Health & Wellness · Spring HIllEst. 2019

Responders First

Free clinical care for the warriors who carry it home.

About

The first thing you notice about Jesse Diaz-Franco is what he doesn't do. He doesn't shake your hand and immediately tell you about his organization. He doesn't lead with his credentials — and he has them, a master's in social work and an Enhanced Practitioner designation in Accelerated Resolution Therapy held by only a select number of clinicians nationally.

He sits. He listens. And somewhere in the second or third minute of the conversation he has already understood something about you that took your closest friends years.This is, as it happens, useful when your life's work is sitting across from people who have spent a lifetime not being asked the right question. Diaz-Franco runs Responders First, the Spring Hill nonprofit he founded in March of 2019 to do, for free, what most of the American behavioral health system charges for poorly.

A five-day wellness program for the police officers, the firefighters, the paramedics, and the veterans of Hernando County and beyond — and, just as deliberately, for their spouses and their children. No insurance. No paperwork that follows anyone home. No employer is ever notified. Just the work, and the people willing to come do it.

Interior

The story

The story of Responders First begins in a different room, in a town called Holiday — about an hour south of Spring Hill, on the kind of stretch of west-coast Florida road that looks, depending on how the light hits, either timeless or forsaken. Diaz-Franco spent eight years in that room as a clinician with the Warrior Wellness Program, doing trauma work with the veterans and first responders who came in carrying what tends to get carried in those professions. He was also, he came to notice, watching a system fail the people in his chair.

Three patterns kept repeating, and a lesser clinician would have shrugged them off as the unfixable cost of doing business. Diaz-Franco wrote them down instead. The first was money — a problem that does not go away because insurance "covers" something, since the deductibles and the paperwork and the quiet certainty that a behavioral-health claim might one day surface in a personnel file are enough to keep most warriors from making the call.

The second was stigma, which he saw not as a personal failing of the men and women he treated but as the predictable consequence of a culture that asks people to walk into burning buildings and then quietly judges them for the weight of having walked into them. The third was institutional distrust — the learned, earned wariness of any program whose paperwork might end up somewhere it shouldn't.

In March of 2019, he started Responders First in answer. No bill, ever. No insurance, ever. No employer notification, ever. Funded entirely by donors and by a roster of Hernando County businesses who looked at what Diaz-Franco was building and decided that this, at least, was worth their money. And one more decision — the one that distinguishes the organization from almost every behavioral-health program in the region.

Most programs treat the trauma of spouses and children as secondary, derivative, smaller in clinical weight than what the warrior carries. Diaz-Franco rejects that framing the way a clinician rejects something he has watched be wrong for a thousand sessions in a row. The wife who lies awake when her husband's shift runs late. The teenage son who learns to read the tightness in his father's jaw before anyone in the room has said a word. What they carry, in his telling, is not a smaller version of someone else's trauma. It is their own.

"The goal has never been to fix anyone," he says. "It's to give people back the version of themselves they thought they'd lost."

It is the kind of sentence that, once you have heard it, is hard to unhear.

The goal has never been to fix anyone. It's to give people back the version of themselves they thought they'd lost.Jesse Diaz-Franco, LCSW — Founder, Responders First

The spotlight

Jesse Diaz-Franco does not believe in secondary trauma.

The phrase — used routinely in behavioral health to describe what spouses and children of first responders carry — doesn't sit right with him. After more than a decade of clinical work with police officers, firefighters, paramedics, and combat veterans, Diaz-Franco has come to a different conclusion. The wife who lies awake when her husband's shift runs late. The teenage son who learns to read the tightness in his father's jaw before anyone says a word. The young children who don't yet have the language for what they sense.

"The trauma isn't secondary," he says. "It's primary. It's just a different shape."

That conviction — that the people who love a first responder are themselves first responders, in their own way — is built into the foundation of Responders First, the Spring Hill nonprofit Diaz-Franco founded in March of 2019. The organization's free five-day wellness program opens its doors to officers, firefighters, EMS personnel, military, and veterans. It also opens those same doors to spouses and partners. They aren't there as guests of someone else's healing. They're there because Diaz-Franco believes the work belongs to them too.

Eight Years Before He Was Ready

Diaz-Franco didn't start Responders First out of nowhere. He spent eight years as a clinician at the Warrior Wellness Program in Holiday, Florida — sitting across from veterans and first responders week after week, listening to what they carried, and watching the system designed to help them fall short in patterns that became impossible to ignore.

The cost barrier was the loudest one. Even when insurance technically covered care, the deductibles, the paperwork, and the fear of a claim ending up in a personnel file were enough to keep most warriors from making the call. The stigma was the second one — the quiet certainty among many in the field that asking for help is the same as admitting you can't do the job. And the third was the institutional distrust: a deep, learned wariness of any program that might report what it heard back to a department, an agency, or a chain of command.

By the time Diaz-Franco was ready to build something of his own, he wasn't building from theory. He was building from notes.

The Clinical Bet

Responders First is anchored in a treatment most people in Spring Hill have never heard of: Accelerated Resolution Therapy, often shortened to ART. Developed by clinician Laney Rosenzweig and clinically validated through trials at the University of South Florida, ART uses guided eye movements to help the brain reprocess traumatic memory — not by talking through the trauma in detail, but by changing the way the memory is stored.

Diaz-Franco is one of a relatively small number of clinicians nationally credentialed at the Enhanced Practitioner level in ART. He has watched it produce results in one to five sessions that traditional talk therapy can take years to approach. It is, by his own description, the central clinical bet of the organization. Everything else in the four-day program — the iRest nervous system protocol, the adaptive yoga, the therapeutic music group — is built around the rhythm that ART makes possible.

"I've watched people come into a session carrying something they've carried for twenty years," he says, "and walk out of that same session lighter. Not cured. Lighter. That's where it starts."

No Bill, No Insurance, No Employer Notification

What separates Responders First from almost every other behavioral health program in the region isn't the therapies. It's the price. Lodging is free. Meals are free. Transportation to and from the program is free. There is no insurance billed, no employer notified, no record created that could ever follow a participant back to a personnel file or a security clearance review. The organization is funded entirely through donations, grants, and a roster of community partners — Sand Hill Scout Reservation, Weeki Wachee Springs State Park, Hollie Hill Farm, Marker 48 Brewing, and a long list of local businesses that have decided this work is worth underwriting.

"The cost isn't a marketing decision," Diaz-Franco says. "It's the entire point. If money is between a warrior and the door, then the door isn't really open."

A Program Built for the Culture, Not the Textbook

What also separates Responders First is who designed it. The five-day program wasn't drawn up by a committee or a hospital system. It was shaped by a clinician who has spent a career listening to how first responders actually talk about what they're going through — and what makes them shut down when a program doesn't speak their language.

The result is a program that uses plain language. That respects confidentiality the way a department respects an officer-down call. That treats the spouse in the room with the same clinical seriousness as the badge in the room. And that holds, at its center, a belief Diaz-Franco repeats often enough that participants tend to remember it long after they've gone home.

The goal has never been to fix anyone. It's to give people back the version of themselves they thought they'd lost.

For the first responders, veterans, and families of Hernando County and the surrounding region — and for the warriors who fly in from elsewhere because they heard about a Spring Hill clinician who works for free — that sentence is starting to do real work.

The phone is 352-585-0626. The application is at respondersfirst.us. There is no bill at the end of any of it.

By Mark T. Wellington

What they’re known for

Accelerated Resolution Therapy (ART)
iRest nervous system regulation
adaptive yoga for trauma recovery
therapeutic music group
five-day wellness program
peer support
family and spouse inclusion
confidential trauma care

Find Responders First

Open in Google Maps →