools and resources they need to recruit to this and other target audiences.”
Learn more about the Make Me a Firefighter campaign and the department portal by watching this video, and share it with others facing recruitment challenges: https://youtu.be/vhfk6lEyNKw
About the National Volunteer Fire Council (NVFC)
The NVFC is the leading nonprofit membership association representing the interests of the volunteer fire, EMS, and rescue services. The NVFC serves as the voice of the volunteer in the national arena and provides invaluable resources, programs, training, and advocacy for first responders across the nation. Learn more at www.nvfc.org.
Have you stopped to thank an emergency medical services worker? Now is the time!
Whether it was lifesaving medical treatment at an accident scene, search and rescue at a major disaster, transportation to the hospital during a heart attack or stroke, or specialized care for the nation’s first Ebola patient, millions owe their lives to EMS professionals.
California Casualty is joining millions of Americans in thanking those who work in emergency medical services during National EMS week, May 17-23 – set aside to recognize the safety, honor and the dedication of those who provide the day-to-day lifesaving services of medicine’s “front line.” The observance began in 1974 and has grown along with the profession.
You can help thank EMTs, paramedics and other first responders in a variety of ways:
Order pizzas or prepare a meal for your local ambulance company or fire station
Create goody bags with treats, discounts at local restaurants or movie tickets for EMS personnel
Host a neighborhood celebration and invite EMS personnel to join the fun
Learn CPR
Help create an EMT or Paramedic of the Year Award for your community
Join events that honor and remember fallen EMS workers
Write thank you notes and take them to a fire station or local ambulance company
Paint some thank you banners or posters and put them up along main streets or roads where EMS people will see them
The national organization for EMTs also urges emergency medical service practitioners to host open houses, teach CPR, give injury prevention tips and offer ride-alongs to help spread the word and create better awareness about the important work EMTs and paramedics perform for our communities.
California Casualty makes it easy to give a salute to EMS professionals with our Nominate A Hero program. Numerous EMTs and paramedics have received a $250 gift card and have been recognized on the Hall of Heroes page at www.nominatemyhero.com. Thank your EMS hero with a nomination for the monthly award.
California Casualty also thanks EMS personnel for their hard work with the chance to win a custom Harley-Davidson® Road King or $25,000 in our Work Hard/Play Hard contest. Details and entry forms can be found at https://go.calcas.com/harley.
