A Grant Proposal Thesis to Encourage Efforts to Enhance Mental Health in Responders: Mental well-being of public health responders: Neglect is no longer an option Pubblico
Ramirez-Leon, Gabriela (Fall 2018)
Abstract
The topic of psychological health and overall wellness for first responders is worthy of major consideration. First responders are those required to respond to the critical phases of a major incident by providing a variety of rescue, emergency, and healthcare services. In this environment of constant and significant adversity, whether it is a man-made or a natural hardship, first responders are frequently being asked to be first on-the-scene. In fact, in 2008 approximately 1.5 million first responders worked on emergencies. Additionally, it is believed that this number has likely increased in the subsequent decade. Hence, it is vitally important to be concerned with this population’s mental health and well-being. Nevertheless, historically emergency personnel in the United States have lacked support and resources in many areas, including the area of occupational health psychology (OPH). This grant attempts to address this gap by supporting the development of a train-the-trainer program that will ultimately facilitate educational resources so that responders may practice self-care and other wellness skills that tend to improve mental health outcomes. A major goal is to obviate negative psychological reactions by providing strategies that enhance resilience through strengthening responder self-efficacy and other healthy coping mechanisms. The ultimate goal is to improve mental health outcomes for first responders in the United States and beyond.
Table of Contents
Chapter 1. 1
Introduction. 1
Problem Statement 1
Detailed Description of the Proposed Training Program.. 3
Purpose Statement 4
Objectives to be answered by the grant proposal 4
Significance statement 5
List of Terms 5
Chapter 2. 7
Overview of the Literature on Responder Mental Health and Wellness 7
Key Concepts in First Responder Psychological Health and Wellness with Applicability to Curriculum Development 8
Impact of Disaster Work on the Psychological Health and Functioning of First Responders 15
Evidence of Both Previous Efforts and Gaps in Support of the Provision of Mental Health and Wellness Resources to Responders 19
Chapter 3. 22
Overview of the Agencies That Grant This Type of Work. 22
Federal Agencies 22
Summary of the Grant Announcement 24
Background. 24
Purpose. 25
Essential Characteristics of the NIOSH TPG.. 26
Essential Elements for the NON-Academic Training Project Grants 27
The Grant Review Process 30
Grant Proposal Reviewers 32
Iris Smith, Ph.D., MPH.. 32
Robert Gaines, Pharm.D., MBA.. 33
Sharon Rhynes, DNP, MSN, AGACNP, NP-C, ANP-BC. 33
Dr. Crystal Hughley, RN, MSN, FNP-BC.. 34
Carol Robinson, RN, BS. 35
Chapter 4. 36
Reviewer 2 Comments 36
Reviewer 3 Comments 37
Reviewer 4 Comments 38
Reviewer 5 Comments 40
Chapter 5. 43
Abstract 43
Background. 44
Overview of the Literature on Responder Mental Health and Wellness 44
Key Concepts in First Responder Psychological Health and Wellness with Applicability to Curriculum Development 45
Impact of Disaster Work on the Psychological Health and Functioning of First Responders 52
Factors that Exacerbate or Mitigate Adverse Effects: At-Risk and Resilience Factors 54
Evidence of Both Previous Efforts and Gaps in Support of the Provision of Mental Health and Wellness Resources to Responders 56
Problem Statement 58
Purpose and Specific Aims 61
Objectives to be answered by the grant proposal 61
Significance. 62
Bibliography. 63
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