By Rich Larson
Northfield Emergency Medical Services Chief Brian “Tex” Edwards is encouraging residents to call for help without hesitation when faced with a mental health crisis, emphasizing that such emergencies are treated with the same urgency and professionalism as any physical illness or injury.
In a recent radio interview, Edwards said EMS crews make no distinction between a heart attack and a psychiatric emergency. “To us, it’s an emergency that requires immediate care,” he said. “Mental illness and mental health crises are no different than shortness of breath, trauma, or chest pain.”
Edwards acknowledged that stigma still prevents many people from seeking help. While society has made progress in talking openly about mental health, he said reluctance remains—especially when it comes to calling 911. He urged people to err on the side of caution, noting that EMS would rather respond and not be needed than arrive too late.
He outlined clear guidance for when to call 911, including situations involving thoughts of self-harm with a plan or means, hallucinations, acute psychosis, severe anxiety that prevents functioning, substance use that complicates a person’s condition, or any immediate danger to the individual or others. For crises that require immediate support but are not life-threatening, Edwards recommended using the national 988 crisis line.
When EMS responds to mental health calls, safety is the top priority. If weapons, severe intoxication, or dangerous behavior are involved, law enforcement secures the scene first. Once safe, EMS crews rely heavily on de-escalation and “active listening”—a skill Edwards described as truly hearing and understanding what a person is experiencing, rather than rushing to respond.
Northfield EMS has also invested heavily in training. While basic EMT education includes only a few hours on mental health, many staff members receive Crisis Intervention Team (CIT) training through county grant funding. Edwards said the training has been invaluable in helping responders manage complex, emotionally charged situations.
Just as importantly, Edwards highlighted the mental health support available to EMS personnel themselves. Northfield EMS contracts with a specialized provider offering confidential counseling, annual check-ins, and a 24/7 hotline for critical incidents. “Healthy responders make for healthy communities,” Edwards said.
His message to the public was simple: ask for help. “Don’t wait,” he said. “To us, it’s not any different than any other medical emergency.”
Rich Larson is the owner and General Manager of KYMN Radio. Contact him at rich@kymnradio.net
