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e-Newsletter: May 15, 2008

Stress Relief

Intensive program offers help for first responders suffering from PTSD

By Jane Jerrard

Professional help is available for firefighters who are having trouble functioning because of on-the-job stress. Even those who have not been helped by counseling may find relief through the West Coast Post-trauma Retreat (WCPR) program, a 5-day retreat for current and retired first responders who need help coping with work-related stress, including post traumatic stress disorder (PTSD).

WCPR is one of only two residential treatment facilities of its kind in the world. The other program is the On-Site Academy in Massachusetts, with which WCPR is affiliated.

Raising Money at High Elevations
One “graduate” of the WCPR decided she wanted to help raise funds for scholarships, and came up with the idea of Climbers for First Responders. This intrepid team of mountain climbers plans to scale Mt. Kilimanjaro this August to raise awareness of PTSD among first responders, and to raise money for the WCPR and other organizations.

“It’s kind of like a walk-a-thon, except they’re climbing a 19,000' mountain,” Fay says. “Right now they’re trying to get sponsors and raise funds through donations.”

For more information on Climbers for First Responders, or to give a donation, visit http://www.climb4first.org

“A Very Intense Program”
Participants stay at WCPR’s facility, located in a rural area of west Marin County, about 45 minutes from San Francisco, and take part in highly structured activities, including education, group and individual clinical work and peer support—all provided by volunteer first responders, many of whom have been through the program themselves.

“At any given retreat, we’ll have six clients,” says Joel Fay, Psy.D., president of WCPR’s board of directors. “Sometimes we’ll take seven, but then it’s harder to get the work done. ”

The facility is staffed by volunteers: “We have two clinicians and a chaplain that stay all week, along with six or seven peers,” explains Fay, a police officer and psychologist who volunteers at the programs. “Then other clinicians, chaplains and peers will come in and out all week as they’re needed. So generally, there are three volunteers for every client.” Fay says the ratio is high because, “It’s a very intense program, and we want to make sure that each client can connect with at least one peer.” First responder peers are used throughout the week to normalize each participant’s behavior and symptoms, provide hope and encourage recovery.

Those Who Need Help
Of the more than 100 first responders treated at the WCPR to date, 60 percent were law enforcement, 21 percent were either fire or EMS, and the remainder of the attendees worked in corrections, the military and other civil services. Participants are often referred to the program by psychologists and other clinicians who have not been successful in treating them. Others are encouraged to sign up by their spouse or are referred by a former attendee.

Not all participants have been diagnosed with PTSD, but most are experiencing distress symptoms such as depression, difficulty sleeping, excess alcohol use, anxiety, isolation and/or exhaustion. Most have difficulties functioning at work and/or at home as a result of their involvement in one or more critical incidents; others are unable to function at all and are at high risk for suicide.

Firefighters and other first responders who are uncertain if the WCPR is for them can call Dr. Mark Kamena at 415/717-3447 for a telephone interview.

The Nitty-Gritty Details
Each retreat lasts five days. The WCPR programs scheduled for the remainder of 2008 will be held on the following dates:

  • May 4–9
  • June 22–27
  • July 20–25
  • Sept. 7–12
  • Oct. 19–24
  • Nov. 30–Dec. 5

“We’re holding about 60 sessions a year right now, and we’re increasing that to keep up with demand,” Fay says.

The fee for the program is $2,250, which includes room and board, a 90-day follow-up plan, education, one-on-one sessions with a clinician and group sessions with peers. The entire fee goes to WCPR’s costs, including renting the facility, insurance and food.

The good news is that attendees rarely pay out of their own pocket: “Workers’ compensation seems to pick up the fee most of the time,” Fay says. “But lots of fire departments and police departments will pay for it; they call it training and pay out of their training budget. We’ll write letters for people recommending the program, and help them use these resources—but we also offer scholarships as needed.”

If you’re interested in attending a WCPR program, or know a colleague who might benefit, it’s easy to find out more.

“Anybody can call us, and we’ll return your call,” Fay promises. “Call 415/721-9789. We’ll hook you up with someone who’s been through the program—someone similar to you. And we’re glad to talk about expenses and individual needs.”

For more information on the programs offered by WCPR, visit http://www.wcpr2001.org.