P-600 WORKPLACE POLICIES AND PRACTICES FOR THE PREVENTION OF PTSI WORK DISABILITY

Abstract Introduction First responders (FR) such as police, paramedics, and firefighters are routinely exposed to traumatic situations and may suffer from post-traumatic stress injuries (PTSI) as a result. The scientific evidence on optimal treatment and workplace practices for PTSI is not strong. The objective of this project was to examine first responder workplace policies and practices for the prevention of PTSI work disability. Methods The research team worked with a stakeholder advisory committee (police, paramedics, firefighters) to conduct an interview study with FR (workers and manager roles) from Alberta, Canada. A thematic analysis was used for the qualitative interview data. Results We gathered data via interviews with 47 FR members from police (16), fire (16), and paramedic (15) services who shared their experience with PTSI and workplace programs. The data reveal three key themes related to workplace PTSI programs and policies: Improving Culture, Programs under development, and Trusted communication. Three additional themes emerged related to recommendations to improve policies and programs in the workplace: stream-lined processes, better resources, and continuing to reduce stigma. The themes and recommendations from participants provide some practical information about how programs can be improved. Discussion and conclusions The interview data yielded rich descriptions of current workplace PTSI practices. While participants noted that awareness about PTSI and the culture of first responder workplaces there was still room for improvement. Recommendations regarding improved processes and resources were considered paramount. Future research should examine FR workplace program development as well as implementation.