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Obstacles to mental health care for firefighters persist

On Behalf of | Mar 8, 2025 | Workers' Compensation |

Firefighters are considered heroes throughout the country and around the world – but probably nowhere more than in California, where wildfires have become increasingly more destructive in recent years. Firefighters are often called to work multiple shifts without a break – fighting to save homes when in some cases their own have burned down.

It’s not surprising that there’s a “mental health epidemic,” according to the California Department of Forestry and Fire Protection (more commonly known as Cal Fire) with more firefighters being diagnosed with post-traumatic stress disorder (PTSD) and conditions. The rate of suicide attempts among firefighters has risen in recent years as well.

What does the law say?

California, like some other states, has recently made changes in the law to reduce the obstacles for firefighters seeking workers’ compensation benefits for PTSD. Workers’ comp law states that for “certain state and local firefighting personnel and peace officers, the term injury includes post-traumatic stress that develops or manifests during a period in which the injured person is in the service of the department or unit and creates a disputable presumption that the injury arises out of and comes in the course of employment.”

Unfortunately, that change in the law hasn’t solved the problem of firefighters not being able to get workers’ comp coverage for mental health treatment for PTSD. In fact, one study has determined that approximately one-fourth of these claims for coverage by firefighters have been denied.

Therapists face issues getting reimbursement

The problem is so bad, according to firefighters who have spoken out, that some therapists refuse to treat them unless they can pay out-of-pocket (which is often impossible if a firefighter can no longer work). They say they’re afraid it will take months or longer for an insurer to pay them – if they pay them at all. One therapist says a “total system breakdown” is to blame.

Certainly, a serious mental health condition like PTSD can worsen and become even more debilitating if it’s not properly treated. Having to fight with workers’ comp insurers doesn’t make matters any better. Firefighters are increasingly getting legal guidance to help them get the coverage they’re entitled to receive under the law. Until the situation improves, that can be a firefighter’s best chance to get the mental health care they need and deserve.

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