Critical Incident Stress Management (CISM)

13th Annual Emergency Management Higher Education Conference Tuesday, June 8, 2010 CRITICAL INCIDENT STRESS MANAGEMENT (CISM) Identification & Utilization of Peer Support Techniques

CISMP is A Multi-tactic early intervention program A Structured peer-driven, cliniciansupported and guided process Designed to provide interventions to address disaster-related mental health issues.

Individual Employee Self Awareness Supportive of others Awareness Level Training Supportive of the CISMP BASIC Peer Support

Friend / Small Group Peer Support (less formal) One-on-One Peer Support (Defusing) Trained Peer for immediate response and intervention ADVANCED Peer Support

Facilitated Debriefing with Clinician Support & Guidance Comfortable Setting Formalized Process Critical Incident Stress Debriefing (CISD) DEBRIEFING

Small Group Controlled Environment Seven Phase Process Peer Driven (facilitated) Follow-up procedures in place

Clinical Intervention of Referrals (available as needed) CISMP Keys to Success

Awareness of early warning signs Knowing how / where to get help No Fear of asking for help Formal activation process Leadership Supported Trained / Respected Peers & Clinicians Follow-up Mechanisms available (Peer & Clinician) Event Pre-Planning, Event Briefings, Defusings &

Debriefings HE WHO FAILS TO PLAN, PLANS TO FAIL Pre-Planning

A Systems Approach Peer & Clinician Training (to Standards) Employee Awareness Level Training Activations Mechanisms in Place On-going Program Evaluation Event Briefings

Risk Communication Is Vital Set Intervals (ICS = Start of Shift) Critical Change Announcements Stress Mgmt & Mental Health Planning Early On Incorporated into IAPs Access to Resources during work

Access to Resources at end of shift ** A Defusing 1 on 1 Peer Support (or small group of 2 3) Immediate

Quick Assessment Listening (Peer) Stress Information and Resources Provided A Debriefing

Larger Groups (About 20 max) 1 Peer for every 5 7 Participants Within 24 72 hours Post Event(s) Listening & Sharing (Peer & Participant) Peer Facilitated Clinician Supported & Guided Voluntary & Closed to Outsiders No Recordings or Documentation

QUESTIONS ? Thank You!! Jeff Long, CISM-Advanced Training Specialist, US DHS/FEMA Recovery; VA-NPSC Winchester, VA [email protected]