Critical Incident Stress Debriefings - Revision history

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Mfrdmanager at 11:35, 25 July 2022

2022-07-25T11:35:20Z

Mfrdmanager at 15:14, 21 February 2016

2016-02-21T15:14:49Z

Mfrdmanager: Protected "Critical Incident Stress Debriefings" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2016-02-21T14:31:09Z

Protected "Critical Incident Stress Debriefings" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

@@ Line 29: / Line 29: @@
 **Peer Support Team member and employee will be able to speak and work through the behavioral health concern together. If the issue is resolved or relieved, no other referral may be necessary.
 **Peer Support Team members will be able to refer Fire Department personnel to a health professional and/or the Fire Department’s appointed chaplains if the employee seeking help requests or agrees to further referral. A list of prescreened health professionals, who understand the unique aspects of our job, will be posted at each station on the Peer Support bulletin board.
-**'''''If an employee chooses not to utilize the peer support program, they are encouraged to use  the City's Employee Assistance Program and any other means to seek professional behavioral health help.'''''
+**'''''If an employee chooses not to utilize the peer support program, they are encouraged to use  the City's Employee Assistance Program and/or any other means to seek professional behavioral health help.'''''
 * '''Potentially Stressful Incident Procedure:'''<BR>

@@ Line 29: / Line 29: @@
 **Peer Support Team member and employee will be able to speak and work through the behavioral health concern together. If the issue is resolved or relieved, no other referral may be necessary.
 **Peer Support Team members will be able to refer Fire Department personnel to a health professional and/or the Fire Department’s appointed chaplains if the employee seeking help requests or agrees to further referral. A list of prescreened health professionals, who understand the unique aspects of our job, will be posted at each station on the Peer Support bulletin board.
-**If an employee chooses not to utilize the peer support program, they are encouraged to use  the City's Employee Assistance Program and any other means to seek professional behavioral health help.
+**'''''If an employee chooses not to utilize the peer support program, they are encouraged to use  the City's Employee Assistance Program and any other means to seek professional behavioral health help.'''''
 * '''Potentially Stressful Incident Procedure:'''<BR>

@@ Line 29: / Line 29: @@
 **Peer Support Team member and employee will be able to speak and work through the behavioral health concern together. If the issue is resolved or relieved, no other referral may be necessary.
 **Peer Support Team members will be able to refer Fire Department personnel to a health professional and/or the Fire Department’s appointed chaplains if the employee seeking help requests or agrees to further referral. A list of prescreened health professionals, who understand the unique aspects of our job, will be posted at each station on the Peer Support bulletin board.
-**If an employee chooses not to utilize the peer support program, they may still use EAP and other means to seek behavioral health help.
+**If an employee chooses not to utilize the peer support program, they are encouraged to use  the City's Employee Assistance Program and any other means to seek professional behavioral health help.
 * '''Potentially Stressful Incident Procedure:'''<BR>

@@ Line 31: / Line 31: @@
 **If an employee chooses not to utilize the peer support program, they may still use EAP and other means to seek behavioral health help.
-* '''''Potentially Stressful Incident Procedure:'''''<BR>
+* '''Potentially Stressful Incident Procedure:'''<BR>
 Examples of incidents that may call for Peer Support/CISM include but are not limited to:
 **Serious injury or death to a fellow emergency worker
@@ Line 41: / Line 41: @@
 **Intensive media coverage and scrutiny.
 **Note: Any incident may be deemed as a potentially stressful incident, based on the effect it has on the individual.<BR>
-When a Potentially Stressful Incident occurs:<BR>
+* When a Potentially Stressful Incident occurs:<BR>
 **The on-duty Battalion Chief will contact the Peer Support Coordinator (PSC) or their designee. They will provide details of the incident and names of involved crew members.
 **The Peer Support Coordinator will contact any on-duty peer support members to speak with the firefighters involved in the incident.
@@ Line 49: / Line 49: @@
 **If CISM is deemed necessary, the Peer Support Coordinator, or their designee, will make arrangements for an immediate diffusing session and, if necessary, a formal debriefing within 72 hours of the incident.
-* '''''Special Considerations'''''<BR>
+* '''Special Considerations'''<BR>
 **If a firefighter is experiencing an immediate behavioral health crisis while on shift, and on scene of a 911 call, any peer support team member can assist them and has the ability to make a request to the incident commander or a fire officer that the firefighter be taken with them off scene. The incident commander or fire officer has the choice to reassign the firefighter to a different task or release the firefighter and peer support team member from the scene. If circumstances do not allow for the firefighter to be released from the scene, they should be released with a peer support member as soon as operationally possible. If the Battalion Chief is not on scene, they will be notified by the commanding officer.
 **If a firefighter is experiencing an immediate behavioral crisis while on shift, but not on scene of a 911 call, the Battalion Chief will be contacted and will be informed that the firefighter and peer support member assisting them (and their units if necessary) will be taken out of service. No other information will need to be provided to the Battalion Chief at that time. If the firefighter experiencing a behavioral health crisis needs to leave for the rest of the shift, the Battalion Chief will be notified, and the firefighter will be placed on sick leave for the remainder of the shift.
-* '''''Peer Support Program Training'''''
+* '''Peer Support Program Training'''
 **Peer Support Team:
 ***At a minimum, individuals that serve on the Peer Support Team will have successfully completed the IAFF Peer Support Team training program or other approved course. All Peer Support Team Members will complete at least 8 hours of continued education training each calendar year. The training will be approved and/or provided by the Peer Support Coordinator or their designee. Training will be coordinated through the Division Chief of Training.

@@ Line 24: / Line 24: @@
 ===PROCEDURE:===
-* General Operating Procedures:
+* '''General Operating Procedures:'''
 **A list of Peer Support Team members, with contact information, will be posted at each station on the Peer Support bulletin board. Fire Department personnel will be able to contact any one of the members from the team based on their individual preference. Each member of the Peer Support Team will be responsible for making sure that their contact information is kept current. If a member of a Peer Support Team no longer wishes to be on the team, it is their responsibility to insure that their name is removed from the Peer Support Team list.
 **Peer support is to be considered informal. Once contact is made between a Peer Support Team member and an employee, they will determine together how they would like to converse or meet up.

@@ Line 7: / Line 7: @@
 ===GENERAL STATEMENTS:===
-* Emergency response personnel face more than physical risks. The psychological consequences of exposure to trauma in the fire service can result in high levels of burnout, long-term emotional difficulties and other life-disrupting problems.
+Emergency response personnel face more than physical risks. The psychological consequences of exposure to trauma in the fire service can result in high levels of burnout, long-term emotional difficulties and other life-disrupting problems.
 '''''Definitions:'''''
@@ Line 19: / Line 19: @@
 Mandated Reporter – Any person who is aware or made aware of abuse, sexual abuse, abandonment, or neglect of a child or vulnerable adult is required to immediately report to the central abuse hotline in writing, via the toll-free phone number, or through electronic reporting. Full reporting requirements are outlined by Florida State Statutes 39.201 and 415.1034. <br>
-* Confidentiality <br>
+'''''Confidentiality''''' <br>
 Confidentiality is integral to the Peer Support Program. Except as outlined below, all participants agree to protect the confidentiality of those for whom assistance is provided. Peer support team members will not share or divulge private information obtained while acting in a peer support capacity with any other employee, family member, friend, supervisor or management.
 Exception: If an individual is identified to pose an immediate threat to themselves or others, the Peer Support Team member will arrange immediate intervention as appropriate, up to and including requesting law enforcement intervention. Additionally, all Maitland Fire Rescue Department employees must act as Mandated Reporters when made aware of any reports of abuse as outline in FS 39.201 and FS 415.1034.

@@ Line 4: / Line 4: @@
 ===PURPOSE:===
-* The purpose of this policy is to establish a behavioral health support network for Maitland Fire Rescue Department personnel. The Peer Support Program will serve as a resource for fire department personnel seeking assistance when experiencing behavioral health concerns. The program will also provide periodic training and information to educate all members of the fire department.
+The purpose of this policy is to establish a behavioral health support network for Maitland Fire Rescue Department personnel. The Peer Support Program will serve as a resource for fire department personnel seeking assistance when experiencing behavioral health concerns. The program will also provide periodic training and information to educate all members of the fire department.
 ===GENERAL STATEMENTS:===

@@ Line 1: / Line 1: @@
 ==Section 1 - ADMINISTRATIVE==
-===110.03 Critical Incident Stress Management===
+===110.03 Peer Support / CISM===
 ===PURPOSE:===
-* To establish guidelines for conducting critical incident stress management.
+* The purpose of this policy is to establish a behavioral health support network for Maitland Fire Rescue Department personnel. The Peer Support Program will serve as a resource for fire department personnel seeking assistance when experiencing behavioral health concerns. The program will also provide periodic training and information to educate all members of the fire department.
 ===GENERAL STATEMENTS:===
 * Emergency response personnel face more than physical risks. The psychological consequences of exposure to trauma in the fire service can result in high levels of burnout, long-term emotional difficulties and other life-disrupting problems.
-* A critical incident is defined as: any incident that evokes extraordinary emotion on the part of emergency workers and overwhelms their ability to cope, either at the scene or later.
-* Critical Incident Stress Management (C.I.S.M.) is a psychological and an emotional process designed to reduce and control the impact of critical incidents. It is designed to accelerate ''normal'' recovery processes in ''normal'' people who are experiencing ''normal'' reactions to ''abnormal'' circumstances.
+'''''Definitions:'''''
-* CISM does not equate to a critique of emergency operations at the scene. Performance issues will not be discussed at the debriefing. The debriefing process provides a format in which personnel can discuss their feelings and reactions and thus reduce the stress resulting from exposure to critical incidents. All debriefings will be strictly confidential.
-* Examples of incidents that may call for a CISM include but are not limited to:
+Peer Support Team - A comprehensive list of employees who are members of the Maitland Fire Rescue Department and who have been trained to assist other first responders who are experiencing any concerns related to their behavioral health. The Peer Support Team may also include retirees and other designated persons, i.e. chaplains.<br>
 **Serious injury or death to a fellow emergency worker
 **Multiple casualty incidents
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 **Prolonged or extraordinary rescue or recovery operations with expenditures of intense physical or emotional energy.
 **Intensive media coverage and scrutiny.
-===PROCEDURE:===
+**Note: Any incident may be deemed as a potentially stressful incident, based on the effect it has on the individual.<BR>
-* Any member recognizing stress or situations for potential stress in themselves or coworkers may contact their Lieutenant, Battalion Chief, Deputy Fire Chief, or Fire Chief and request assistance. These calls will be kept confidential.
+When a Potentially Stressful Incident occurs:<BR>
-* Following any Critical Incident either the CISM Team Leader or other assigned member will conduct a defusing session and disperse informational materials relating to Critical Incident Stress.
+**The on-duty Battalion Chief will contact the Peer Support Coordinator (PSC) or their designee. They will provide details of the incident and names of involved crew members.
-* When indicated, the CISM Team Leader will then make arrangements for a formal debriefing through local protocols. (The debriefing will occur within 72 hours of the incident) when possible.
+**The Peer Support Coordinator will contact any on-duty peer support members to speak with the firefighters involved in the incident.
-* All members present at the incident will be required to attend the debriefing to actas peer support for other members.
+**The firefighters and the peer support members (and their units if necessary) may be taken out of service while discussing the incident.
-* The debriefing will be limited to those personnel involved in the actual incident (including dispatchers, police officers, ambulance personnel, and hospital personnel), the peer counselors, and a mental health professional. No media will be allowed.
+**On-duty peer support members will determine what additional actions, if any, need to be taken.
-* All items relating to the activities of the debriefing will be kept strictly confidential.
+**The Peer Support team will follow up individually with the firefighters as necessary or as requested by the firefighter.
-* Further referral for assistance may be initiated as required.
+**If CISM is deemed necessary, the Peer Support Coordinator, or their designee, will make arrangements for an immediate diffusing session and, if necessary, a formal debriefing within 72 hours of the incident.
 [[Category:Rules and Regulations]]

← Older revision		Revision as of 15:14, 21 February 2016
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	* All items relating to the activities of the debriefing will be kept strictly confidential.		* All items relating to the activities of the debriefing will be kept strictly confidential.
	* Further referral for assistance may be initiated as required.		* Further referral for assistance may be initiated as required.
		+	[[Category:Rules and Regulations]]

← Older revision	Revision as of 14:31, 21 February 2016
(No difference)