Saturday (May 2, 2015) the second Surrey firefighter in the last few months, was laid to rest as a result of his struggles with mental health issues. Firefighters and other First Responder agencies from all regions across BC, attended the service, to show their support to the family, friends and fellow firefighters, during this trying time.

The Chaplin, Lieutenant Scott Young from Coquitlam FD, led the Celebration in a way that was truly cognizant of the circumstances of the service. While the Celebration of Life was filled with good stories, there was no avoiding the “elephant in the room” which was the mental health issues that our member was challenged with.

Surrey Fire Fighters’ Local 1271 President Mike McNamara called upon the audience to ask that “we put an end to this disease we can all control, and that is the disease of social stigma. It’s time we recognize that an illness is an illness, and it doesn’t matter where it is in your body – your leg, your heart, your lungs or your brain.” Chaplain Young referred to depression as “the bastard that can be in us.”  He spoke of how we all function well and continue our productive lives – until depression takes over and changes the way in which we make decisions.

The Celebration concluded with bagpipes playing Amazing Grace and the trumpet for the Last Post, which was provided by the Surrey Fire Fighters’ Pipes and Drums. Played in perfection and well appreciated by all there, but with all due respect, as a retired Surrey firefighter, songs I do not wish to hear again for a long, long time.

Another Loss - PTSD and First Responders - MikeStarchuk.com

The loss of two Surrey firefighters in two months due to their struggles with mental health issues is numbing. There were counsellors that were on hand in the theatre. A proactive idea to provide the opportunity for those who want to express their thoughts and feelings.

The doors to WorkSafe BC, to start talking about post discharge follow-up for those with a work-associated mental health diagnosis, have been opened. Now the public “social doors” need to be opened. President McNamara said it best when he addressed the social stigma. Olympian Clara Hughes who suffered from depression created the “Let’s Talk” initiative which aimed at fighting the stigma surrounding mental health. It’s time for Firefighters and other First Responders to start taking care of their own members in the same manner in which they serve their community – with pride, honour and respect. It’s time to come to the realization that it is OK to say “I’m not OK.”

Educational awareness will, in all likelihood, become a key component to fighting and ending this stigma. I look forward to the day when I can share that this component has been developed and put in practice. With regards to educational awareness, the National Mental Health Week runs from May 4 to May 10. Join in and participate in the Canadian Mental Health Association’s 64th annual event.

For more information about Mental Health, you can go to the Canadian Mental Health Association’s website: https://cmha.ca/document-category/mental-health/

If you talk about it on Social Media, you can use the Twitter hashtag #GETLOUD.

Yesterday (March 31) I was invited to appear on Global TV’s BC1 program, “Unfiltered” with Jill Krop. We discussed mental health issues as they apply to firefighters and to speak to Kevin’s passing. Jill’s compassion for firefighters and First Responders is clear. She really cares and I was pleased to be given the opportunity to speak (as a former firefighter and current City Councillor) to the past, the current and the future of mental health issues in the First Responder community. We know what the road ahead of us should look like to get the post discharge follow-up for those who have been diagnosed with an occupational mental health condition.

The BC Professional Fire Fighters Association will be meeting later this month with those who can affect the needed changes within WorkSafeBC. The circumstances of Kevin’s passing clearly identify the void that needs to be filled in the regulations and policies within WorkSafeBC. It’s up to the First Responder community to keep WorkSafe BC mindful that they need to fill this void to prevent a similar event from taking place in the future.

In addition, I would like to thank those who have visited my website, and those who take the time to leave comments on Kevin’s Story. I have received many direct messages and emails from folks wanting to get involved with this endeavor. I have also received many follow-up messages from other First Responders who have been diagnosed with PTSD, and their day to day struggles. Let’s keep these people in our thoughts and always, always, always, let them know, “they are not alone.”

Maltese Cross with Black Band - RIP Kevin - #287 - MikeStarchuk.comI have been overwhelmed by the response to my last post, “Kevin’s Story.”  If you missed that post, please scroll down… it is right below this one. 

Nearly 5000 people visited my Facebook page, and close to 3000 visitors to this website. While the majority of viewers to this website come from Canada, there were also many visitors from the US, Mexico, Australia, Brazil, and the UK, just to name a few. This indicates that mental health issues in the First Responder community are a global matter.

Thanks to those of you who made thoughtful and sincere comments that were respectful of Kevin’s grieving family. Thanks as well to those who left comments about mental health issues our First Responders face when they report for duty. We need to keep moving this forward within WorkSafeBC to ensure our First Responders have post post-discharge follow-ups with qualified mental health practitioners. Kevin’s story should not be repeated.

RIP Brother.

 

Last week (March 3, 2015), we lost a Surrey Fire Fighter with nearly 20 years of experience. Kevin was dedicated to the Fire Service, to the BC Professional Fire Fighters’ Burn Fund, and to the Fire Fighters’ Association in Surrey. Kevin’s story is similar to other First Responders who suffered from mental health issues. The Vancouver Sun published an article (March 7, 2015) that spoke to Post Traumatic Stress Disorder (PTSD) in the First Responder community. The link to that article can be found here: http://www.vancouversun.com/health/First+responders+ramp+stress+management+after+rash+suicides/10868487/story.html

In Kevin’s case, a string of emergency response events starting in 2005, led to his diagnosis of PTSD in 2010. There was a claim for benefits to WorkSafeBC (WSBC) that was accepted by the Board. From the time he was recognized by WSBC for his PTSD (that is occupationally linked to Kevin), to his last days on earth, there weren’t any WSBC policies or mechanisms in place, to follow-up with Kevin’s mental health challenges.

Maltese Cross with Black Band - MikeStarchuk.comThe loss of Kevin has raised many mental health based questions which all lead to a continuum of care that is not offered to workers who have had successful WSBC claims for mental health conditions. The Surrey Fire Fighters’ Association decided to use the BC Professional Fire Fighters’ Association (BCPFFA) Legislative Conference (March 9 and 10) to bring Kevin’s story forward. This conference was combined with the BC Fallen Fire Fighter Memorial, where those that passed away, due to occupational causes, are recognized as Line of Duty Deaths (LODD). Firefighters from all regions across BC were in attendance to recognize the addition of 13 firefighters to the Firefighter Memorial.

Vice President Dave Burns made an unscheduled appearance at the educational portion of the conference to tell Kevin’s story. At that time, VP Burns asked the delegation to share Kevin’s story while they were meeting with their MLAs. Kevin’s story grabbed the hearts of all there, and everyone was in agreement that something needs to be done to prevent another First Responder from harming themselves.

Kevin’s story can be paired down to a few simple facts. Kevin’s string of emergency response events began in 2005, which played a significant part in his PTSD diagnosis. These emergency events were occupationally-related and accepted by WSBC. After discharge from his mental health practitioner, there was no mechanism or policies in place by WSBC to follow-up on Kevin’s mental health status. Ultimately, Kevin’s PTSD condition played a role in his passing last week.

In his address to the BCPFFA delegation, VP Burns provided a possible solution for consideration. By way of analogy, when you go to a dentist, they always make sure you are contacted for follow-up. In the world of First Responders, who have been diagnosed with a mental health condition such as PTSD or Major Depression, First Responders are left to fend for themselves after they are discharged by a mental health professional. WSBC should consult with the mental health community of practitioners, to come up with a set of criteria for post discharge oversight.

A post discharge policy could be as simple as a follow-up schedule for those who have had a diagnosis of PTSD, Major Depression, or other recognized emergency service-related mental health condition. The follow-up interval could have less frequency over time. An example could be follow-up after discharge of every 3 months for a while, then 6 month intervals, move to annual, every 3 years and so on. The policy makers can consult with the mental health professionals to come up with the format to follow-up with these struggling First Responders.

As a former firefighter and a member of group peer defusers who were regularly used to talk firefighters through difficult incidents, I can assure everyone that not all firefighters react the same to similar incidents. The saying goes, “an abnormal reaction to a set of abnormal events is normal.” What the saying doesn’t cover is that each person reacts and recovers differently and each individual will recover and react at different speeds.

As a Critical Incident Scene Management peer defuser, I spoke with six firefighters in BC who had been formally diagnosed with PTSD. Now there are five. What I can tell you is ALL of these First Responders had been with me some time after their diagnosis, and the conversations always led to tearful conversations. These people have been affected by what they saw, smelled, heard, felt and did, while at work performing their duties. It’s time for the organization that is responsible for protecting BC workers to look at this in greater detail. WSBC made some progressive changes to the Act on July 1 2012. They created criteria for mental health practitioners to use, and created a better understanding of how First Responders are affected by what they are exposed to. No longer could First Responders be expected to be “tough enough” to deal with any incident, just because they were First Responders.

What needs to be done TODAY, is for WSBC to develop a policy, with mental health professionals, to deal with post discharge patients. We need to do this before another wife, child and friend has to endure this type of tragedy. My heartfelt condolences go to Kevin’s family. I hope someday, they will better understand that Kevin’s work-related mental health conditions, were likely contributing factors in his passing. I hope Kevin’s story will positively impact another First Responder, and produce changes to WSBC policy to better follow-up with First Responders with accepted mental health claims.