1. 1CIS.ppt Last Revised: 10 une 2003 Critical Incident Stress Developed as part of the National Emergency Services Curriculum Project

2. 2CIS.ppt Last Revised: 10 une 2003 CISM Defined Critical Incident Stress Management (CISM) may be defined as a group discussion about a traumatic event, or series of traumatic events. CISM is solidly based in crisis intervention theory and educational intervention theory.

3. 3CIS.ppt Last Revised: 10 une 2003 Purpose The process is designed to mitigate the psychological impact of a traumatic event, e.g., plane crash, natural disaster, serious incident or accident. It serves as an early identification mechanism for individuals who may require professional mental health follow-up subsequent to a traumatic event.

4. 4CIS.ppt Last Revised: 10 une 2003 No one in emergency services is immune to critical incident stress, regardless of past experiences or years of service.

5. 5CIS.ppt Last Revised: 10 une 2003 What is it? Critical Incident Reactions –Happen after intense, unusual, or abnormal events Aircraft Accident Site Fatalities Not finding a missing person or aircraft –May not appear right away –Reactions are normal

6. 6CIS.ppt Last Revised: 10 une 2003 Reactions are classified as: PHYSICAL EMOTIONAL COGNITIVE BEHAVIORAL

7. 7CIS.ppt Last Revised: 10 une 2003 Reaction Types PHYSICAL –Nausea –Fatigue –Headaches EMOTIONAL –Denial –Fear –Depression

8. 8CIS.ppt Last Revised: 10 une 2003 Reaction Types Continued COGNITIVE –Nightmares –Sleep Disturbance –Memory Problems BEHAVIORAL –Antisocial –Withdrawal –Restlessness

9. 9CIS.ppt Last Revised: 10 une 2003 Critical Incident Stress Debriefing Meeting Non specific expectations Confidential Discussion Review Resources Available Referrals

10. 10CIS.ppt Last Revised: 10 une 2003 CISM Team Makeup Medically qualified personnel –A psychiatrist, psychologist, social worker, mental health nurse, or 7-level mental health technician. The team chief will be a mental health professional. Peer Representative: –A non-caregiver advocate for involved individuals who will bring to the team expertise in CAP benefits and personnel issues.

11. 11CIS.ppt Last Revised: 10 une 2003 CISM Team Continued Chaplains –An emergency services qualified mission chaplain. Medical –A physician, senior medical technician with trauma experience or intensive care experience, or nurse with trauma or intensive care experience.

12. 12CIS.ppt Last Revised: 10 une 2003 CISM Support Requests During, or immediately following each rescue or disaster relief mission, a review of the need for CIS intervention should be made for all personnel participating in the mission whether or not the mission was concluded successfully.

13. 13CIS.ppt Last Revised: 10 une 2003 CISM Support Requests Continued If the mission is closed or suspended and a member(s) experiences the need for a critical incident stress intervention or observes the need in another member(s), he/she should express that need directly to the incident commander or wing commander.

14. 14CIS.ppt Last Revised: 10 une 2003 CISM Support Requests Continued Incident commanders or unit commanders will pass requests for CIS intervention to the wing commander, as proper CIS support will often require support long after a mission is closed or suspended. It should also be noted that personnel not at the front-line of a mission might require CIS intervention just as much as the ground team dealing with a crash site.

15. 15CIS.ppt Last Revised: 10 une 2003 Critical Incident Stress Tasks There are no specific Critical Incident Stress Tasks, but all members of the emergency services team should be conscious of the problems that could occur from being involved in stressful missions and seek help as necessary

16. 16CIS.ppt Last Revised: 10 une 2003 QUESTIONS? THINK SAFETY