Assessing the Mental Health Impact of the COVID-19 Pandemic on US Fire-Based EMS Responders: A Tale of Two Samples (The RAPID Study I)

Raposa, Madison E.; Mullin, Gabrielle; Murray, Regan M.; Shepler, Lauren J.; Castro, Katherine C.; Fisher, Alexandra B.; Gallogly, Victoria H.; Davis, Andrea L.; Resick, Christian J.; Lee, Jin; Allen, Joseph A.; Taylor, Jennifer A.

Assessing the Mental Health Impact of the COVID-19 Pandemic on US Fire-Based EMS Responders: A Tale of Two Samples (The RAPID Study I)

Raposa, Madison E.; Mullin, Gabrielle; Murray, Regan M.; Shepler, Lauren J.; Castro, Katherine C.; Fisher, Alexandra B.; Gallogly, Victoria H.; Davis, Andrea L.; Resick, Christian J.; Lee, Jin; Allen, Joseph A.; Taylor, Jennifer A.

Abstract

OBJECTIVE: This study aimed to examine the COVID-19 pandemic's impact on fire service safety culture, behavior and morale, levers of well-being, and well-being outcomes. METHODS: Two samples (Stress and Violence against fire-based EMS Responders [SAVER], consisting of 3 metropolitan departments, and Fire service Organizational Culture of Safety [FOCUS], a geographically stratified random sample of 17 departments) were assessed monthly from May to October 2020. Fire department–specific and pooled scores were calculated. Linear regression was used to model trends. RESULTS: We observed concerningly low and decreasing scores on management commitment to safety, leadership communication, supervisor sensegiving, and decision-making. We observed increasing and concerning scores for burnout, intent to leave the profession, and percentage at high risk for anxiety and depression. CONCLUSIONS: Our findings suggest that organizational attributes remained generally stable but low during the pandemic and impacted well-being outcomes, job satisfaction, and engagement. Improving safety culture can address the mental health burden of this work.

This resource is found in our Actionable Strategies for Public Safety Organizations: Drivers (Relational Breakdown) AND Drivers (Operational Breakdown)

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Journal of Occupational and Environmental Medicine
2022
Profession(s)
Emergency Response Workers
Topic(s)
Mental Health
Resource Types
Peer-Reviewed Research
Study Type(s)
Nonexperimental / Observational Study
Action Strategy Area(s)
Measurement
Setting(s)
Community
Academic Role(s)
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