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This episode features Patrick Beckley, Director of Emergency Management for the Long Island Rail Road and former Suffolk County Fire, Rescue and Emergency Services commissioner and New York State Division of Homeland Security regional director, discussing disaster mental health as a core element of emergency management. Beckley shares his own journey toward better mental health. He talks about his heightened awareness of accumulated trauma among responders and underscores the importance of professional guidance and taking ownership of what is within one’s control. He explains why emergency managers often resist addressing mental health—due to “old school” expectations and a historic focus on victims—and argues that leaders must model vulnerability to build trust and improve retention. He identifies organizational warning signs such as rising cynicism, withdrawal, friction, and avoidance, and stresses that mental health should be integrated into operations and emergency plans—not treated as a post-incident add-on. Beckley highlights practical steps including preparedness training that reduces anxiety, personal “mental health go-kits,” structured rotations and decompression during major incidents like Hurricane Sandy, peer-support models, and accessible mental health services. His message: responders are not an infinite resource, and mental health must be addressed proactively and authentically. Time Stamps: 00:50 Meet Patrick Beckley: Emergency Management Leader & Why Mental Health Matters 01:42 The Hidden Psychological Toll of Emergency Management (and Retention Risk) 02:38 Personal Stories: Secondary Trauma, Panic Attacks, and Getting Help 06:05 Breaking the Stigma: Leading With Vulnerability in Emergency Services 16:30 Why Mental Health Can’t Be a Post-Disaster Footnote 17:22 Building a “Mental Health Go-Kit” for Disasters 19:35 Psychological First Aid in Operations + Peer Support & Canine Programs 23:54 Staffing, Rotations, and Decompression During Prolonged Incidents (Lessons from Sandy) 26:10 The Uncomfortable Truth: Panic Attacks, Coping, and Checking on People Who Go Dark 29:19 Resiliency Pack Examples + Final Takeaways: Don’t Ignore It 34:00 Wrap-Up and Thanks Documents/Files shared by our guest: https://drive.google.com/drive/folder... For those who may be seeking help, the Code Green Campaign® is a first responder oriented mental health advocacy and education organization: https://www.codegreencampaign.org/abo... Research: Patel SS, Guevara K, Hollar TL, DeVito RA, Erickson TB. Surveying mental health stressors of emergency management professionals: Factors in recruiting and retaining emergency managers in an era of disasters and pandemics. J Emerg Manag. 2023 Sep-Oct;21(5):375-384. doi: 10.5055/jem.0820. PMID: 37932942. https://pubmed.ncbi.nlm.nih.gov/37932... Deans C, Carter S. Evidenced Interventions Supporting the Psychological Wellbeing of Disaster Workers: A Rapid Literature Review. Int J Environ Res Public Health. 2025 Sep 19;22(9):1454. doi: 10.3390/ijerph22091454. PMID: 41007597; PMCID: PMC12470247. https://pmc.ncbi.nlm.nih.gov/articles.... Not on EMs but Emergency Mgt. Depts: White SC, Harris CH, Gopaul R, Smyth JM (2025) Stigma and barriers to seeking mental health care among emergency department providers – A mixed methods study. PLOS Mental Health 2(11): e0000489. https://doi.org/10.1371/journal.pmen....