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Lived experience guides can improve mental health access for first responders by overcoming barriers. This study defined the guide role and implementation needs for better support and well-being in emergency services.

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Area of Science:

  • Mental Health Services Research
  • Occupational Health
  • Psychology

Background:

  • First responder mental health is a priority, but access barriers persist.
  • Lived experience guides offer unique support navigating mental healthcare.
  • This study aimed to define the lived experience guide role for first responders.

Purpose of the Study:

  • To define the role and purpose of lived experience guides.
  • To identify key considerations for implementing these guides in first responder settings.
  • To improve mental health service access and outcomes for first responders.

Main Methods:

  • Experience-based co-design methodology was employed.
  • Three workshops were conducted with nine current and former first responders.
  • Participant feedback was analyzed and grouped into emergent themes.

Main Results:

  • Six core themes emerged: guide role/purpose, privacy/confidentiality, selection/recruitment, training, resources/support, and evaluation.
  • Participant input was crucial in defining the guide's function and implementation factors.
  • Co-design ensured the study reflected the lived realities of first responders.

Conclusions:

  • Lived experience guides are vital for overcoming barriers to first responder mental healthcare.
  • Implementation insights are valuable for agencies, government, and insurers.
  • This role can significantly enhance first responder mental health and emergency service resilience.