13 th annual emergency management higher education conference tuesday june 8 2010
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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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13 th annual emergency management higher education conference tuesday june 8 2010

13th Annual

Emergency Management Higher Education Conference

Tuesday, June 8, 2010

Critical Incident Stress Management (CISM)



Cismp is
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.


Individual employee
Individual Employee

  • Self Awareness

  • Supportive of others

  • Awareness Level Training

  • Supportive of the CISMP


Basic peer support
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
ADVANCED Peer Support

  • Facilitated Debriefing with Clinician Support & Guidance

  • Comfortable Setting

  • Formalized Process

  • Critical Incident Stress Debriefing (CISD)


Debriefing
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
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
Event Pre-Planning, Event Briefings, Defusings & Debriefings



Pre planning
Pre-Planning

  • A Systems Approach

  • Peer & Clinician Training (to Standards)

  • Employee Awareness Level Training

  • Activations Mechanisms in Place

  • On-going Program Evaluation


Event briefings
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
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
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



Thank you

Jeff Long, CISM-Advanced

Training Specialist, US DHS/FEMA

Recovery; VA-NPSC

Winchester, VA

[email protected]

Thank You!!


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