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Critical Incident Stress Management (CISM)

13 th 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

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Critical Incident Stress Management (CISM)

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  1. 13th Annual Emergency Management Higher Education Conference Tuesday, June 8, 2010 Critical Incident Stress Management (CISM)

  2. Identification & Utilization of Peer Support Techniques

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

  4. Individual Employee • Self Awareness • Supportive of others • Awareness Level Training • Supportive of the CISMP

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

  6. ADVANCED Peer Support • Facilitated Debriefing with Clinician Support & Guidance • Comfortable Setting • Formalized Process • Critical Incident Stress Debriefing (CISD)

  7. DEBRIEFING • Small Group • Controlled Environment • Seven Phase Process • Peer Driven (facilitated) • Follow-up procedures in place • Clinical Intervention of Referrals (available as needed)

  8. 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)

  9. Event Pre-Planning, Event Briefings, Defusings & Debriefings

  10. “He who fails to plan, plans to fail”

  11. Pre-Planning • A Systems Approach • Peer & Clinician Training (to Standards) • Employee Awareness Level Training • Activations Mechanisms in Place • On-going Program Evaluation

  12. 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 **

  13. A Defusing • 1 on 1 Peer Support (or small group of 2 – 3) • Immediate • Quick Assessment • Listening (Peer) • Stress Information and Resources Provided

  14. 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

  15. QUESTIONS ?

  16. Jeff Long, CISM-Advanced Training Specialist, US DHS/FEMA Recovery; VA-NPSC Winchester, VA Jeffery.long@dhs.gov Thank You!!

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