title: "Stay connected": psychological services for retired firefighters after 11 September 2001.
abstract: BACKGROUND
  A large number of firefighters retired after 11 September 2001. These retirees were confronted with multiple challenges, including grief, trauma-related physical injuries and psychological distress, difficulties related to the transition of their roles, and deterioration of social support.
  
  
  OBJECTIVE
  The Fire Department of New York (FDNY) Counseling Service Unit's "Stay Connected" Program designed and implemented after 11 September 2001 is described in this report. This unique program was designed to use a combination of peer outreach and professional counseling to address the mental health needs of retiring firefighters and their families.
  
  
  METHODS
  Descriptive information about the intervention program was gathered through semi-structured interviews with Counseling Service Unit staff. Client satisfaction surveys were collected during three six-week periods.
  
  
  RESULTS
  Quantitative data indicate that clients rated their overall satisfaction with the clerical and counseling staff a perfect 4 out of 4. The report of their overall satisfaction with the services also was nearly at ceiling (3.99 out 4). The perceived helpfulness of the services in resolving the problems experienced by the clients increased significantly over time. Qualitative data indicate that peer involvement and intensive community outreach, i.e., social events, wellness activities, and classes, were integral to the success of the intervention.
  
  
  CONCLUSIONS
  This project provided valuable lessons about how to develop and implement a "culturally competent"intervention program for public safety workers retiring after a disaster. Creative, proactive, non-traditional outreach efforts and leveraging peers for credibility and support were particularly important.
authors.affiliation: Center for Health Care Evaluation, VA Palo Alto Health Care System, Menlo Park, California 94025, USA. jennifer.alvarez@med.va.gov
authors.forename: Jennifer
authors.initials: J
authors.lastname: Alvarez
authors.forename: Craig
authors.initials: C
authors.lastname: Rosen
authors.forename: Kim
authors.initials: K
authors.lastname: Davis
authors.forename: Greg
authors.initials: G
authors.lastname: Smith
authors.forename: Malachy
authors.initials: M
authors.lastname: Corrigan
mesh_terms: D000328:Adult; D003376:Counseling; D004630:Emergencies; D005260:Female; D005390:Fires; D006801:Humans; D008297:Male; D008875:Middle Aged; D009518:New York; D009790:Occupations; D012179:Retirement; D047851:September 11 Terrorist Attacks / Q000523:psychology*