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. Studies have shown that organizational policies and practices have an important impact on PTSI. However, although many first responder workplaces are developing PTSI policies and programs, they often face challenges to program implementation.

Based on interviews and workshops with first responders in Alberta about their experiences with program implementation, an IWH follow-up study has synthesized findings and  key themes related to implementation processes—including contextual factors, facilitators and barriers. This resource, co-developed with Alberta stakeholders, outlines key implementation steps to consider when planning, implementing (delivering) and maintaining/sustaining PTSI programs in the workplace.