Toronto Star

Wave of paramedic PTSD prompts investigat­ion

Toronto ombudsman says probe was spurred by ‘number of complaints’

- TARA DESCHAMPS STAFF REPORTER

Vince Savoia was past his rookie days as a Toronto paramedic when he rushed into the apartment of Tema Conter, a girl who had been beaten, raped and stabbed 11 times in 1988.

Beneath a white sheet, he found the dead girl naked, her arms and legs bound behind her and a gag in her mouth. The horrific scene and Conter’s uncanny resemblanc­e to Savoia’s then-fianceé left him crying all the way home that evening and eventually triggered a post-traumatic stress disorder (PTSD) diagnoses years later.

In the last two decades, an increasing number of paramedics have followed suit, being plagued with PTSD and other operationa­l stress injuries (OSI). Now, it’s time to delve into the problem, says Toronto ombudsman Fiona Crean, who launched an investigat­ion Thursday into how Toronto Paramedic Services (TPS) handles stress injuries among staff.

Her investigat­ion announceme­nt follows a 2014 report from the Paramedic Chiefs of Canada that found “claims filed with workers’ compensati­on concerning PTSD among paramedic services staff are on the upswing” in some jurisdicti­ons.

After repeatedly hearing about the problem, Crean told the Star on Thursday, “I decided I couldn’t look at this (issue) any further in an informal fashion.” She launched her investigat­ion and made it public so more paramedics would come forward to offer stories and help.

She said her investigat­ion was prompted by “a number of complaints” detailing concerns about the way psychologi­cal problems such as anxiety, depression, alcohol and drug dependence and post-traumatic stress disorder are triggered by paramedic job duties.

Among their responsibi­lities are providing services to people in dire need of medical attention — some well past help — and entering harrowing crime scenes like Savoia en- countered with Conter.

“I cannot tell you how many times I have responded to a call for a child that was physically abused,” Savoia said. “Those types of calls crawl under your skin.”

The calls can be hard to forget and to talk about, he said. Plus, not everyone is willing to discuss gruesome experience­s with staff psychologi­sts or peer-support teams.

In response to news of the ombudsman’s investigat­ion, TPS chief Paul Raftis said in an email to the Star, that the TPS “welcomes” the investigat­ion and is “actively supporting her office in this matter.”

The Tema Conter Memorial Trust, which Savoia founded as a way to provide mental health support for emergency workers, estimated that between 16 and 24 per cent of these workers will experience PTSD.

Many, including former president of the Paramedic Chiefs of Canada Michael Nolan, counted Toronto among the municipali­ties leading the way when it comes to mental health services for paramedics.

Nolan pointed to Toronto’s inhouse psychologi­st and peer-support teams as innovative ways that the city is trying to curb operationa­l stress. “There is a lot to be learned from Toronto,” he said.

Still, Savoia welcomed Crean’s investigat­ion, saying, “even if they are doing things right, the investigat­ion will help them learn how to do things better.”

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