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critical stress incident?
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Services
(based on the Everly & Mitchell Model)
Pre-Crisis Education
This
is designed in anticipation of and preparation for
a crisis. It
includes stress management education, stress resistance
awareness, and
crisis mitigation training for both individuals
and organizations. These
are scheduled at a mutually agreeable time, usually
in an evening and can
run 1-3 hours and be tailored for a small or large
audience. CEU credits are
generally available for these trainings.
Crisis Management Briefing (CMB)
This intervention is event driven. It is designed
to be used with large
groups of peers which may range in size from 10
to 300 individuals at one
time. It is designed for use both immediately after
the crisis and in the
days ensuing the incident. The intervention is designed
to be highly
efficient, delivering information about the situation
and taking only
between 45 and 75 minutes to implement.
Demobilization
This intervention is event driven. It is
best in large groups. It is
designed for use both immediately after the crisis
and often during the
crisis, usually on site or in the vicinity of the
event, before emergency
responders are dismissed to provide decompression
and information to
responders in large group.
Defusing
This intervention is usually symptom driven.
The event has just occurred
and workers are upset. It is best in small groups.
A 3-phase, structured,
small group discussion is provided within 12 hours
of a crisis , for
purposes of assessment, triaging, and acute symptom
mitigation.
Debriefing
This intervention is also symptom driven.
It is best in small groups. a
7-phase, structured group discussion is usually
provided generally within 1
to 10 days post crisis. It is designed to mitigate
acute symptoms, assess
the need for follow-up, and if possible, to provide
a sense of post-crisis,
psychological closure.1 to 7 days after the crisis,
to facilitate closure.
Peer to Peer
This intervention is often symptom
driven, but may identify cumulative
exposure to critical incidents. It is designed to
be used anytime and
anywhere. It is a post incident response designed
to "hash out" issues with
a trained peer who may have been in a similar position.
It focuses on
assessment and mitigation of acute symptoms.
[From: Everly, G. & Mitchell, 3.
1997; Critical Incident Stress Management
(CISM). A New Era and Standard of care in Crisis
Intervention. Ellicot
City, MD: Chevron Publishing.]
[From: Everly, G. 2000; Crisis Management
Briefings (CMB): Large Group
Crisis Intervention in Response to Terrorism, Disaster,
and Violence;
International Journal of Emergency Mental Health;
2000, p.53-57]
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