{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T10:43:36Z","timestamp":1790937816001,"version":"4.1.0"},"reference-count":44,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T00:00:00Z","timestamp":1618963200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Black Dog Institute","award":["Seed funding"],"award-info":[{"award-number":["Seed funding"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Emergency service workers (ESWs) are at high risk of experiencing poor mental health, including posttraumatic stress disorder (PTSD). Programs led by ex-service organizations may play an unrecognized but critical role in mental health prevention and promotion. Behind the Seen (BTS) is an Australian ex-service organization that runs workshops to raise awareness and facilitate conversations around the mental health of ESWs. The purpose of the study is to conduct a qualitative evaluation of workshop participants\u2019 experiences, to understand the acceptability and perceived usefulness over the immediate- (within 1 month), intermediate- (6 months) and longer-terms (12 months). Participants (n = 59 ESWs) were recruited using purposive sampling across five fire and rescue services in metropolitan, regional, and rural locations. Focus groups methodology was used for data collection and data were analyzed using iterative categorization techniques. Participants reported (i) a high perceived need for education about PTSD, (ii) highly salient aspects of the presentation that made for a positive learning experience, including the importance of the lived experiences of the facilitators in the learning process, (iii) key features of changes to intentions, attitudes, and behavior, and (iv) major aspects of the organizational context that affected the understanding and uptake of the program\u2019s key messages. BTS was perceived as an acceptable means of delivering mental health, PTSD, and help-seeking information to ESWs. The program is a promising candidate for scaling-up and further translation.<\/jats:p>","DOI":"10.3390\/ijerph18094418","type":"journal-article","created":{"date-parts":[[2021,4,21]],"date-time":"2021-04-21T12:47:07Z","timestamp":1619009227000},"page":"4418","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Trauma and Mental Health Awareness in Emergency Service Workers: A Qualitative Evaluation of the Behind the Seen Education Workshops"],"prefix":"10.3390","volume":"18","author":[{"given":"Andrea","family":"Fogarty","sequence":"first","affiliation":[{"name":"Black Dog Institute, Randwick, Sydney 2031, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5048-2920","authenticated-orcid":false,"given":"Zachary","family":"Steel","sequence":"additional","affiliation":[{"name":"School of Psychiatry, University of New South Wales, Sydney 2052, Australia"},{"name":"St John of God Health Care, Richmond Hospital, Sydney 2754, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5779-7722","authenticated-orcid":false,"given":"Philip B.","family":"Ward","sequence":"additional","affiliation":[{"name":"School of Psychiatry, University of New South Wales, Sydney 2052, Australia"},{"name":"Schizophrenia Research Unit, South Western Sydney Local Health District &amp; Ingham Institute of Applied Medical Research, Liverpool 2170, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katherine M.","family":"Boydell","sequence":"additional","affiliation":[{"name":"Black Dog Institute, Randwick, Sydney 2031, Australia"},{"name":"School of Psychiatry, University of New South Wales, Sydney 2052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4722-1639","authenticated-orcid":false,"given":"Grace","family":"McKeon","sequence":"additional","affiliation":[{"name":"School of Psychiatry, University of New South Wales, Sydney 2052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8984-4941","authenticated-orcid":false,"given":"Simon","family":"Rosenbaum","sequence":"additional","affiliation":[{"name":"Black Dog Institute, Randwick, Sydney 2031, Australia"},{"name":"School of Psychiatry, University of New South Wales, Sydney 2052, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2021,4,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"649","DOI":"10.1177\/0004867415615217","article-title":"The mental health of fire-fighters: An examination of the impact of repeated trauma exposure","volume":"50","author":"Harvey","year":"2015","journal-title":"Aust. 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