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Status: Code 4, Inc.

Each month an average of 3 Colorado Emergency Responders die by suicide. SC4i provides mental health services that include "free" trauma therapy to Emergency Responders and family members. It is staffed by former emergency responders who understand PTSD, Depression, Anxiety and Suicidal Ideation.

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Lifelines Documentary Series

Class

Mental Health, Substance Abuse 

Beneficiaries

Adolescents/Youth (13-19 years)
Adults
Females
Males
Young Adults (20-25 years)

Description

Lifelines" is a six-film documentary series that addresses the duty related mental wellness challenges faced by our First Responders and their family members. The series' overall goal is to normalize the mental wellness challenges experienced by our First Responders and to instill a sense of hope within them and their families that prevention and recovery are possible. The series is available, at no cost, to Colorado's 750 Public Safety agencies. The series has reached over 752K individuals from around the world on Facebook. The series includes: a trailer, Suicide Awareness, Posttraumatic Stress, Leadership, First Responder Children and Substance Use Disorder.
The available films can be viewed at www.sc4i.org/lifelines.

Photos

Evidence of Program's Success

Individuals Reached: 752,000 across 50 U.S. states and 22 countries (on Facebook)
Viewed: 224,000 times (across social media, at conferences and at training sessions)

A survey was sent to 96 peers to complete and 44 responded. When asked, "How would you rate the effectiveness of the film in achieving its intended purpose?", 12% reported Moderately Effective, 33% reported Very Effective and 55% reported Extremely Effective.

Sample of Comments Received:

"I think that this is a great video to increase awareness as well as show that other local people have struggled and survived with the same issues."
"These films would be beneficial to both their agency and other peers as a training tool or resource.
"The entire department is now going to be required to watch your videos. I want to let you know that after watching the videos I went to a person that I had suspected had a problem and he admitted he did and we now have him in counseling. I am sure he was on his way to losing his marriage and his job and your videos hopefully saved him from both."

PTSD - Trauma Therapy

Class

Mental Health, Substance Abuse 

Beneficiaries

Adolescents/Youth (13-19 years)
Adults
Females
Males
Veterans

Description

Since February 2017, SC4i has provided $128,500 worth of free evidence-based trauma therapy to individuals and families with an emphasis in Trauma, Depression and Anxiety. It also offers "Code 4 Together" support groups so first responders can share and learn techniques for unpacking their experienced work related stress.

First Responders (FR) are exposed to trauma in their careers. How they process that trauma or the amount of exposure to trauma impacts their quality of life. Individuals' post-trauma reactions show great variability, from being highly resilient, with little or no emotional distress, to those that are relatively mild and short-term or major, chronic, and highly debilitating. The American Psychological Association (APA) developed guidelines and recommendations on psychological treatments for PTSD. PTSD intervention is complicated further by the fact that co-morbidities (e.g. substance abuse or other psychiatric disorders including major depression) are common. In situations where co-morbidity exists, a combined approached should be considered. Clinicians must be competent at treating co-morbid addictions, trauma, and mental health issues. All treatment must be tailored to address historical challenges (e.g. childhood events, prior relationships, etc.) that effect the FR's current distress.

SC4i utilizes the American Psychological Association (APA) developed guidelines and recommendations on psychological treatments for PTSD. Clinical staff personalizes its selection of evidenced based therapeutic techniques for each client and has experience with the following techniques: Eye Movement Desensitization and Reprocessing (EMDR), Neurofeedback, Cognitive Behavioral Therapy (CBT), Emotional Freedom Technique (EFT) Tapping, Transactional Analysis, Gestalt, and many other modalities. These treatments may be used in concert with one another should other comorbidities (e.g. substance abuse or other psychiatric disorders including major depression) be present. These techniques are provided during in-person and more recently in online counseling mediums. Though SC4i applies any one of these techniques as needed, it has found that EMDR has provided the highest degree of efficacy by means of quickest and longest lasting results for our clientele.

Photos

Evidence of Program's Success

A Confidential Clinical Survey was provided to clients at the 6-month point or at the end of their clinical treatment. All answers were requested on a voluntary basis, and it provided an opportunity for the client to submit feedback regarding the treatment he or she received. The data is used to spot shortcomings and successes in its provided services. Results indicated that clients were satisfied with the clinical access, their degree of treatment participation, were satisfied with the quality and appropriateness of the treatment, and were satisfied with their overall treatment. All were better able to deal with crisis, daily problems and got along better with their family.
Client Testimonies:
"Status code 4 saved my life!! I'm sooo great full for the services they provide and I'm Soo blessed to be able to use [their] services. I do and will continue to recommend there services. Thank you status code 4 for helping me find life again."
"A great agency doing great work. Status Code 4 is a life saver and is doing God's Work. Keep up all the good things that you do!"

Mental Wellness - Resiliency Training

Class

Mental Health, Substance Abuse 

Beneficiaries

Adults
Females
Males
Veterans
Young Adults (20-25 years)

Description

SC4i has delivered 37 tailored 2 to 4-hour Mental Wellness Training classes and podcasts, covering topics such as Depression, PTSD, Anxiety and Suicide Prevention, Resiliency and Peer Support to public safety and EMS departments throughout Colorado in areas such as Fountain, Pueblo, Genoa, Lake City, Gateway, Woodland Park, Centennial, Fort Carson, and Fort Collins. SC4i's also provides Mental Health First Aid (MHFA) training and Dave Ramsey's Financial Peach University Course.
Before each class offering, the staff conducts an informal training needs assessment with the training lead. This assessment provides us with an opportunity to discuss the agency's psychoeducational training needs, the time allotted for training and the intended outcomes. At the end of each class, students are surveyed to solicit qualitative feedback of the course content. This information is used to improve future course offerings.

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Evidence of Program's Success

Our class surveys continually reflect impactful course content.
Attendee testimonies:
"I like how this discussion is helping create the change needed in this field"
"Very eye opening"; "It got me thinking about my own mental health"
"It wasn't just a lecture by someone trained in this. Dan actually went through it so it made it easier to empathize."
"If I find myself or co-workers having issues I now know what direction to go"
"I see myself using a plan to handle coming home from a bad call with my partner to ensure a better relationship"
"Offer quarterly or every 6 months to talk to the "entire" EMS/FD Group - I think we ALL need to hear this!!!

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