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Information on Drug Rehab for Law Enforcement and First Responders

Last updated on: Wednesday, 18 October 2023
  • What You'll Learn

Drug rehab for law enforcement and first responders is available. While most organizations that employ frontline workers have programs to help individuals with substance use disorder, some may want to explore other options. To help with this, you can use the filter below by choosing a state and find a drug rehab program for law enforcement and first responders.

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List of Drug Rehabs for Law Enforcement & First Responders

Here is access to our entire drug rehabilitation database for law enforcement and first responders. Please select a state first. If you need help locating the right treatment for you, do not hesitate to contact one of our treatment specialists.


Type of Treatment

First responders include firefighters, paramedics, police, active duty military, corrections officers, and emergency medical technicians, among other rescue workers. Unfortunately, the incidents, images, and experiences encountered daily lead to numerous trauma-related problems. Misusing drugs, alcohol, or prescription medication becomes a way of coping with this trauma. The constant exposure to life-threatening situations, trauma, working long hours, sleep deprivation increases the risk of developing an addiction. Many of these problems often involve excessive alcohol use or prescription drugs.

Additionally, dealing with addiction is difficult for first responders because it is not easy to admit there is a problem. Much of the fear of admitting there is a problem stems from a stigma, which has begun to change. However, first responders are not often the first ones to admit they are struggling with addiction until it is too late. Substance abuse treatment for first responders is addiction services that address the specific problems or underlying issues. For example, this may include peer support or group therapy, individual counseling, and an application of different therapy models. Holistic approaches are also used to improve physical health. Treatment is essential because of the level of responsibility these jobs have.

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Signs of Addiction Among First Responders

Noticing when someone struggles with addiction is not easy, but there are some red flags to look for. There are physical symptoms, external signals, and subtle psychological symptoms that help in identifying if someone is struggling with addiction. Some of the possible indicators for substance abuse include needle marks, burned fingers or lips, slurred speech, dilatated or constricted pupils, tremors, appearing lethargic, mood swings, and drastic changes in mood and behaviors.

Typically, among first responders, it is important to be aware of the behavioral indicators, especially after a significant incident or event. For example, this could include difficulty concentrating, focusing, or completing a task. The person may appear distracted or disorientated and begin to make inappropriate decisions or unreasonable choices. Also, they may struggle to make decisions, experience lapses in memory, or completely blacks out. Coworkers may notice the person is needing direction constantly, struggles to recall specific details, and needs assistance with basic tasks like filling out paperwork.

The physical and psychological demands of the job create circumstances where drugs and or alcohol could be used to cope. According to an article published in the American Journal of Addictions, in a large sample of urban police officers—approximately 18.1% of men and 15.9% of women reported experiencing adverse consequences from alcohol use. Also, about 7.8% of them met the criteria for lifetime alcohol abuse or dependence. The female police officers in the study had patterns of alcohol use similar to male police officers.

Many of the indicators of addiction begin with problems associated with post-traumatic stress. Per the journal article, among the general population and Americans with a history of PTSD, an estimated 52% of men and 28% of women have a history of co-morbidity. The evidence among police offers suggests alcohol abuse and dependence are a significant concern. Some studies have shown that up to 25% of police officers have serious problems with alcohol.

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  • When do members of first responders need substance abuse treatment?

    When coworkers, family members, or friends begin to notice the signs of addiction, it is time to intervene and help. Most first responders are in a high-risk occupation group where it is possible for them to experience a wide range of physical and mental health consequences as a result of doing their job. For example, secondary traumatic stress is an emotional response to the duties of a first responder, and this often refers to the presence of PTSD symptoms. Unfortunately, drugs and alcohol have become an easy way to cope with these problems. Alcohol and prescription drug abuse are some of the most recognized issues.

    Some of the signs of this stress include fear in situations that others would not find frightening, or the person is excessively worrying that something bad is going to happen to them, their loved ones, or coworkers. Someone struggling with a significant amount of stress becomes easily startled, feels jumpy, or is on-guard all the time. They would also become wary of situations at work, fearing for the worse. Some of the physical signs include a racing heart, shortness of breath, and increased tension headaches. Also, they may have a sense of being haunted by the things they have seen or experiences and have experienced a continuous sense of dread.

    These are all serious issues that become progressively worse without help and contribute to the increased need to abuse drugs or alcohol. According to the Substance Abuse and Mental Health Services Administration, in a study investigating alcohol use in police officers following Hurricane Katrina, there was a significant association between hurricane relief efforts and hazardous alcohol drinking. Also, the lifetime prevalence of suicidal ideation in police officers was 25% in female officers and 23.1% in male officers. Another study found that career firefighters reported higher levels of problematic alcohol use and PTSD as compared to volunteer firefighters. Heavy or binge alcohol drinking was reported in approximately 50% of male firefighters.

    Many first responders experience problems with burnout, which also increases the risk of substance abuse where treatment is required. Burnout is usually characterized by emotional exhaustion, depersonalization, and reduced feelings of personal accomplishment. These problems develop due to general, occupational stress, and everyone experiences it differently. Someone who is burnt out from work may misuse drugs or alcohol to cope. Some of the symptoms involve feeling as if you can do nothing to help or are always tired, exhausted, or overwhelmed. Also, there is feeling like a failure and as if you are noting doing your job well.

    Additionally, there are feelings of being frustrated, cynical, disconnected from others, indifferent, lacking feelings, and always feeling depressed. The mixture of addiction and these continuing psychological problems increases the risk of overdose and or suicide. According to an article published on EMS1, problems with depression and PTSD affect an estimated 30% of the nation’s first responders, compared to 20% of the general public. Approximately 3.7% of Americans have contemplated suicide, yet it jumps to 37% for fire and EMS professionals. Also, 0.5% of Americans attempt suicide, and 6.6% of fire and EMS professionals attempted suicide. These ongoing issues must be resolved with well-rounded evidence-based substance use treatment, counseling, and or therapy.

  • How does drug rehabilitation for first responders operate?

    The rehabilitation process is similar in many ways to other programs. However, there are usually internal support services and access to referrals to programs used by police departments, EMS, firefighters, etc. The first step should involve an assessment or at least confiding in someone that can guide you in the right direction. An assessment would determine what the extent of the problem is and what forms of help are available. Following an assessment, detox would be needed, especially if the addiction involves pain medication or other types of addictive prescription drugs. However, detox should not be considered the only approach because it will not address underlying issues or the reasons why.

    Therapy and counseling for first responders would either be accessed through an internal program or external services. For example, it could involve outpatient counseling or treatment provided by the healthcare plan. It is not uncommon for first responders to attend residential rehabilitation and take a medical leave of absence. It is important to address the issues and receive proper counseling and aftercare support. Peer support groups are often excellent resources because it is made up of other first responders struggling with similar issues. Treatment should not be avoided because the problem does become worse.

    According to research examining the assessment and treatment of traumatic stress in first responders, following the Boston Marathon bombing, the LEADER program was developed, which stands for Law Enforcement, Active Duty, Emergency Responder. The program offers services across multiple areas and levels of care that include inpatient or residential treatment, partial hospitalization, and outpatient programs. The treatment process involves an initial assessment, symptom stabilization, and skills training, trauma-focused processing, and consolidation, and aftercare.

    However, the first step is asking for help, and this is not always easy. An article published on EMS1 highlighting what first responders need to know about asking for help and getting into treatment. The article notes there are real or perceived social, political, or systemic obstacles that exist, stopping an individual from asking for help. Also, there is a feeling of shame, fear, or appearing weak or concern about one’s reputation. Countless first responders suffer in silence and never ask for help. A good place to seek help is through trusted coworkers or through a peer support team that is recognized for helping first responders.

    However, there is a reluctance to attend support meetings. Some first responders choose to attend meetings in different cities or use virtual meetings to help. Outpatient counseling is a common option, but it should be a program where the professionals know how to work with first responders. Inpatient treatment could be needed, and many treatment centers provide specific services for first responders. However, there are some important questions to consider, like is a lower level of treatment necessary before insurance approves residential care. Also, does insurance cover inpatient treatment, what are the added costs, or could time be utilized under the Family and Medical Leave Act.

  • Want to know more?

    The questions from Addicted.org’s “Learn from our Experts” are answered by Michael Leach, CCMA. If you need further clarification on any of the questions above or have any other questions you can contact him directly at mike@addicted.org.




More Information

Marcel Gemme has been helping people struggling with addiction for over 19 years. He first started as an intake counselor for a drug rehabilitation center in 2000. During his 5 years as an intake counselor, he helped many addicts get the treatment they needed. He also dealt with the families and friends of those people; he saw first-hand how much strain addiction puts on a family and how it can tear relationships apart. With drug and alcohol problems constantly on the rise in the United States and Canada, he decided to use the Internet as a way to educate and help many more people in both those countries. This was 15 years ago. Since then, Marcel has built two of the largest websites in the U.S. and Canada which reach and help millions of people each year. He is an author and a leader in the field of drug and alcohol addiction. His main focus is threefold: education, prevention and rehabilitation. To this day, he still strives to be at the forefront of technology in order to help more and more people. He is a Licensed Drug and Alcohol Treatment Specialist graduate with Honours of Stratford Career Institute. Marcel has also received a certificate from Harvard for completing a course entitled The Opioid Crisis in America and a certificate from The University of Adelaide for completing a course entitled AddictionX: Managing Addiction: A Framework for Succesful Treatment.



More Information

Michael Leach is a Certified Clinical Medical Assistant, who has over 5 years of experience working in the field of addiction. He spent his career working under the board-certified Addictionologist Dr. Rohit Adi. His experience includes working with families during their loved one’s stay in treatment, helping those with substance abuse issues find treatment, and teaching life skills to patients in a recovery atmosphere. Though he has worked in many different areas of rehabilitation, the majority of his time was spent working one on one with patients who were actively withdrawing from drugs. Withdrawal and the fear of going through it is one biggest reason why an addict continues to use and can be the most difficult part of the rehabilitation process. His experience in the withdrawal atmosphere has taught him that regardless of what approach a person takes to get off drugs, there are always mental and emotional obstacles that need to be overcome. He believes having someone there to help a person through these obstacles can make all the difference during the withdrawal process.