Supporting First Responder Resilience: A Mental Health Initiative

BACKGROUND: First responders are increasingly suffering from mental health complications. Evidence suggests that improving culturally competent resources and practices enhances protective factors combating these trends. This project was developed to support current mental health resources for the Denver Fire Department.

LOCAL PROBLEM: No standard process for mental health education or assessment was utilized by the Denver Fire Department (Colorado) Wellness Department, resulting in missed opportunities for early intervention.

METHODS: The Evidence-based Practice Improvement (EBPI) model was used to guide the assessment of practice needs and site workflow. A literature search, review, and critical appraisal of evidence was conducted. The aim of the project was to educate 80% of first responder participants and have a 10% quarterly reported increase of first responders accessing available mental health resources. The Wellness Department Project Team agreed to implement mental health, mindfulness, and self-assessment workshops. Data collection of pre and post questionnaires were aggregated. Follow up appointments were evaluated retrospectively on accessed resources.

INTERVENTIONS: The workshops included tailored mental health education, mindfulness videos, and written materials on current resources available. Two assessment tools based on evidence review and population participation were introduced for self-assessments, the Depression Anxiety Stress Scale (DASS-21) and the Maslach Burnout Inventory (MBI).

RESULTS: Five Fire Houses with 68 first responders participated. There was 100% engagement within each Fire House. Data collected from pre and post questionnaires showed statistically significant improvements. Data from quarterly reports on accessed available resources did not increase, with 945 participating in Quarter 1 of 2024 and 938 participating in Quarter 1 of 2025. However, 14 first responders have contacted the Wellness Department directly for personal follow up.

CONCLUSIONS: Implementing an evidence-based, culturally competent mental health workshop successfully improved first responders reported ability to participate in preventative mental health care and provide peer support increasing resilience overall.