Since Day 1, William Ewald has fully supported MnFIRE and its mission, especially the Hometown Heroes Assistance Program (HHAP).

“But I was the absolute last one who thought I would need it because I felt so good,” said William, who is a captain for the St. Bonifacius Fire Department.

When William faced health challenges, the 59-year-old reached out to MnFIRE for help through the HHAP not once, but twice.

“I was a bit in denial at first that I needed this resource … because pride can get in the way,” he said.

But he is glad he moved his pride to the side to accept the resources from the HHAP, the most comprehensive firefighter well-being legislation that passed through the legislature in 2021. William used two of three components of the HHAP for his health challenges: the MnFIRE Assistance Program (MAP), which targets emotional health and stress unique to the fire service; and the Critical Illness Program, an insurance policy which covers diagnoses of cancer, cardiac or other critical illnesses, and provides a lump-sum cash payment up to $20,000 to assist with expenses.

“It’s resources available for us in our time of need after we have helped others in their time of need,” William said. “Because sometimes we need the help.”

William has also participated in the third component of the HHAP: training, which provides free education to fire service members across the state about health risks facing firefighters.

All HHAP resources are free to all active Minnesota firefighters – volunteer, paid-on-call, part-time and full-time.

Using MAP: A Call for Help

William first reached out for help after a tough medical call involving a 5-year-old girl, who William said reminded him of his granddaughter.

“Going into the fire service, every candidate expects to fight fires, but the fact of the matter is we’re 80% medical response and that has a highly emotional response,” William said. “The emotional aspect was heavy for me.”

So he called the MnFIRE hotline number.

“All of us at St. Boni have the number programed into our phone,” William said. “But as the phone rang, I hung up because I was too scared to talk. (The MnFIRE Peer Support program director) called me back in minutes.”

William and the peer support director talked through the scenario William had just experienced. After the call, the director texted to reassure William that she and others through MnFIRE, will always answer the call and be there for help.

“That was a meaningful day,” William said. “We continue to encounter those tough scenarios, but through MnFIRE I learned how to better manage my stress so it’s not so impactful on me and my family. (The MnFIRE Peer Support program director) coached me through how to cope and get through the process.”

Using the Critical Illness Program: A Cancer Diagnosis

As a firefighter, William knew his chance of receiving a cancer diagnosis was higher than most people. But it still was a shock to learn in June he has prostate cancer.

“What followed was my strongest support system of the people I met through MnFIRE,” William said. “Emails they sent me were overwhelmingly supportive, encouraging and optimistic. They were engaged in the process, to help with resources and guide how MNFIRE could help with a cancer diagnosis.”

MnFIRE helped William walk through the process of applying for the Critical Illness program.

“I opened the MnFIRE website and pushed the ‘Apply Now’ button,” William said. “I thought, ‘It cannot be this easy.’”

Within five minutes, William had the online paperwork filled out and other paperwork ready for his oncologist to fill out. The process from applying to having the money in his bank account took 10 days.

“It’s that simple,” William said. “I thought it would take months. This is really good legislation.”

The money went to use right away in a variety of ways, including paying the family’s maximum out-of-pocket insurance expenses.

“A PET scan alone is $28,000, and I will need three of those,” William said. “This (Critical Illness program) gives you the comfort knowing you’re already managing cancer. You don’t need to focus on resources, and this allows you to focus on recovering without worrying about your copay. It brought unexpected relief we hadn’t counted on.”

William had surgery the week of Aug. 8 and is working on the recovery process before easing back into work on light duty. He is optimistic for the future, in part due to MnFIRE and the HHAP. For other firefighters hesitant to reach out for help, William shares encouragement.

“Make the call and have that initial courageous conversation,” he said. “The support, resources, encouragement and how much they care and stay engaged will be uplifting even in your darkest hours. It’s a tremendous and valuable resource we all need to use.”

To learn more about accessing these life-changing resources for yourself or a loved one, visit our Hometown Heroes Assistance Program page or call 888-784-6634.

A major health diagnosis, especially cancer, can be a lot to process. There are likely medications, hospital stays or ongoing doctor appointments to manage. This can mean a disruption of daily routines and usually a halt in work schedules. Plus, it’s mentally taxing on everyone – the individual, family members, friends and loved ones included. Oftentimes, stressing over the dreaded question of, “How am I going to pay for all this?” can take precious energy away from the healing process.

Recognizing June is National Cancer Survivor Month, we want to make sure all firefighters who face a cancer diagnosis have the resources available to focus on beating their illness and putting it behind them. The MnFIRE Critical Illness Program through the Hometown Heroes Assistance Program (HHAP) can help by keeping the financial stress of a critical illness diagnosis at bay. All active firefighters are automatically enrolled in this insurance policy, which covers diagnoses of cancer, cardiac, COVID-19 and other critical illnesses, and provides a lump-sum cash payment up to $20,000 to assist with expenses. This is all at no cost to the firefighters. That’s right – it’s free.

Christian Worby, a 42-year-old firefighter for the Coon Rapids Fire Department, is currently battling multiple myeloma. His treatment plan includes chemotherapy along with a six-week hospital stay for a stem cell transplant. Not only is Worby and his family maxing out their insurance deductible, but they also have to pay for gas and accommodations for all the treatment travel. Plus, Worby has had to take time off from work, meaning a smaller paycheck.

“It’s great having the extra financial support,” Christian said. “It’s an extra safety net. It’s an expensive deal having a major illness.”

This National Cancer Survivor Month, we honor those firefighters who were taken from us too soon from this disease, and celebrate those who have survived or are currently battling cancer. And we’re thankful to be able to offer this resource to make that battle a little easier.

Take some of the financial stress off your plate by submitting a claim for your cancer or critical illness diagnosis. For more information or to file a claim, visit MnFIRE’s website or call 888-784-6634.

The MnFIRE team is gearing up for the 2022 MnFORE Golf Tournament on Monday, July 25 – and we hope you’ll join us!

The golf tournament will be held at the Bearpath Golf & Country Club in Eden Prairie on the luxurious Jack Nicklaus Signature Course. All proceeds benefit MnFIRE, which provides Minnesota’s firefighters with the tools they need to prioritize and protect their health by focusing on the three health problems most commonly experienced by those in the fire service: cardiac, cancer and emotional trauma.

MnFORE funds important programs designed to help firefighters and their families. Your registration fee includes the following:

• 18-Hole round of golf
• Cart
• Boxed lunch
• Happy Hour
• Plated dinner
• And MORE!

Register yourself or a foursome here. Non-foursome groups and single golfers are welcome – we will pair golfers for an afternoon of fun. Golfer spots are filling up fast, so register today!

While numerous amazing organizations have already stepped up to sponsor the event, there are still opportunities for businesses and individuals to sponsor this year’s golf tournament benefitting Minnesota firefighters. Check out our full list of sponsorship levels and opportunities.

If you have any questions regarding the event, or if you would like to volunteer or donate, or become a sponsor, please contact Gina Calistro by phone at (612) 309-4462 or email, gcalistro@mnfireinitiative.com.

By MnFIRE Assistance Program partner, Optum

People in the fire service experience much higher rates of mental health challenges than the general population – particularly in the areas of sleep disorders, depression, substance abuse, post-traumatic stress disorder and suicidal ideation/action. The stigma associated with mental health conditions causes many firefighters to stay quiet about what they’re really experiencing – and not seek treatment. They might perceive themselves to be “weak,” feel ashamed, or tell themselves it’s “just a phase” that’ll pass if they push through. They might worry about being treated differently or losing their jobs. Or, they just might not know where to begin finding help.

This is all to say, one of your fellow firefighters may be suffering in silence. You can help set the tone in your department so mental illness is destigmatized, and people feel encouraged to seek out help when they need it.

Learn the signs

While different mental health conditions have different symptoms, with variances depending on the person, early warning signs include behavior changes over time that last for two or more weeks. For example, a previously energetic, reliable colleague now consistently seems fatigued, shows up late and looks disheveled. They also seem angry, irritable, and prone to outbursts.

Some common signs of mental illness include:

1. Excessive worrying or fear
2. Persistent sadness, hopelessness or “empty” feeling
3. Lack of concentration
4. Extreme mood changes, including irritability or anger
5. Changes in eating habits, energy level or sleeping patterns
6. Delusions and/or hallucinations
7. Increased use of alcohol or other substances
8. Persistent physical aches and pains
9. Suicidal thoughts
10. Lack of interest in activities
11. Inability to carry out daily activities or handle daily problems and stress
12. Intense fear of weight gain or concern with appearance

Reach out

If someone you know is showing warning signs and needs help coping with a situational or chronic mental health condition, reaching out can make a difference. Consider using the method like “NOTICE. TALK. ACT.™” from American the Psychiatric Association.³

If you notice a person is exhibiting the warning signs that last for two or more weeks, find a quiet place to ask, “Are you OK?” Compassionately and nonjudgmentally provide a few examples of what’s worrying you. Do not assume you know what is going on. Listen with the aim to learn more from their perspective. Remind them we all have challenging times in life, and getting extra support and guidance can help us get through those times. Recommend they consider taking advantage of the free counseling sessions available to them through the MnFIRE Assistance Program, or to call MnFIRE’s 24/7 peer support hotline, both available at: 888-784-6634.

Then, check back in with the person in a day or two to see how things are going. Please note: If you are worried about the person’s immediate safety, do not leave the person alone. Seek emergency assistance.

Be an ally

You also can help create a supportive environment, increase awareness and reduce stigma for those in your department who are struggling. For example, commit to using respectful and compassionate language to describe or talk about mental health. Using derogatory terms perpetuates discrimination and stigma. It also dehumanizes the people living with mental health conditions, dismisses their experiences and can discourage them from asking for support.

In addition, intervene if you overhear others using verbally abusive language, and challenge misconceptions when you see or hear them.

You can make a difference.

Most of us have probably felt the strain of our job or the difficulty of balancing the fire service with other areas of our lives. It’s easy to try to muscle through it knowing we have an important job helping others and keeping them safe. However, there comes a point where we need to let others help us. And it doesn’t need to be a crisis to reach that point.

With May as Mental Health Awareness Month, we at MnFIRE want to make sure all fire service members know the resources available to those of us in the field. Through the Hometown Heroes Assistance Program (HHAP), every active firefighter in the state – full-time, part-time, paid-on-call or volunteer – has access to mental health support – all free!

It comes through the MnFIRE Assistance Program (MAP), one of the three elements of the HHAP. In the fire service, we encounter unique emotional and mental stresses. We need people who understand the distinct and specific stresses and challenges we encounter. This program focuses on providing mental health care specifically to us – firefighters and our families. And it doesn’t matter the size of the help needed, whether through a big crisis or a small issue, the MAP program can steer us in the right direction. There are two ways to access help – calling 888-784-6634 or visiting www.mnfireinitiative.com/hhap/#MAP.

One of the best parts about this program is having it available to our families. Our time in the fire service affects them, too. They have their own unique set of stressors. Any member of a firefighter’s household, including children living away from home, can access the interactive website or contact a trained specialist. Each firefighter and/or their family members can receive up to five counseling visits a year with additional support ensured as needed.

No call or inquiry is too small. Simply look at the website or dial the phone. There is someone there to talk you through what is available. If something major happened in your life or if you’re just feeling stressed, the MAP program is here to help.

Another great part of MAP is the peer support program where firefighters are paired with a trained peer supporter who knows firsthand the difficulties firefighters face. They are fellow fire service members in Minnesota who are there to lend a listening ear or offer support, all completely anonymous. They are well-equipped to walk alongside us as we encounter life at the firehall, on calls and beyond.

We don’t need to muscle through challenges alone. There are people ready and willing to help no matter the size of the problem. It doesn’t need to be a crisis to ask for mental health help.

International Firefighters’ Day is observed each year on May 4. Born out of a tragic loss of five firefighters in a wildfire in Victoria, Australia, this day was created to honor their lives, as well as firefighters around the world.

This International Firefighters’ Day, we recognize and honor the sacrifices firefighters make across the globe, and especially those here at home in Minnesota, to ensure their communities are safe. Thank you for all you do!

We also want to honor the firefighters who have been lost in the line of duty or passed on before us – many due to the occupational hazards of cardiovascular disease, suicide and cancer.

We value the work and contributions our volunteer and career firefighters dedicate to our communities every day. As we reflect on that, we know investing in their health and well-being is a moral imperative!

In Minnesota, we can show our support and appreciation to firefighters at home by making sure they have all of the physical and mental health resources they need to prioritize and protect their health, and prevent and/or tackle cardiovascular disease, emotional trauma and cancer.

Thankfully, the Hometown Heroes Assistance Program is now here to provide free resources for all of Minnesota’s active firefighters – volunteer, paid-on-call, part-time and full-time. These vital resources include:

• The MnFIRE Assistance Program, offering expanded emotional trauma resources for firefighters and their families, including five counseling visits a year and peer support.
• An up-to-$20,000 Critical Illness insurance policy which covers diagnoses of cancer, cardiac and other critical illnesses.
• Ongoing health and wellness training on the different health risks facing firefighters.

We invite you to honor and support your local firefighters today by making sure they’re aware of these important – and completely free – health resources.

Thank you to everyone who joined us for two days of educational and inspiring firefighter health conversations at the Firefighter Health Forum! This inaugural symposium gathered medical and mental health experts and fire service leaders from across the state. We’re so thankful to all who attended for sharing their stories and engaging with our speakers.

Dr. David Griffin, assistant chief of administration in Charleston, South Carolina, kicked off the event with his keynote speech, “Wake Up!” Dr. Griffin was the operator of the first due engine on June 18, 2007, when nine of his fellow firefighters perished in the disastrous Charleston Sofa Super Store fire. In his presentation, he shared his personal account of that day and the aftermath of coping without any formal mental health supports in place. This incident was the catalyst for a lot of organizational changes in the fire service across the country, but that didn’t happen overnight.

Dr. Griffin’s experience serves as a powerful reminder that when your mind is injured, you need to treat it as seriously and carefully as any physical injury to get better and get back to your work and life. He spoke about how we all need to “wake up” to make real cultural change in the fire service around supporting both mental and physical health to do our jobs safely and effectively. Firefighting is a job that will affect you for the rest of your life, and to change a culture, the hearts and minds of the members must be affected – from the bottom to the top.

In breakout sessions, we tackled important subjects for mental health providers supporting their firefighter clients – like the biggest health concerns in firefighting, the psyche of firefighters, how to keep firefighters engaged in the treatment process, what types of screenings are appropriate for firefighters and more. Fire service leaders and peer supporters learned about how to access new Hometown Heroes Assistance Program (HHAP) resources, helping fellow firefighters and their families through personal and professional challenges, implementing well-being strategies in their departments and more.

These sessions taught us that we can make a lasting impact on fellow firefighters and firefighter patients, supporting them so they can do their jobs safely, continue to help their communities and come home to their families at the end of the day.

At the event banquet, Gov. Tim Walz shared a video message with the fire service leaders, firefighters, peer supporters and mental health professionals in attendance about his support for the Hometown Heroes Assistance Program. “We must do everything we can to make sure our firefighters are healthy and safe in their workplaces, and that they have what they need to heal and live long lives,” Walz said.

Thanks to everyone who made the Firefighter Health Forum come to life, including Dr. David Griffin, Dr. Melinda Coscarelli, Dr. Margaret Gavian, Dr. Zeke McKinney, Tammy Huf, Dean Salita and Mary Beth Boyce from Schmidt & Salita Law Team, Rochelle Hawthorne, Joe Meuwissen, Chief Mike Dobesh, Chief Andrew Heger and Deputy Chief Jeremie Baker.

As firefighters, we’re in training mode for life, so thank you to all who attended for taking the time to learn more about protecting and supporting the health and well-being of firefighters. We hope to see you next year!

Christian Worby, a firefighter for the Coon Rapids Fire Department, at first thought the pain in his side he started experiencing in summer 2020 was a fractured rib. The 42-year-old didn’t seek medical attention because he figured the treatment plan for such a break is allowing it to heal on its own; however, when the pain continued off and on for over a year, Christian knew something else was wrong.

In October 2021, a biopsy revealed Christian had multiple myeloma, a non-curable cancer of the plasma cells. It is a situation becoming all too familiar with firefighters across the state. According to the National Fire Protection Association, more than 68% of all firefighters will develop some form of cancer in their lifetimes, a rate much higher than the general U.S. population.

Thankfully for firefighters in Minnesota, the Hometown Heroes Assistance Program (HHAP), the most comprehensive firefighter well-being legislation in the nation, passed through the legislature last year. The HHAP offers financial support for cancer diagnoses through the MnFIRE Critical Illness program, which provides a lump-sum cash payment up to $20,000 to assist with expenses. The Critical Illness benefit also covers diagnoses of cardiac, COVID-19 and other critical illnesses. Christian said this program has allowed his family to focus on treatment rather than financial worry due to the cancer diagnosis.

In addition to maxing out their deductible, the Worby family has been paying out of pocket for gas money to travel to weekly appointments at the Mayo Clinic in Rochester, along with accommodations while away from home and receiving treatment. Plus, Christian will not have enough sick time to cover the minimum of six weeks he is away while having chemotherapy treatment and a stem cell transplant. The Critical Illness program can help with all of these extra expenses.

“I was blown away when I heard about [the Critical Illness program],” Christian said.

Christian thought submitting a claim for the Critical Illness program was an easy process. After making a phone call, creating an account and sending in paperwork, his application was approved.

“It’s great having the extra financial support,” Christian said. “It’s an extra safety net. It’s an expensive deal having a major illness.”

For five months after his diagnosis, Christian was able to continue working while doing a mild chemotherapy treatment. At the beginning of April, Christian started an intensive six-week chemotherapy treatment and stem cell transplant, which requires him to stay in Rochester.

“They take my stem cells out to keep them safe and then give me a traditional high dose of beat-the-heck-out-of-you chemo,” he said. “Then they slowly give me my stem cells back and let my body figure out which way is up again.”

To show support, fellow Coon Rapids Fire Department firefighters shaved their heads the day before Christian began his treatment, a moment highlighted on KARE 11 recently.

While multiple myeloma is found in the general population, it is found more often in firefighters. Only 20% of the cases found are discovered in those under the age of 50.

“Because I’m so young it wouldn’t surprise me if being a firefighter was a contributing factor,” Christian said.

While Christian knows the cancer is not curable, it is treatable. And Christian wants to fight the illness to gain as much time as possible to share time with his wife and together watch their two young sons – ages 7 and 2 – grow.

“For some people, it’s aggressive cancer, and some people, it’s not, so I just cross my fingers and remember I’m comparatively young,” he said.

While the diagnosis is challenging for his family, he is thankful for the HHAP.

“We’re very fortunate in Minnesota we’ve had people working on [the Hometown Heroes Assistance Program], and that we have it available to us,” Christian said. “It’s a smooth application process and if you qualify and you heard about it, then why wouldn’t you apply? It would be really unfortunate if someone was able to apply for this assistance but had no idea it existed.”

Christian was also recently interviewed by WCCO about these new HHAP resources.

All Minnesota firefighters have been automatically enrolled in this statewide Critical Illness insurance policy. To learn more about the Hometown Heroes Assistance Program or to file a claim, visit mnfireinitiative.com/hhap.

We’re just a few weeks away from the Firefighter Health Forum on April 22-23 at the JW Marriott Minneapolis Mall of America. This exclusive symposium will gather cardiac, cancer and mental health experts and fire service leaders from across the country to share the latest information, in-depth research and techniques related to firefighter health.

There are four distinct tracks available, each specifically designed for Minnesota fire service leaders, medical providers, mental health providers and peer supporters. The complete event schedule has been announced – view it here.

Medical and mental health providers can earn up to 6.0 CME credits for attending important sessions about the biggest health concerns in firefighting, the psyche of firefighters, how to keep firefighters engaged in the treatment process, what types of screenings are appropriate for firefighters and more. After all, it’s crucial that our mental health and primary care providers have the knowledge, skills and tools to treat the unique concerns of Minnesota’s 20,000 firefighters.

Fire service leaders and peer supporters will learn about how to access new Hometown Heroes Assistance Program (HHAP) resources, helping fellow firefighters and their families through personal and professional challenges, implementing well-being strategies and more. The peer supporter track is offered at no cost and participation supports MnFIRE’s peer supporter ongoing education.

We’re excited to announce Dr. David Griffin as our keynote speaker!

Dr. Griffin was the driver of the first engine to respond to the disastrous 2007 Charleston Sofa Super Store fire that claimed the lives of nine of his fellow firefighters. Since then, he has become a dynamic motivational speaker and has dedicated his life to spreading his knowledge of organizational learning and leadership.

Other event speakers include Dr. Melinda Coscarelli, medical director of the MnFIRE Assistance Program Provider Network, Dr. Margaret Gavian, medical director of MnFIRE Peer Support, Dr. Zeke McKinney, HealthPartners occupational & environmental medicine specialist, and more. All of these experts have worked directly with Minnesota first responders on complex mental and physical health issues related to their time on the job, from cancer and cardiac disease to PTSD. Learn more about our event speakers here.

Register today for 25% off

There’s still time to register for this exclusive educational and networking symposium dedicated to firefighter health. Sign up now through April 1 for 25% off registration – use discount code “FHF25” at checkout. Click here to register. We’ll see you there!

MnFIRE is proud to present the inaugural Firefighter Health Forum, a gathering of cardiac, cancer and mental health experts and fire service leaders to share the latest information, in-depth research and techniques related to firefighter health. This new event will create local and national opportunities for collaboration.

On the heels of the Minnesota legislature passing the most comprehensive firefighter well-being legislation in the nation, the Hometown Heroes Assistance Program, comes this first-ever educational forum specifically focused on protecting and supporting Minnesota firefighter health.

Join us in April!

This important and exclusive two-day symposium will take place April 22-23, 2022, at the JW Marriott Minneapolis Mall of America. The forum will feature four distinct tracks for fire service leaders, medical providers, mental health providers and peer supporters.

Stay tuned for more details, including registration information, session topics and more. If you have any questions in the meantime, contact MnFIRE’s Director of Program Delivery DeeDee Jankovich at djankovich@mnfireinitiative.com or call 888-784-6634.