PIERCE Foundation Connect
Connect with The PIERCE Foundation, an organization supporting first responder mental wellness and peer connection. Visit its Connect page to explore available resources and ways to get involved.
Employee login Mental health & support.
Find peer support, care options, and resources for yourself, a teammate, or a family member.
Support on and off duty
Mental health & first responder support
The calls, the schedule, and life outside the station can add up. You can reach out for yourself, a teammate, or a family member. You do not have to wait until things feel overwhelming.
Need support right now?
The 988 Suicide & Crisis Lifeline provides crisis counseling and referrals for people in emotional distress in the United States. If there is immediate danger or a medical emergency, call 911.
Virtual resources
Online care, provider directories, and responder support programs. The IAFF listing below is a Maryland residential treatment option.
Psychology Today
Explore mental health information and search for a therapist, including online care options.
Responder Assistance Initiative (RAI)
North Carolina responder behavioral health services, peer support, and wellness resources. Information and resource line—not a crisis line.
IAFF Center of Excellence · Maryland
A residential treatment facility in Upper Marlboro, Maryland, for IAFF members. This is an in-person treatment resource; contact the center about eligibility and care options.
BetterHelp
Explore online counseling options and check current costs, eligibility, and provider availability.
Teen Counseling
Explore online counseling for teens through the BetterHelp network. Review age eligibility and parent or guardian requirements with the service.
Animo Sano Psychiatry
Online and in-person psychiatry and behavioral health care. Confirm services, state availability, and insurance directly with the practice.
NCSFA Share the Load
Behavioral health support resources for the fire and EMS community through the North Carolina State Firefighters’ Association.
Local resources
Explore these practices for local care. Some also offer telehealth; contact each provider to confirm availability, costs, and insurance.
Responder Support Services
First responder mental health and wellness services. Contact the practice about appointments and care options.
Centers for Emotional Health
Contact the provider to confirm current locations, services, and scheduling options.
Mindpath Health
Psychiatry and therapy with in-person and online options. Confirm the location, provider, and insurance that fit your needs.
Resilient Mind Counseling
Counseling practice with an Asheville location and online therapy options in North Carolina.
Summit Wellness Centers
Faith-based professional counseling for individuals, couples, and families in Western North Carolina, with telehealth options.
Local resource · Western North Carolina
Heart of Horse Sense
Explore trauma-informed, equine-assisted mental health and wellness services for first responders, veterans, and families. Connect with the team to learn about available services and group participation.
7041 Meadows Town Road, Marshall, NC 28753
Upcoming first responder groups
No cost · RSVP required · All times Eastern
Women’s First Responder and Veteran Group
2:30–4:00 p.m.
Details & RSVPFirst Responder Mental Health & Wellness Group
12:30–2:00 p.m.
Details & RSVPConfirm current details with the organizer before attending.
NC OSFM Behavioral Health Crisis Portal
The North Carolina Office of State Fire Marshal provides a directory of urgent and nonurgent behavioral health resources, peer support programs, treatment facilities, and additional support for fire and rescue personnel.
Open the NC OSFM resource portalNC LEAP
The North Carolina Law Enforcement Assistance Program supports law enforcement officers, firefighters, first responders, their families, and civilian staff. Explore peer support, Post Critical Incident Seminars, chaplaincy, and education and training. Services are offered at no cost to first responders.
Explore NC LEAP supportShatterproof FHE Health
A first responder treatment program addressing mental health, trauma, and substance use. Contact FHE Health about program options, admissions, costs, and insurance coverage.
Explore FHE first responder treatmentLowcountry Firefighter Support Team
Peer support, counseling referrals, family support, and behavioral health education for emergency services personnel and their families. Ask the team about availability in your area.
Explore SC support servicesResponderStrong
Explore resources for emergency responders and their families, including stress, resilience, relationships, and mental wellness education.
Explore responder resourcesTake the next step
For ongoing support, contact your department’s employee assistance program, a trusted peer support member, or a licensed mental health professional. Ask about experience working with firefighters, appointment availability, costs, and confidentiality before sharing sensitive information.
LifeWay Health can help you discuss options for follow-up care. Contact LifeWay Health or call (828) 273-6429. Routine inquiries are not monitored for emergencies; please do not send sensitive health details by email.