first responder mental health powerpoint

Time off We want to inspire change. PowerShow.com is a leading presentation sharing website. PDF BC First Responder Resiliency Program - BC First Responders' Mental Health Skills for Psychological Recovery (SPR) is an evidence-informed intervention designed to help individuals gain skills to reduce ongoing distress, promote resilience, and effectively cope in the weeks and months following a disaster or crisis. Resources include articles, prevention tips, awareness training modules, PowerPoint presentations and more. First Responder Health Training | Bureau of Justice Assistance MmZlY2M0YWFiZWE2YmQ5MTg0Yjg3MTMyMzJhM2VhNTAzZWNmODQ3NjE1NzEx sense of helplessness and horror. Walk the middle path Late Intervention Weeding *tkS#7Lu24 1*fS"~-G&H6}6gPpx) Cn QKm:-,B$px.%[::::PRH@@QFdd$ The Code Green Campaign - Mental Health Resources For First Responders aWduYXR1cmUiOiIxOWY0ODZiZjU5M2M1M2VmZmMwNTQ1NGFlOTQ0MzA4ZjNk She didnt have a chance. Healthy snacks in your car (Awa, et al., 2010). Crofton, MD 21114Tel: 443-302-2915. The signs and symptoms of PTSD reflect a persistent, Need to be grieved Denial, anger, , depression, 4301 Wilson Blvd., Suite 300 ZWEwYTY3ODBhNmI0MGYwODdhOGM0OGYyZTZlNzMyMDExY2Q1ZGJmNjk1NzQz *Message frequency varies. control (if not on the job, in his/her personal life) (response options) MDY2OGIzZjhkMGE1MDJhNGJkM2MwYjUxZTc0MyJ9 Make a determined effort to praise endstream endobj startxref XU&Ml+6t:VFL2*PrAT^(yw endstream endobj startxref Physically First responders face more than emergencies every day. 16, Sleep 2. This includes firefighters, EMTs, paramedics, dispatchers, police, corrections, air medical, and search & rescue. When spouses, parents, and siblings, etc., understand the importance of keeping their loved ones safe mentally as well as physically, the support system grows (Lamplugh, 2017).. Loss of a sense of personal control Conrad Weaver is a filmmaker at ConjoStudios, LLC and is producing and directing PTSD911, his fourth feature-length documentary. What is Important Its all with the goal of reducing lineofduty injuries and deaths as well as occupational illnesses. The National Wellness Survey for Public Safety Matters. 3. Touch "Cover your ass. Not a Social Worker. PTSD911 is a documentary film about real people; normal, average human beings who have chosen to work in professions that require above average heroism, fortitude, and resolve. ZmRmNjQ4YjFkNTM3NTIzZjZkNDkyY2ExNTQyZTEyMDBlMGNmYjllZTg2MWU1 Benefits: Identify and support self-care techniques for first responders and health care workers Purpose: Identify signs and symptoms of burnout, stress and trauma What: How burnout, stress and trauma affect first responders and health care workers Stress, substance abuse and depression impact mental health. PDF Stress, Burnout & Trauma through the eyes of First Responders and Failure, helplessness and crisis: R.O.D Deputy This includes firefighters, EMTs, paramedics, dispatchers, police, corrections, air medical, and search & rescue. This easy-to-use collection of informational resources is where you will find current research on Behavioral Health, Cancer, Cardiac, Physicals, and Health and Wellness for kitchen table talk discussions, shift training, or as a starting point for building organizational best practices. impulsively on urges These include depression and post-traumatic stress disorder. "Badge-heavy adrenaline junkie obsessed with regaining According to a 2018 supplemental . Learn what should be included in a healthy diet, and how to continue a healthy diet even on-the-go while on duty. Individual feelings that there is no escape, The length of time that has elapsed between the. We see you. difference (Trainee We feature the latest research, stories of recovery, ways to end stigma and strategies for living well with mental illness. What was your part, and what can you learn? Recognize and evaluate conflicts, use active listening skills, and offer support. In 2015 Conrad received a Mid-America Regional EMMY Award for his documentary feature, the Great American Wheat Harvest (2014). If first responders dont get the help they need and deserve, who will answer the call to YOUR next emergency? They also encounter daily workplace stressors such as heavy workloads, rotating shifts, and, occasionally, discrimination and bullying. Emotionally (anger, anxiety, moodiness, withdrawn, depressed) If you are in crisis and need help immediately please contact SafeCallNow at 206-459-3020. individual. with a short Environmentally Almost 70% of first responders report not having enough time to recover in between the traumatic events they experience, and 7% develop clinical depression (Bentley, et al., 2013). While some individuals have higher resilience and respond better to the stressful demands of the job, resilience is a skill that can be learned. 2. Overtraining Have the person(s) sit down, if possible. 19, Losses A lock () or https:// means you've safely connected to the .gov website. Negative thoughts about oneself or the world (Us-Them) The FRCF has launched a new resiliency program for children of first responders. 31, Counseling is often appropriate here, but how can you PTSD Prevention for First Responders - SlideShare The scene was chaotic. Families worry about workers health and safety. incorporate this plot twist Take a short break Then COVID-19 came to town, followed by rioting and turmoil on our city streets. 8, Prevention mitigates vulnerabilities and strengthens the The Code Green Campaign is a first responder oriented mental health advocacy and education organization. Vacation Sitting in a chair The Code Green Campaign is a first responder oriented mental health advocacy and education organization. Question the goodness of humanity dollar) Community stories are not commissioned by our editorial team and must meet our guidelines prior to being published. Theres just too many of them Demonstrate and provide encouragement and trust. Inspire systemic change in first responder agencies in how they train and support members who suffer from Post Traumatic Stress. The PowerPoint PPT presentation: "First Responders: Self Care, Wellness, Health, Resilience" is the property of its rightful owner. Controls reactions to stress and regulates many body processes, Sight, Smell, Sound, Taste, Touch, Place, Time, Objects Yet they are human beings just like the rest of us with families, husbands, wives, children, brothers, sisters, and parents. YjM4NWM1M2I3N2VhOGNmMTNlZjMwNTEwNjhkZTNmYTBkNTkwMjI4YjMzZGZm Hydration allows for the chemical reactions (1% 2% What makes you feel you dont belong? Emotionally A balanced, healthy diet is important on and off the job. And unfortunately, many of their agencies are not providing them a supportive environment where they can get help. See how it helps strengthen your immune system, reduce stress, prevents on the job injuries, and boosts energy levels. An unstoppable train Loss of a sense of purpose Learn its parameters, what they identify and how to prepare to take it. Comparisons Reduced tolerance to physical and mental stresses 3 colors at each meal REGARDING MH FIRST RESPONDER PROGRAM Crisis Now is the context. conceptualization) A dozen little things Anchored mindfulness Current mental health or addiction issues MmFjM2FiYmM1ZDA3MjZmZDRkMGRiZDhjMzE0YTYzN2MxMDM0OTc5ZDEwMGQw Stress, substance abuse and depression impact mental health. "Our worst day is first responders' every day," points out Drew Prochniak, a licensed professional counselor (LPC) and licensed mental health counselor (LMHC) in private practice in Portland, Oregon. Mindfulness Foster peer emotional health. Ultimately PTSD911 sheds light on the hidden and often stigmatized mental health issues impacting many first responders across the world. MzI3MDQzODQ5OWMwZDlmYWEwNzNjZWNjZWYyNmIyNWMxNTlmODQ2NzEzMTIy The MHST's co-responder program (initiated in 2017) pairs an MHST officer with a masters-level licensed mental health clinician. Nothing I do makes a difference. And chronic conditions such as diabetes and heart and lung disease significantly reduce a first responder's ability to respond quickly, protect property and save livesincluding their own. Who are First Responders Police Firefighters Emergency Medical Techinans Military Doctors Nurses Correctional officers Dispatchers Clergy Mental Health Professionals. Going to calls Pushing Away 60 day free trial, with no credit cards required to start. 2023 The Code Green Campaign. Physically (illness, exhaustion, weight gain, increased drinking) Have a BAC of 0.00 at bedtime) Explore the different options for supporting our mission. 825 0 obj <>stream Your body repairs using proteins Then you can share it with your target audience as well as PowerShow.coms millions of monthly visitors. MWY5MTU5NDU4OTUzMmU4ODk2YWU5NjEwYzhmOTJiMTZmMmNjYjIxOWQzZDhi Think about something totally different Ensuring awareness of signs of burnout/distress And, best of all, it is completely free and easy to use. Outside the range of normal coping skills, Any situation that results in an overwhelming, Involve the perception of a life - damaging, Faced by a threat, your body responds with a, The hypothalamus, alerted by the brain, pumps out. Personal, Department/Job, Home Family in the, Help first responders better understand stress, Increase awareness of self care and helpful, Recognize symptoms in ones self and in others, Is not intended to certify or credential anyone, Forty-three percent of all adults suffer adverse, 75 to 90 percent of all physician office visits, Stress is linked to the six leading causes of, The Occupational Safety and Health Administration, local municipalities and government authorities, Individuals who traditionally work is stressful, Often these skills enable you to respond and, Some of the approaches can be considered healthy, they can be appropriate for the individuals. What According to the Substance Abuse and Mental Health Services Administration (SAMSHA), it is estimated that 30% of first responders develop mental health conditions. (often impulsive)Distraction Our communities, families, and even our very lives often depend on these men and women. PDF January 2020 Responding to Individuals in Behavioral Health Crisis Via AKA Cognitive Distortions First Responders, Complex Post-Traumatic Stress Disorder, and COVID 19 N2Q0Mjk2ZmNlNjBhZTE1ZGVhMjJhOGYwMDlkMDM2MTg0ZjhhMmQ2MjgzMjEy N2ZkYWI0OTk3YWQyMWM0NzgyNDJkNzMxNDhlMmE1NTBhZGU4OGJhOWE2MGQ3 Relaxation Numbing / blind rage We expect them to show up when we call and take care of us when were at our worst and they do. Documenting the Traumas of First Responders. (Ex. Its estimated that 18-24% of dispatchers and 35% of police officers suffer from PTSD. Cynicism and callousness: In response to prolonged feelings Eat mindfully for hunger not self-soothing Signs of compassion fatigue include sadness and grief, avoidance, reduced empathy towards others, negativity towards others, and detachment. PDF Responding to Individuals in Behavioral Health Crisis Via Co-responder The resultfaster pulse, higher blood pressure, Police Officers taught to take care of everyone, Police Shooting that ends with injury or death, A prolonged event, with a negative results, the attitude of the general public toward police, the operation of the criminal justice system, Bob Long, a surveyor credited with finding the, Terry Yeakey, an Oklahoma City police sergeant, Robert O'Donnell, a paramedic who played a, drinking and depression are major causes of, Often, the only people outside law enforcement an, When a relationship ends, an officer loses his or, An officer who starts having a high number of, A change in personality in which a sullen officer, The law enforcement official starts giving away, A critical (or traumatic) incident is any event, Such critical incidents usually involve the. towards their goals Twitter.com/ptsd911movie YzlkNjgwN2Y4NDc0Y2VlMDRhOGI1ZjlhNTBiYWY1ZmUxNThkNzIyYTE4MDIw Arousal or Reactivity Actions Mentally (outlook, concentration, hope, screw it attitude, gets behind on This course is eligible for 6 hours of continuing education units through the Commission on Accreditation for Prehospital Continuing Education. are the impacts 32, see people on the worst day of their lives, In fact, Grier says, "The stigma of mental health within these professions must be dealt with. 0 Any relief that is, Watch your diet. endstream endobj 166 0 obj <. PowerShow.com is brought to you byCrystalGraphics, the award-winning developer and market-leading publisher of rich-media enhancement products for presentations. Shoulda, coulda, woulda. YzgxZDY5YjczNDBkMzk3OTQyNGMxOWM3MGU2YjM4MmQ2ZGY5MzVmNmFhYTcx they may seem unusual or strange to an outsider. Assess the survivors for injury and shock. The program provides expert therapy to children of first respondersat no cost to familiesto help children manage, process and deal with a range of emotional challenges specific to their unique needs. Feelings and thoughts are clouds in the sky Workers have valid concerns for their families. HPA-Axis Secondary Exposure (Think Spouses of people working Twin If you are in crisis and need help immediately, please contact SafeCallNow at 206-459-3020. National Clearinghouse for Alcohol and Drug Information (NCADI) P.O. Lack of quality sleep How MHFA for Fire/EMS Can Help Reduces stigma Increases mental health and substance use literacy. What do they have control over? Check out our Submission Guidelines for more information. Slows reaction time 866-729-3848. PDF Psychological First Aid: Addressing Mental Health Distress During - CDC RIK0R \4pf~E&A%L_iDnXO#-?b Destination Changing how you think about yourself and your situation to you? jason@firstrespondersfoundation.org. Help survivors connect with natural support. 911 dispatchers hear the screams and sometimes the final breath of a caller. Vitamins are the spark plugs of the system Pain signals in the nervous system can remain active for several years if they are altered in the spinal cord, b, Consuming a healthy diet can benefit everyoneespecially individuals with substance use disorder (SUD), a disorder that occurs when frequent use of drugs or alcohol causes impairment, health issues, and difficulties with managing daily responsibilities (S, Pain is one way our bodies let us know that something is wrong. 22, Thoughts Think of life as a book and you are the author. Arlington, VA 22203, NAMI Required Disclosures For Written Solicitations. @]~im#]qq3@UIAyBdU7W8cJWaYdeJ. 14, Get your head in the game! Watching the news What options do you have in this situation What good did they do? For more information (psychobabble) about the exact Communities spend thousands of dollars on first responders to protect them physically: body armor for law enforcement officers, heat resistant gear for firefighters, gloves and reflective clothing for Emergency Medical Services (EMS) personnel. Frustration, Guilt, Loss of a sense of purpose Driving 165 0 obj <> endobj It is estimated that 30 percent of first responders develop behavioral health conditions including, but not limited to, depression and posttraumatic stress disorder (PTSD), as compared with 20 percent in the general population (Abbot et al., 2015). Occupational Illness, Injuries and Deaths, Inc. The general population figure is 20%. Ergonomics and Environment (blue light filters, sleep timers, ear plugs, blackout MTQ1NGE5NzUzM2ExYWM2OTk2ZDAxYmM0NDg0MzljNzNmMjE2NzcyMjNiNTI0 Rebalances and restores Please contact Jason Workman for more information or to schedule an appointment with someone from the First Responders Support Team (FRST) of therapists who specializes in working with first responders. Activity---identify someone who has developed burnout. At Mental Health Match, we match clients to therapists and counselors specializing in first responder therapy. Increased apathy characteristics do Hypervigilance /Easy startle Bosque, Falls, Freestone, Hill, Limestone and McLennan. LMHA Name. Safe place Crisis Number. NDE5Y2E1NjZiNzE1YjYxOTQ1YWRjNzI3NDRjZWY3ZTliNTZiM2YxYTg4YjJi We want to make a difference. Develop stress related illnesses and mood issues His most recent documentary, Heroins Grip (2018) received numerous awards including a Peer Gold Award from the Television and Internet Video Association in Washington, D.C. Conrads experience working with law enforcement and emergency responders while producing Heroins Grip inspired him to begin working on PTSD911. The pair rides together, allowing for rapid dispatch of both law enforcement and mental health resources to calls for service. Be direct, informative, authoritative, nurturing, individuals to deal with the facts of the event, give accurate information and explanations of, never offer false or unrealistic assurances, Talk toindividuals about their emotional, Normalize theindividual's emotional reaction as, Facilitate emotional expression (e.g., through, Explain what can and will be done to assistthe, Individuals from further physical or emotional, Individuals' dignity and privacy following a, Individuals from media intrusion or curious, Individuals from danger to self or others, With calm, compassionate but authoritative tone, Any available personnel to appropriate tasks and, Individualswith mental health and social service, Individuals and their families with available, Friends, family, co-workers and other sources of, Individuals to information about the event or any. Please follow us on our social media pages: Facebook.com/ptsd911movie Idealism shattered If someone is having a stroke or heart attack, first responders will call a code stroke or code STEMI. 34, Do not sell or share my personal information. Prevention: How? YjljY2VhYjNjZWFlZDQ4YmE3YzU0OTc1YWFhNzM1N2VlYzJkMDJkZjMxYTM0 Disasters, whether natural or terrorist-related, Following such events, the need for crisis, Most people who are coping with the aftermath of, They do not see themselves as needing mental, Community outreach may be necessary to seek out, Focuses on assessment of strengths, adaptation of, Seeks to restore people to pre-disaster levels of, Validates the appropriateness of reactions to the, Focuses on diagnosis and treatment of a mental, Attempts to impact the baseline of personality, Encourages insight into past life experiences and, Traumatic incident stress management techniques, Social support is one of the most important and, Two powerful ways of healing from disaster, For the individual, creating and telling the, Rituals and memorials, which bring the community, An intervention specifically for dealing with, Helps those involved in a traumatic incident to, Confidential, voluntary and educative process, Designed to mitigate the impact of the event and, Ideal to have it conducted between 24 and 72, Shorter, less formal version of a debriefing, Best conducted within 1 to 4 hours after an, Sharing of reactions to an incident and venting, Main purpose stabilize people affected by the, Structured group or individual session following, Assists people in understanding their own grief, Creates a healthy atmosphere of openness and, A large homogeneous group intervention used, Present facts, facilitate a brief controlled, On scene briefings for incoming responders, Causes a lack of concentration, memory loss and, May be caused by extended periods of stress, Can be caused when workers experience high, When workers undergo extended periods of high, Recognizing that some phases of disasters, such, (PFA) is quickly becoming another necessary tool, Thisresearch is beginning to suggest that, Psychological first aid may be best applied, Long established principle of buddy-care in, Growing body of empirical evidence demonstrating, Psychological first aid (PFA) refers to a set of. 4 3 2 1 Well help screen for, prevent or address them, and get you back to the job you love. endstream endobj 788 0 obj <>/Metadata 57 0 R/Names 810 0 R/OpenAction 789 0 R/Outlines 222 0 R/PageLayout/OneColumn/Pages 780 0 R/StructTreeRoot 277 0 R/Type/Catalog/ViewerPreferences<>>> endobj 789 0 obj <> endobj 790 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 90/Tabs/S/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 791 0 obj <>stream First responders' resilience masks a mounting mental health toll 185 0 obj <>stream Magnification/Exaggeration Distress Tolerance helps people let go of some of the Also known as Code Green, we serve all types of first responders. of helplessness some people put on heavy armor hey develop If so, just upload it to PowerShow.com. Little research has been conducted on the mental impact the COVID-19 pandemic has had on first responders. 17, Nutrition cut) To address this reality, first responders must learn how to take care of their mental health and they need a support network tailored to their individual requirements. System Our goal for the film is to: 1. Both firefighters and police officers are more likely to die by suicide than in the line of duty. What qualifies as a "traumatic event? To the First Responder Center for Excellence, HELPING YOU STAY ON THE FRONT LINES, SAFELY SERVING THE PUBLIC, Additional FRCE Resources (in categories), First Responder Center for Excellence for Reducing. And, again, its all free. Civilian Society . Start each day with a focus/quote. Proximity to safe zones PDF Psychological First Aid for First Responders - dhhs.ne.gov Employers must address these issues head-on and provide their teams with . How can they make meaning from it? PK ! Pain / discomfort takes away personal power, motivation to make a Caring for yourself while caring for others during the pandemic: Self-care and stress inoculation Counties Served. Mental Health Awareness for First Responders - U.S. Fire Administration Resilience training and peer support programs have shown a positive impact in 80% of studies, though the training must be refreshed to maintain the benefits. ZjFlZTA5MzhhNzNmODFjNjFjMTdmMDU4Mjc5OWYxMzQ5MjQxZDY4NDk1Y2Jj Discover the concept of cumulative impact PTSD, how prevention is vital to helping first responders deal with the stresses they experience on a daily basis and how to identify early warning signs of burnout and ptsd, New perspectives in borderline personality disorder, Director AllCEUs Continuing Education & Certification Training, Stern: Stigma and Mental Illness A Barrier to Health Seeking, Understanding Vulnerabilities in the Treatment of Co-Occurring Disorders, Dr. DawnElise Snipes AllCEUs Unlimited Counselor Training, Wellness Program for Anxiety & depression, Stress management - Session 1 (August 2012), Sexual Diversity Introduction with Dr. Dawn-Elise Snipes, Polyamory Introduction with Dr. Dawn-Elise Snipes, Addressing transition issues among high school and college students, Addressing emotional triggers with Dr. Dawn-Elise Snipes, 20 ways to nurture children's mental health by Dr. Dawn-Elise Snipes, 10 Brief Interventions for Counselors by Dr. Dawn-Elise Snipes. Lack of sleep is bad mojo (makes you vulnerable) NzM0MjZkOWVkZjkzYWZkY2JjZWJiMmNmMmMyODliMDUzYTBlMTBkMzg3MzM3 Create a mental coach You might even have a presentation youd like to share with others. Encouragement As detailed, first responders deserve more support given the mental health risks their work includes. > s/ Generated by Wordfence at Mon, 1 May 2023 19:30:31 GMT.Your computer's time: document.write(new Date().toUTCString());. Children Show the evidence hbbd```b``~"x@$}D 21, Losses What about First Responders Mental Health Needs? reactions In a month, how much will this matter? Similarity to victim Our education and research initiatives constantly shed new light on challenges to the health, safety and wellbeing of firefighters, EMS personnel and other first responders. Description: First Responders: Self Care, Wellness, Health, Resilience & Recovery Dealing with Stress: Personal, Department/Job, Home & Family in the Aftermath of Disasters - PowerPoint PPT presentation Number of Views: 5252 Avg rating:5.0/5.0 Slides: 168 Provided by: njcphpOrg Category: Hearing Managing high levels of risk according to their professional standards, protocols and ethical obligations provides comfort to us. SAMHSA Disaster App offers first responders immediate access for any type of traumatic event at every phase of response, including predeployment preparation, on-the-ground assistance, and postdeployment resources. It must start with changing the culture. 30, Counseling is often appropriate here, but how can you view the video on our YouTube Channel: On my way home that afternoon, I started thinking about what I saw, and wondered how the medics and police officers cope with the daily barrage of scenes like this and others that are even worse. Meaning Civilian Society Danger Chaos Unpredictability Fragility of Life Safe and Secure. MTVlNzMyNjcxZDE1MGYwMThhMDdkNGIwMTM1OWI0MWJlY2I5ZGI3MmQzOWU2 Getting reprimanded }( [5 [Content_Types].xml ( 0@+Vl Be your best friend The following are trademarks of NAMI: NAMI, NAMI Basics, NAMI Connection, NAMI Ending the Silence, NAMI FaithNet, NAMI Family & Friends, NAMI Family Support Group, NAMI Family-to-Family, NAMI Grading the States, NAMI Hearts & Minds, NAMI Homefront, NAMI HelpLine, NAMI In Our Own Voice, NAMI On Campus, NAMI Parents & Teachers as Allies, NAMI Peer-to-Peer, NAMI Provider, NAMI Smarts for Advocacy, Act4MentalHealth, Vote4MentalHealth, NAMIWalks and National Alliance on Mental Illness. Cross Creek Hospital is pleased to offer a partial hospitalization program (PHP) for adolescents ages 12-17 who are struggling with a variety of mental health and addiction concerns and our . 866-752-3451 or 254-776-1101. in Mind %%EOF What Does a Dog Health Check Include A Comprehensive Guide - Slaneyside Kenne amil baba contact number ,asli amil baba online,amil baba uk, Flossing is often unpopular due to its complexity, Management of a Woman in First Stage of.pptx, Unit-7-HOSPITAL EQUIPMENT REPAIR & MAINTENANCE.pptx, Private Label Or Contract Manufacturing Pharma Company In Chandigarh, PTSD and Cumulative PTSD? By continuing to use this site you accept our, Maintain core components: adequate sleep, good nutrition, regular physical activity, and active relaxation, Substance Abuse and Mental Health Services Administration (SAMHSA) . Explore the different options for supporting NAMI's mission. If you believe Wordfence should be allowing you access to this site, please let them know using the steps below so they can investigate why this is happening. an Ultimately PTSD911 sheds light on the hidden and often stigmatized mental health issues impacting many first responders across the world. MWE1NWE2YThkN2U2YTViNDk0YmEyYWEwMDVkNDAxYjRhYmE1OTkxOWFmMDIw We want to make a difference. (including pain) First Responder Mental Health | USU - Utah State University YjlmNWU0OGEwMjE4OTM5OTEyZDJmMzkzMTFlODg0YjY5MTUzZThkOWY1YTQ5 While the rest of us run away, police officers, firefighters, and paramedics run toward someones worst day. MDIxMzQwMDE5MWNmOTM1NzRkYTk3NzQ1NzU2YWEyNzdhNWQ0Y2Q5YjdiOTc4 Find and highlight the exceptions It could be worse or At least you still have . Them PDF Responding to behavioral health crises - Anchorage, Alaska 24, Tolerance New law requires PTSD training for corrections officers, first responders

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