First responders being hit harder than ever by PTSD, and they need help

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First responders being hit harder than ever by PTSD, and they need help

Post by Trooper on Wed 26 Oct 2016, 05:35

GLOBE EDITORIAL
First responders being hit harder than ever by PTSD, and they need help
The Globe and Mail
Published Tuesday, Oct. 25, 2016 4:27PM EDT
Last updated Tuesday, Oct. 25, 2016 4:31PM EDT

They are suffering silently, by the thousands. Emergency workers – police officers, paramedics, firefighters, hospital personnel – are afflicted by post-traumatic stress disorder at levels we typically associate with an epidemic.

A recent report in Montreal’s La Presse newspaper provided a glimpse into the problem. It found that roughly 1,500 active duty members of the Royal Canadian Mounted Police are receiving some form of disability benefit for treatment of the condition, as are another 2,500 or so retired members.

According to federal government documents obtained by La Presse, PTSD cases involving the Mounties have tripled since 2008.

It seems likely the explosion in RCMP cases has to do with PTSD becoming a more common diagnosis – especially as the taboos associated with admitting to mental illness fade away. The same grim uptick in reporting is unfolding in ambulance services, trauma units, police stations and firehouses across Canada. That’s good – it’s essential that people feel more comfortable coming forward.

But the health consequences of PTSD can be calamitous – suicide rates are high – and the resources to deal with the problem are not keeping up with the surging demand. As it stands, the federal and provincial health systems are not equipped to get first responders the help they urgently need.

As federal employees, Mounties can turn to the overburdened Veterans Affairs ministry, which is plagued by delays and inefficiency. Their local and provincial counterparts aren’t even that lucky. They face a patchwork of support programs that vary widely according to region.

Some provinces include PTSD in their workplace injury compensation plans; others don’t. In some places, certain classes of workers, such as nurses, aren’t covered.

Last month, the federal military ombudsman, Gary Walbourne, called for the creation of a national “concierge service” – a one-stop shop for the Department of National Defence’s PTSD sufferers.

It’s a good idea that should spawn imitators across Canada. Emergency workers perform dangerous, harrowing work on society’s behalf, and they are hurting because of it. Governments at all levels have the urgent duty to help them recover.

http://www.theglobeandmail.com/opinion/editorials/first-responders-being-hit-harder-than-ever-by-ptsd-and-they-need-help/article32518958/
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Re: First responders being hit harder than ever by PTSD, and they need help

Post by Newf on Tue 01 Nov 2016, 18:17

http://theindependent.ca/2016/10/29/rcmps-lead-officer-on-muskrat-falls-deceased/
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Re: First responders being hit harder than ever by PTSD, and they need help

Post by Newf on Tue 01 Nov 2016, 18:19

https://www.thestar.com/news/canada/2016/03/17/rcmp-member-takes-own-life-near-parliament-hill.html
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As police gain awareness of PTSD, Mounties see diagnoses doubling

Post by Trooper on Mon 19 Dec 2016, 05:12

As police gain awareness of PTSD, Mounties see diagnoses doubling

COLIN FREEZE
The Globe and Mail
Published Sunday, Dec. 18, 2016 9:13PM EST
Last updated Sunday, Dec. 18, 2016 9:41PM EST

The number of RCMP officers recognized by the federal government for suffering from post-traumatic stress disorder and related conditions has nearly doubled in five years, according to statistics obtained by The Globe and Mail.

Government records obtained under the Access to Information Act indicate that at least 8 per cent of serving police officers within Canada’s largest force have been diagnosed with PTSD and are now getting treatment for it. Similar surges in diagnoses loom for other Canadian police forces, as well as firefighters, paramedics and jail guards, according to police, government and academic sources.

Public-safety work cultures, once surrounded by stoicism and stigma about mental-health issues, are now evolving into environments where people are more encouraged to spot problems and seek help. Emergency responders are increasingly describing how horrific accidents, or being involved in violent brawls and deadly standoffs, have caused them PTSD and spin-off conditions, such as depression, alcoholism or suicidal thoughts.

Despite this, concrete initiatives and hard numbers relating to PTSD problems are a rarity in most public-safety organizations in Canada. “Based on available data, it is estimated that in Canada, between 10 per cent and 35 per cent of first responders will develop PTSD,” Lori MacDonald, a senior Public Safety Canada civil servant, testified to Parliament this past spring.

The RCMP appears to be unique among Canadian agencies in terms of having recourse to some data. Mounties who suffer physical or mental injuries can tap into health clinics and compensation programs run by Veterans Affairs Canada, the same federal department that treats members of the Canadian Forces.

In the military, treating PTSD is a relative priority compared to within policing organizations. The Globe and Mail, which first requested the PTSD numbers related to the RCMP five years ago, recently obtained updated Veterans Affairs Canada figures under the Access to Information Act.

As of March, 2016, there were 1,244 serving members of the RCMP considered clients of Veterans Affairs for PTSD issues. This compares to only 740 serving RCMP members five years before.

On top of this, nearly 2,000 Mounties who have retired or been released from the force are also PTSD clients of Veterans Affairs. This was the case for only about 1,000 officers in 2011.

Increasingly, government officials speak of operational stress injuries (OSIs) instead of PTSD, given how the word “injury” lacks the stigma that a term like “disorder” can have. Though frequently synonymous with PTSD, an operational stress injury can encompass other conditions.

While PTSD still accounts for about 80 per cent of RCMP OSIs, the total encompasses nearly 4,000 serving and released RCMP members who have been treated by Veterans Affairs Canada. Nearly 1,500 are considered still-serving officers, a figure that would amount to about 8 per cent of the uniformed members of the force.

(In a footnote, Veterans Affairs says its “still-serving” metric might be imprecise because RCMP officers don’t always inform the department when they quit the police force.)

Veterans Affairs keeps these numbers because it handles compensation claims. Payment of successful claims, which are known as pensions, can go to serving and released RCMP members, and can range from a few hundred to a few thousand dollars a month.

“The RCMP has taken a very active role in trying to reduce stigma, increase awareness and make resources available for their membership,” says Nick Carleton, a professor in Saskatchewan who is canvassing emergency responders across Canada about OSIs.

The Mounties are now in the midst of a drive by members to unionize the police force for the first time in the RCMP’s history. Organizers have been pointing out that the rank-and-file officers are stressed because they shoulder heavy workloads compared to other police forces in Canada, and also that individual RCMP officers often patrol remote regions with little or no backup compared to their big-city counterparts.

In Ottawa, however, the police force’s leadership says that PTSD numbers are growing largely because the Mounties have been paying closer attention to the issues in recent years. “Work-related stress and mental illness is a real issue … that the RCMP takes very seriously,” Sergeant Julie Gagnon , a spokeswoman, said in an e-mailed response to questions from The Globe.

“The RCMP does not tolerate the outdated attitude that mental-health injuries are not real, and is countering this attitude with education and awareness,” she said, adding that the Mounties are not any more susceptible to PTSD than any other police force.

Sgt. Gagnon said the RCMP is shifting its own resources to address problems, for example by redirecting some in-house medical professionals from recruitment to focus on existing members. Funding has also been earmarked for disability-management programs including efforts to get better data about the scope of PTSD.

Observers say such problems extend well beyond the RCMP.

Municipal and provincial bureaucracies are often surprised to hear anecdotal evidence about how much the problem has taken root in their own forces, said Tom Stamatakis of the Canadian Police Association, in an interview.

The CPA is an umbrella group for mostly municipal police unions across the country. And, during stark testimony to a parliamentary committee this spring, Mr. Stamatakis said the problems cut across all public-safety professions, including firefighters, paramedics and jail guards.

“Since April, 2014, 77 first responders have taken their own lives,” he testified. He did not provide a breakdown of that figure.

Prime Minister Justin Trudeau last year appointed Public Safety Minister Ralph Goodale with a mandate to come up with a national action plan for PTSD among public-safety professionals. In October, federal MPs on a legislative committee urged the creation of a Canadian Institute for Public Safety Officer Health Research.

http://www.theglobeandmail.com/news/national/as-police-gain-awareness-of-ptsd-mounties-see-diagnoses-doubling/article33360812/
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Psychiatrist says PTSD treatment for Mounties improving, but not fast enough

Post by Trooper on Mon 16 Jan 2017, 16:02

Psychiatrist says PTSD treatment for Mounties improving, but not fast enough

'PTSD is going to be quite widespread within the RCMP and other first-responder organizations'

By Vanessa Blanch, CBC News Posted: Jan 16, 2017 8:00 AM AT Last Updated: Jan 16, 2017 1:09 PM AT


Psychiatrist Mark Johnston wants to see the RCMP collaborate with the military, which encountered and recognized PTSD earlier and offers better supports.

Help for RCMP officers who struggle with post-traumatic stress disorder is improving, but Mark Johnston is urging the force to move more quickly to implement its 2014 mental health strategy.

Johnston, a Nova Scotia psychiatrist who treats police officers and military members in his private practice, said the biggest challenge for an RCMP officer suffering with PTSD is having it recognized.

"It's a bit hit or miss right now," Johnston told Information Morning Moncton.

'It's not a physical injury and so sometimes superiors might not fully appreciate what's going on with the patient because they can't see it.'
- Dr. Mark Johnston, psychiatrist


"Sometimes I'll deal with a member who has phenomenal support from his chain of command ... the next fellow that I meet might say, 'They're harassing me, they don't believe that I have a problem, they're checking up on me all the time.'"

Johnston, who practises in Kentville and Halifax, has developed expertise in treating the disorder over more than 13 years of working with the military, including veterans making the transition to civilian life.

His comments come after Mark Clements, a retired RCMP officer in Moncton who has PTSD, was initially told he couldn't receive his 25-year service medal unless he attended an awards ceremony.

The New Brunswick RCMP eventually reversed its decision and agreed to send the medal to Clements, but Clements said the force shouldn't have made it so difficult for him in the first place.

Widespread among first responders

Johnston stressed that support is available through both the public mental health system and from private practitioners once officers are diagnosed.

"We have to expect that PTSD is going to be quite widespread within the RCMP and other first-responder organizations."

Johnston said the RCMP now has a policy that recognizes that PTSD exists, something he calls "a huge step forward" from where things used to be.

But he said the disorder is still difficult to recognize and diagnose, and everyone in the force must agree if change is to occur.


Psychiatrist Dr. Mark Johnston said changing "the hearts and minds" of those who work in all levels of the RCMP when it comes to recognising and treating PTSD will take time.

"It won't help if the very top echelon says, 'Sure, PTSD exists,' but then all the mid-level folks say, 'Well, not with this guy. This guy doesn't have PTSD — I've decided this person isn't sick.'"

Johnston said he has seen senior officers who believe they are qualified to diagnose PTSD.

"It's not a physical injury and so sometimes superiors might not fully appreciate what's going on with the patient because they can't see it ... it's hard to miss a broken leg but with PTSD in some ways it can be hidden," Johnston said.

In an emailed statement, the RCMP said it offers several services to help employees suffering from PTSD and other mental health issues.

"Services include employee assistance services, a peer-to-peer system, health assessments, psychological services, critical incident stress debriefings, mental health training, disability management, supplemental health benefits," the statement said.

The RCMP is also working on offering both classroom and online suicide prevention training for employees who are likely to encounter individuals living with serious mental stress.

Help is available

He said once RCMP officers have retired from the force, many don't realize they can apply to the Department of Veterans Affairs Canada for more assistance.

In a statement, the RCMP said retired RCMP members who receive a Veterans Affairs Canada disability pension may be eligible for additional services.

Johnston said the private mental health system is not as stretched as the public system, an issue at the centre of discussions after veteran Lionel Desmond, who served in Afghanistan and had PTSD, allegedly shot his wife, child and mother in Big Tracadie, N.S., before killing himself.

​"I think about this tragedy that happened up in Tracadie a couple of weeks ago and I really worry that a lot of patients don't understand that they have access to both mental health systems," Johnston said, referring to the private psychological help that's available in addition to the public system.

He said RCMP are generally referred to private mental health practitioners.

RCMP makes progress, but it's slow

While he believes the RCMP is making progress and improving treatment for members, Johnston doesn't think it has happened quickly enough since the force adopted a mental health strategy in 2014.

"I'm optimistic that things are changing," he said. "I just wish they'd speed it up. I wish they'd make more of an effort to make it happen faster because right now people are suffering.

"I think they could make a lot of those changes much sooner if they wanted to."

Johnston wants to see the police force collaborate with the military, which encountered and recognized PTSD earlier and offers better supports.

"The RCMP started this journey a lot later than these other groups and I think that's a big problem.," Johnston said.

Johnston said changing "the hearts and minds" of those who work in all levels of the RCMP will take time and he hopes the force won't be sidetracked by the added cost of treatment.

"It's [can be] so upsetting to those decision makers that they lose sight of the fact that the patient is ultimately ill and they got sick from something that happened on the job, and they need to be taken care of."

http://www.cbc.ca/news/canada/new-brunswick/mark-johnston-rcmp-ptsd-1.3934095
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Auditor-General expected to expose RCMP’s mental-health failings

Post by Trooper on Fri 12 May 2017, 15:39

Auditor-General expected to expose RCMP’s mental-health failings



The RCMP is bracing for tough new questions on the way the force treats its members across the country, this time in relation to the handling of mental-health issues by Mounties who are struggling to deal with stressful and traumatic incidents, sources say.

The Auditor-General of Canada will release a report on the RCMP's mental-health strategy on Tuesday. According to officials who are aware of its contents, the report paints a largely negative picture of the services provided to Mounties over the years, which stands to further darken the force's reputation in the eyes of the public.

"It's not laudatory," a senior officer at the RCMP said of the report.

The national police force has struggled in recent years with issues such as widespread sexual harassment of female members going back decades, and a number of fatal incidents that raised questions about training and equipment, culminating with the fatal shooting of three Mounties in Moncton three years ago.

In a separate report on Monday, which is also expected to be hard-hitting, the Civilian Review and Complaints Commission for the RCMP will address "workplace harassment" in the national police force.

The Auditor-General's report deals with issues such as post-traumatic stress disorder (PTSD), which is on the rise in the RCMP, but also with a series of other mental-health problems that regularly affect officers such as anxiety, depression and other stress-related issues.

The Auditor-General's work will build on a series of public complaints by current and retired Mounties about the lack of treatment for mental-health problems. Corporal Curtis Barrett, who was one of two people who shot terrorist Michael Zehaf-Bibeau in Parliament's Centre Block in 2014, has publicly criticized the RCMP for failing to support him after the incident, revealing he was suicidal for a period.

"Nobody from my organization was calling me to say, 'Good job,' " Cpl. Barrett told a mental-health conference earlier this year. "I went from being … 'I'm a rock-star hero,' to 'I feel like driving my car into a truck.' "

In another case, Cpl. Ron Francis sought the right to smoke marijuana on the job to cope with PTSD. His suicide in 2014 brought issues of mental health to the forefront of the public agenda, including widespread criticism of the RCMP's handling of his case.

"They took his uniform from him, they stripped him of his privileges, they charged him under the Police Act … and he always came back to 'I just want them to understand what I am going through,' " his friend and lawyer T.J. Burke said at the time.

The Auditor-General's report is expected to lay out the RCMP's failures in addressing the needs of Mounties who are affected by critical incidents, such as fatal shootings and hostage situations, or from an accumulation of highly stressful calls. RCMP members also deal with mental-health issues that stem from their regular duties, including participating in undercover operations or child pornography investigations.

Asked for their reaction to the upcoming report, senior officials at the RCMP acknowledged shortcomings in their past handling of mental-health issues, but described a series of recent initiatives to improve training and services to members. A key effort is to destigmatize mental-health problems among Mounties.

"We're trying to build an organization that becomes very understanding and compassionate with regards to mental-health issues in the workplace," said Assistant Commissioner Stephen White, who is the RCMP's mental-health champion.

"We're a very large organization, with a history as a paramilitary organization, a policing organization with a lot of structure around it right across the country. So in terms of us changing the culture around stigma related to mental health, it is not something that takes place or is fully implemented overnight, in a week or years. It's an ongoing work in progress," he said.

The RCMP has drastically overhauled its mental-health strategy in recent years, offering 24/7 access to the Health Canada employee-assistance program since 2013 and putting a growing emphasis on peer-to-peer support services.

The force is also working on training all current and future employees on its mental-health services by 2018.

A key challenge for the RCMP has been officers falling through the cracks of a complex disability system after being involved in traumatic incidents. Former Mountie Trevor Josok, for example, is challenging his 2016 dismissal from the RCMP after he developed PTSD following the shooting of four of his colleagues at Mayerthorpe in Alberta in 2005.

The RCMP is now in the final stages of overhauling its program to deal with officers on disability leave, with a clear emphasis on helping officers with mental-health issues to remain on the job or get new duties inside the force in a majority of cases.

"The focus of this program is retention," said Christine Sakiris, who is the head of the force's disability management and accommodation programs. "It's not easy to train an RCMP member … we want to retain the services of the members that we have."

Still, the RCMP is facing questions over the speed with which new programs have been put in place. For example, a new "stress-management after-care guide" was recently put in place to deal with Mounties involved in so-called critical incidents, which refer to shooting, fatal auto crashes and other events that can trigger cases of PTSD and other issues.

However, the guide was only released in 2016, two years after both the Moncton shootings, in which three officers were killed by Justin Bourque, and the attack involving Mr. Zehaf-Bibeau.

Assistant Commissioner White is well aware the RCMP will face questions over the speed with which programs have been adapted to a changing environment surrounding mental-health issues.

"We're going in the right direction," he said. "The Auditor-General is currently doing an audit of our mental-health service delivery, so we're hoping that from that, we'll get some good feedback and recommendations in terms of continuing to enhance what we are doing and doing some things differently."

RCMP chief psychologist Roxane Marois added: "We have always adapted to new realities and new approaches. Still, adapting takes time, it doesn't happen overnight and we have to undertake proper research to find the right solutions."

The RCMP is set to launch a 10-year study to monitor the mental health of new recruits as they move into the force and go through their first assignments.

"Despite everything that we have done … we are very mindful that we need to do more," said Sylvie Châteauvert, the RCMP's director-general of occupational health and safety.

Investigator Jagdeep Soin, who helps his colleagues through peer-to-peer support, said Mounties are used to spending months training how to shoot or drive their police cars. He said they are now also learning how to take care of their bodies and their minds.

"Just because you have six-months' training, it doesn't prepare you for that, for your human emotions," he said of a Mountie's life.

https://beta.theglobeandmail.com/news/politics/auditor-general-expected-to-expose-rcmps-mental-health-failings/article34967829/?ref=http://www.theglobeandmail.com
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Re: First responders being hit harder than ever by PTSD, and they need help

Post by Newf on Fri 12 May 2017, 15:48

Looking forward to reading that report.
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New audit slams RCMP’s efforts on staff mental health

Post by Trooper on Tue 16 May 2017, 11:44

New audit slams RCMP’s efforts on staff mental health



Federal Auditor General Michael Ferguson says the RCMP failed to allocate enough money and staff to implement a mental health strategy it rolled out in May 2014.

By TONDA MACCHARLES Ottawa Bureau reporter Tues., May 16, 2017

OTTAWA—One in five Mounties or 20 per cent of the workforce that has sought mental health support from the RCMP ends up not returning to work or being discharged, according to a new federal audit critical of the national police force’s lacklustre efforts to meet the mental health needs of its employees.

Federal Auditor General Michael Ferguson says the RCMP, already reeling from two reports slamming its inability to deal with workplace harassment, failed to allocate enough money and staff to implement a mental health strategy it rolled out in May 2014.

In some cases Mounties waited more than two years to get access to psychological treatment services. One in six members, or 16 per cent, of employees who sought help couldn’t get timely access to support, and in 27 per cent of the cases examined, the RCMP did not have records to allow the audit to assess whether members got the help they needed when they needed it.

“The RCMP is only as strong as its members,” said the auditors. “If the organization does not effectively manage members’ mental health and fulfill its responsibilities to support their return to work, members struggle to carry out their duties, their confidence in the RCMP may be undermined, and the RCMP’s effectiveness may be reduced.”

The RCMP was one of the first federal organizations to roll out a mental health strategy.

But according to the audit which looked at early detection, intervention and continuous support programs, the RCMP’s efforts were plagued by the same kind of ad hoc and limited support that another watchdog agency this week said doomed its efforts to deal with workplace harassment, bullying and intimidation.


Auditor General of Canada Michael Ferguson found RCMP supervisors lacked knowledge about their roles and responsibilities on mental health issues with staff.

“It did not make the strategy’s implementation a priority or commit the human and financial resources needed for the strategy’s full and effective implementation. We found that new mental health programs to support early detection and intervention were only partially implemented, and that the RCMP did not allocate budgets to support them.”

The audit said while 57 per cent of members got easy and timely access to the mental health support they needed, 16 per cent did not. Combined with the lack of records to determine the outcomes for the other 27 percent, the auditors concluded that the force failed in its duty to its frontline officers and in its responsibility to Canadians to ensure they are “fit for duty.”

“This audit is important because poor mental health has a direct impact on the well-being of members, their colleagues, and their families. Left unmanaged and unsupported, mental health issues can lead to increased absenteeism, workplace conflict, high turnover, low productivity, and increased use of disability and health benefits. Ultimately, members’ poor mental health affects the RCMP’s capacity to serve and protect Canadians.”

The RCMP is a sprawling, massive organization with 29,000 employees, including uniformed officers, civilian members who are often technical and forensic experts, and public service employees in administrative support roles.

Last September, the audit says, there were about 900 of its regular uniformed and civilian experts off on sick leave (meaning on a leave of 30 days due to illness) but the RCMP could not say how many of those were off for mental health reasons, because it doesn’t track that data—the same answer it gave the Civilian Review and Complaints Commission earlier this week when asked how many employees took sick leave due to workplace harassment.

The RCMP, the audit says, expects its employees to maintain their own health and fitness for duty, but its mental health strategy aimed at early detection of problems, and trying to manage them before things escalated and impaired a person’s functions on the job.

Yet there are no consistent service standards in place for mental health services.

After an employee has sought treatment, managers have a duty to accommodate the needs of officers trying to reintegrate into the workplace. However, the audit found supervisors lacked accurate lists to contact their members to coordinate their re-entry, lacked knowledge about their roles and responsibilities in this regard, and recommended the RCMP develop better training for its supervisors.

Overall, the RCMP’s mental health strategy ran into a wall with not enough money or staff allocated to the program. There was no business plan to implement it. Auditors said the health services offices – responsible for coordinating and facilitating treatment for those in need—in all of the RCMP’s 15 divisions were “under-resourced” which created a domino effect in the very offices set up to help.

“We found that the RCMP’s lack of resources—combined with the high demand for services, the backlogs, and frustrated members—created a stressful workplace for health services staff. Moreover, health services offices found it difficult to attract and retain qualified medical and mental health practitioners.”

The audit found many Mounties are reluctant to seek help because they feared the implications of doing that — either being unable to continue on the job or career reprisals.

“From our survey of regular and civilian RCMP members, we found that 79 per cent of respondents on off-duty sick leave and 44 per cent of active duty respondents believed that seeking help would have a negative impact on their careers with the RCMP.”

It found a lack of case management system to track employees’ treatment, progress and outcomes. It found a joint committee of veterans affairs and RCMP departmental officials set up to work together on operational stress injuries hadn’t met since 2009, and three years into the RCMP’s mental health strategy, the effort needed much more coordination, staffing and money to be effective.

Ferguson made several recommendations for improvement, including calling on the force adopt a business plan to guide it. The RCMP managers agreed to convert its current strategy into a business plan with specific resource requirements attached for the next two years.

https://www.thestar.com/news/canada/2017/05/16/new-audit-slams-rcmps-efforts-on-staff-mental-health.html









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