Podcast
Questions and Answers
What could be a consequence of breaching confidentiality within the CISM Team?
What could be a consequence of breaching confidentiality within the CISM Team?
- Mentorship from senior members
- Increased responsibilities
- Removal from the CISM Team (correct)
- A verbal warning
Which situation does NOT warrant an exception to confidentiality?
Which situation does NOT warrant an exception to confidentiality?
- Suspected child abuse
- Suspected abuse of an elderly person
- Concern for someone's safety
- Professional disagreement with a recipient (correct)
What is considered unprofessional behavior for CISM Team members after providing services?
What is considered unprofessional behavior for CISM Team members after providing services?
- Becoming friends with recipients
- Engaging in romantic relationships with recipients (correct)
- Providing free services to recipients
- Offering emotional support after services
Who must be notified if there is an exception or breach of confidentiality?
Who must be notified if there is an exception or breach of confidentiality?
Which of the following statements about social media and confidentiality is true?
Which of the following statements about social media and confidentiality is true?
What type of support does the CISM Team provide during crisis interventions?
What type of support does the CISM Team provide during crisis interventions?
Who typically serves as the Clinical Director of the CISM Team?
Who typically serves as the Clinical Director of the CISM Team?
Which of the following is not listed as an intervention method used by the CISM Team?
Which of the following is not listed as an intervention method used by the CISM Team?
What is a primary responsibility of the CISM Team members during interventions?
What is a primary responsibility of the CISM Team members during interventions?
What is one of the key aspects of confidentiality regarding CISM interventions?
What is one of the key aspects of confidentiality regarding CISM interventions?
What crucial aspect of the CISM Team's makeup influences their ability to assist during interventions?
What crucial aspect of the CISM Team's makeup influences their ability to assist during interventions?
What is the primary purpose of a demobilization in a Critical Incident Stress Management (CISM) setting?
What is the primary purpose of a demobilization in a Critical Incident Stress Management (CISM) setting?
Which of the following crisis intervention methods focuses on immediate support at the scene?
Which of the following crisis intervention methods focuses on immediate support at the scene?
Which group intervention is designed to fill the information void following a critical incident?
Which group intervention is designed to fill the information void following a critical incident?
Which intervention method aims to help individuals process events after a critical incident?
Which intervention method aims to help individuals process events after a critical incident?
What role does the CISM Team Shift Leader play during CISM interventions?
What role does the CISM Team Shift Leader play during CISM interventions?
What is the primary purpose of the Houston Fire Department's critical incident stress management policy?
What is the primary purpose of the Houston Fire Department's critical incident stress management policy?
Which of the following is NOT a goal of demobilization during CISM?
Which of the following is NOT a goal of demobilization during CISM?
Which of the following best describes the HFD CISM Team?
Which of the following best describes the HFD CISM Team?
The International Critical Incident Stress Foundation (ICISF) is recognized for providing what type of service?
The International Critical Incident Stress Foundation (ICISF) is recognized for providing what type of service?
What role does a chaplain fulfill within the Houston Fire Department?
What role does a chaplain fulfill within the Houston Fire Department?
What makes Crisis Management Briefings (CMB) suitable for large and heterogeneous audiences?
What makes Crisis Management Briefings (CMB) suitable for large and heterogeneous audiences?
What is an important objective of the Houston Fire Department's policy on critical incidents?
What is an important objective of the Houston Fire Department's policy on critical incidents?
In what setting are demobilizations typically conducted during CISM interventions?
In what setting are demobilizations typically conducted during CISM interventions?
What is a significant aspect of a Crisis Management Briefing (CMB)?
What is a significant aspect of a Crisis Management Briefing (CMB)?
Which qualification must a mental health professional possess to be part of the HFD's support system?
Which qualification must a mental health professional possess to be part of the HFD's support system?
Who can become peer support personnel in the HFD's CISM Team?
Who can become peer support personnel in the HFD's CISM Team?
Which statement accurately reflects the emotional demands of the fire service profession?
Which statement accurately reflects the emotional demands of the fire service profession?
What is the primary role of a Clinical Director within the CISM Team?
What is the primary role of a Clinical Director within the CISM Team?
What is a primary responsibility of the HFD's critical incident stress management policy?
What is a primary responsibility of the HFD's critical incident stress management policy?
What does the term 'Critical Incident' refer to?
What does the term 'Critical Incident' refer to?
Which of the following best describes Crisis Intervention?
Which of the following best describes Crisis Intervention?
How does Confidentiality impact the CISM Team's effectiveness?
How does Confidentiality impact the CISM Team's effectiveness?
What is one characteristic that differentiates Critical Incident Stress Management (CISM) from psychotherapy?
What is one characteristic that differentiates Critical Incident Stress Management (CISM) from psychotherapy?
What is the main purpose of the defusing intervention in CISM?
What is the main purpose of the defusing intervention in CISM?
Which of the following statements about CISM is true?
Which of the following statements about CISM is true?
What does the Texas Health and Safety Code indicate about communications during CISM services?
What does the Texas Health and Safety Code indicate about communications during CISM services?
What is the primary aim of defusings in crisis intervention?
What is the primary aim of defusings in crisis intervention?
When are debriefings (CISD) typically held in relation to a critical incident?
When are debriefings (CISD) typically held in relation to a critical incident?
What type of support does on-scene support provide during an ongoing event?
What type of support does on-scene support provide during an ongoing event?
Which of the following is NOT a goal of Critical Incident Stress Debriefing (CISD)?
Which of the following is NOT a goal of Critical Incident Stress Debriefing (CISD)?
Who should ideally be present during a debriefing (CISD)?
Who should ideally be present during a debriefing (CISD)?
What characterizes the 'one-on-one' intervention in crisis intervention?
What characterizes the 'one-on-one' intervention in crisis intervention?
How does defusing differ from debriefing in terms of timing?
How does defusing differ from debriefing in terms of timing?
Which of the following statements about attendance in a CISD is correct?
Which of the following statements about attendance in a CISD is correct?
Flashcards
HFD Chaplain
HFD Chaplain
A designated member of the HFD trained to provide emotional support and guidance to personnel facing stress or trauma.
HFD CISM Team
HFD CISM Team
A group of HFD personnel, volunteers and mental health professionals, who provide peer support and specialized counseling to department employees facing critical incidents.
Peer Support Personnel
Peer Support Personnel
HFD employees who have undergone training and are authorized to provide initial emotional support and guidance to colleagues following critical incidents.
Mental Health Professional (MHP)
Mental Health Professional (MHP)
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Critical Incidents
Critical Incidents
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HFD's Policy on Critical Incident Stress Management
HFD's Policy on Critical Incident Stress Management
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Stress and Emotional Difficulties
Stress and Emotional Difficulties
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Access to Peer Counseling and Mental Health Services
Access to Peer Counseling and Mental Health Services
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Confidentiality in CISM
Confidentiality in CISM
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Defusing
Defusing
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Critical Incident Stress Management (CISM)
Critical Incident Stress Management (CISM)
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Clinical Director (CISM)
Clinical Director (CISM)
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Crisis Intervention
Crisis Intervention
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Debriefing (CISD)
Debriefing (CISD)
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On-Scene Support
On-Scene Support
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One-on-one
One-on-one
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LODD and CISD
LODD and CISD
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Voluntary CISD Participation
Voluntary CISD Participation
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CISD is not an Operational Critique
CISD is not an Operational Critique
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CISD Screening
CISD Screening
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Demobilization
Demobilization
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Crisis Management Briefings (CMB)
Crisis Management Briefings (CMB)
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International Critical Incident Stress Foundation (ICISF)
International Critical Incident Stress Foundation (ICISF)
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CISM Team Shift Leader
CISM Team Shift Leader
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CISM Intervention Planning
CISM Intervention Planning
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Professional Boundaries in CISM
Professional Boundaries in CISM
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Exceptions to Confidentiality in CISM
Exceptions to Confidentiality in CISM
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Reporting Confidentiality Breaches
Reporting Confidentiality Breaches
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CISM Team's Policy on Confidentiality
CISM Team's Policy on Confidentiality
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Study Notes
Houston Fire Department Critical Incident Stress Management Team Policy
- Purpose: To outline HFD's response to personnel needing peer counseling or mental health services after a critical incident.
- Objectives: To prevent stress-related negative impacts on personnel performance and ensure the well-being of employees, their families, and the public.
- Chaplain: A member endorsed by their religious authority, appointed by the Fire Chief, to provide spiritual support to employees.
Definitions
- HFD CISM Team: A team of peer support personnel and mental health professionals offering peer counseling to HFD employees after critical incidents.
- Peer support personnel: HFD employees who have volunteered and completed CISM Team training, and undergone screening.
- Mental Health Professional (MHP): A person with a Master's degree and license in a mental health field, specializing in critical stress management and post-traumatic stress.
- Clinical Director: An MHP who oversees CISM team activities, provides training, and is a resource for those needing psychological care beyond peer support.
- Confidentiality: Privacy of information shared during CISM actions is crucial for team success and protected under Texas law.
- Critical Incident: An event significantly distressing or outside of typical human experience, negatively impacting a person's ability to function.
- Crisis Intervention: Urgent psychological/behavioral care to stabilize and reduce symptoms following critical incidents.
- Critical Incident Stress Management (CISM): A formal protocol to help those involved in a critical incident.
- Defusing: A brief peer-to-peer intervention within 24 hours of a critical incident targeting those with similar exposure.
- Debriefing (CISD): A peer-driven, clinician-guided small group discussion, held 24+ hours after a critical incident, to facilitate recovery, and identify those needing additional support.
- On-scene support: CISM services provided at the scene of a current event to offer immediate assistance to those in distress.
- One-on-one: Informal consultations for those showing signs of distress, offering less-structured support than group-based interventions.
- Demobilization: A CISM group intervention for large-scale events requiring responders for long duration, allowing for relaxation, food, drink, and support resources.
- Crisis Management Briefings (CMB): Large group interventions addressing factual information, dispelling rumours, and offering stress management strategies within a critical incident.
- International Critical Incident Stress Foundation (ICISF): An organization providing crisis intervention training, consultation, and support services.
Scope
- Scope: This guideline applies to all HFD members. While some incidents disproportionately impact persons, all may experience distress and require CISM services.
Responsibilities
- Responsibilities: Clear outlining of roles and duties of all personnel involved to effectively support staff involved in critical incidents.
Guidelines
- Critical Incidents: Define critical incidents, including severe injuries, suicides, childhood deaths, and multi-casualty events.
CISM Team Member Qualifications
- Qualifications: Employees with 3+ years' experience, meeting additional requirements set by the Clinical Director.
CISM Team Membership Applications
- Application Process: Applications to be a CISM team member must be completed via the Firefighter Support Network, followed by a review and interview by senior team members and the Clinical Director.
CISM Team Member Training
- Training Requirements: Completion of training in individual and group crisis intervention, suicide prevention, and other relevant courses.
Deployment of CISM Team
- Deployment: Requests for the team's support are submitted via the chain of command to the Shift Commander who will make the decision whether to deploy the CISM team.
- Clinical Director Involvement: The Clinical Director will receive requests regarding deployments and assess whether adequate resources are available.
Confidentiality
- Confidentiality: All information shared with the CISM team remains confidential except in circumstances where there is imminent danger or suspicion of abuse.
Professional Behaviour
- Professional Conduct: CISM team members must refrain from romantic or sexual relationships with those receiving CISM services
- Reporting Violations: Any breaches of confidentiality or unprofessional behaviour are reported to the Clinical Director
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Description
This quiz explores critical aspects of confidentiality within the Critical Incident Stress Management (CISM) Team. Participants will assess their understanding of professional conduct, breach repercussions, and the nuances of confidentiality exceptions. Test your knowledge about the CISM framework and its intervention methodologies.