“We had an incident where a person lost their life in a grain bin. We all knew this farmer who lost his life. Once we left the scene, I knew it had touched all of us,” explained Chief Jeff Leuer of the West Suburban Fire District, a paid on-call department of 50 firefighters covering 50 square miles including stations in Loretto and Hamel.

“When I left the scene and was driving back to the station, I called MnFIRE and I said, ‘We just had this incident. I am concerned that I am going to have some people who are going to have to deal with this. What do I do? How do I direct them?’”

Fortunately, Jeff knew that confidential help was available 24/7 for any firefighter and their family through the MnFIRE Assistance Program, which targets emotional health and stress unique to the fire service through connection to mental health counseling and peer support.

The trained MnFIRE Peer Support specialist who answered Jeff’s call reassured him: We can help. Point them our way. What Jeff didn’t realize was that it wasn’t just his firefighters who stood to benefit from the program.

“That peer supporter from MnFIRE, they said, ‘How are you doing?’ They stopped me in my tracks,” said Jeff.

That simple question helped Jeff realize his bucket of stress and trauma was practically overflowing. After being in the fire service for 25 years, he could barely take it anymore. With the peer supporter’s reassurance and the offer to talk again, they hung up.

Jeff talked about the conversation with his wife and thought maybe that was it. But the next morning, he got a call from that same peer supporter, saying, “Good morning, Jeff. How are you doing today? It’s a new day. The sun is shining.”

From that day forward for about a month straight, the peer supporter would call or text him.

“While I didn’t go get formal, professional help, that person helped bring me from the really tough place I was at,” said Jeff. “‘We’ve got to get some of this stuff out of your bucket,’ they would say. I still get emotional.”

“MnFIRE, and the peer support, it means so much to me.”

And those firefighters Jeff referred to MnFIRE? Two of them told him how glad they were that someone reached out, that they had an excellent experience. Jeff said, “Even if they don’t get formal help, they are guided in the right direction.”

This incident wasn’t the first time Jeff or his team needed some help from MnFIRE, and it won’t be the last. Two of his firefighters recently experienced cardiac events and sought help from the Critical Illness benefit. And others sought out MnFIRE Peer Support when a fellow firefighter died unexpectedly in 2021.

Jeff’s department takes mental health very seriously. And talking about it, he believes, makes it easier for people to reach out when they need it.

“I have had struggles. Still today, if something comes up, I’m not afraid to give a call and talk to someone,” Jeff said. “By firefighters hearing the chiefs say, ‘I had a problem. I needed help. I reached out and it helped.’ It makes it okay for them to give a call. It’s for firefighters, and it’s for chiefs, too.”

Confidential help is available over the phone or online, anytime for any Minnesota firefighter and their family through the MnFIRE Assistance Program. For more details or for help, call 888-784-6634 or click here.

Contributed by MnFIRE Mental Health Director Melinda Coscarelli, PhD, LPCC, LADC

As firefighters, you’re taught to always be prepared. Your department spends hours practicing and preparing for that moment when someone calls for help. But how do you answer the call from one of your own?

Mental health problems can come in all sizes, from a firefighter facing burnout to one who is having suicidal thoughts. With the mental demands and emotional toll of firefighting, fire service leaders must be prepared to offer support to their fellow firefighters when needed. After all, firefighters with more supportive cultures and departmental resources perceive their work environment as less stressful, which can lessen manifestations of mental health problems such as anxiety, substance abuse, insomnia and depression.

Here are a few things you can do to be better prepared.

Get trained

Fire service leaders should receive training on how to talk to their crew about mental health concerns. These situations are delicate and at times need to be handled differently than your typical calls. MnFIRE provides access to suicide prevention classes and emotional wellness deep-dive trainings. Because with proper education, you can identify the warning signs for emotional trauma and feel more comfortable having these conversations with your firefighters.

Build awareness and support

Making small changes now can help build a stronger foundation to stand on later. Put up posters around your department with messages and tips for managing different symptoms such as sleep deprivation or moodiness. Posters can be placed in prominent areas like the kitchen, or more discrete locations such as the restrooms. MnFIRE also offers educational materials on resources to help, which show MnFIRE’s free helpline for getting support 24/7.

While a few posters or brochures won’t change the fire service culture, having them visible and accessible can be helpful to someone suffering in silence and start building awareness for the support that’s always available to them.

Be proactive

Several departments have started doing regular check-ins with their crews. A good time for doing this is at roll call or shift changes. It can be as simple as asking your crew to rate their current mental status on a scale of one to 10, with 10 being mentally maxed out. If one of your firefighters is at a seven or higher, pull them aside and ask them what you can do to support them. A simple check-in adds accountability and shows the crew that you genuinely care.

It’s also helpful to develop a safety plan for your department so you know what process to follow to de-escalate any type of crisis situation.

Stay calm

If a mental health emergency does arise, stay calm. Ask the firefighter what you can do to support them through their difficult situation. Steer clear of offering advice, but rather listen and empathize.

Be attentive

Taking a class like MnFIRE’s emotional wellness training or the suicide prevention skills training we put on for our peer supporters can be very beneficial to learning warning signs for someone in distress. Non-verbal and verbal language both give clues about when a firefighter’s mental health may be starting to decline, or they may even become suicidal. It is best to recognize these signs before they escalate into a dangerous situation.

Call MnFIRE

If you don’t feel prepared, know that we are. The MnFIRE toll free number is staffed by masters-level clinicians all day, every day. From one-on-one calls to department debriefs, during the middle of a crisis or after a tough call, we are here for you. Don’t hesitate to use this free, confidential resource available to all full-time, part-time, on-call and volunteer firefighters in Minnesota. Just call 888-784-6634.

To Our Minnesota Fire Service Sisters and Brothers:

Everyone at MnFIRE joins the entire state as we mourn the loss of Burnsville firefighter/paramedic Adam Finseth and police officers Paul Elmstrand and Matthew Ruge in yesterday’s tragedy. During this difficult time, please remember that the full resources of the MnFIRE Assistance Program are available to all Minnesota firefighters and their families.

Confidential help – including connection to no-cost mental health care and peer support – is available anytime for any Minnesota firefighter and/or their family. Phone lines are answered 24/7 by Master’s-level trained mental health professionals who provide confidential support, guidance and mental health resources.

For immediate, 24/7 support call 888-784-6634.

Any member of a firefighter’s household can use these important Hometown Heroes Assistance Program (HHAP) resources. Each firefighter and/or their family members can access up to five counseling visits a year (additional support is available as needed). Firefighters are also matched with a member of MnFIRE’s team of trained peer supporters who know firsthand the difficulties firefighters face and are well-equipped to walk alongside a firefighter in need as they navigate their situation.

If you’d like to talk, we’re here.

For more information or for help, call 888-784-6634 or visit liveandworkwell.com, access code: MnFIRE.

Contributed by Nicholas E. Blonien, D.O.

February is American Hearth Month – a time when people are encouraged to focus on their cardiovascular health.

While we can celebrate continued advancements in cardiovascular disease (CVD) care and research, this largely preventable disease remains the leading cause of on-duty deaths in the fire service. A recent national study showed that in 2022, 49 of the 96 on-duty fatalities among U.S. firefighters were due to overexertion. Of these, 73% were confirmed due to heart attack or stroke.

What is CVD?

CVD is a disorder of the body’s circulatory system, which includes the heart and blood vessels. CVD encompasses numerous conditions, many of which are related to atherosclerosis. Atherosclerosis is characterized by abnormally stiff and plaque-burdened blood vessels. Primary factors contributing to the development of atherosclerosis and CVD include smoking, high blood pressure, high cholesterol, metabolic disease and physical inactivity.

These conditions ultimately create an environment of increased stress and inflammation within the blood vessels, leading to vessel wall injury, plaque accumulation and increased risk of blockage or rupture. This blockage and narrowing of blood vessels supplying the heart is called coronary artery disease (CAD). When blockage becomes complete, the heart muscle blood supply is cut off, resulting in a heart attack.

CVD and Firefighters

Firefighters are at increased risk for CVD. Routine sleep interruption, suboptimal nutrition, physical inactivity, hazardous exposures and psychosocial stress all lead to chronic physiologic disruption that sets the stage for the development of CVD. Then, when stressed acutely during calls that require intense physical exertion and trigger sympathetic nervous system activation – the fight-or-flight response – the cardiovascular system is pushed to the limit. If baseline CVD is present, there is an increased risk of a sudden cardiac event.

Contributing Factors

Sleep: Over 50% of firefighters report poor sleep quality, and firefighters screening positive for a sleep disorder may have significantly higher odds of developing CVD.

Nutrition: The standard American diet, which includes foods high in calories, saturated fats, sugar and sodium, is common among U.S. firefighters. The eating pattern has been clearly correlated to higher levels of inflammation and higher cholesterol, both risk factors for CVD. Recent research has indicated that firefighters who instead adhered to the Mediterranean diet – high in fruits, vegetables, whole grains, nuts, seeds and beans – had more favorable cholesterol profiles.

Exercise: A large percentage of firefighters do not meet the American Heart Association’s recommendations for weekly exercise. Lower levels of cardiorespiratory fitness due to insufficient exercise is strongly correlated with increased CVD risk. A 2023 research review confirmed this correlation in firefighters.

Stress: High psychosocial stress has been correlated with CVD, and firefighters experience a lot of it with dangerous situations, pressure to perform and exposure to traumatic experiences.

Other factors: Environmental exposure to hazardous chemicals and particulate matter can increase risk for adverse cardiac events. Recreational exposure to smoking and alcohol also increases CVD risk.

Making Change

We know that 80 to 90% of CVD is preventable. With change at both the organizational and individual level, we can reduce risk of CVD for all firefighters whether they are full-time, part-time or volunteer.

Fire service leaders can promote departmental adherence to NFPA 1582 and 1583, ensuring that minimum fitness standards are maintained and routine assessment of individual CVD risk in firefighters is performed. Increased funding may allow for improved manpower, salary increases (if applicable), heightened health surveillance and more health-protective equipment and facilities.

Each of these changes could have a significant impact on CVD risk in the fire service.

Independent of funding, firehouse leaders can promote a culture that values advancing health and wellness, as cultural shift is a necessary component of achieving lasting health behavior change. Looking for a great place to start? Register your department for a cardiac deep-dive training through MnFIRE this month. Departments with supportive cultures and education/coaching programs have been most successful with reducing CVD risk.

Firefighters may also target key pillars of Lifestyle Medicine to guide their individual approach to CVD risk reduction. This may include partnering with fellow firefighters to adopt more sleep-protective behaviors in the firehouse and at home, adhering to a whole food, plant-predominant diet, engaging in the recommended amount of aerobic exercise weekly, eliminating tobacco use and minimizing alcohol consumption, and openly discussing stressors of the job to support one another and connect.

Firefighters have a unique bond that can be incredibly supportive of health behavioral improvement. With lifestyle modification, cultural change and organizational level support, fire departments can reduce CVD risk and save firefighters from early cardiovascular death.

Cancer is unfortunately now the leading cause of death among firefighters nationwide.

Although this subject is certainly crucial year-round, January is Firefighter Cancer Awareness Month, a chance to highlight the potentially life-saving protocols for cancer prevention, while supporting our fire service family members now living with a cancer diagnosis.

Beyond personal risk factors like age and family history, firefighters are often exposed to various hazardous substances on the fireground that are known or suspected to cause cancer. These chemicals are breathed in, absorbed through the skin or eyes, or ingested. If protective turnout gear isn’t adequately cleaned or stored after a call, that can contaminate the fire station, your car, your home and more, and put yourself and others at risk.

At MnFIRE, we’re working to promote a safety culture that emphasizes healthier lifestyles, regular cancer screenings, and reduced exposure to potential hazards.

Little by little, changes to your routine can make a difference. For instance, during and after a fire call, experts recommend protecting yourself by:

• Wearing SCBA
• Conducting gross decontamination on the fireground
• Using gloves to doff PPE/equipment and minimize cross-contamination
• Bagging dirty equipment
• Using wet wipes to clean off soot and other contaminants
• Washing clothes and gear
• Showering within the hour after a call

We’re here to back you up every step of the way. Gone are the days of being macho and showing off dirty gear to prove you did the toughest job. The fire culture continues to shift to prioritize diligently using SCBA and PPE, keeping records of exposures, being honest about how you’re feeling and scheduling regular physicals with your doctor.

Firefighters can learn more about the activities that put them at higher risk for developing cancer, proper PPE strategies for mitigating cancer risks, and what types of screenings can be done to catch cancer early by scheduling a cancer deep-dive training through MnFIRE. These trainings are presented by fellow firefighters and medical subject matter experts.

In the unfortunate event that you or someone you know is diagnosed with cancer, you’re also not alone, emotionally or financially.

All Minnesota firefighters have been automatically enrolled in our Critical Illness Program through the Hometown Heroes Assistance Program which covers diagnoses of cancer and other critical illnesses, and provides a lump-sum cash payment of up to $20,000 to assist with expenses like medical bills and travel costs to and from doctor’s appointments. For more information or to file a claim, call 888-784-6634 or visit securian.com/mnfire-insurance.

Confidential help and mental health support is available over the phone or online, anytime for any firefighter and their family through the MnFIRE Assistance Program. The Firefighter Cancer Support Network is also available to help Minnesota firefighters and their families following a cancer diagnosis with rapid post-diagnosis resources followed by one-on-one support from fellow firefighters through the diagnosis, treatment and recovery process.

The choices you make as a firefighter will affect you and your family in the future. When we lose a firefighter to occupational cancer or any other firefighter-related disease or illness, it affects our families and our communities deeply. So, let’s do what we can to make a difference today. Minimize daily exposures to carcinogens, mitigate risk factors and fortify your defenses against occupational cancer.

While nutrition alone can’t solve the complexities of a mental health condition, a growing body of research is showing how diets that support brain health can benefit mental health and well-being, and also help reduce stress and improve focus.

How nutrients support you

Your brain and body need a variety of nutrients to support your health. It’s important to note – despite the claims of ads, trends and friends – no one food or drink (or supplement for that matter) can uplift a down mood or cure a mental health condition. Generally speaking, your brain and body regularly need a balance of proteins, fibers, carbohydrates, vitamins, minerals, (unsaturated) fats and water to fuel them properly. Each one plays a role. For example:

• Protein helps your brain produce the chemicals it uses to regulate your thoughts and emotions.
• The healthy omega fats found in salmon, avocados, nuts and seeds, among other sources, support your brain function.
• Your body turns carbohydrates into glucose (a kind of sugar) that travels through your blood to feed your brain. Complex carbs found in whole grains, for example, produce slow and steady sugars to keep your brain fueled. Without them, you may experience low blood sugar, which can make you feel tired, irritable and depressed.
• The foods you eat also help promote a healthy gut – stomach, intestines and colon – with the right amount and kinds of bacteria to process and break down your food. Fiber aids in the digestion process, and so do foods with probiotics, like yogurt, sauerkraut, tempeh and kimchi.
• If you don’t drink enough water, you can become dehydrated. Dehydration makes it harder to focus and think clearly. It also can depress your mood and energy level.

On the other hand, foods low on nutrients can make you feel mentally worse. For example:

• The trans fats often found in highly processed and packaged foods have been linked to bad moods.
• Similarly, highly processed, sugary and fried foods have been linked to hyperactivity, aggression, poor concentration, depression and anxiety in children and adolescents.
• And the caffeine so many people rely on for a boost of energy can actually overstimulate you, causing feelings of irritability, anxiousness and depression. It also can keep you from sleeping soundly.
• Diets low in nutrients also affect gut health. As noted above, this system helps you digest your food properly and eliminate waste. If it’s off, so is your body’s ability to absorb nutrients and feed your brain.

Risks of poor nutrition

Interestingly, much of this brain-nutrient-mental health support system can work both ways. If you’re already feeling stressed, anxious or sad, you may find it difficult to eat, much less prepare, healthful food. The lack of rich nutrients makes it harder for your brain to function properly, which in turn aggravates your already struggling mental health, and can even worsen how you already feel.

When you’re not feeling well or eating well, it can also affect your gut. You may feel stopped up, stirred up, bloated or gassy, all of which throws off your digestive system. If your digestive system is malfunctioning, your brain isn’t getting the fuel it needs, and, hungry, struggles to function properly.

Help yourself eat nutrient-rich foods

Follow these three general guidelines to choose more nutritious options:

1. Eat more:
   • Vegetables
   • Fruits
   • Whole grains (bread, brown rice, quinoa)
   • Legumes (lentils, chickpeas, soybeans, and kidney, black or pinto beans)
   • Fish and seafood
   • Unsaturated fats like those found in oily fish (salmon, mackerel, sardines), avocados, seeds, nuts and olive oil
2. Eat in moderation:
   • Red meat (beef, pork lamb, goat and venison)
3. Eat less:
   • Refined sugars (from cane, beets, coconut, palm and corn)
   • Processed foods, especially those high in saturated fat, salt and sugar (such as pre-packaged instant and canned soups, deli meats, sausages, snacks and breakfast cereals)

Fresh foods may be more expensive or harder to access in some areas. So, frozen, canned and dried options are a great choice, too. Look for ones that are minimally processed and have limited additives or preservatives.

Also, consider these ways to help yourself steer toward nutrient-rich foods daily:

• Prepare and store healthy meals and snacks in advance.
• Make one-pot meals – stews, soups and casseroles – to save yourself time and hassle.
• Make plans to cook in rather than eating out with family and friends.
• Have food delivered if getting to the store is too time-consuming or difficult.

A nutrition guide designed specifically for firefighters

Even small changes can make a difference over time. If you need recipe ideas, consider looking online for dietitian-approved options or asking your health care provider for help.

Firefighters can also learn more about nutrition and how it can help them perform more safely and efficiently while on duty, as well as at home, by scheduling a MnFIRE training on Fitness & Nutrition for your department. Learn more here.

Repurposed from MnFIRE Assistance Program partner, Optum.

 

Sources

BetterHealth Channel. Food and your mood. betterhealth.vic.gov.au/health/healthyliving/food-and-your-mood</span. Accessed October 16, 2023.

American Society for Nutrition. How to boost mental health through better nutrition. nutrition.org/how-to-boost-mental-health-through-better-nutrition/. Accessed October 16, 2023.

BetterHealth. Gut health. betterhealth.vic.gov.au/health/healthyliving/gut-health. Accessed October 16, 2023.

Dietitians Australia. Diet and nutrition health advice: Mental health including anxiety and depression. dietitiansaustralia.org.au/health-advice/mental-health-including-anxiety-and-depression. Accessed October 16, 2023.

Harvard Health. Nutritional psychiatry: Your brain on food. health.harvard.edu/blog/nutritional-psychiatry-your-brain-on-food-201511168626. Accessed October 16, 2023.

Mental Health Foundation. Diet and mental health. mentalhealth.org.uk/explore-mental-health/a-z-topics/diet-and-mental-health. Accessed October 16, 2023.

Mind. Food and mental health. mind.org.uk/information-support/tips-for-everyday-living/food-and-mental-health/. Accessed October 16, 2023.

World Health Organization. Mental disorders. who.int/news-room/fact-sheets/detail/mental-disorders/?gclid=CjwKCAjwvrOpBhBdEiwAR58-3F0CEF39A_G2i0LFhhAHl2NLCvU1axJCRNFiPv62ZGJDoo92coQw7BoCbtAQAvD_BwE. Accessed October 16, 2023.

When you’re going through something stressful or feeling anxious, negative thoughts can make difficult situations and feelings even harder. That’s because how we think affects how we feel, and how we feel affects how we behave.

Learning how to get ahead of unhelpful thoughts and reframing them to be more positive can help you get through those moments. It also can help improve your overall mental and emotional well-being.

While we generally cannot control the thoughts that come into our minds, especially after a tough call, we can control what we do with them. And we can train ourselves to alter our thinking patterns to be more helpful. Let’s look at how this works.

Types of unhelpful thoughts

First, let’s consider the kinds of negative thinking that may affect you. Here are some common ones:

Expecting the worst to happen.
This sometimes takes the form of “but what if?” thinking, too. In either case, even if something is going well, you expect the worst and think of all the bad things that could happen. As a result, you find it difficult to enjoy good times or be present in the moment. For example, if your boss sets up a meeting with you for the next day, an unhelpful thought would be, “I must be getting fired!” A way to reframe that more positively would be, “My boss wants to meet with me tomorrow. She isn’t on shift today, so I cannot ask her why. Tomorrow I will know why she wants to meet, and I can deal with it then.” 

Focusing on the negative.
Even if something good happens, you tend to think only about what went wrong or could have gone better.

Seeing things only as good or bad and ignoring the range of possibilities in between.
This is also called “all or nothing” and “black and white” thinking. This pattern oversimplifies situations. For example, thinking “if you don’t win, then you lose” overlooks the benefits of participating in something you enjoy, such as a tennis match, or in pursuing opportunities, like applying for a promotion.

Making negative assumptions.
For example, if something bad happened, you assume it will keep happening. Like, if you once failed a test, going into every test believing you’ll also fail them. But realistically, you have passed many more tests than you’ve failed, and you’re prepared for this one. A more helpful thought would be, “I failed that test, but I prepared well for this test – and I’ve passed many more tests than I’ve failed.”

Blaming yourself when bad things happen. Or blaming others for bad things that happen to you.
This thinking pattern fails to consider all the other factors that could contribute to a situation or event. If you didn’t arrive at the scene early enough to help someone, it can be easy to spiral or blame yourself. In the fire service, having to navigate survivor’s guilt also isn’t uncommon, especially if there has been a line-of-duty death. We must remember that placing blame on others does not honor the sacrifice of the fallen. Use critical incidents as an opportunity to learn from possible mistakes, but try to give yourself and your crew the benefit of the doubt when it comes to this uniquely challenging work.

In each of these thinking patterns, you aren’t considering the positive possibilities and variety of perspectives. You’re also not considering the full story or thinking about the facts. Many factors contribute to and come into play in every situation. Try to pay attention to where your brain goes in a difficult time.

If you find yourself getting trapped in one of these unhelpful thinking patterns, ask yourself questions to center your thoughts and see other perspectives. For example:

• Why am I so worried about this? Has this happened before? If yes, how did I manage that situation? If no, how likely is it to happen in this situation? And if it does, what can I do to get through it?
• Are there other reasons or explanations why this could have happened? For example, maybe my friend’s partner does not feel well, so they need to reschedule dinner. Or, I failed that test because I didn’t prepare properly, but I am prepared for this test – and I’ve passed many more tests than I’ve failed.
• If someone I cared about were in this situation, what would I tell them? Would I be as hard on them as I am on myself?

Another way to reconsider unhelpful thoughts is to go through this step-by-step exercise. Ask yourself:

1. Why am I stressed and/or having anxious thoughts? What happened?
2. What unhelpful thoughts am I having?
3. How do those thoughts make me feel?
4. What evidence supports these unhelpful thoughts?
5. What evidence challenges these unhelpful thoughts?
6. Based on the evidence, what is a more helpful, realistic and/or balanced way to think about this?

Then, take a deep breath. Let the other perspective sink in, and reset.

Going through these reframing processes can help you feel calmer in the moment and shift your thinking patterns over time to be more positive. With practice, thinking more positively can become part of your life – and help improve your overall mental and emotional health and well-being – both in the fire service and in your personal life.

Want to learn more or get more mental health support like this?

Confidential help is available over the phone or online, anytime for any Minnesota firefighter and their family through the MnFIRE Assistance Program (MAP). The MAP targets emotional health and stress unique to the fire service through connection to mental health care and peer support. For more details or for help, call 888-784-6634 or visit mnfireinitiative.com/hhap/#MAP.

Repurposed from MnFIRE Assistance Program partner, Optum.

Sources

MyHealth Alberta, “Learning about thought reframing.” myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=abk7438. Accessed September 22, 2023.

NHS, “Reframing unhelpful thoughts.” nhs.uk/every-mind-matters/mental-wellbeing-tips/self-help-cbt-techniques/reframing-unhelpful-thoughts/. Accessed August 8, 2923.

Small Steps, “Reframing thoughts.” smallsteps.org.nz/reframing-thoughts. Accessed August 8, 2023.

Mental health conditions affect people of all ages, backgrounds and lifestyles in all kinds of ways. In fact, about one in five people globally live with a mental health condition. For firefighters, the rates are even higher than the general population – particularly in the areas of sleep disorders, depression, substance abuse, post-traumatic stress injury and suicidal ideation/action.

And too many of these firefighters are suffering in silence.

Mental health conditions are treatable illnesses. Yet, despite how common mental health concerns and conditions are, stigma persists. And most people don’t seek help.

Here are seven ways you can help stop stigma, so people feel safer and more comfortable getting the help they may need:

Be kind

A simple rule of thumb is to remember people are people, not conditions. Treating people with kindness and compassion can go a long way toward creating a welcoming, supportive environment.

Study the facts

There is a lot of bad information out there. Check your source before you repeat or repost a tidbit off the internet. It may not be accurate. Consider the motivation behind a dramatic portrayal on a TV show before assuming it’s credible. Educate yourself, so you can help set the record straight. It’s best to start with legitimate resources that are committed to raising awareness and mobilizing support for mental health. The World Health Organization is a great example. Learning about common conditions, like depression, anxiety disorder, post-traumatic stress disorder and others, will help you spread good information.

Be an ally

Encourage respect and dignity for all people. If you hear someone saying hurtful or false things about mental health concerns or conditions, politely speak up and address it.

Talk openly about mental health

Listen respectfully and invite open conversation about the importance of mental health and well-being. People should not feel ashamed or reluctant to get the benefit of professional help.

Foster understanding

Encourage yourself and those you influence to view mental health just as you would physical health. If, for example, a friend sprained an ankle or broke an arm, you would encourage them to seek medical attention. The same should be true for mental health conditions.

Share your own experience

If you have personal experience with mental illness, consider telling others about it. Sharing your story can foster understanding and provide perspective. The MnFIRE Peer Support program provides a confidential outlet for firefighters to share what they’re going through with someone who understands.

Get involved

Around the world, people are working hard to improve mental health care perceptions, systems and policies. There are many ways to show support. Make sure you post only accurate information on your social media. Drive a friend to a therapy appointment. Make your vote count in local elections. Donate time or money to an advocacy organization like MnFIRE. Every show of support helps normalize the conversation around mental health and wellness.

The emotional and disturbing calls we go on can stick with us – and it’s important to recognize how the stresses of the job can negatively impact our mental health. MnFIRE’s emotional wellness training can help your department de-stigmatize talking about mental health, as well as provide practical information around how to properly debrief after a difficult call, ways to maintain emotional well-being and what resources are available for those who need help.

Confidential peer support and mental health resources are available to Minnesota firefighters and their families for free through the MnFIRE Assistance Program. For more details or for help, call 888-784-6634 or visit mnfireinitiative.com/hhap/#MAP.

Repurposed from MnFIRE Assistance Program partner, Optum.

 

Sources

American Psychiatric Association, “Stigma, Prejudice and Discrimination Against People with Mental Illness.”
psychiatry.org/patients-families/stigma-and-discrimination Accessed July 17, 2023.

BetterHealth Channel, “Stigma, discrimination and mental illness.”
betterhealth.vic.gov.au/health/servicesandsupport/stigma-discrimination-and-mental-illness#challenging-stigma-associated-with-mental-illness. Accessed July 17, 2023.

Mind, “Mental health problems – an introduction.”
mind.org.uk/information-support/types-of-mental-health-problems/mental-health-problems-introduction/stigma-misconceptions/. Accessed July 17, 2023.

NAMI, “Pledge to be stigmafree.”
nami.org/Get-Involved/Pledge-to-Be-StigmaFree. Accessed July 17, 2023.

Contributed by Paul J. Anderson, M.D.

Getting quality sleep is tough. Anticipation of a call at night is like watching the alarm clock when you know you need to get up early. Your sleep quality suffers. Then a call comes in, and your sympathetic “fight-or-flight” response is activated. This sharpens your focus and primes your body to perform, but makes it incredibly difficult to fall back asleep once the run is complete.

Plus, sharing your sleeping quarters with others, like in a firehouse, can limit the ability to personalize one’s sleep environment when time for sleep is available. And at home, firefighters tend to prioritize time with family and other personal obligations over resolving “sleep debt” accrued from a busy night on duty. Understandably so.

Sleep is the most restorative and rejuvenating element of human life. During sleep, the body clears waste products of metabolism and cellular function and builds neural networks in the brain that are responsible for learning and memory. Sleep replenishes our immune systems, balances our hormones and repairs our bodies so that we are primed for work and activity when we wake the following morning.

According to renowned sleep expert Dr. Matthew Walker, there may not be a single cellular process that doesn’t benefit from a good night’s sleep. Lack of routine quality sleep for seven to eight hours per night has been associated with performance deficits and increased risk of cardiometabolic disease, mental illness, cognitive decline, cancer and early death. But nighttime calls are inevitable, whether you are a full-time, part-time, on-call or volunteer firefighter. Therefore, firefighters must do all they can to maximize sleep quality when sleep opportunity is available.

Here are some considerations to optimize your sleep:

1. Build a sleep sanctuary

The ideal sleep environment is cool, dark and quiet. If you are utilizing shared sleeping quarters, aim to set the temperature somewhere between 60 to 67°. Avoiding screen use for two hours before bed is incredibly important, as the light emitted from electronic screens has a powerful impact on the body’s internal clock. Fans and other generators of “white noise” may help create a restful environment in an otherwise noisy environment. It also may be worth considering lighting sleeping rooms with light that are less stimulating to the eyes. Think red or dimmer light.

2. Develop a bedtime routine

The brain needs to associate the bed with sleep only. Common techniques to help calm the body and recruit the parasympathetic “rest and digest” system include warm showers, gentle stretching, meditation, and structured breathing. Consider a pre-bed routine that starts with taking a hot shower, followed by some reading under dim light on a non-electronic source, then five to ten minutes of “cyclic sighing” in bed (four seconds deep inhale, eight seconds slow exhale). These behaviors can calm the nervous system and set the stage for sleep.

3. Nap strategically

Napping can improve daytime alertness and help resolve sleep debt, but it has to be done properly. Napping at the wrong time of day or for too long can compromise nighttime sleep quality. Naps for less than 30 minutes in the early afternoon (around 1 p.m. to 3 p.m.) are best, when the body’s circadian rhythm yields a natural dip in arousal. But only nap if you feel the need, because oversleeping is also harmful to overall health.

4. Live an active and healthy life

Daily exercise leads to the increased accumulation of adenosine, the primary molecule responsible for tiredness, or “sleep drive,” at the end of the day. Exercise will also help with weight loss, which can prevent the development of sleep disorders like obstructive sleep apnea (OSA). Limiting caffeine intake to the morning and less than 400 mg daily is ideal. Aim for minimal alcohol intake as well, and know that a drink is less disruptive to sleep if had earlier in the day versus evening. Meal timing can also affect the body’s internal clock, so avoiding eating for the first one to two hours after waking and two to three hours before bed can be helpful.

5. Promote a pro-sleep culture

The machismo “I’ll sleep when I’m dead” mentality needs to end. Research tells us that education, awareness, and implementation of sleep programs in fire departments are effective in improving overall sleep quality. Address fatigue and sleep status often, discuss it with other firefighters and make sleep a priority at home. To help set the tone, consider reading Walker’s book Why We Sleep. It will reaffirm that quality sleep is a foundation of overall wellness and perhaps motivate you to make favorable changes to your sleeping routine.

Chronic sleep deprivation is likely to accelerate the development of illnesses that are already all too prevalent in the fire service. While high-quality sleep may be a challenge for firefighters, some of these simple adjustments can help you prioritize better sleep techniques and your overall health.

Put your department on a path to better sleep

MnFIRE now offers a training specifically focused on sleep. Help your team get a better night’s sleep – register your department today for this free sleep training here.