Transcript Document
Critical Incident Stress Management
(CISM)
American Military University
Daytona Beach Police Department
Chuck Russo, PhD
Carrie Courtney, RCSWI
CISM
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Definition of a Critical Incident
The Role of CISM
What CISM Does Not Do
How CISM Helps the First Responder
Return
Definition of a Critical Incident
A critical incident is defined as:
• A sudden or disturbing event
• That generates a strong emotional and
cognitive reaction
Critical Incidents
Examples encountered in may include:
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Officer involved shootings
Line of duty injuries
Line of duty deaths
Incidents when a child is a victim
Incidents involving death/serious injury to others
Disasters
Employee suicide
What is CISM
CISM is:
• Early psychological support for First
Responders
Goals of CISM
• To mitigate the impact of the event
• Facilitate normal recovery processes
• Restoration to adaptive function
Role of CISM
To provide:
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Temporary
Active
Supportive
Confidential
Assistance to aid the individual in crisis
What CISM Does Not Do
CISM is NOT a function of/to:
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Professional standards/internal affairs
Determine fitness for duty
Determine if policy was followed
Determine if state law was followed
Pass judgment on someone’s actions
How CISM Helps First
Responders
CISM helps by providing:
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One-on-one peer support
Demobilization of information
Crisis management briefings
Defusing
Critical incident stress debriefings
One-on-One Peer Support
Peer support is provided to individuals:
• Mitigate symptoms
• Return to previous level of functioning
• Provide referrals if needed
Responding to
Critical Incidents
This occurs:
• At anytime post crisis
• To inform and consult
• Provide psychological decompression
• Stress management
• Typically occurs in large
groups/organizations
Defusing
This occurs:
• Post crisis (within a12 hour time period)
• To address symptom mitigation
• To assist with providing possible closure
• Triage of services and presenting symptoms
• Typically occurs in small groups
Critical Incident Stress Debriefing
This occurs:
• Post crisis (occurs within 1-10 days, 3-4
weeks following mass disasters)
• Facilitates psychological closure
• To address symptom mitigation
• Triage of services and presenting symptoms
• Typically occurs in small groups
CISM
• Is for the employee experiencing a normal
reaction to an abnormal event
• Is to help the employee recover quicker
from such an event
• Is temporary, active and supportive
• Is confidential
Questions
Questions concerning CISM should be directed to:
Daytona Beach Police Department CISM Team
Chuck Russo, PhD
386-527-2462
[email protected]
Carrie Kahn Courtney, RCSWI
386-671-5418
[email protected]