Podcast
Questions and Answers
What is the primary goal of the Critical Incident Stress Management program?
What is the primary goal of the Critical Incident Stress Management program?
What does the 'Acute-Crisis Phase' focus on within the CISM program?
What does the 'Acute-Crisis Phase' focus on within the CISM program?
Who is responsible for overseeing the MDFR CISM Team?
Who is responsible for overseeing the MDFR CISM Team?
What distinguishes a 'CISM Peer' from a 'CISM Community' member?
What distinguishes a 'CISM Peer' from a 'CISM Community' member?
Signup and view all the answers
What is the role of the CISM Coordinator in relation to team activities?
What is the role of the CISM Coordinator in relation to team activities?
Signup and view all the answers
Which of the following best describes the relationship between MDFR and Local 1403 within the CISM program?
Which of the following best describes the relationship between MDFR and Local 1403 within the CISM program?
Signup and view all the answers
What is a key feature of the CISM program's approach to interventions?
What is a key feature of the CISM program's approach to interventions?
Signup and view all the answers
What is the significance of having trained clinicians involved in the CISM program?
What is the significance of having trained clinicians involved in the CISM program?
Signup and view all the answers
What is the primary purpose of the Rest, Information, and Transition Services (RITS) program?
What is the primary purpose of the Rest, Information, and Transition Services (RITS) program?
Signup and view all the answers
What is the primary role of a CISM Peer?
What is the primary role of a CISM Peer?
Signup and view all the answers
What is the goal of the MDFR CISM Group Intervention Call-Out Procedure?
What is the goal of the MDFR CISM Group Intervention Call-Out Procedure?
Signup and view all the answers
Which of the following is NOT one of the MDFR peer support initiatives?
Which of the following is NOT one of the MDFR peer support initiatives?
Signup and view all the answers
What is the composition of the CISM Response Team?
What is the composition of the CISM Response Team?
Signup and view all the answers
What is the purpose of the Pre-Crisis Preparation Phase?
What is the purpose of the Pre-Crisis Preparation Phase?
Signup and view all the answers
What are the phases included in a Debriefing?
What are the phases included in a Debriefing?
Signup and view all the answers
What is the role of the MDFR Chaplaincy program in the CISM structure?
What is the role of the MDFR Chaplaincy program in the CISM structure?
Signup and view all the answers
Which group should be present during a Debriefing intervention?
Which group should be present during a Debriefing intervention?
Signup and view all the answers
What is the purpose of the Acute-Crisis Phase?
What is the purpose of the Acute-Crisis Phase?
Signup and view all the answers
What is the primary purpose of a Crisis Management Briefing (CMB)?
What is the primary purpose of a Crisis Management Briefing (CMB)?
Signup and view all the answers
What is the purpose of the Post-Crisis Phase?
What is the purpose of the Post-Crisis Phase?
Signup and view all the answers
What characteristic must the group intervention for Debriefing have?
What characteristic must the group intervention for Debriefing have?
Signup and view all the answers
What is the definition of a critical incident?
What is the definition of a critical incident?
Signup and view all the answers
What is the required certification level for MDFR CISM K-9 Response Handlers?
What is the required certification level for MDFR CISM K-9 Response Handlers?
Signup and view all the answers
Who can request a CISM group intervention?
Who can request a CISM group intervention?
Signup and view all the answers
Which role is responsible for coordinating Team Call-Outs in a CISM Response Team?
Which role is responsible for coordinating Team Call-Outs in a CISM Response Team?
Signup and view all the answers
What is the purpose of the CISM Community?
What is the purpose of the CISM Community?
Signup and view all the answers
What is primarily addressed during the Defusing phase?
What is primarily addressed during the Defusing phase?
Signup and view all the answers
What is the role of the CISM Coordinator?
What is the role of the CISM Coordinator?
Signup and view all the answers
In a One-On-One Peer Crisis Intervention, how many contacts may typically occur?
In a One-On-One Peer Crisis Intervention, how many contacts may typically occur?
Signup and view all the answers
What is the mission of the International Critical Incident Stress Foundation (ICISF)?
What is the mission of the International Critical Incident Stress Foundation (ICISF)?
Signup and view all the answers
What is the purpose of the Outreach Activation Roll (OAR)?
What is the purpose of the Outreach Activation Roll (OAR)?
Signup and view all the answers
When must confidentiality be maintained in CISM interventions?
When must confidentiality be maintained in CISM interventions?
Signup and view all the answers
What is the purpose of a Debriefing?
What is the purpose of a Debriefing?
Signup and view all the answers
Who must be present during a Debriefing?
Who must be present during a Debriefing?
Signup and view all the answers
Which member type is typically involved in an MDFR CISM Response Team?
Which member type is typically involved in an MDFR CISM Response Team?
Signup and view all the answers
What is a critical element that should not occur during a One-On-One Peer Crisis Intervention?
What is a critical element that should not occur during a One-On-One Peer Crisis Intervention?
Signup and view all the answers
What is the purpose of the MDFR CISM Team?
What is the purpose of the MDFR CISM Team?
Signup and view all the answers
What is an essential component of a CISM peer support intervention?
What is an essential component of a CISM peer support intervention?
Signup and view all the answers
Which of the following best describes the primary purpose of a CISM intervention?
Which of the following best describes the primary purpose of a CISM intervention?
Signup and view all the answers
What is one appropriate action for a Team Leader before deployment of a response team?
What is one appropriate action for a Team Leader before deployment of a response team?
Signup and view all the answers
Which scenario could disqualify a team member from participating in a CISM intervention?
Which scenario could disqualify a team member from participating in a CISM intervention?
Signup and view all the answers
How long do CISM interventions typically last?
How long do CISM interventions typically last?
Signup and view all the answers
What should Team Leaders ensure before starting a CISM intervention?
What should Team Leaders ensure before starting a CISM intervention?
Signup and view all the answers
Which of the following is NOT a characteristic of the CISM process?
Which of the following is NOT a characteristic of the CISM process?
Signup and view all the answers
Which of the following should participants be made aware of regarding confidentiality?
Which of the following should participants be made aware of regarding confidentiality?
Signup and view all the answers
What documentation is required for suspected emotional or psychological trauma?
What documentation is required for suspected emotional or psychological trauma?
Signup and view all the answers
What should be done if a team member feels they are too personally affected by an incident?
What should be done if a team member feels they are too personally affected by an incident?
Signup and view all the answers
Which statement reflects the key difference between defusing and debriefing in the CISM process?
Which statement reflects the key difference between defusing and debriefing in the CISM process?
Signup and view all the answers
Who is considered a typical member of a CISM Response Team?
Who is considered a typical member of a CISM Response Team?
Signup and view all the answers
What is a potential sign of a K-9's failure in public behavior?
What is a potential sign of a K-9's failure in public behavior?
Signup and view all the answers
Which education requirement is necessary for a licensed clinician participating in the CISM program?
Which education requirement is necessary for a licensed clinician participating in the CISM program?
Signup and view all the answers
What type of environment is encouraged for a CISM intervention?
What type of environment is encouraged for a CISM intervention?
Signup and view all the answers
What constitutes conduct unbecoming according to department policy?
What constitutes conduct unbecoming according to department policy?
Signup and view all the answers
Which training is required for a licensed clinician in the MDFR CISM program?
Which training is required for a licensed clinician in the MDFR CISM program?
Signup and view all the answers
What is a breach of confidentiality in the context of CISM programs?
What is a breach of confidentiality in the context of CISM programs?
Signup and view all the answers
What is the primary purpose of having a licensed clinician present during debriefings?
What is the primary purpose of having a licensed clinician present during debriefings?
Signup and view all the answers
What distinguishes a debriefing from a defusing in terms of timing?
What distinguishes a debriefing from a defusing in terms of timing?
Signup and view all the answers
Which of the following is NOT a consideration when deciding between a defusing and a debriefing?
Which of the following is NOT a consideration when deciding between a defusing and a debriefing?
Signup and view all the answers
How is the goal of a defusing primarily characterized?
How is the goal of a defusing primarily characterized?
Signup and view all the answers
What role does the MDFR CISM Coordinator play during a large event?
What role does the MDFR CISM Coordinator play during a large event?
Signup and view all the answers
Which phase is NOT included in the seven-phase structure of a debriefing?
Which phase is NOT included in the seven-phase structure of a debriefing?
Signup and view all the answers
What should happen if an initial defusing does not bring closure to an incident?
What should happen if an initial defusing does not bring closure to an incident?
Signup and view all the answers
What is a requirement for personnel deployed to a large incident before their release?
What is a requirement for personnel deployed to a large incident before their release?
Signup and view all the answers
What mitigates the emotional impact of a critical incident during a group intervention?
What mitigates the emotional impact of a critical incident during a group intervention?
Signup and view all the answers
When can mutual aid requests for CISM Peer Support be made from other agencies?
When can mutual aid requests for CISM Peer Support be made from other agencies?
Signup and view all the answers
What is typically NOT a responsibility of the MDFR CISM Team Leaders?
What is typically NOT a responsibility of the MDFR CISM Team Leaders?
Signup and view all the answers
Which of the following statements about debriefings is true?
Which of the following statements about debriefings is true?
Signup and view all the answers
Which of the following is a possible outcome of a defusing?
Which of the following is a possible outcome of a defusing?
Signup and view all the answers
Who must always be present during a debriefing according to the guidelines?
Who must always be present during a debriefing according to the guidelines?
Signup and view all the answers
What is the primary role of the MDFR CISM Coordinator in relation to the CISM Team?
What is the primary role of the MDFR CISM Coordinator in relation to the CISM Team?
Signup and view all the answers
Which training is necessary for an individual to become an MDFR Trained Peer Member?
Which training is necessary for an individual to become an MDFR Trained Peer Member?
Signup and view all the answers
Which of the following best describes the responsibility of CISM Team Peer Support Members?
Which of the following best describes the responsibility of CISM Team Peer Support Members?
Signup and view all the answers
To maintain active status as a CISM Team member, how many annual ICEUs must be accrued?
To maintain active status as a CISM Team member, how many annual ICEUs must be accrued?
Signup and view all the answers
What is a potential reason for losing active status in the CISM program?
What is a potential reason for losing active status in the CISM program?
Signup and view all the answers
Which role is NOT specified in the MDFR CISM Peer Support Structure?
Which role is NOT specified in the MDFR CISM Peer Support Structure?
Signup and view all the answers
Which statement about the CISM Peer Support program is true?
Which statement about the CISM Peer Support program is true?
Signup and view all the answers
Under what circumstance can a CISM Peer resign from their 'Active Status'?
Under what circumstance can a CISM Peer resign from their 'Active Status'?
Signup and view all the answers
What does the acronym ICISF stand for in the context of peer support training?
What does the acronym ICISF stand for in the context of peer support training?
Signup and view all the answers
What type of training is not explicitly mentioned for MDFR CISM Peer Chaplain members?
What type of training is not explicitly mentioned for MDFR CISM Peer Chaplain members?
Signup and view all the answers
Which of the following identifies a requirement to become a MDFR Trained Peer Lead?
Which of the following identifies a requirement to become a MDFR Trained Peer Lead?
Signup and view all the answers
What is one of the main functions of CISM Team members?
What is one of the main functions of CISM Team members?
Signup and view all the answers
What happens if a CISM Peer engages in conduct unbecoming?
What happens if a CISM Peer engages in conduct unbecoming?
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.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
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.