You're carrying so many people's stories: vicarious trauma among fly-in fly-out mental health service providers in Canada

Int J Qual Stud Health Well-being. 2022 Dec;17(1):2040089. doi: 10.1080/17482631.2022.2040089.

Abstract

Purpose: The purpose of this article is to examine the factors that influence fly-in and fly-out (FIFO) mental health service providers' experiences of vicarious trauma as they deliver services to communities in Inuit Nunangat through a constructivist self-development theory (CSDT) lens.

Method: Using a participatory action research methodology, we conducted eight semi-structured interviews with providers to understand their perspectives on the risk of developing vicarious trauma and potential mitigation strategies.

Results: We identified three themes through thematic analysis: 1) vicarious trauma is a risk associated with working in communities with high rates of trauma; 2) establishing individual and organizational strategies to reduce risk of vicarious trauma may improve FIFO providers' well-being and career longevity; and 3) FIFO models of care may offer protective benefits for mental health service providers against vicarious trauma.

Conclusions: We conclude that FIFO models of care may help mental health service providers to manage the risk of vicarious trauma through reduced caseload and less time spent in community.

Keywords: Inuit; Vicarious trauma; fly-in/fly-out; mental health; mental health service provider; rural and remote.

MeSH terms

  • Animals
  • Compassion Fatigue*
  • Diptera*
  • Health Services Research
  • Humans
  • Mental Health Services*
  • Occupations

Grants and funding

The author(s) reported there is no funding associated with the work featured in this article.