E.233 Building Real Mental Health Support For First Responders (Part 1)

Send us a text What does it take to build mental health care that first responders actually trust? We sit down with former Revere police officer Joe Rizzuti, whose journey from stacked line-of-duty trauma and alcohol use to peer support leadership strips away the clichés and gets to what works. Joe’s story starts with a tough childhood, a military turnaround, and a policing career shaped by high-stakes cases and a deep love for community. It also includes administrative betrayals, devastating calls, and the moment he walked into On-Site Academy expecting a firearms range and found a lifeline instead. From there, Joe breaks down how cultural competence changes outcomes. If a clinician doesn’t understand roll call, shift work, gallows humor, and the weight of cumulative stress, trust collapses. He explains how he vets treatment programs—On-Site for acute resets, First Responder Wellness in California for intensive trauma work, and union-aligned options like IAFF Centers of Excellence—while calling out profit-first models that fail responders. We talk insurance constraints, travel realities, and why credibility is earned one referral at a time. We also tackle the retiree cliff and why too many officers and firefighters struggle within five years of leaving the job. Joe’s answer: a coaching model adapted from recovery support that restores purpose, routine, and community long before the badge comes off. The takeaway is clear—care must be team-driven, ego-free, and relentlessly practical. If you lead, remove barriers. If you treat, learn the culture. If you’re a peer, keep checking in long after the headlines fade.  If you are interested, please visit the Onsite academy at https://onsiteacademy.org/  Visit the NEPBA at https://www.nepba.org/ Subscribe, share with a teammate who needs it, and leave a review to help more first responders find this conversation. Freed.ai: We’ll Do Your SOAP Notes! Freed AI converts conversations into SOAP note.Use code Steve50 for $50 off the 1st month! Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you. Support the show YouTube Channel For The Podcast