There is a significant disparity in mental and physical health issues among responders compared to the general population. Research suggests responders experience higher rates of behavioral health conditions — including depression and post-traumatic stress disorder (PTSD) and chronic illnesses such as heart disease and cancer — than their civilian counterparts. Addressing the root causes and expanding wellness initiatives is essential to supporting this community.
In February 2025, Governor Kathy Hochul unveiled the findings from New York’s inaugural First Responder Mental Health Needs Assessment. The Assessment, commissioned by DHSES and conducted by SUNY New Paltz’s Institute for Disaster Mental Health and the Benjamin Center, was developed to better understand the mental health-related challenges facing individuals working in public safety fields, and to strengthen programs and services for these professionals.
Survey Findings
More than 6,000 individuals in law enforcement, emergency medical services, fire services, and emergency communications, and emergency management from every region of the State completed a voluntary, anonymous survey, and five follow up focus group discussions were held.
Survey findings included:
First Responder Mental Health
Unique Challenges, Unique Needs
This video highlights some of the unique challenges and unique needs related to first responder mental health.
Responder Wellness Primer An Overview of Responder Wellness
Responder Wellness Primer
This document provides an overview of responder wellness and serves as a primer for agencies interested in creating or enhancing...
Mental Health Assessments
Assessment Results by Discipline
This training is designed to help first responders and other public safety personnel better identify, understand, and manage stress. The workshop was developed in collaboration with the Institute of Disaster Mental Health at the State University of New York at New Paltz. The workshop is open to State and local agencies.
DHSES is working to expand training at the State Preparedness Training Center to include peer support team training.
DHSES in collaboration with the Office of Mental Health is developing an introductory course for mental health clinicians to better understand the unique culture of first responders, stressors and barriers to seeking care, and strategies to effectively engage and encourage first responders to maintain treatment.
First responders experiencing mental health distress can seek support from a number of existing available resources:
- The 988 Suicide & Crisis Lifeline is available for those who may be having thoughts of suicide or any other type of mental health crisis. Individuals can call, text, or chat. The 988 Lifeline is completely free, confidential, and available 24/7/365.
- CARES UP is an initiative of the NYS Office of Mental Health's Suicide Prevention Center that focuses on improving the mental health and wellness of law enforcement, firefighters, emergency services personnel, and veterans.
- Disaster Mental Health Response is a collaboration between DHSES and the NYS Office of Mental Health and is comprised of state and local teams of licensed professionals and volunteers. These individuals are trained to provide crisis counseling and other mental health services to individuals and responders impacted by disasters and other critical incidents.