III-F-14 Critical Incident Stress Management & Peer Support Program 05/20/2021
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Questions and Answers

What is the primary goal of the Critical Incident Stress Management program?

  • To provide training in crisis communication skills
  • To eliminate stress among personnel
  • To assist personnel in coping with traumatic situations (correct)
  • To develop physical resilience in firefighters
  • What does the 'Acute-Crisis Phase' focus on within the CISM program?

  • Coordination of community resources
  • Mitigation of acute stress from an event (correct)
  • Training new CISM coordinators
  • Long-term recovery plans for personnel
  • Who is responsible for overseeing the MDFR CISM Team?

  • The Chief of MDFR
  • The CISM Clinical Director
  • The CISM Coordinator (correct)
  • The Fire Chief's assistant
  • What distinguishes a 'CISM Peer' from a 'CISM Community' member?

    <p>Peers must maintain an 'active status'</p> Signup and view all the answers

    What is the role of the CISM Coordinator in relation to team activities?

    <p>To report team activities yearly to ICISF</p> Signup and view all the answers

    Which of the following best describes the relationship between MDFR and Local 1403 within the CISM program?

    <p>It is a critical partnership for crisis management</p> Signup and view all the answers

    What is a key feature of the CISM program's approach to interventions?

    <p>Providing timely responses through trained peers</p> Signup and view all the answers

    What is the significance of having trained clinicians involved in the CISM program?

    <p>They provide follow-up support when necessary</p> Signup and view all the answers

    What is the primary purpose of the Rest, Information, and Transition Services (RITS) program?

    <p>To provide educational reminders and assist in the processing and framing of the reintegration into 'normal life' after a large-scale event</p> Signup and view all the answers

    What is the primary role of a CISM Peer?

    <p>To provide certified one-on-one and group interventions</p> Signup and view all the answers

    What is the goal of the MDFR CISM Group Intervention Call-Out Procedure?

    <p>To get a Full Response Team on scene within two hours of the request</p> Signup and view all the answers

    Which of the following is NOT one of the MDFR peer support initiatives?

    <p>MDFR Crisis Medical Unit</p> Signup and view all the answers

    What is the composition of the CISM Response Team?

    <p>One Team Leader, one MDFR Chaplain, one MDFR CISM K-9 Response Team, and one Peer</p> Signup and view all the answers

    What is the purpose of the Pre-Crisis Preparation Phase?

    <p>To build awareness and resiliency through stress management education and crisis mitigation training</p> Signup and view all the answers

    What are the phases included in a Debriefing?

    <p>Facts, Thoughts, Reactions, Symptoms, Teaching, and Re-Entry</p> Signup and view all the answers

    What is the role of the MDFR Chaplaincy program in the CISM structure?

    <p>To provide the Pastoral Care component within the CISM structure</p> Signup and view all the answers

    Which group should be present during a Debriefing intervention?

    <p>A licensed clinician</p> Signup and view all the answers

    What is the purpose of the Acute-Crisis Phase?

    <p>To respond and intervene in a timely manner</p> Signup and view all the answers

    What is the primary purpose of a Crisis Management Briefing (CMB)?

    <p>To disseminate information during large-scale events</p> Signup and view all the answers

    What is the purpose of the Post-Crisis Phase?

    <p>To provide follow-up and possible bridging to other professional assistance as needed</p> Signup and view all the answers

    What characteristic must the group intervention for Debriefing have?

    <p>It must be homogeneous in nature</p> Signup and view all the answers

    What is the definition of a critical incident?

    <p>Any situation that is out of the norm and challenges or would appear to challenge a person's normal coping mechanisms</p> Signup and view all the answers

    What is the required certification level for MDFR CISM K-9 Response Handlers?

    <p>Level III or higher</p> Signup and view all the answers

    Who can request a CISM group intervention?

    <p>Anyone who has been affected or feels there is a need for others who may have been affected</p> Signup and view all the answers

    Which role is responsible for coordinating Team Call-Outs in a CISM Response Team?

    <p>CISM Response Team Leader</p> Signup and view all the answers

    What is the purpose of the CISM Community?

    <p>To provide a network of certified peers who are not active members</p> Signup and view all the answers

    What is primarily addressed during the Defusing phase?

    <p>Acute symptoms and assessment</p> Signup and view all the answers

    What is the role of the CISM Coordinator?

    <p>To determine the structure of a response and assemble the MDFR Response Team</p> Signup and view all the answers

    In a One-On-One Peer Crisis Intervention, how many contacts may typically occur?

    <p>1-3 contacts</p> Signup and view all the answers

    What is the mission of the International Critical Incident Stress Foundation (ICISF)?

    <p>To offer leadership and education in crisis intervention</p> Signup and view all the answers

    What is the purpose of the Outreach Activation Roll (OAR)?

    <p>To assemble the MDFR Response Team</p> Signup and view all the answers

    When must confidentiality be maintained in CISM interventions?

    <p>Throughout all forms of interventions</p> Signup and view all the answers

    What is the purpose of a Debriefing?

    <p>To process and discuss the events of a critical incident</p> Signup and view all the answers

    Who must be present during a Debriefing?

    <p>A Licensed Clinician</p> Signup and view all the answers

    Which member type is typically involved in an MDFR CISM Response Team?

    <p>Peer Chaplain and additional team members</p> Signup and view all the answers

    What is a critical element that should not occur during a One-On-One Peer Crisis Intervention?

    <p>Providing assistance beyond training</p> Signup and view all the answers

    What is the purpose of the MDFR CISM Team?

    <p>To prepare and assist emergency personnel to manage their job-related stress</p> Signup and view all the answers

    What is an essential component of a CISM peer support intervention?

    <p>Confidentiality of shared information</p> Signup and view all the answers

    Which of the following best describes the primary purpose of a CISM intervention?

    <p>To provide a platform for sharing hidden stressors</p> Signup and view all the answers

    What is one appropriate action for a Team Leader before deployment of a response team?

    <p>Inform the Battalion and provide estimated time of arrival</p> Signup and view all the answers

    Which scenario could disqualify a team member from participating in a CISM intervention?

    <p>Being emotionally affected by the incident</p> Signup and view all the answers

    How long do CISM interventions typically last?

    <p>40-50 minutes</p> Signup and view all the answers

    What should Team Leaders ensure before starting a CISM intervention?

    <p>Ground rules are established and introductions are made</p> Signup and view all the answers

    Which of the following is NOT a characteristic of the CISM process?

    <p>Intervention contents can be recorded</p> Signup and view all the answers

    Which of the following should participants be made aware of regarding confidentiality?

    <p>Information shared is strictly confidential and not for reporting</p> Signup and view all the answers

    What documentation is required for suspected emotional or psychological trauma?

    <p>Psychological Exposure Report</p> Signup and view all the answers

    What should be done if a team member feels they are too personally affected by an incident?

    <p>They should decline participation to avoid conflict</p> Signup and view all the answers

    Which statement reflects the key difference between defusing and debriefing in the CISM process?

    <p>Debriefing focuses on emotional details while defusing does not</p> Signup and view all the answers

    Who is considered a typical member of a CISM Response Team?

    <p>Peer Chaplain and other active CISM members</p> Signup and view all the answers

    What is a potential sign of a K-9's failure in public behavior?

    <p>Aggressive showing or biting</p> Signup and view all the answers

    Which education requirement is necessary for a licensed clinician participating in the CISM program?

    <p>Master's degree or higher in the mental health field</p> Signup and view all the answers

    What type of environment is encouraged for a CISM intervention?

    <p>An open circle without barriers</p> Signup and view all the answers

    What constitutes conduct unbecoming according to department policy?

    <p>Persistent absence from mandatory trainings</p> Signup and view all the answers

    Which training is required for a licensed clinician in the MDFR CISM program?

    <p>One MDFR CISM review/scenario training per calendar year</p> Signup and view all the answers

    What is a breach of confidentiality in the context of CISM programs?

    <p>Discussing confidential case information with unauthorized personnel</p> Signup and view all the answers

    What is the primary purpose of having a licensed clinician present during debriefings?

    <p>To prevent individuals from emotionally overextending themselves</p> Signup and view all the answers

    What distinguishes a debriefing from a defusing in terms of timing?

    <p>A debriefing occurs within 1-3 days, while a defusing is the same day</p> Signup and view all the answers

    Which of the following is NOT a consideration when deciding between a defusing and a debriefing?

    <p>Personal preferences of team members</p> Signup and view all the answers

    How is the goal of a defusing primarily characterized?

    <p>Mitigating symptoms and providing closure</p> Signup and view all the answers

    What role does the MDFR CISM Coordinator play during a large event?

    <p>They have ongoing communication with the Medical Group/Branch</p> Signup and view all the answers

    Which phase is NOT included in the seven-phase structure of a debriefing?

    <p>Enforcement</p> Signup and view all the answers

    What should happen if an initial defusing does not bring closure to an incident?

    <p>A debriefing may be scheduled thereafter</p> Signup and view all the answers

    What is a requirement for personnel deployed to a large incident before their release?

    <p>They are required to attend an informational RITS</p> Signup and view all the answers

    What mitigates the emotional impact of a critical incident during a group intervention?

    <p>Ensuring the presence of a licensed clinician</p> Signup and view all the answers

    When can mutual aid requests for CISM Peer Support be made from other agencies?

    <p>According to established policy and procedure</p> Signup and view all the answers

    What is typically NOT a responsibility of the MDFR CISM Team Leaders?

    <p>Managing financial budgets for deployed teams</p> Signup and view all the answers

    Which of the following statements about debriefings is true?

    <p>Debriefings follow a structured seven-phase format</p> Signup and view all the answers

    Which of the following is a possible outcome of a defusing?

    <p>Potential closure for affected individuals</p> Signup and view all the answers

    Who must always be present during a debriefing according to the guidelines?

    <p>A licensed clinician</p> Signup and view all the answers

    What is the primary role of the MDFR CISM Coordinator in relation to the CISM Team?

    <p>Ensure ongoing communication for guidance.</p> Signup and view all the answers

    Which training is necessary for an individual to become an MDFR Trained Peer Member?

    <p>ICISF Peer Training Individual and Group Intervention.</p> Signup and view all the answers

    Which of the following best describes the responsibility of CISM Team Peer Support Members?

    <p>Assess the need for possible intervention.</p> Signup and view all the answers

    To maintain active status as a CISM Team member, how many annual ICEUs must be accrued?

    <p>Six (6)</p> Signup and view all the answers

    What is a potential reason for losing active status in the CISM program?

    <p>Continued non-participation.</p> Signup and view all the answers

    Which role is NOT specified in the MDFR CISM Peer Support Structure?

    <p>MDFR Training Coordinator.</p> Signup and view all the answers

    Which statement about the CISM Peer Support program is true?

    <p>All employees can benefit from educational opportunities.</p> Signup and view all the answers

    Under what circumstance can a CISM Peer resign from their 'Active Status'?

    <p>By submitting written intent to the appropriate coordinators.</p> Signup and view all the answers

    What does the acronym ICISF stand for in the context of peer support training?

    <p>International Critical Incident Stress Foundation.</p> Signup and view all the answers

    What type of training is not explicitly mentioned for MDFR CISM Peer Chaplain members?

    <p>Firefighter Safety Training.</p> Signup and view all the answers

    Which of the following identifies a requirement to become a MDFR Trained Peer Lead?

    <p>At least 16 hours of experience in group interventions.</p> Signup and view all the answers

    What is one of the main functions of CISM Team members?

    <p>Foster open dialogue about unmitigated stress effects.</p> Signup and view all the answers

    What happens if a CISM Peer engages in conduct unbecoming?

    <p>A review of active status may occur.</p> Signup and view all the answers

    Study Notes

    Critical Incident Stress Management (CISM)

    • CISM provides support to MDFR personnel coping with trauma through peer-driven interventions.
    • Acute-Crisis Phase focuses on mitigation of acute stress via informational and interactional strategies.

    CISM Components

    • CISM encompasses training, education, and timely peer support to enhance resilience and crisis management.
    • “Active Status” refers to MDFR peers who have met educational/training criteria to join the CISM Team.
    • CISM Community consists of certified peers in individual and group interventions without maintaining active status.

    CISM Roles and Structure

    • CISM Coordinator oversees the team, ensures readiness, provides reports to ICISF, and initiates team call-outs.
    • CISM Response Teams include a Team Leader, Peer Chaplain, K-9 Response Team, and additional members as necessary.
    • Team Leaders can adjust the team size based on intervention needs and member availability.

    Types of Interventions

    • Crisis Management Briefings (CMB) and Rest, Information, and Transition Services (RITS) are structured for large-scale events.
    • Debriefing involves a seven-phase group discussion post-crisis, while Defusing is a three-phase assessment conducted urgently.
    • One-on-One Peer Crisis Intervention provides personalized support through certified peers, typically lasting from 15 minutes to over two hours.

    CISM Program Phases

    • Pre-Crisis Preparation: Education and training to build awareness and resilience among personnel.
    • Acute-Crisis Phase: Direct response and intervention during crises to support personnel.
    • Post-Crisis Phase: Follow-up care and referrals to professional assistance as needed.

    CISM Request Procedures

    • Any member or affected individual can request CISM intervention without following chain of command.
    • Requests are intended to assemble a response team within two hours, maintaining confidentiality throughout the process.

    Confidentiality and Ethics

    • Confidentiality is paramount in CISM interventions, ensuring open communication and trust among participants.
    • Criminal activities and harm are exceptions to confidentiality, which must be reported following proper procedures.

    Distinction Between Defusing and Debriefing

    • Defusing occurs shortly after a crisis to assess and mitigate acute symptoms, while Debriefing provides a structured discussion over a few days addressing emotional impacts and needs for follow-up.### Critical Incident Stress Management (CISM) Overview
    • CISM aims to address emotional responses post-critical incidents, requiring licensed clinicians to be present during debriefings.
    • Distinction between 'defusing' (immediate symptom response) and 'debriefing' (more comprehensive exploration) is crucial for effective intervention.

    Intervention Types

    • Defusing occurs within 12 hours, focusing on symptom mitigation and possible closure in a small group format through a three-phase process (Introduction, Exploration, Information).
    • Debriefing takes place 1-3 days after an incident, addressing the collective experience in a seven-phase format (Introduction, Facts, Thoughts, Reactions, Symptoms, Teaching, Re-Entry).

    Large Event Response

    • Defined as any prolonged situation with operational challenges, including multiple fatalities and high media attention.
    • The MDFR CISM Coordinator must communicate continuously with the Clinical Director to adapt to changing conditions.

    Team Responsibilities in Large Events

    • Coordinate with external CISM teams and community assistance for mental health support.
    • Conduct Crisis Management Briefings (CMB) to inform staff about wellness needs.
    • Ensure essential supplies are available for deployed personnel.
    • Facilitate RITS (Recovery and Intervention Team Support) interventions for on-scene psychosocial rehabilitation.
    • Monitor mental health for all deployed personnel, providing follow-ups as necessary.

    Mutual Aid Requests

    • Requests from other agencies for CISM support should follow established policies, directed to the FAO Chief/Supervisor for approval.
    • The CISM Coordinator and Team Leaders are responsible for logistics and coordination of mutual aid.

    Participation in CISM and Peer Support Program

    • Encourages employee involvement in various capacities, fostering a culture of care and peer support.
    • Employees can participate through various training programs and initiatives offered by the MDFR CISM.

    Training Structure for Peer Support

    • MDFR Trained Peer: Completes ICISF training but not a team member.
    • IAFF Trained Peer: Member of Local 1403 with active participation in the local initiative.
    • MDFR Trained Peer Member: Actively participates under clinical oversight.
    • MDFR Trained Peer Lead: Requires advanced training and substantial experience.
    • MDFR Peer Chaplain: Has specialized training in chaplaincy and peer support.
    • MDFR CISM K-9 Response Team: Combines K-9 and peer support training.

    CISM Team Member Responsibilities

    • Promote open dialogue regarding stress.
    • Assist in educational activities.
    • Evaluate the need for interventions.
    • Seek additional help for complex cases.
    • Notify leadership for team deployment if necessary.

    Participation Requirements

    • Members must be certified in ICISF peer intervention and attend orientation.
    • Annual completion of intervention forms and accrued training hours (ICEUs) is necessary to maintain active status.

    Active Status and Separation

    • CISM peers can resign or have their status reevaluated based on conduct.
    • Specific behaviors leading to reevaluation include persistent absence from training or breach of confidentiality.

    Licensed Clinician Participation

    • Requires a Master’s degree, ICISF certification, and recommendations from CISM leadership.
    • Clinicians must engage with the MDFR unit at least once a year for hands-on experience.

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    Description

    Explore the Critical Incident Stress Management (CISM) program provided by Miami-Dade Fire Rescue (MDFR). This quiz covers the Acute-Crisis Phase and various interventions designed to help personnel cope with traumatic events. Engage with content focused on peer-driven support and collaboration.

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