Implementation strategies for post-traumatic stress injury (PTSI) programs in first responder workplaces

Published: May 2026

The prevalence of post-traumatic stress injury (PTSI) among first responders is extremely high, often leading to work disability. While many first responder organizations are developing PTSI policies and programs, they have noted the challenges they face in program implementation in the workplace. To better understand these experiences and challenges, an IWH research team conducted a study with stakeholders from first responder organizations in Alberta, Canada. 

Based on the findings and on existing implementation frameworks, this resource provides an overview of key implementation steps to consider when planning, implementing/delivering) and maintaining/sustaining PTSI programs in the workplace.

Who should use this resource?

This resource is designed for those who are involved in providing or implementing workplace PTSI programs to prevent work disability at first responder organizations. Users may include managers, senior leaders, occupational health and safety professionals, and mental health professionals. The implementation steps can also apply broadly to other types of work disability prevention programs, not just those related to PTSI, and in sectors beyond the public safety sector.