Background <p>Public safety personnel (PSP) are regularly exposed to stress which can result in the development of posttraumatic stress injuries (PTSIs) and leave them unable to work. The COVID-19 pandemic caused a shift in the delivery of PTSI rehabilitation to telerehabilitation (mainly videoconference, but some telephone-based care).</p> Methods <p>The present study employed an Interpretive Description design to explore the lived experiences of PSP, clinicians, and decision-makers regarding the safety, accessibility, and effectiveness of PTSI telerehabilitation. We used purposive and convenience sampling techniques, aiming to maximize variation. Interview data were generated using semi-structured interviews and analyzed using an integrated, team-based approach to Braun and Clarke’s reflexive thematic analysis.</p> Results <p>Our final sample consisted of 34 participants: 12 PSP, 14 clinicians, and eight decision-makers. Three themes were generated: (1) Responding to the uniqueness of individuals and their contexts; (2) Prioritizing different elements of safety at different times; and (3) Facets of care that lead to perceptions of credibility. While telerehabilitation offers accessibility and flexibility, its application necessitates a nuanced, person-centred approach.</p> Conclusions <p>Clinicians need to tailor the mode of delivery to PSP and be aware of the potential limitations in observing subtle cues and fostering the therapeutic alliance virtually. Decision-makers should consider policies that support a hybrid model of care, balancing PSP preference and the potential need for in-person interventions to address avoidance and facilitate crucial components of care. Ultimately, for PSP, telerehabilitation presents a valuable option for accessing timely, comfortable care, but open communication with clinicians about preferences and any challenges experienced with virtual modalities is paramount.</p>