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BC First Responder Resiliency Program Duncan Shields, Ph.D. Adjunct Professor The Men’s Initiative, UBC Faculty of Medicine

BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

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Page 1: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

BC First Responder Resiliency Program

Duncan Shields, Ph.D. Adjunct Professor The Men’s Initiative, UBC Faculty of Medicine

Page 2: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

Civilian Society

Danger

Chaos

Unpredictability

Fragility of Life

Safe and Secure

Page 3: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

Civilian Society

Danger

Chaos

Unpredictability

Fragility of Life

Safe and Secure

Stoic Service Cultures

Page 4: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

There had always been stigma around

this throughout my life and career. It

was hard for me to reconcile that who I

thought was a strong man had these

problems and needed the help of

someone else.

Strong versus Struggling

Page 5: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

…at my work, psychologist is a

dirty word. Nobody wants to see

the psychologist… like if you have

to see the psychologist then

you’re weak… broken.

Strong versus Struggling

Page 6: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

Format

• 31/2 day residential retreat

• Up to 8 participants

• Upstream but screened

• 2 professional facilitators

• 1-2 peer team leads

Fire Fighter Resiliency Program

Page 7: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

Program Trajectory

4. Moving Out

Strategic Goal Setting1.Creating the

Safe Zone/Team

3. Consolidating Strengths

Re-equipping2. The Work

“Dropping Baggage”

Page 8: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

5B’s of Performance Resilience

4. Behaviour Zone – Goal oriented actions and

attending to sleep, diet, routine, exercise

1. Brain Zone - Talking yourself “down and through”

5. Bonds – Share it, don’t wear it. Performance and

resilience emerge in the context of cohesive

relationships

2. Breath Zone – Regulating breathing to activate the

bodies parasympathetic response

3. Body Zone – Grounding the body

Page 9: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

Beck Depression Inventory II

Page 10: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

PTSD Checklist for DSM-5 (PCL-5)

18.58

Page 11: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

Outcome Questionnaire-45.2 (OQ-45)

Page 12: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

It took hope to show up to a program

like this and it took courage to fully

participate.

Page 13: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

I arrived broken, anxious and feeling

alone.

I left empowered, more at peace, and

with what I anticipate will be a lifelong

bond with 9 new peers that is unlike

anything I have ever experienced.

Page 14: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

I am no longer in a downward spiral of

isolation and depression. I have a light

at the end of the tunnel and am for

the first time in a very long time

hopeful for a bright future.

Page 15: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

This program literally saved my life. Just 2

weeks prior I was seriously considering

suicide - the third time of late, complete

with a plan.

Page 16: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

This wasn’t about four days,

this was about changing our

lives.

Page 17: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

We were challenged to build a team, a team

that could trust each other in sharing raw pain,

so much so that we would have each others

back at all times.

Page 18: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard
Page 19: BC First Responder Resiliency Programconference.bcfirstrespondersmentalhealth.com › _doc › ...There had always been stigma around this throughout my life and career. It was hard

Thank You!

[email protected]

The Men’s Initiative at UBC

Faculty of Medicine

Resilient Service Cultures