Implementation of Mental Health Supports for Canadian Paramedic Students During Practicum Placements

Main Article Content

Sidney Newman
Jasmine Kayanja
Cameron Rimstad
Efrem Violato, PhD

Abstract

High stress levels and exposure to traumatic events increase the likelihood that paramedics may develop mental health issues during their practicum and as they transition into professional practice. Implementing mental health support for paramedic students before and during practicum and during transition into the workforce may act as a preventative measure for common challenges such as PTSD, depression and anxiety. We propose four pillars of support that could be implemented including: proactive education, specialization for mental health providers, facilitation of social support, and transitional support. These pillars are embedded within the educational system. Suggestions for implementation and potential obstacles are explored. We believe these solutions can facilitate a smoother transition into practice and help minimize mental health challenges among students and future paramedics.

Article Details

How to Cite
Newman, S., Kayanja, J., Rimstad, C., & Violato, E. (2026). Implementation of Mental Health Supports for Canadian Paramedic Students During Practicum Placements. International Journal of Paramedicine, (14), 150–158. https://doi.org/10.56068/KYEV3890
Section
Concepts

References

Alzahrani, A., Keyworth, C., Alshahrani, K. M., Alkhelaifi, R., & Johnson, J. (2025). Prevalence of anxiety, depression, and post-traumatic stress disorder among paramedic students: A systematic review and meta-analysis. Social Psychiatry and Psychiatric Epidemiology, 60(3), 563–578. https://doi.org/10.1007/s00127-024-02755-6

Alzahrani, A., Keyworth, C., Wilson, C., & Johnson, J. (2023). Causes of stress and poor wellbeing among paramedic students in Saudi Arabia and the United Kingdom: A cross-cultural qualitative study. BMC Health Services Research, 23, 444. https://doi.org/10.1186/s12913-023-09374-y

Anderson, L. (2019). The impact of paramedic shift work on the family system: A literature review. Journal of Paramedic Practice, 11(8), 335–341. https://doi.org/10.29045/14784726.2019.03.3.4.43

Clompus, S. R. (2014). How valuable is the concept of resilience in understanding how paramedics ‘survive’ their work? University of the West of England. https://uwe-repository.worktribe.com/output/819078

Essington, T., Bowles, R., & Donelon, B. (2019). The Canadian Paramedicine Education Guidance Document. Paramedic Association of Canada. https://paramedic.ca/documents/Paramedic-profile/Paramedic-profile-2016/Canadian%20Paramedicine%20Education%20Guidance%202018%20October%2019%20.pdf

Hammer, J. S., Mathews, J. J., Lyons, J. S., & Johnson, N. J. (1986). Occupational stress within the paramedic profession: An initial report of stress levels compared to hospital employees. Annals of Emergency Medicine, 15(5), 536–539. https://doi.org/10.1016/s0196-0644(86)80988-x

Hebel, K., Jaltuszewska, S., Steliga, A., Klosiewicz, T., Slezak, D., & Glowinski, S. (2025). Resilience as a personality trait and stress coping styles: A cross-sectional analysis of a paramedic student cohort. Journal of Clinical Medicine, 14(6), 1878. https://doi.org/10.3390/jcm14061878

Jones, S., Agud, K., & McSweeney, J. (2020). Barriers and facilitators to seeking mental health care among first responders: "Removing the Darkness". Journal of the American Psychiatric Nurses Association, 26(1), 43–54. https://doi.org/10.1177/1078390319871997

Kennedy, S., Kenny, A., & O’Meara, P. (2015). Student paramedic experience of transition into the workforce: A scoping review. Nurse Education Today, 35(10), 1037–1043. https://doi.org/10.1016/j.nedt.2015.04.015

Mason, R., Roodenburg, J., & Williams, B. (2022). The relationship between resilience and psychological characteristics of paramedicine students. Australasian Emergency Care, 25(3), 185–190. https://doi.org/10.1016/j.auec.2021.10.001

Middleton, R., Capper, T., King, R., & Devenish, S. (2025). Understanding paramedic attrition: A scoping review exploring why paramedics are leaving the profession. Australasian Emergency Care. https://doi.org/10.1016/j.auec.2025.07.002

Michael, T., Chapin, L. A., & Quitoriano, C. D. (2025). Paramedicine students’ experiences on placement: preparedness for the emotional impacts of witnessing trauma. BMC Medical Education, 25, 951. https://doi.org/10.1186/s12909-025-07277-6

Mirhaghi, A., Mirhaghi, M., Oshio, A., & Sarabian, S. (2016). Systematic review of the personality profile of paramedics: Bringing evidence into emergency medical personnel recruitment policy. Eurasian Journal of Emergency Medicine, 15(3), 144–149. https://doi.org/10.5152/eajem.2016.80299

Newton, J., Carpenter, T., & Zwicker, J. (2024). Exploring paramedic perspectives on emergency medical service (EMS) delivery in Alberta: A qualitative study. BMC Emergency Medicine, 24(1), 66. https://doi.org/10.1186/s12873-024-00986-z

Poku, C. A., Agyare, V. A., Baafi, S., Attafuah, P. Y. A., & Berchie, E. (2025). Perceived power dynamics in nursing education on students’ learning experience in Ghana. PLOS ONE, 20(8), e0328359. https://doi.org/10.1371/journal.pone.0328359

Ross, L., Bennett, R., & Perera, C. (2015). Clinical placements: Putting theory into practice for paramedic students. Journal of Contemporary Medical Education, 3(1), 2. https://doi.org/10.5455/jcme.20141122082819

Santiago, I. S., de Castro e Castro, S., de Brito, A. P. A., Sanches, D., Quintanilha, L. F., Avena, K. de M., & Andrade, B. B. (2024). Stress and exhaustion among medical students: A prospective longitudinal study on the impact of the assessment period on medical education. BMC Medical Education, 24(1), 630. https://doi.org/10.1186/s12909-024-05617-6

Smith, S., & Horton, J. (2020). Simulated Training for Resilience in Various Environments (STRIVE). Canadian Medical Association. https://www.cma.ca/physician-wellness-hub/content/simulated-training-resilience-various-environments-strive

Vigil, N. H., Grant, A. R., Perez, O., Blust, R. N., Chikani, V., Vadeboncoeur, T. F., Spaite, D. W., & Bobrow, B. J. (2019). Death by suicide—The EMS profession compared to the general public. Prehospital Emergency Care, 23(3), 340–345. https://doi.org/10.1080/10903127.2018.1514090

Vaughan, A. D., Stoliker, B. E., & Anderson, G. S. (2020). Building personal resilience in primary care paramedic students, and subsequent skill decay. Australasian Journal of Paramedicine, 17, 1–8. https://doi.org/10.33151/ajp.17.803

Warren-James, M., Hanson, J., Flanagan, B., Katsikitis, M., & Lord, B. (2021). Paramedic students’ experiences of stress whilst undertaking ambulance placements—An integrative review. Australasian Emergency Care, 24(4), 296–301. https://doi.org/10.1016/j.auec.2021.03.002

Williams, A. (2013). The strategies used to deal with emotion work in student paramedic practice. Nurse Education in Practice, 13(3), 207–212. https://doi.org/10.1016/j.nepr.2012.09.010

Wongtongkam, N., & Brewster, L. (2017). Effects of clinical placements on paramedic students’ learning outcomes. Asia Pacific Journal of Health Management, 12(3), 24–31. https://doi.org/10.24083/apjhm.v12i3.55