Addiction & Recovery for First Responders is the first book of its kind to address the unique culture of public safety professionals and the problems they face related to substance abuse. This concise book includes self assessments, practical information for seeking help, navigating recovery and so much more. This resource is intended to provide useful information to emergency service personnel, their families, co-workers and supervisors.

The stress that comes with being a first responder has been known to lead to depression, anxiety, substance abuse, and suicide. However, few clinicians are informed about these health concerns and how to adequately treat them in this population. Therefore, there is an urgent need for practitioners to understand the latest information regarding treatments that will be useful to this specific population. Mental Health Intervention and Treatment of First Responders and Emergency Workers is an essential reference source that focuses on the latest research for diagnosing and treating mental health issues experienced by emergency personnel and seeks to generate awareness and inform clinicians about the unique circumstances encountered by these professionals. While highlighting topics including anxiety disorders and stress management, this book is ideally designed for clinicians, therapists, psychologists, psychiatrists, practitioners, medical professionals, EMTs, law enforcement, fire departments, military, academicians, researchers, policymakers, and students seeking current research on psychological therapy methods regarding first responders.

Police, firefighters, and paramedics are highly exposed to traumatic events and experience markedly higher rates of PTSD than others in the community, also facing distinct organizational challenges that complicate their stress reactions. Often, this results in needs not addressed in manuals developed for people who have survived single traumatic events. This book provides an overview of theoretical and empirical frameworks for understanding PTSD in first responders and outlines practical, evidence-based approaches to assess and treat PTSD in these populations.

The opioid epidemic, now several decades in the making, continues to cause pain and suffering for millions of Americans. Each year, thousands of individuals die from overdose, and thousands more grieve from these losses. Opioid use disorder (OUD) can lead to a complete interruption of day-to-day activities, including caring for one's family, maintaining a job or career, or keeping track of basic necessities, such as health care and finances. This report, the first in a series of three, examines four of the Substance Abuse and Mental Health Services Administration (SAMHSA)'s grant programs that help alleviate suffering due to opioids and improve treatment quality and access. It offers recommendations about the existing reporting tools used by these programs and and proposes additional metrics and outcomes that should be considered.

In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.

"It's important for fire fighters and the behavioral health community to work together in a systematic approach to not only fight stigma, but develop alternatives to the traditional behavioral health services and interventions available. One such pioneer leading the fight to develop quality and culturally competent treatment for our fire fighters is Dr. George Lindenfeld, noted psychologist and accomplished author. In his fifth work, First Responders: Compassion Fatigue, Burnout, & PTSD, Dr. Lindenfeld dives deeply into the unique experiences of PTSD among the brave men and women who put their lives on the line every day to serve our communities. "Building on his expertise in treating active military and veteran populations who suffer from PTSD, Dr. Lindenfeld has developed a promising new intervention that uses sensory activation to reconsolidate traumatic memories without relying on the traditional talk therapy interventions that in some cases have been ineffective or even a deterrent for those seeking help. I am grateful for Dr. Lindenfeld's contribution to bring the critical issues of PTSD in the fire service to the forefront of our national and international awareness. We have an uphill battle to climb in addressing this crisis among our ranks, but when we work together to challenge versus accept what is, we are one step closer." Sincerely, Harold A. Schaitberger General President International Association of Firefighters

Stress, anxiety, depression, trauma, post-traumatic stress disorder (PTSD), bullying, and burnout have all become “accepted realities” for first responders in the modern workplace. This workbook unpacks contemporary workplace realities, educates you about trauma, and helps you build your personalized recovery plan for transformation, recovery, and healing. This recovery program has eight core purposes: Validate your current situation. This recovery program begins by validating your experiences and breaking through any denial you may be experiencing by examining all the ways you could be traumatized at work. Identify your realities. Once you understand how you’ve been traumatized, you’ll learn about how trauma develops and how to break through the defenses that protect you from the painful experiences you’re facing. Understand workplace trauma. Armed with a deeper understanding of what trauma is, how it develops, and how you react to trauma, you will be able to identify the support you’ll need to heal and recover. Build your recovery team and develop your action plan. Useful tools and techniques will help you connect with and build your team of support professionals and advocates. Once you begin working with your team, you’ll start the recovery process by acquiring a set of skills and techniques to help you weather the storm and begin healing. Grieve, mourn, and let go. Recovery will take you on a journey of grieving, mourning, and letting go, which will transport you to a new sense of calm and acceptance. I’ll break down this journey into the stages you’ll travel through to get to the other side. Maintain your recovery. Finally, I’ll share helpful ways to maintain your recovery, manage setbacks with compassion, and track your progress so you can proactively navigate the inevitably choppy waters as you continue your healthy and productive recovery. Adapt and adjust to the impacts of the COVID-19 Pandemic. The COVID-19 global Pandemic has left a lasting impact on all our lives. This section will review the Pandemic’s mental health, physical health, and social implications with helpful tools and techniques to help you manage the trauma and stress the Pandemic brings. In addition, gems of wisdom and learnings within the research literature will help you navigate the Pandemic and Post-Pandemic worlds effectively. Learn interactively with workbook exercises. Workbook exercises will help you digest the content, reflect on your situation, learn from that reflection, and incrementally create a personalized recovery plan. Each exercise in the workbook walks you through a process of self-reflection and self-discovery to help you understand and make sense of your situation. First Responder Careers Expose Individuals to Higher Risks of Developing Trauma Some careers include a higher likelihood of experiencing traumatic events that can lead to the development of PTSD. Serving in the military is a high-risk factor for developing PTSD. However, combat veterans develop PTSD at different rates depending on the severity and length of exposure to traumatic experiences. There are also high incidences of reported sexual harassment and sexual abuse in the military. As a result, the rates of PTSD are relatively high compared to the overall prevalence in the general population. Not only can law enforcement officers experience direct threats and stressful conditions, but they also regularly witness the devastating effects of assaults, robberies, kidnappings, and violent events. However, individuals in this profession have lower-than-expected rates of PTSD, surprisingly. An estimated 20 percent overall may result from having access to counseling and rigorous pre-employment screenings. EMTs and paramedics are routinely exposed to life-threatening incidents and have more health problems than individuals in other occupations. PTSD rates in this group are as high as 20 percent. PTSD prevalence in this profession is comparable to law enforcement. Firefighters conduct paramedic activities and are the first responders to natural disasters. Firefighting is a dangerous profession that exposes workers to stressful conditions and traumatic events, ranging from threats to their safety and experiencing the devastating effects of catastrophes. As a result, the prevalence of PTSD in this group can be as high as 20 percent. Volunteer firefighters may have even higher rates because they don’t have access to the same level of support as career firefighters. Healthcare workers, especially those working in emergency rooms and intensive care units, are also at higher risk. For example, nurses working in critical care units are more likely to develop PTSD than nurses in other groups. In addition, while senior-level nurses report fewer PTSD symptoms than junior ones, they report higher rates of burnout. Finally, healthcare workers exposed to patients that have experienced violence, such as an assault victim, are more likely to develop PTSD than surgeons who treat assault victims. Rescue workers, medical workers, and volunteers who act as first responders during disasters witness the aftermath of horrific events and can even become involved in severe traumatic events. The prevalence of PTSD in these individuals has been estimated to be between 15 and 30 percent. Journalists who work as war correspondents are at higher risk of being injured, killed, or kidnapped. Their lifetime prevalence of PTSD, which can be as high as 30 percent, reflects their lack of access to support and PTSD treatment options. Transit and train operators are frequently exposed to physical threats and witness suicide incidents such as “person under train” events. Exposure to these traumatic and threatening circumstances can be a daily or weekly occurrence. Bus drivers are more prone to PTSD because they have more direct contact with the general public than train drivers locked in secure train cabs. In these high-risk professions, the incidence of trauma declines when policies are in place to debrief victims, give victims immediate access to counseling, and screen for individuals at high risk of having adverse reactions to traumatic conditions.

A 75th anniversary e-book version of the most important and practical self-help book ever written, Alcoholics Anonymous. Here is a special deluxe edition of a book that has changed millions of lives and launched the modern recovery movement: Alcoholics Anonymous. This edition not only reproduces the original 1939 text of Alcoholics Anonymous, but as a special bonus features the complete 1941 Saturday Evening Post article “Alcoholics Anonymous” by journalist Jack Alexander, which, at the time, did as much as the book itself to introduce millions of seekers to AA’s program. Alcoholics Anonymous has touched and transformed myriad lives, and finally appears in a volume that honors its posterity and impact.

Grounded in clinical research, extensive experience, and deep familiarity with police culture, this book offers highly practical guidance for psychotherapists and counselors. The authors vividly depict the pressures and challenges of police work and explain the impact that line-of-duty issues can have on officers and their loved ones. Numerous concrete examples and tips show how to build rapport with cops, use a range of effective intervention strategies, and avoid common missteps and misconceptions. Approaches to working with frequently encountered clinical problems--such as substance abuse, depression, trauma, and marital conflict--are discussed in detail. A new preface in the paperback and e-book editions highlights the book's relevance in the context of current events and concerns about police-community relations. See also Kirschman's related self-help guide I Love a Cop, Third Edition: What Police Families Need to Know, an ideal recommendation for clients and their family members.