Welcome to the American Board of First Responder Behavioral Healthcare (FRBH). We’re building a better system—one that understands and responds to the behavioral health needs of first responders.

First Responders Face Greater Mental Health Risks.

Repeated exposure to trauma, long shifts, and life-or-death decisions place extraordinary psychological strain on first responders. The data is undeniable:

The Statistics Tell the Story:

• 1 in 3 first responders develops PTSD—nearly twice the rate of the general population. (SAMHSA, 2018)

• 85% report symptoms of mental health conditions, including depression, anxiety, or substance use. (University of Phoenix Survey, 2017)

• Firefighters are 3x more likely to die by suicide than in the line of duty. (Ruderman Family Foundation, 2018)

The Current Mental Health System Was Not Designed for First Responders.

Despite their critical roles, most first responders receive mental health care from professionals who are not trained in first responder culture—leading to misdiagnoses, mistrust, or missed opportunities to help.

• Only 12% of clinicians report confidence in treating first responders. (Center for Fire, Rescue & EMS Health Research, 2020)

• Standard Employee Assistance Programs (EAPs) are underutilized due to stigma and cultural disconnect. (NAMI, 2020)

Peer Support Alone Is Not Enough

While essential, peer support programs often lack standardization, clinical oversight, and crisis protocols.

• Many peer support efforts lack standardized training or crisis response protocols or trauma management frameworks.

• Without certification, peer supporters may lack the tools needed to intervene safely. (National Fraternal Order of Police, 2020)

Support The Heroes Who Support Us.

We hold first responders to the highest standards—they deserve the same from those who serve their behavioral health needs.

That’s why FRBH exists:

To set the national standard for behavioral healthcare in public safety.

We certify:

• Healthcare professionals trained in culturally competent, trauma-integrated care.

• Public safety organizations committed to building resilient, responsive behavioral health systems.

Our credentialing process is aligned with national best practices, emphasizes ongoing professional development, and ensures readiness to meet the unique challenges of the field.

By aligning care with the realities of first responder life, we help:

• Reduce burnout

• Foster long-term resilience

• Save lives

Join the Mission:

Learn how to become FRBH certified and transform the behavioral health system for our first responders.