Mental Health Resources to Support First Responders

Workers in helping professions often care for people in crisis and must deal with the secondary trauma that arises from addressing those situations. Their work can put their own mental health at risk. 

“I do advocate for emotional well-being for anyone and everyone, but really focus on people who do have careers working on the frontline, especially first responders. They almost need it at a completely different level,” said Melissa Nytko, MSW, LCSW, who is a Certified First Responder Counselor and owns Calm Connections Therapy, LLC, in the Greater Chicago area. 

While social workers operate under different conditions, Nytko includes them among first responders because they often work in child welfare and with crisis hotlines to address people’s problems. She said the same goes for educators.

“Even though their work looks different from that of a police officer or a paramedic, firefighter, and so forth, they are still really on the frontlines as well,” she said. “They’re in classrooms, especially post-COVID. They’re experiencing disinterest. They’re experiencing high parental engagement and disengagement, as well as significant community negativity. They have a hard job, too.” 

Resources and organizations are available to help first responders and those close to them recognize and manage their emotional well-being and address their mental health care.

The toll of a pandemic on top of other crisis situations can affect the mental health of first responders and health care workers especially, but the pressures of the job don’t go away when a pandemic subsides. First responders’ emotional wellbeing is critical for their communities as well as their circle of loved ones, friends and colleagues. 

Mental Health Action Plan for First Responders 

Prioritize boundaries.

Learn how to say no or not right now. Understand that it is OK to take time off.

Schedule regular daily activity.

Walking and other kinds of consistent physical activity provide a break from job stress.

Limit social media.

Negative coverage and discussions are not helpful to people prone to depression, anxiety or PTSD

Be mindful about nutrition.

Drink water and be intentional about what you are putting in your body.

Do something you enjoy.

Give yourself something you look forward to outside of the regular work routine.

Physiological warning signs of stress should be monitored. The Substance Abuse and Mental Health Services Administration (SAMHSA) describes too much or too little sleep, loss of appetite or intrusive thoughts of self-harm as indicators of mental health problems.

Prevention can be important for workers on the front lines of crisis situations. Nytko highlighted practices to safeguard first responders:

Trauma-Informed Coping Strategies for First Responders

Talk to someone.

Find that person you trust and tell them how you’re feeling. Even if they don’t have answers, their attention will be helpful.

Find a distraction.

Listen to music that relaxes you, work on crossword puzzles, paint a portrait or knit a scarf.

Practice mindfulness.

Start with short breathing exercises to prepare for a work shift and then end the day with the same to decompress.

Mindfulness helps to put some distance between work and everything else, Nytko said. “That clears away all the things that happened in the past and things they’re worried about in the future.” 

Employers can make a positive impact by acknowledging that first responders work in situations where their health and emotions are tested.

Because tensions typically run high during emergencies, people can get distraught, angry or even combative as first responders arrive to address the situation. Police, firefighters or paramedics are dealing with others’ heightened emotions while doing their jobs responding to a train derailment, car accident, building fire or medical emergency at someone’s home.

“They’re dealing with very unhappy people,” Nytko said. “They’re dealing with social media and society where there’s still a lot of negative messaging that comes from being the first people to head off whatever is going on. They have thankless jobs.”

By prioritizing and normalizing mental health care, employers can let their first responders know that they understand the challenges of the job. “Create a culture and climate that supports mental health awareness, that empathizes and understands what it feels like to have post-traumatic stress,” Nytko said.

She provided specific considerations for employers:

How to Build a Work Culture That Supports Mental Health

Hold debriefing sessions after traumatic events.

This allows first responders to talk about what happened and share their experiences.

Start peer-to-peer support programs.

Train first responders to support co-workers during a mental health crisis and be available to assist them in getting professional help.

Have a flexible return-to-work policy.

When a first responder has taken time off for mental health treatment, be supportive of their needs as they transition back to the job.

Because people are different and may want to address their emotional wellbeing in different ways, employee surveys can be helpful in determining what types of support to offer. She suggested employers seek organizations or contractors that can do in-house training in the areas of compassion fatigue, secondary trauma, burnout prevention and PTSD. Like surveys, candid and open discussions can create a work environment that embraces mental health care, whereas avoiding the subject can make it taboo, Nytko said. 

Loved ones can help first responders deal with PTSD and look after their emotional wellbeing by being proactive. 

They can initiate conversations about mental health to discourage stigma around the subject. “I really truly believe it comes from somebody bringing it up, because otherwise it becomes the elephant in the room where people just don’t talk about it and they just sort of pacify everybody,” Nytko said. 

She suggested techniques to support first responders:

Reflect back what you observe.

If the first responder is acting erratically, not sleeping or not eating, gently bring this up. Similarly, if they are responding well to therapy, let them know that.

Listen to them.

Provide an opportunity for the first responder to talk about what happened at work and share their feelings. Even if you don’t have an answer to their problems, just listen.

Practice self-care.

If you are hearing your first responder describe traumatic events and aren’t trained to deal with that, you need to find what works for your own self-care to prevent vicarious trauma.

Assist in finding professional help.

Many programs, whether one-on-one counseling or group support, are available with information about compassion fatigue, secondary trauma and burnout prevention. Have information ready.

Many professional clinicians and groups are ready to support the mental health of first responders, Nytko said. 

“I encourage organizations and leaders of organizations to be creative and look for resources. The internet is just a finger type away to find people that are willing to come out and do that.” 

From hotlines to peer support, here are some of the places where first responders and their families can get assistance. Use the links below to navigate to different sections of this article.

Talk and Text Hotlines

Copline: Confidential peer support hotline for law enforcement and their families. Call 1-800-267-5463 (1-800-COPLINE).

Emergency Responder Crisis Text Line (via Crisis Text Line): Free, confidential crisis support (24/7) for emergency responders. Text “BADGE” to 741741.

Fire/EMS Helpline (NVFC Share the Load): Confidential support for firefighters, EMTs, rescue personnel, and family members. Call 1-888-731-FIRE (3473) (24/7). 

Frontline Helpline (Frontline Responder Services): Support for first responders and family members. Call 1-866-676-7500.

IAFF Center of Excellence (behavioral health support line): A resource for IAFF members and loved ones seeking help for PTSD, substance use, and related concerns. Call (855) 900-8437.

Safe Call Now: Confidential, 24/7 crisis line and support service for first responders and their family members. Call (206) 459-3020.

SAMHSA Disaster Distress Helpline: 24/7 crisis counseling for disaster-related distress. Call or text 1-800-985-5990.

988 Suicide & Crisis Lifeline: Free, confidential support for people in suicidal crisis or emotional distress. Call or text 988 (24/7). (The previous number 1-800-273-8255 still works.)

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Apps

Calm: Guided meditations, sleep content, and relaxation tools designed to help manage stress and anxiety and improve sleep.

Cordico Wellness: A confidential wellness app built for first responders and other high-stress occupations, with on-demand resources and tools.

Headspace: Meditation and mindfulness exercises plus sleep content (including guided sleep tools and relaxing audio). 

Heroes Health Initiative: A free tool designed primarily for health care workers (and some responder groups) to track wellbeing through brief check-ins and connect to vetted mental health resources. 

Mindshift CBT: A free anxiety relief app using evidence-based CBT strategies to build coping skills, challenge unhelpful thoughts, and practice mindfulness. 

PTSD Coach (VA): Education, self-assessment, symptom tracking, coping tools, and links to support for people dealing with trauma-related stress and PTSD symptoms.

ResponderRel8: An anonymous peer-to-peer chat app where first responders can talk with other first responders. You: ResponderStrong: A responder-focused app with self-check quizzes, tips, tools, and a safe space to connect with peers.

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Articles

Fire Departments Step Up Their Mental Health Game, American Psychological Association: initiatives that embrace peer support programs. 

First Responder and Law Enforcement Mental Health and Wellness Research Agenda: A peer-reviewed-style research report (literature review + interviews) that’s strong for grounding your resource list in evidence and program best practices.

Suicide prevention through the 988 Mental Health Crisis Initiative: A practical EMS-facing explainer on how 988 intersects with EMS/community crisis response, which is useful as an “actionable systems” article.

Texas law empowers first responders with peer mental health support: A news explainer on a statewide peer support model (including anonymity/app workflow) and rollout timing, which is great for showing what “support infrastructure” looks like in practice.

New Texas law creates peer support network to address mental health for first responders: Another strong, readable breakdown of the same initiative with additional context on how the peer network is intended to function.

RESET Your Behavioral Health Initiatives During Safety Stand Down: A fire-service-specific piece tied to the 2025 Safety Stand Down theme (“Break the Stigma: Behavioral Health RESET”), practical, credible, and very on-topic for departments.

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Books

First Responder Resilience: Caring for Public Servants, by Tania Glenn: A responder-focused guide that addresses the mental and emotional toll of emergency work and offers practical strategies to build resilience, manage stress reactions, and navigate common challenges like burnout and trauma exposure.

Treating PTSD in First Responders: A Guide for Serving Those Who Serve, An American Psychological Association clinical guide for mental health providers, covering evidence-based frameworks for understanding PTSD in first responders and practical approaches to assessment and treatment, including complicating factors such as comorbidities and organizational stressors. 

Fire Service Psychology: A Comprehensive Approach to Enhancing Firefighter Health, Safety, and Longevity, by Kristen Wheldon: A research-based book from Springer that connects firefighter culture, organizational stress, and behavioral health with practical strategies for early intervention, prevention, and support. Useful for clinicians, department leaders, and anyone building or improving a behavioral health program in the fire service.

Increasing Resilience in Police and Emergency Personnel: Strengthening Your Mental Armor (2nd Edition), by Stephanie M. Conn: A Routledge guide that translates resilience research into real-world strategies for police, dispatch, and other emergency personnel, covering both critical incidents and chronic “day-to-day” stress, plus practical exercises and resources.

Helping the Helpers: The Clinician’s Guide to First Responder Mental Wellness, by Lt. David Dachinger (Ret.), Bonnie C. Rumilly, LCSW, EMT-B, and Stacy Raymond, PsyD: A clinician-facing guide designed to help therapists and counselors work more effectively with first responders by addressing culture, trauma exposure, and the realities of public safety work, useful if your audience includes students considering clinical practice with responders.

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Factsheets, Guides and Toolkits

BHAP Toolkit (Second Alarm Project): a live toolkit page for building/accessing behavioral health supports in first responder orgs. 

Emergency Responders: Tips for Taking Care of Yourself, Centers for Disease Control and Prevention (CDC): strategies for coping before, during and after working during crisis situations.

First Responder Mental Health and Wellness, KaiserPermanente.org: advice for employers on how to address mental health and first responders.

First Responder Mental Health Toolkit — Pennsylvania Department of Health EMS Mental Health page: A live toolkit-style page compiling crisis lines, peer support manuals, resilience program guides, and more. 

Mental Health Fact Sheet – First Responders, Veterans Affairs: list of places that support first responders with meals, yoga therapy, comfort dogs and other needs.

NFPA — “Break the Stigma: Behavioral Health RESET”: A national fire-service-facing hub/announcement tied to Safety Stand Down 2025, focused specifically on behavioral health and stigma reduction (useful as a current “toolkit/initiative” style reference). 

Suicide Prevention for Healthcare Professionals, American Foundation for Suicide Prevention: hub for information on an online interactive screening program, including crisis help and support after a suicide loss.

Supporting Mental Health in First Responders: Recommended Practices, BCFirstRespondersMentalHealth: workplace campaigns and strategies for education, intervention and treatment to address mental health.

The Vicarious Trauma Toolkit, Office of Justice Programs, Department of Justice: Tools and resources for first responders, those in the fields of victim services and other allied professionals.

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Organizations and Websites 

Behavioral Health – First Responder Center for Excellence: curated videos, articles and presentations to help improve the physical and psychological health of first responders.

The Code Green Campaign: organization that works to educate first responders on self care, peer care and advocate for systemic change in how mental health issues are addressed by their agencies.

Mental Health America (MHA): online mental health screening and information on coping strategies to address stress and anxiety to prevent burnout. 

Crisis Support Resources for Emergency Responders, Disaster Responder Assets Network (DRAN): one-stop shop listing organizations and crisis lines for first responders and health care workers.

Firefighter Behavioral Health Alliance: organization that offers behavioral health workshops to fire departments, EMS and dispatch organizations, focusing on behavioral health awareness with a strong emphasis on suicide prevention.

First Responder Support Network: collaboration of emergency service peers and family members, mental health clinicians, and chaplains who volunteer to offer intensive retreats and ongoing support.

Frontline Professionals, National Alliance on Mental Illness (NAMI): hub for information on professional support, peer support, techniques to build resilience and how to help family members.

Mental Health First Aid for Fire and EMS, National Council for Mental Wellbeing: program focuses on the unique experiences and needs of firefighters and EMS personnel.

National Peer Support Network (NPSN): National peer support advocacy network for first responders (police, fire, EMS, dispatch, corrections). 

Project Healing Heroes: resiliency training and advice to help individuals and their families heal from the invisible wounds of trauma.

ResponderStrong: curated information on responder-informed crisis and clinical services, educational content and tools for responders, families, leaders and the clinicians who work with them.

Share the Load Program: effort to make available resources for first responders who need help managing and overcoming personal and work-related problems, including behavioral health issues.

Survive First: organization that helps first responders and their families navigate mental health challenges and reduce first responder suicide.

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Information last updated: February 2026