Fire & Life Safety Training * Public Education & Information

home
home
home
home
home
home
           
link to www.sandyfire.org link to www.boringfire.com
 

CRITICAL INCIDENT STRESS MANAGEMENT (CISM) & EMOTIONAL FIRST AID


navigation

FPO Lasher and Chaplain Simons coordinate the implementation of this program. It has a dual focus (1) Serve our fire district personnel and their families and (2) Serve members of our community who have experienced a loss or traumatic incident. This approach enables a broad based network of emotional support that makes for a healthier community and more resilient firefighters.

The primary goal of the Stress Management program is to mitigate the impact of a critical incident and to accelerate the recovery processes of normal people who are having normal reactions to abnormal events; this is consistent with the expectations of the FEMA crisis counseling project and the International Critical Incident Stress Foundation.

CRITICAL INCIDENT STRESS MANAGEMENT (CISM)

Approximately 90% of the interventions provided to fire district personnel are ‘one on one’. A continuum of services is provided via the CISM model, which begins with an evaluation performed by trained personnel to determine what level of intervention is needed. (See Core Components).

CISM programs often increase unit cohesion and performance. The program does not have as its goal, the complete elimination of stress symptoms, depression or anxiety nor does it claim to be a cure for PTSD or other psychiatric disorders. It does however, identify individuals who may need additional intervention or a professional referral.

The often heard term ‘Critical Incident Stress Debriefing’ is actually a specific, 7-step group crisis intervention tool designed to assist a homogeneous group of people after an exposure to the same significant traumatic event. It is not a stand alone process and when properly provided is part of an integrated package of interventions within the Critical Incident Stress Management (CISM) model. CISM does not focus on members of the community but is rather a system designed around emergency responders.

EMOTIONAL FIRST AID

When members of the community experience a traumatic incident and are encountered by fire district personnel, the Chaplain or a TIP volunteer are called to the scene. The role of both of these providers is to bring a calming effect to these secondary victims to help them through the first minutes and/or hours immediately following the crisis, until their own support network can take over.

Chaplains do not ‘preach’ to these individuals, but rather focus on what they have identified as strengths for themselves, bolstering their ability to deal with the incident in an emotionally healthy way.

Both TIP volunteers and Chaplains attempt to normalize feelings and assist in organizing (calling family members, funeral homes, cleaning services, etc). The primary difference between the services provided by a Chaplain and a TIP Volunteer are that Chaplains can transport and perform death notifications whereas TIP Volunteers cannot.

FPO Lasher and Chaplain are assisting Clackamas County in developing a coordinated CISM Protocol outlining the basic requirements needed to provide CISM in the manner in which research supports that it is beneficial. If CISM programs are not implemented correctly, evidence suggests that they may even do harm, therefore working in collaboration with other ICISF trained personnel to follow the Core Components, the Protocol will help ensure proven techniques will be utilized in our Clackamas County CISM program.

In addition, a program to assist family members in CISM and the unique challenges associated with ‘life in the fire service family’ is also being developed. The mental health of our firefighters’ families is as important as is that of our firefighters.

Our community members also deserve accurate, timely information that often times can help stem the tide of rumors and upset feelings. It can also assist neighbors in coming together to assist one another post incident. Many fire departments in Washington State offer “Crisis Management Briefings’’ these specific interventions are designed to provide community members with detailed information regarding the operational tactics of the fire service, the status of the incident and to answer any questions that are not protected under HIPAA.

 
stress management

 
® 2009 All Rights Reserved