CISM-Critical Incident Stress Mangement

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CISM (Critical Incident Stress  Management)

I am an Approved Train-The-Trainer (Individual and Peer Support), International Critical Incident Stress Foundation (ICISF), and my workshops grant  CEU's.

Critical Incident Stress Management (CISM)  is a comprehensive, integrative, multi-component crisis intervention system. CISM is considered comprehensive because of it multiple crisis intervention components, which span the entire temporal spectrum of a crisis -  from the pre-crisis phase through the acute crisis phase into the post-crisis phase. CISM is  considered comprehensive because the interventions are applied to individuals, small & large functional groups, families, organizations, and  communities. Suicide Prevention is also discussed in CISM session.

The 7 core components of CISM are defined below :

  1. Pre-crisis preparation. This includes stress management education, stress resistance, and crisis mitigation training for both individuals and organizations.
  2. Disaster or large-scale incident, as well as, school and community support programs including demobilizations, informational briefings, "town meetings" and staff advisement.
  3. Defusing. This is a 3-phase, structured small group discussion provided within hours of a crisis for purposes of assessment, triaging, and acute symptom mitigation.
  4. Critical Incident Stress Debriefing (CISD) refers to the "Mitchell model" (Mitchell and Everly, 1996) 7-phase, structured group discussion, usually provided 1 to 10 days post crisis, and designed to mitigate acute symptoms, assess the need for follow-up, and if possible provide a sense of post-crisis psychological closure.
  5. One-on-one crisis intervention/counseling or psychological support throughout the full range of the crisis spectrum.
  6. Family crisis intervention, as well as, organizational consultation.
  7. Follow-up and referral mechanisms for assessment and treatment, if necessary.

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This page was last updated on 09/29/05