PTSD leave policy adds financial pressure to Minneapolis Fire Department

“You will expose yourself to things that most of the public won’t see, except maybe once in their life. But yep, we’re doing it. Fire departments are doing it on a very regular basis,” said Mike Dobesh, president of MNFire, an organization dedicated to keeping firefighters healthy, mentally and physically, and on the job.  

“The fire service is recognizing that any of those unexpected events that we go to, yes, we sign up to do it, but at the same time, those unexpected events can cause trauma; that trauma can lead to PTSD,” Dobesh said.

However, paying for all those firefighters on mandatory PTSD leave is putting the Minneapolis Fire Department in the red. It’s all the overtime needed to fill in for the firefighters on leave.  

“From the therapists that I’ve talked to, usually eight to 10 visits can get that firefighter back on the rig,” Dobesh said, which is the goal of the mandatory leave with treatment. “But then it’s going to be something that’s going to have to be managed for the… probably the rest of their career, because it’s not something that’s just going to go away.”

Dobesh says that PTSD was the number one claim MNFire had on its critical illness policy last year.

In 2023, Minnesota lawmakers created the PTSD leave policy in an effort to keep firefighters from applying for permanent duty disability benefits. The policy requires firefighters and other first responders to take up to 32 weeks of paid leave and get treatment first.

“A trauma-informed therapist can meet with a firefighter, desensitize that firefighter, get them back to work,” Dobesh said.

But that policy is costing some fire departments millions. The Minneapolis Fire Department told the city council this week that 7% to 8% of its firefighters are currently out on PTSD leave, and the overtime other firefighters are working to fill in for them has put the department up to $7 million over budget in recent years. It’s projected to go over again this year.

So what are things they can do to maybe prevent some of these problems that they’re having because of PTSD? Speed up access to treatment, according to Dobesh.

“The sooner we can get in and have that firefighter seen, the more likely they’re going to have a very positive outcome and get back on the job,” he said.

Dobesh says if and when a firefighter needs help varies from person to person, but his organization provides five free treatment sessions for any firefighter who’s struggling.

Minnesota firefighters can call MnFIRE’s helpline 24/7 at 888-784-6634 or visit mnfirehealth.org. 

MFD Interim Chief Melanie Rucker shared the following statement late Wednesday night:

“The utilization of these leaves is often unavoidable and reflects benefits that support the health and well-being of our fire personnel. We take the health and wellness very seriously, including mental health. Through transparent communication with leadership regarding evolving staffing needs and necessary overtime budget adjustments, we can effectively address the budget overages and return to a sustainable path forward.”

Click here to watch the Minneapolis Budget Committee meeting on May 4.