We are still in it: a conceptual model for moral injury and burnout in alternative response programs to guide intervention
Despite scarce research in first responders, moral injury and burnout are growing concerns in alternative response programs. Our goal was to amplify participants' voices to highlight both their struggles as well as proposed interventions fostering resilience. Through close collaboration, we developed a moral injury model that resonates for these first responders and can guide a better understanding of issues and pathways for interventions among high-risk occupational groups.
Authors
- Khoa Nguyen (ORCID: https://orcid.org/0000-0001-5089-5250)
- Soma de Bourbon (ORCID: https://orcid.org/0000-0003-0685-8350)
- Joseph Graterol
- Michael J. Mason (ORCID: https://orcid.org/0000-0002-3165-1450)
- Miranda Worthen (ORCID: https://orcid.org/0000-0002-6494-7098)
- Shira Maguen (ORCID: https://orcid.org/0000-0002-1234-7234)
- Britt Rubin
- April Sloan
- Omar Breedlove
- Courtney Ewing
- Erik Lundgren
- Vania Mendoza
- Michael Marchiselli
- Amelia Harmon
- Nakia Hines
Institutions
- New York City Fire Department (US)
- University of California, San Francisco (US)
- San Francisco Fire Department (US)
- San Francisco VA Health Care System (US)
- Richmond Area Multi-Services (US)
- San Jose State University (US)
Publication Details
- Journal
- Frontiers in Psychiatry
- Published
- 2026-03-02
- DOI
- https://doi.org/10.3389/fpsyt.2026.1735265
- Primary Topic
- Criminal Justice and Corrections Analysis
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Science Foundation