Command® for First Responders and Public Safety Workers
Command® Wellbeing Platform is now available to all first responder and public safety agencies nationwide, including:
Police | Sheriff | Fire | EMT | EMS | 911/Dispatch | CEMA | Corrections | Coroners
Why Command® ?
Here are some sobering statistics concerning first responders and public safety workers:
20% will suffer from Post-Traumatic Stress Disorder and/or Secondary Traumatic Stress during their career
25-30% will experience at least one serious stress-based health issue
40% will experience sleep disturbances/disorders
20% will suffer at least one addiction
25% will suffer depression and/or anxiety; with many others suffering from other psychological and emotional distress
35% experience occupational burnout at multiple intervals in their career
A disproportionate percentage experience marital or other relationship strife
Many will never reach a full retirement age
Rates of suicide among first responder and public safety workers exceeds that of the general population
Organizational and Community Impacts
Because the mental health help-resources available to public safety workers such as EAP or peer support typically require these workers to disclose their identity and presenting issues to a third party, up to 80% are reluctant to seek help for their mental health and wellbeing concerns for fear of being found out or stigmatized. In particular, there is concern among public safety workers that their issues could potentially be shared by these third party help-resources with their supervisors.
As a result, the stress, burnout, and co-occurring mental health and substance use issues which affect public safety workers are generally not identified, much less addressed, leaving them to suffer in silence until such time as they may reach a breaking point.
This culture of silence is costing public safety agencies considerably in terms of:
- Productivity losses (absenteeism and presenteeism)
- Reductions in quality of service
- Unprofessional and unethical service
- Excessive use of force
- Erosion of community trust and cooperation
- Unfavorable public relations events
- Staff turnover
- Avoidable litigation
- Health, disability, and work comp claims
Note: While it is difficult to quantify the cost of each of these factors, it is known that the cost to recruit and train a new police officer, firefighter or EMS worker as a result of a single turnover is many thousands of dollars.
The Command® Wellbeing Platform is here to help!
Command® is the first-of-its-kind, DIY self-assessment platform that empowers public safety workers and their family members to ANONYMOUSLY self-screen and self-refer for a variety of mental and behavioral health conditions, substance misuse, and work-life stressors.
An easy way to think about Command® is as a diagnostic checkup, similar to having a diagnostic performed on your car BEFORE committing to repairs.
Based on the user's unique diagnostic findings, Command® provides the user with algorithmic recommendations for the best help-resources and interventions to address their unique challenges. Not unlike what an honest mechanic does in recommending needed repairs once the diagnostic of your car is complete.
Command® is the essential starting point, the digital front door, if you will, in each officer's journey toward improved and sustainable mental health and wellbeing.
Command®'s Unique Lane
What differentiates Command® from the myriad mental health solutions in the market today is that Command® does not purport, nor attempt, to fix or engineer the user’s mental health and wellbeing.
To the contrary, Command®'s mission is to:
- Empower users to self-assess and identify their mental health and wellbeing challenges BEFORE they jump into therapy, coaching, peer support, or other interventions
- Inform users which types of interventions are appropriate and indicated for their particular circumstances; and
- Navigate users to the right help-resources right from the start!
Total Anonymity / Zero Stigma / Maximum Clarity
When we say that all screenings conducted on the Command® platform are completely ANONYMOUS, we mean it! Users are not required to provide their name, email address, cell phone number, or any personal identifying information, nor do we log their ip addresses on our server.
This provides users a stigma-free safe space to assess their mental health and wellbeing from the privacy of their own homes. They can do this 24/7 using any internet-connected device.
Command®'s anonymity and stigma-free environment makes it particularly appealing to the 80% of public safety workers reluctant to seek help for their mental health and wellbeing concerns for fear of being found out or stigmatized.
Command® allows users to gain a clearer understanding of the issues they are facing BEFORE actually taking the leap to seek help.
In fact, gaining clarity through self-screening is what is most likely to motivate them to seek help.
The Wellbeing Checkup
Upon registering a Command® account, users are encouraged to complete Command®'s proprietary Wellbeing Checkup. The Wellbeing Checkup may be configured by each user according to their own preferences. Users can choose from the following list of conditions and topics when configuring their checkup:
- Up to 30 mental/behavioral health conditions,
- Substance Misuse/Substance-Use Disorder (SUD)
- Work-Life Stressors
- Operational Stress
- Organizational Stress
- Occupational Burnout
- Personal Resilience
- Financial Stress
- Life Satisfaction
- Relationship/marital satisfaction
- And more
Note: The platform's clinical screening tools are all validated and are the same as those used by the mental health profession
Personalized Wellbeing Report
Users who complete the Wellbeing Checkup receive their own personalized Wellbeing Report. This report groups any adverse or “at risk” screening results into clinical, sub-clinical and non-clinical findings. Our algorithms then offer recommendations for how best to address each adverse or “at risk” finding.
Navigation to Your Curated Help-Resources
Command®'s Wellbeing Checkup is easily programmable. This means we can embed your existing list of curated wellbeing resources into the Wellbeing Checkup. Thus when an adverse finding is identified, our system can algorithmically recommend your curated resources to the user when appropriate. An example would be algorithmically recommending your EAP, if applicable, or a counseling or peer support resource that you have contracted with to provide counseling services to your employees.
We can also embed existing peer supporters into the platform and recommend them when appropriate. If you do not currently have a peer support network or program, we can help you develop one. (For details, speak with a Command® representative)
Web Application vs Mobile App
Command® is offered as a web application that is fully optimized and responsive for both desktop and mobile devices. We have intentionally chosen NOT to offer Command® as a mobile app for the following reasons:
- The need to download a mobile app, register an account, and authenticate one’s identity takes time and creates friction that results in barriers to initial engagement. By comparison, Command® may be accessed immediately using a phone’s browser.
- Mobile apps are generally designed for ongoing, long-term use, whereas Command® is typically utilized on a periodic basis (quarterly or semi-annually), enabling users to conduct self-assessment to gain insight into their mental wellbeing, after which their use of the platform tends to subside until such time as they wish to re-screen.
- A mobile app by its very nature requires users to provide their cell phone numbers, and often other identifying information. Not only might this make users reluctant to download and use an app, but it also has the potential for ransomware exploits.
For these reasons, we believe a phone app for this case-use is contraindicated.
Circumventing Ransomware Exploits
When registering their accounts on Command®, users are not required to provide their names, email addresses, cell phone numbers, or any other personal information that would reveal their identities. Moreover, our servers do not store the user’s IP address.
As a result, even if the Command® servers were hacked, there is nothing that identifies the user or their screening data. This precludes ransomware exploits, as there is no opportunity or incentive for a malign actor to threaten to publicly disclose user information, since they would not be able to associate screening data with any specific user.
Two Platform Options to Choose From
Command® Self-Assessment Platform has two options
- “Enhanced” Platform
- “Enhanced Plus” Platform
“Enhanced” Platform
In addition to more than 30 mental health screeners and assessments, the “Enhanced” version of the Command® platform contains detailed analytics including the number of unique users, aggregate screenings conducted, and the prevalence of depression, anxiety, PTSD, secondary traumatic stress, substance use, burnout and more among your population. These analytics may be filtered by user roles and date range and are exportable to PDF for reporting purposes.
“Enhanced Plus” Platform
Our “Enhanced Plus” version of the Command® platform includes all of the features contained in the Enhanced platform. Additionally, Enhanced Plus facilitates both incentivized and non-incentivized screening campaigns to ensure employee participation in the Command® platform. Most importantly, Enhanced Plus generates invaluable population-wide analytics collated into an easy-to-read Group Report.
The Group Report not only informs you as to the relative mental and behavioral health of your workforce, but also captures critical occupational data including:
- Individual job satisfaction
- Rates of absenteeism
- Rates of presenteeism
- Work engagement
- Work distress
- Workplace dysfunction
- Intent to leave
- Alignment with agency culture and mission
- Perceived potential for professional growth
- Perceived management support
- Work-life balance
- Compensation and benefits; and
- Operational and organizational stress unique to public safety work
The insights gleaned from the Group Report inform you as to what additional help-resources may be needed to address the most pressing population-wide wellbeing challenges that are identified. Equally as important, it will also provide insight into needed policy and/or procedural changes at the organizational level.
The Enhanced Plus version of the Command® platform is for public safety agencies that want to:
- capture a very granular snapshot of workforce health and functioning,
- conduct a deep-dive into their agency’s organizational and occupational health, and
- use the platform on an ongoing basis to increase workforce and organizational improvement over time
Screening Campaigns
The Enhanced Plus version of the Command® platform supports both incentivized and non-incentivized screening campaigns.
Financial or other incentives, if properly structured, along with proper campaign promotion can result in increased employee participation rates. A typical incentive might be a $25 Amazon gift card or offering a half day off of work for those who complete the requisite screenings.
Incentivized screening campaigns typically result in employee participation rates of 85% to 95%.
Incentivized campaigns are not required under the Enhanced Plus platform but are recommended.
For more information on incentivized campaigns, speak with a Command® representative.
Note: The cost paid by you for the incentives is in addition to the licensing fees itemized in the table below
Platform Comparison
Here is a detailed comparison of the Enhanced and Enhanced Plus platform features and functionality (click on the (i) icons next to each feature below for a description of each)
| Features / Functionality |
Enhanced Platform |
Enhanced Plus Platform |
| Unique sub-domain i |
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Each agency or company that is licensed to use the platform will be assigned a sub-domain that uses a unique URL prefix to distinguish it from all other such sub-domains. For example, if the licensee were the University of California, Los Angeles (UCLA), then the unique sub-domain URL would be: UCLA.CommandWellbeing.com, etc
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| Unlimited users/screenings |
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| 15 individual screening modules i |
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Users can use the following individual modules to conduct self-assessments. Upon completion of each module, our system generates the screening results and corresponding severity score
- Alcohol
- Tobacco
- Depression
- Anxiety
- Substance Use Disorder
- Sleep Disorder
- Gambling
- Anger Disorder
- Sexual Behavior
- Eating Disorder
- Intimate Partner Violence
- Panic
- Post-Traumatic Stress Disorder
- Bi-Polar Disorder
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| 12 adult assessments i |
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The following deep-dive assessments are available to authorized users:
- Adverse Childhood Experience (ACE) Questionnaire Adult
- Financial Stress Scale
- Marital/Relationship Satisfaction Survey
- Occupational Burnout Self-Test
- Operational Stress Questionnaire
- Organizational Stress Questionnaire
- Secondary Traumatic Stress
- Social Determinants of Health
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| 5 adolescent/teen assessments i |
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The following assessments are available to the children of authorized users. These assessments are typically administered by the parents not by child self-assessment.
- Adverse Childhood Experience (ACE) Questionnaire Child
- Adverse Childhood Experience (ACE) Questionnaire Teen
- Adverse Childhood Experience (ACE) Questionnaire Teen - Self Report
- CRAFFT
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| QR flyer i |
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Each agency or company that is licensed to use the platform will be provided with a one-page flyer that has a description of the platform. These flyers are intended to be posted up in the workplace or otherwise distributed directly to employees or constituents of the agency or company. In addition to containing general information about the platform, these flyers will also contain a QR code that employees can scan with their phones, allowing them to navigate directly to the unique sub-domain URL assigned to the agency or company.
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| User roles i |
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User roles may include sworn vs non-sworn personnel and family members. Having users specify their roles allows for more granular Utilization Stats, Analytics and Group Reports as described down below.
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| Wellbeing Checkup (WBC) i |
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The Wellbeing Checkup is available in two versions. The first is our Quick Screen version, and the second is our Deep Dive version. Both versions are configurable by the user.
Wellbeing Checkup-QuickScreen
Completion time: 1-6 minutes
The WBC-QS contains 1 to 8 questions (depending on your configuration preferences). The WBC-QS allows you to quickly screen for the following mental/behavioral health conditions and work-life factors:
- Occupational Burnout Self-Test
- Moral Distress Inventory - First Responders
- Post-Traumatic Stress Disorder
- Secondary Traumatic Stress Scale (STSS)
- Sleep Disorder
- Depression
- Anxiety
- Substance Use
Pros:
- Very quick screening (1-6 minutes)
- Screens for the most common mental/behavioral health conditions, and work-life factors
- Configurable (select which conditions/factors you wish to screen for)
- Includes a summary of your findings and recommendations for how best to address adverse/”at risk” findings.
Cons:
- Only screens for a limited number of conditions/factors.
- May require further screening to confirm findings (optional)
Wellbeing Checkup-DeepDive
Completion time: Varies from 5 mins to 35 mins depending on user's configuration preferences
The Wellbeing Checkup allows users to configure their own personal Wellbeing Checkup. Users may choose to include in your Checkup as many or as few of the screeners listed below.
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| Behavioral Health Checkup i |
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The Behavioral Health Checkup also known as the Behavioral Health Risk Assessment (BHRA) allows users to measure their behavioral and mental wellbeing across the 15 behavioral and mental health conditions listed below, all in one streamlined assessment.
- Alcohol
- Tobacco
- Depression
- Anxiety
- Substance Use Disorder
- Sleep Disorder
- Gambling
- Anger Disorder
- Sexual Behavior
- Eating Disorder
- Intimate Partner Violence
- Panic
- Post-Traumatic Stress Disorder
- Secondary Traumatic Stress
- Bi-Polar Disorder
Note: Users will be able to select which of the forgoing conditions they wish to screen for at the time of screening.
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| WBC Personalized Report i |
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Upon completion of either version of the Wellbeing Checkup (Deep Dive or QuickScreen versions), our system will generate a personalized Wellbeing Report that groups findings into clinical, sub-clinical, and non-clinical categories. Based on each unique user’s findings, our system will then make recommendations for help based on the findings and severity levels and will navigate the user to the appropriate help-resources based upon those findings. The report will also contain a record of all of the user’s responses to the various screenings conducted, as well as individual screening results and severity scores for each.
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| Findings/Recommendations i |
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Based on each unique user’s findings, our system will make recommendations for help based on the findings and severity levels and will navigate the user to the appropriate help-resources based upon those findings.
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| Navigation to help-resources i |
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Based on each unique user’s findings, our system will make recommendations for help based on the findings and severity levels and will navigate the user to the appropriate help-resources based upon those findings.
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| Administrative page i |
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Each agency or company that is licensed to use the platform will be assigned a unique administrative page where they can view utilization statistics and population wide analytics.
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| Resource Roster i |
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Each agency or company that is licensed to use the platform may upload a list of their existing help-resources via their admin page. These resources may include EAP, peer support, chaplain programs, financial wellness programs, etc. These resources will write to a Resources Roster on the agency’s unique sub-domain that will be accessible to all users of the platform. This will help to drive utilization of these resources when accessed by users in the context of their having completed screenings that indicate they could benefit from further intervention.
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| Navigation to Resource Roster i |
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The platform’s algorithms automatically navigate users to the Resources Roster when their screening results indicate that they could benefit from reaching out to one or more of the resources contained in the roster.
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| Screening analytics/Utilization stats/filterable by user roles i |
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The Enhanced and Enhanced Plus version of the platform tracks and displays a robust set of de-identified analytics in real-time which are available for management review 24/7. The analytics provide an overall view of the relative wellbeing and mental health of your workforce.
These analytics include:
- Number of unique account registrations
- Aggregate number of screenings
- Number of screenings attributable to each mental health condition and wellbeing challenge
Analytics are filterable by date range and user roles and are exportable to PDF.
Each agency or company that is licensed to use the platform will have access to their own administrative page where they will be able to view utilization statistics. These statistics will be filterable by date range and user roles.
User roles may include sworn vs non-sworn personnel, clinical vs non-clinical personnel, regular employees, and family members.
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| Prescribed Wellbeing Checkup i |
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The Prescribed Wellbeing Checkup is available through the Enhanced Plus version of the platform and is typically used in conjunction with incentivization campaigns, and by those agencies or companies that want very granular insight into the relative health of their workforce as is documented in the accompanying Group Report. The Prescribed Wellbeing Checkup requires ALL users to complete the same multi-part assessment consisting of the following sections:
- Moral Injury/distress
- Behavioral Health Risk Assessment (BHRA)
- Anxiety
- Depression
- PTSD/PTSI
- Secondary Traumatic Stress
- Sleep Disturbances/Conditions
- Substance Use
- Work Satisfaction Survey
- Operational Stress
- Organizational Stress
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| Work Satisfaction Survey i |
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The WSS captures personnel responses to the following:
- Individual job satisfaction
- Rates of absenteeism
- Rates of presenteeism
- Work engagement
- Work distress
- Workplace dysfunction
- Intent to leave
- Alignment with agency culture and mission
- Perceived potential for professional growth
- Perceived management support
- Work-life balance
- Compensation and benefits; and
- Operational and organizational stress unique to public safety work
The insights gleaned from the WSS inform agency management as to the employee perceptions of the job and workplace and the overall occupational health of the organization. Equally as important, it will also provide insight into needed policy and/or procedural changes at the organizational level.
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| Operational Stress Questionnaire i |
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The SQ-Op consists of 20 questions that allows first responders and public safety personnel to measure individual operational stress levels related to public safety work.
The results provide personnel and command staff granular insights into stressors associated with operational policing and may offer opportunities for operational changes to help mitigate these stressors.
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| Organizational Stress Questionnaire i |
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The SQ-Org consists of 20 questions that measure stress levels attributable to organizational demands placed on individual first responders and public safety personnel.
The results provide personnel and command staff granular insights into organizational-induced stress and may offer opportunities to make organizational changes and enhancements to help mitigate relevant stressors.
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| Group Report/filterable/exportable i |
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All users’ responses to the Prescribed Wellbeing Checkup are collated in real-time into a de-identified Group Report containing granular, actionable data on the relative health of the agency’s/company’s workforce.
This will inform management as to what additional help-resources may be needed, if any, to address the most pressing population-wide wellbeing challenges that are identified. Equally as important, these data also provide insight into needed policy and/or procedural changes at the organizational level.
The Group Report is filterable by user roles and is exportable to PDF.
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| Campaign Management i |
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All subscribers to the Enhanced platform will have access to a Campaign Management interface via their admin page. This allows an agency to launch periodic screening campaigns that specify a time frame for completing a requested screening. The Enhanced version of the platform only supports non-incentivized campaigns, whereas the Enhanced Plus version supports both incentivized and non-incentivized campaigns.
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| Incentivized campaigns i |
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The purpose of incentivization campaigns is to increase employee utilization of the platform, as a means of improving employee wellbeing. The Enhanced Plus version of the platform supports incentivized wellbeing campaigns on a semi-annual or quarterly basis. Financial or other incentives, if properly structured, along with proper campaign messaging and promotion typically result in increased employee participation rates of 80% or more. A typical incentive might be a $25 Amazon gift card as an example.
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| Completion certificate/awards tracking i |
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The Enhanced Plus version of the platform allows users to generate a certificate that evidences their completion of the screenings required under a particular incentivization campaign. This, in turn, allows the agency or company to properly award the incentive to those users who have met the screening requirements.
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| Up to 4 Group Report consultations i |
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Radiant provides consultation on the Group Report findings each time an agency/company completes an incentivization campaign (up to 4 consultations per year). These consultations help agencies/companies identify areas for organizational improvement that will enhance workforce wellbeing and performance.
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| Incident Debrief Module i |
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By making the Incident Debrief® module available to your personnel they can now self-administer their own ANONYMOUS critical incident stress debriefs 24/7 from the privacy of home using any internet connected device.
Not only can they immediately address and process a critical incident right after it occurs, they can also use Incident Debrief® to address previous critical incidents that were never properly debriefed going back weeks, months or even years.
NOTE: Incident Debrief® is not intended as a replacement for traditional face-to-face group-based CISD, but rather as an alternative for the 70% of personnel who will never attend a group CISD session for the reasons outlined above.
Incident Debrief® can also be used in addition to attending a traditional group debrief session in order to enhance overall debrief effectiveness.
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Platform Costs
The annual cost for the Enhanced and Enhanced Plus platforms is based on the total number of personnel employed by your agency as set forth in the table below.
Note: The licensing fees itemized in the table below do not include the costs associated with the payment of incentives by you to your employees. Incentive fees will be in addition to the following licensing fees.
| Number of Personnel* |
Annual “Enhanced” Platform Fee |
Annual “Enhanced Plus” Platform Fee |
| < 15 |
$2,950 |
$3,650 |
| ≥ 15 |
$4,500 |
$5,600 |
| ≥ 25 |
$6,000 |
$7,500 |
| ≥ 50 |
$7,600 |
$9,500 |
| ≥ 100 |
$9,200 |
$11,500 |
| ≥ 200 |
$11,800 |
$14,750 |
| ≥ 300 |
$14,400 |
$18,000 |
| ≥ 400 |
$17,000 |
$21,250 |
| ≥ 500 |
$20,600 |
$25,750 |
| ≥ 750 |
$24,200 |
$30,250 |
| ≥ 1000 |
$27,800 |
$34,750 |
| ≥ 1250 |
$32,400 |
$40,500 |
| ≥ 1500 |
$37,000 |
$46,250 |
| ≥ 1750 |
$41,600 |
$52,000 |
| ≥ 2000 |
***Call for quote*** |
***Call for quote*** |
*Definition of personnel
The number of personnel includes both full-time and part-time sworn and non-sworn employees and volunteer staff. Direct family members of personnel are permitted to also use the Command® platform without being included in the total personnel head count.
Pricing discounts (applied to Enhanced and Enhanced Plus Platform pricing):
To encourage you to promote the Command® platform to other affiliated agencies within your city, county or other jurisdiction, we offer the following discounts for the Enhanced Platform pricing:
- 10% discount applies to the Enhanced and Enhanced Plus Platform pricing if you help us enlist one additional affiliated agency (e.g. City/county police/sheriff dept, fire dept, city proper, and/or local school or water districts). Discount applies to both your agency and the additional enlisted agency.
- 20% discount applies to the Enhanced and Enhanced Plus Platform pricing if you help us enlist 2 or more additional affiliated agencies (e.g. City/county police/sheriff dept, fire dept, city proper, and/or local school or water districts) Discount applies to your agency and ALL additional agencies that are enlisted.
About Radiant Interactive Group, Inc.
Command® is owned and operated by Radiant Interactive Group, Inc.
Radiant is a full stack web development firm established in 1999. We specialize in building interactive web platforms in the behavioral health and wellbeing sectors. We leverage internet technology to help people achieve improved life-management skills in the areas of mental/behavioral health, behavioral change, self-assessment, resilience, wellness, work-life balance, and day-to-day living. Radiant is a for-profit California corporation located in Laguna Beach, Ca. Radiant aligns to NIST Cybersecurity Framework 2.0.
Visit us online at: radiantinteractivegroup.com
Platform Architecture
Command® is built on Radiant Interactive Group’s proprietary platform architecture which has been continuously iterated and honed over the past 25+ years. Our platform architecture has been used to build interactive web applications for Employee Assistance Programs (EAPs), addiction treatment centers, medical research programs, public safety agencies, and community health centers (FQHCs).
For more information, or to arrange a live demo of the Command® platform via video conferencing, call:
Completion time: 5-10 minutes
The Life Satisfaction Survey measures life-satisfaction and wellbeing across 12 life-dimensions, as follows:
- Purpose
- Hope
- Confidence; Self-efficacy
- Gratitude; Appreciation
- Marriage/relationship satisfaction
- Family relationship
- Social relationships
- Community
- Personal finances
- Physical health
- Mental/emotional health
- Spiritual/religious
Our database renders a satisfaction score within each of the 12 life-dimensions listed above, as well as an overall wellbeing score, allowing you to get a snapshot of your current life-satisfaction and wellbeing levels. The Life Satisfaction survey can be repeated as frequently as desired, thereby allowing you to view a history of your results along with progress (or regression) over time.
Completion time: 5-10 minutes
The Work-Life Stressors Inventory consists of questions related to the 12 most common non-clinical issues that negatively impact wellbeing. These include the following:
- Bullying, harassment, or discrimination in the workplace
- Unsafe/dangerous work environment
- Eldercare issues/concerns
- Childcare/rearing/special needs
- Single parenting
- Marital/relationship issues/concerns
- Family dysfunction
- Financial stress/hardship
- Legal issues/concerns
- Health challenges
- Social isolation/loneliness
- COVID-related distress
The survey allows you to rate your level of distress for any of the stressors you are experiencing.
Completion time: 5-10 minutes
The Academic, Work, Life Stressors Inventory consists of questions related to the 12 most common non-clinical issues that negatively impact wellbeing. These include the following:
- Bullying, harassment, or discrimination
- Unsafe/dangerous campus or work environment
- Eldercare issues/concerns
- Childcare/rearing/special needs
- Single parenting
- Marital/relationship issues/concerns
- Family dysfunction
- Financial stress/hardship
- Legal issues/concerns
- Health challenges
- Social isolation/loneliness
- COVID-related distress
The survey allows you to rate your level of distress for any of the stressors you are experiencing.
Completion time: 3-5 minutes
The SQ-Org consists of 20 questions that measure stress levels attributable to organizational demands placed on individual first responders and public safety personnel.
The results provide personnel and command staff granular insights into organizational-induced stress and may offer opportunities to make organizational changes and enhancements to help mitigate relevant stressors.
Completion time: 3-5 minutes
The SQ-Op consists of 20 questions that allows first responders and public safety personnel to measure individual operational stress levels related to public safety work.
The results provide personnel and command staff granular insights into stressors associated with operational policing and may offer opportunities for operational changes to help mitigate these stressors.
Completion time: 10-20 minutes
The APR Financial Stress Scale consists of 3 scales containing a total of 24 statements regarding your view of, and attitude toward, your personal finances and your financial condition. The survey measures how your finances are affecting you personally, how they affect your interactions with others, and the degree to which you may be experiencing physiological effects related to your finances.
Completion time: 7-12 minutes
The Resilience Checkup consists of an 18-item screener that measures resiliency across 6 scales of resilience, as follows:
- Perseverance
- Self-efficacy
- Optimism
- Adaptability
- Alignment
- Self-care
Our database renders a score for each of the 6 scales listed above, as well as an overall resilience score, allowing you to get a snapshot of your current resilience levels. The Resilience Survey can be repeated as frequently as desired, thereby allowing you to view a history of your results along with progress (or regression) over time.
Completion time: 7-12 minutes
The Burnout Screener consists of 22 questions across 3 scales which assess the level of burnout, if any, you may be experiencing in your job.
The 3 scales measure the following:
- Exhaustion: Characterized by feelings of energy depletion, and being overwhelmed or over-extended
- Depersonalization: Characterized by mental distance or disengagement from one’s job, co-workers, or customers/clients, and/or feelings of negativity or general cynicism related to one’s job and employing organization
- Reduced Efficacy: Characterized by feelings of ineffectiveness on the job and questioning of one's job or career
“Burnout” is present when you score in the MODERATE to HIGH range on the Exhaustion and Depersonalization Scales, and in the LOW range for Personal Achievement/Efficacy. Scoring “at risk” within one or two of the 3 scales means you are experiencing some degree of work-related distress, and may also indicate you are headed toward burnout in the future.
Completion time: 3-5 minutes
The Relationship Assessment Scale (RAS) consists of 7 questions that measure your satisfaction with your relationship. The scores range from 7 to 35, with the following results:
- 7-14 - Low satisfaction
- 15-21 - Average satisfaction
- 22-35 - High satisfaction
Completion time: 7-12 minutes
The Maslach Burnout Inventory (MBI) is the most used tool to self-assess whether you might be at risk for occupational burnout.
The MBI consists of 22 questions that measure three components:
- Exhaustion: Characterized by feelings of energy depletion, and being overwhelmed or over-extended
- Depersonalization: Characterized by mental distance or disengagement from one's job, co-workers, or customers, or feelings of negativism related to one's job
- Reduced Efficacy: Characterized by feelings of ineffectiveness and questioning of one's job or career
“Burnout” is present when you score in the MODERATE to HIGH range on the Exhaustion and Depersonalization Scales, and in the LOW range for Personal Achievement/Efficacy. Scoring “at risk” within one or two of the 3 scales means you are experiencing some degree of work-related distress, and may also indicate you are headed toward burnout in the future.
Completion time: 7-12 minutes
The Maslach Burnout Inventory (MBI) is the most used tool to self-assess whether you might be at risk for occupational burnout.
The MBI consists of 22 questions that measure three components:
- Exhaustion: Characterized by feelings of energy depletion, and being overwhelmed or over-extended
- Depersonalization: Characterized by mental distance or disengagement from one's job, co-workers, or customers, or feelings of negativism related to one's job
- Reduced Efficacy: Characterized by feelings of ineffectiveness and questioning of one's job or career
“Burnout” is present when you score in the MODERATE to HIGH range on the Exhaustion and Depersonalization Scales, and in the LOW range for Personal Achievement/Efficacy. Scoring “at risk” within one or two of the 3 scales means you are experiencing some degree of work-related distress, and may also indicate you are headed toward burnout in the future.
Completion time: 7-12 minutes
The Maslach Burnout Inventory (MBI-GSS) is the most used tool to self-assess whether you might be at risk for academic burnout.
The MBI consists of 16 questions that measure three components:
- Exhaustion: Characterized by feelings of energy depletion, and being overwhelmed or over-extended
- Cynicism: Characterized by mental distance or disengagement from one's studies, fellow students and faculty, or feelings of negativism related to one's studies
- Reduced Efficacy: Characterized by feelings of ineffectiveness and questioning of one's academic pursuits
Completion time: 5 minutes
The Moral Distress Inventory consists of 13 questions that measure three scales:
- Bearing Witness: Characterized by witnessing events that contradict deeply held moral beliefs and expectations.
- Failing to Prevent: Characterized by failing to prevent events that contradict deeply held moral beliefs and expectations.
- Perpetrating: Characterized by perpetrating events that contradict deeply held moral beliefs and expectations.
“Moral Injury” is present when you score in the MODERATE to HIGH range on one or more of the three MI scales (Bearing witness; Failing to prevent; Perpetrating). The more scales scored at higher severity, the greater the presence of Moral Injury. The end state of prolonged Moral Injury is Occupational Burnout.
Click on the Learn More button to gain a better understanding of Moral Injury of Healthcare.
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Moral Injury
From Wikipedia:
Moral injury refers to an injury to an individual's moral conscience and values resulting from an act of perceived moral transgression, which produces profound emotional guilt and shame, and in some cases also a sense of betrayal, anger and profound "moral disorientation".
From the Veterans Administration:
Moral injury occurs when people perpetrate, fail to prevent, or witness events that contradict deeply held moral beliefs and expectations.
Moral Injury in Healthcare
From FixMoralInjury.org:
Moral injury occurs when clinicians are repeatedly expected, while providing care, to make choices that transgress their long standing, deeply held commitment to healing. It reframes the challenge of distress from "burnout", which suggests a lack of resilience on the part of clinicians, to one that more accurately locates the source of distress in a conflict-ridden healthcare system.
From Stat News:
In an increasingly business-oriented and profit-driven health care environment, clinicians must consider a multitude of factors other than their patients' best interests when deciding on treatment. Financial considerations — of hospitals, health care systems, insurers, patients, and sometimes of the physician himself or herself — lead to conflicts of interest. Electronic health records, which distract from patient encounters and fragment care, but which are extraordinarily effective at tracking productivity and other business metrics, overwhelm busy clinicians with tasks unrelated to providing outstanding face-to-face interactions. The constant specter of litigation drives physicians to over-test, over-read, and over-react to results — at times actively harming patients to avoid lawsuits.
Patient satisfaction scores and provider rating and review sites can give patients more information about choosing a physician, a hospital, or a health care system. But they can also silence physicians from providing necessary but unwelcome advice to patients and can lead to over-treatment to keep some patients satisfied. Business practices may drive providers to refer patients within their own systems, even knowing that doing so will delay care or that their equipment or staffing is sub-optimal.
Navigating an ethical path among such intensely competing drivers is emotionally and morally exhausting. Continually being caught between the Hippocratic oath, a decade of training, and the realities of making a profit from people at their sickest and most vulnerable is an untenable and unreasonable demand. Routinely experiencing the suffering, anguish, and loss of being unable to deliver the care that patients need is deeply painful. These routine, incessant betrayals of patient care and trust are examples of "death by a thousand cuts." Any one of them, delivered alone, might heal. But repeated daily, they coalesce into the moral injury of health care.
For more information on the efforts to mitigate Moral Injury in Healthcare, visit: FixMoralInjury.org
Completion time: 5 minutes
The Moral Distress Inventory-First Responders consists of 10 questions that measure 4 scales of Moral Injury in first responder populations. The 4 scales include:
- Bearing Witness: Characterized by witnessing events that contradict deeply held moral beliefs and expectations.
- Failing to Prevent: Characterized by failing to prevent events that contradict deeply held moral beliefs and expectations.
- Perpetrating: Characterized by perpetrating events that contradict deeply held moral beliefs and expectations.
- Global Sense of Moral Wellbeing
“Moral Injury” is present when you score in the MODERATE to HIGH range on one or more of the three MI scales (Bearing witness; Failing to prevent; Perpetrating), and when your sense of moral wellbeing is diminished or compromised. The more scales scored at higher severity, the greater the presence of Moral Injury. The end state of prolonged Moral Injury is Occupational Burnout.
Click on the Learn More button to gain a better understanding of Moral Injury of Healthcare.
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Moral Injury in First Responder Populations
From Wikipedia:
Moral injury refers to an injury to an individual's moral conscience and values resulting from an act of perceived moral transgression, which produces profound emotional guilt and shame, and in some cases also a sense of betrayal, anger and profound "moral disorientation".
From the Veterans Administration:
Moral injury occurs when people perpetrate, fail to prevent, or witness events that contradict deeply held moral beliefs and expectations.
Completion time: 5 minutes
The Moral Distress Inventory consists of 10 questions that measure 4 scales of Moral Injury. The 4 scales include:
- Bearing Witness: Characterized by witnessing events that contradict deeply held moral beliefs and expectations.
- Failing to Prevent: Characterized by failing to prevent events that contradict deeply held moral beliefs and expectations.
- Perpetrating: Characterized by perpetrating events that contradict deeply held moral beliefs and expectations.
- Global Sense of Moral Wellbeing
“Moral Injury” is present when you score in the MODERATE to HIGH range on one or more of the three MI scales (Bearing witness; Failing to prevent; Perpetrating), and when your sense of moral wellbeing is diminished or compromised. The more scales scored at higher severity, the greater the presence of Moral Injury. The end state of prolonged Moral Injury is Occupational Burnout.
Click on the Learn More button to gain a better understanding of Moral Injury.
Learn More
Moral Injury
From Wikipedia:
Moral injury refers to an injury to an individual's moral conscience and values resulting from an act of perceived moral transgression, which produces profound emotional guilt and shame, and in some cases also a sense of betrayal, anger and profound "moral disorientation".
From the Veterans Administration:
Moral injury occurs when people perpetrate, fail to prevent, or witness events that contradict deeply held moral beliefs and expectations.
From Dr. Jonathan Shay:
Doctor and clinical psychiatrist Jonathan Shay describes moral injury as perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations.
Dr Shay distills Moral Injury down as follows:
- A betrayal of what's right
- by someone who holds legitimate authority (or by one's self)
- in a high stakes situation
In the 1980s University of Nebraska Medical Center ethicist Andrew Jameton observed that this kind of moral distress was not confined to the military realm. It often “arises when one knows the right thing to do,” he wrote, “but constraints make it nearly impossible to pursue the right course of action.”
Completion time: 5-10 minutes
Adverse childhood experiences, or ACEs, are potentially traumatic events that occur in childhood (0-17 years). For example:
- experiencing violence, abuse, or neglect
- witnessing violence in the home or community
- having a family member attempt or die by suicide
Also included are aspects of the child’s environment that can undermine their sense of safety, stability, and bonding, such as growing up in a household with:
- substance use problems
- mental health problems
- instability due to parental separation or household members being in jail or prison
Please note the examples above are not a complete list of adverse experiences. Many other traumatic experiences could impact health and wellbeing.
ACEs are linked to chronic health problems, mental illness, and substance use problems in adolescence and adulthood. ACEs can also negatively impact education, job opportunities, and earning potential. However, ACEs can be prevented.
ACEs are common. About 61% of adults surveyed across 25 states reported they had experienced at least one type of ACE before age 18, and nearly 1 in 6 reported they had experienced four or more types of ACEs.
Preventing ACEs could potentially reduce many health conditions. For example, by preventing ACEs, up to 1.9 million heart disease cases and 21 million depression cases could have been potentially avoided.
Some children are at greater risk than others. Women and several racial/ethnic minority groups were at greater risk for experiencing four or more types of ACEs.
ACEs are costly. The economic and social costs to families, communities, and society totals hundreds of billions of dollars each year. A 10% reduction in ACEs in North America could equate to an annual savings of $56 billion.
ACEs can have lasting, negative effects on health, well-being, as well as life opportunities such as education and job potential. These experiences can increase the risks of injury, sexually transmitted infections, maternal and child health problems (including teen pregnancy, pregnancy complications, and fetal death), involvement in sex trafficking, and a wide range of chronic diseases and leading causes of death such as cancer, diabetes, heart disease, and suicide.
ACEs and associated social determinants of health, such as living in under-resourced or racially segregated neighborhoods, frequently moving, and experiencing food insecurity, can cause toxic stress (extended or prolonged stress). Toxic stress from ACEs can negatively affect children’s brain development, immune systems, and stress-response systems. These changes can affect children’s attention, decision-making, and learning.
Children growing up with toxic stress may have difficulty forming healthy and stable relationships. They may also have unstable work histories as adults and struggle with finances, jobs, and depression throughout life. These effects can also be passed on to their own children. Some children may face further exposure to toxic stress from historical and ongoing traumas due to systemic racism or the impacts of poverty resulting from limited educational and economic opportunities.
The ACEs Questionnaire consists of 10 questions.
SOURCE: CDC.gov
Completion time: 8-15 minutes
Social determinants of health (SDoH) are the non-medical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. As defined by the World Health Organization, these forces (e.g., racism, climate) and systems include economic policies and systems, development agendas, social norms, social policies, and political systems.
SDoH are linked to a lack of opportunity and resources to protect, improve, and maintain health. Taken together, these factors create health inequities— types of health disparities that stem from unfair and unjust systems, policies, and practices, and limit access to the opportunities and resources needed to live the healthiest life possible.
SOURCE: CDC.gov
Our proprietary SDoH survey consists of 16 items that comprise the most common SDoH factors.
These factors include unemployment, income insecurity, food insecurity, housing insecurity, exposure to toxic air, contaminated drinking water, or environmental toxins, unhealthy living or working conditions, discrimination, workplace harassment, intimate partner violence, childhood trauma, and more.
Completion time: 5-30 minutes
The Behavioral Health Risk Assessment (BHRA) allows you to measure your behavioral and mental wellbeing across the 14 behavioral and mental health conditions listed below.
- Alcohol
- Tobacco
- Depression
- Anxiety
- Substance Use Disorder
- Sleep Disorder
- Gambling
- Anger Disorder
- Sexual Behavior
- Eating Disorder
- Intimate Partner Violence
- Panic
- Post-Traumatic Stress Disorder
- Bi-Polar Disorder
Note: You will be able to select which of the forgoing conditions you wish to screen for after clicking the "Continue" button below.