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Critical Incident Stress Management (CISM). 14 th Annual Emergency Management Higher Education Conference Tuesday, June 7, 2011. Identification & Utilization of Peer Support Techniques. A CISM Program…. Multi-tactic early intervention program

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Critical incident stress management cism

Critical Incident Stress Management (CISM)

14th Annual

Emergency Management Higher Education Conference

Tuesday, June 7, 2011



A cism program
A CISM Program…

  • Multi-tactic early intervention program

  • 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

  • Colleague / 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 cisd
DEBRIEFING (CISD)

  • Small Group

  • Controlled Environment

  • Seven Step/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” / Trust

  • Known activation process

  • Leadership Supported (Culture)

  • Trained / Respected Peers & Clinicians

  • Follow-up Mechanisms available

    (Peer & Clinician)


Thank you
Thank You!!

Jeff Long, CISM-Advanced

US DHS/FEMA Training Specialist

Response & Recovery; VA-NPSC

(VA Disaster Operations Center)

Winchester, VA

[email protected]


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