Evidence map›Paper›PMID 41540564›Full record

ArticleJournal of occupational and environmental medicine2026

Barriers and Access to Care for Firefighters With Posttraumatic Stress Disorder Seeking Ketamine-Assisted Therapy: A Qualitative Study.

Vivian W L Tsang, Tavneet Walia, Katherine Sattler, Pamela Kryskow

Abstract read
In one paragraph

Article in Journal of occupational and environmental medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Vivian W L TsangFrom the Department of Psychiatry, Faculty of Medicine, University of British Columbia, Vancouver, Canada (V.W.L.T.); Faculty of Science, McMaster University, Hamilton, Canada (T.W.); Faculty of Science, University of British Columbia, Vancouver, Canada (K.S.); and Roots to Thrive Nonprofit Society, Vancouver, Canada (P.K.).ORCID 0000-0001-9401-008
Tavneet Walia
Katherine Sattler
Pamela Kryskow

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFirefighters are exposed to a disproportionately high number of traumatic incidents and thus display elevated rates of trauma-related mental health disorders, with the reported average PTSD prevalence being 7.3% in firefighters versus 1.3%-3.5% in the general population. Oftentimes, conventional treatments demonstrate limited efficacy. Ketamine-assisted therapy (KAT) has recently arisen with promising long-term results.

methodsThe experiences of six firefighters who had enrolled in but not begun the Roots to Thrive (RTT) KAT program were investigated. Interviews were conducted pretreatment, and a thorough thematic analysis was performed.

resultsFour major themes were identified: (1) feeling stuck and reaching a breaking point, (2) stigma surrounding PTSD and the use of ketamine for treatment, (3) the importance of self-advocacy in navigating access to treatment, and (4) substantial financial and logistical barriers.

conclusionsThis study highlights the importance of system-wide changes necessary to support treatment-seeking individuals.

Indexed as

FirefightersHealth Services AccessibilityKetamineStress Disorders, Post-TraumaticAdultFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchSocial StigmaKetaminebarriers to treatmentfirefighter mental healthketamine-assisted therapymental health stigmapsychedelic-assisted therapytreatment-resistant PTSD

Identifiers

PMID41540564
PMCPMC13290054

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.