Occupational Stress Injury (OSI) is a term used to describe a set of responses that can occur when our occupation places us under extreme stress or threat and exposes us to traumatic, distressing information. Typically, this type of injury can occur with First Responders which includes Police Officers, Fire Fighters, Paramedics, Commication Dispatchers and Corrections Officers, however, the experience can be applied to a much wider group of individuals who engage in many types of front line trauma work.
In many ways, our society has over simplified Occupational Stress to symptoms of PTSD and, while it does include these responses, OSI is so much more. OSI can also include the experience of moral injury and sanctuary trauma.
Moral Injury is an element of OSI that is often overlooked. The concept of moral injury has roots in military and combat experiences however we are now seeing that it can occur in many first response and front line trauma occupations (and not limited to only those worlds – moral injury can occur in many situations to individuals). Moral Injury is captured in the phrase “I couldn’t get over the idea that if I had just done something different it would have lead to a better outcome”. Any individual who works in the helping profession can attest to the idea that we sometimes hope for better outcomes for the people we serve.
Sanctuary trauma is the experience of feeling that the place where you should have the safest and supportive connection (like a sanctuary) can actually feel further traumatizing. This can happen when someone attempts to get support from the organization but feels let down and further traumatized.
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As part of the work in first response and front line trauma, it is important ensure you are taking care of your emotional, mental and physical health as a prevention to Occupational Stress Injury.