Table 2.

Main themes and subthemes

Main themes	Subthemes
Paramedics work frequently with patients having a behavioral health crisis	• They see a range of complex problems • These are the most challenging to deal with • This can have a personal toll on paramedics • These interactions can be deeply meaningful • Personal safety also has to be considered
Paramedics report inadequate behavioral health training	• Training is either nonexistent or lacking in behavioral health • Behavioral health training is needed to improve their competencies • Other techniques are needed to effectively support patients
Experiential learning and strong interpersonal skills are critical tools	• Communication, empathy, and de-escalation are critical skills • Skills are learned on the job as there is a lack of formal training • Paramedics seek learning opportunities by self-study or asking questions when interacting with medical personnel at transferring facilities