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Firefighters are at a high risk of experiencing posttraumatic stress, anxiety, depression (Teoh et al., 2019), suicidality, substance abuse (Bing-Canar et al., 2019), and burnout (Teoh et al., 2019). Firefighters are regularly exposed to traumatic events on calls which results in their decreased mental health; and associated decreased participation in meaningful occupations, routines, and roles (Edgelow & Cramm, 2020; Edgelow et al., 2021; Wittwer et al., 2021). This project contains both research and a program. The purpose of this research was to understand how firefighter demographics interact with interrupted occupations, routines, and roles and at what frequency when faced with work-related psychological trauma and stress (Edgelow et al., 2021; Gulliver et al., 2021; Pennington et al., 2022). There were relationships between the years of firefighter experience as well as marital status with participation in occupations, routine changes, and role identification. The next step for research is to further study demographic interactions with stress and functional impairment and with more nuance in a qualitative, mixed methods, and longitudinal study. The purpose of this program was to educate firefighters on ways to re-engage in interrupted occupations, routines, and roles to reduce the negative effects of work-related psychological trauma (Edgelow & Cramm, 2020; Torchalla et al., 2019). Participants found the workshop interesting, useful, and informative, especially the mental health statistics for firefighters. Future implications for this program are to implement it at every level of the career, deliver education to loved ones, and advocate to administration, unions, and local council members.

Publication Date

Spring 4-25-2023


University of St. Augustine for Health Sciences


firefighter, occupational therapy, psychological trauma, occupation, routine, role

Medical Subject Headings

Firefighters; Stress Disorders, Post-Traumatic, Stress, Anxiety, Burnout, Psychological; Occupational Therapy; Program Development


Fire Science and Firefighting | Mental and Social Health | Occupational Therapy | Psychiatry and Psychology


Poster presented at the Spring 2023 Virtual OTD Capstone Symposium held online at the University of St. Augustine for Health Sciences on April 4 and April 12, 2023.

Analysis of Firefighters’ Psychological Trauma and Interrupted Domains