The New York State First Responder Mental Health Needs Assessment was commissioned by New York State Division of Homeland Security and Emergency Services (DHSES) and conducted by the Benjamin Center and the Institute for Disaster Mental Health (IDMH) at SUNY New Paltz. This first-of-its-kind study surveyed over 6,000 first responders across New York State and included a series of focus groups to further explore key issues. The assessment provides valuable insights into the stress and challenges first responders face, the mental health impacts of their work, the barriers to seeking care, and programs and resources that might make a difference.