1. Mike Grill MS, NREMT-P South Denver EMS Team Littleton, Colorado
First Response Resiliency A Research Project on the Efficacy of a Student-Centered Learning Model for Improving Resiliency for First Responders
Mike Grill
MS, NREMT-P
South Denver EMS Team
Littleton, Colorado
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5. What Do We Know About the Emergency Response Community?
Mental Health Issues
Addiction
Physical Health
Family Relationships
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0:30 to 4:14

6. 15/2 Rule

7. --Rachel Naomi Remen, M.D.
The expectation that we can be immersed in suffering and loss daily and not be touched by it is as unrealistic as expecting to be able to walk through water without getting wet.
--Rachel Naomi Remen, M.D.
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0:30 to 4:14

8. My Beautiful Obsession….

10. Resiliency is the ability to bounce back from adversity and the development of the skills needed to manage stress in an optimal way.

12. Supportive Education for Returning Veterans (SERV)

14. Definitions
Stress to be the opposite of relaxation or the physiological and psychological responses to situations or events that disturb the equilibrium of an organism.
Post Traumatic Stress Disorder (PTSD) can be considered an extreme stress “disorder.”
Post Traumatic Growth (PTG) refers to the positive behaviors, attitudes and skills developed by individuals in response to traumatic situations .

15. Victim Or
Survivor?

17. First Response Resiliency History
2009 – Idea for Fire/EMS from SERV curriculum at University of Arizona
2009 – Sierra Vista (AZ) Fire Dept
2 day curriculum – 13 Skills
2010 – University of Arizona PD
2011 – Glendale (AZ) FD and Mesa (AZ) FD

18. First Response Resiliency History
2012
Colorado initiative with CDPHE Office of Preparedness and Response
2 Day Resiliency – 13 Skills Taught
South Metro Fire Rescue, Littleton FR, Upper Pine River FPD
2013 – 1 Day Resiliency – 12 Skills
7 Skills Taught
Aurora Theatre Shooting Responders
2014 – 1 Day Resiliency and 1 Day Train-the Trainer
Rifle, Frederick and Larkspur

20. 12 Skills of Resiliency Goal Setting Eat Right Exercise Might
Relaxation Chill Out
Sleep Tight
Perspective
Self-Defeating Thoughts
ABC’s Point Out
Empathy
Wins and Losses
Reaching Out
Social Support

21. SOCIAL SUPPORT IS THE MOST CRITICAL SKILL

24. Resiliency Skill Drill
1. Review Prior Skills (0-5 minutes)
2. Introduction of the Skill ( minutes)
3. Internalize the Skill (5-10 minutes)
4. Externalize the Skill (5-10 minutes)
5. Review the Skill (5 minutes)
6. How to Effectively Remember this Skill (5 minutes)
7. Additional: Externalize to a Community (5 minutes)
8. Summarize the Skill (5 minutes)
Total Time per Skill ~ 45 to 55 minutes

25. Questions Posed In Study
Can Individuals make significant resiliency improvements within the span of several hours of intense instruction? And, if change does occur, can this change be sustained
Do participants perceive training will provide them with the ability to be more resilient? In effect, is this program perceived to be beneficial in dealing with stressful events?

26. 12 Skills of Resiliency Goal Setting Eat Right Exercise Might
Relaxation Chill Out
Sleep Tight
Perspective
Self-Defeating Thoughts
ABC’s Point Out
Empathy
Wins and Losses
Reaching Out
Social Support

28. Aurora Theatre Shooting Responders Results From 1 Day Resiliency Training
Pretest Mean = 70.5, [SD] = 10.4, 95% CI; p<0.05
Post-Test Mean = 77.2, [SD] = 8; 95% CI; p<0.05

29. Post-Test Mean = 81.3, [SD] = 13.1 95% CI; p<0.05
Aurora Theatre Shooting Responders Results From 1 Day Resiliency Training
Convenience Sample
Pretest Mean = 74.9, [SD] = 4.0
95% CI; p<0.05
Post-Test Mean = 81.3, [SD] = % CI; p<0.05

30. Questions Posed In Study
Can Individuals make significant resiliency improvements within the span of several hours of intense instruction? And, if change does occur, can this change be sustained
A: This study suggests resiliency characteristics can be taught effectively using compressed, one-day problem-based learning. Further, it appears within a 6 week period effects were sustained.

31. Questions Posed In Study
Q: Do participants perceive training will provide them with the ability to be more resilient? In effect, is this program perceived to be beneficial in dealing with stressful events?
A: Six-weeks post training, 14 of 15 participants responded affirmatively. Participants were unanimous in recommending the training to others.

32. Results have been duplicated in…
Tucson, AZ with LEO
Mesa, AZ with Fire Recruits
Casa Grande (AZ) FD
Gilbert (AZ) FD
Tempe (AZ) FD
Peoria (AZ) FD
Rifle, CO
Frederick, CO
Larkspur, CO
Numerous Veteran Cohorts

33. Journal of Emergency Medical Services (JEMS)
March, 2014

34. Moving Forward: Train the Trainer
Resilient First Responders
Resilient Spouses AND Families
RESILIENT COMMUNITY

35. For more information on providing Resiliency training in your community Mike Grill