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?

Peers must maintain an 'active status' Signup and view all the answers

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

To report team activities yearly to ICISF Signup and view all the answers

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

It is a critical partnership for crisis management Signup and view all the answers

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

Providing timely responses through trained peers Signup and view all the answers

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

They provide follow-up support when necessary Signup and view all the answers

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

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

What is the primary role of a CISM Peer?

To provide certified one-on-one and group interventions Signup and view all the answers

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

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

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

MDFR Crisis Medical Unit Signup and view all the answers

What is the composition of the CISM Response Team?

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

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

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

What are the phases included in a Debriefing?

Facts, Thoughts, Reactions, Symptoms, Teaching, and Re-Entry Signup and view all the answers

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

To provide the Pastoral Care component within the CISM structure Signup and view all the answers

Which group should be present during a Debriefing intervention?

A licensed clinician Signup and view all the answers

What is the purpose of the Acute-Crisis Phase?

To respond and intervene in a timely manner Signup and view all the answers

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

To disseminate information during large-scale events Signup and view all the answers

What is the purpose of the Post-Crisis Phase?

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

What characteristic must the group intervention for Debriefing have?

It must be homogeneous in nature Signup and view all the answers

What is the definition of a critical incident?

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

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

Level III or higher Signup and view all the answers

Who can request a CISM group intervention?

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

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

CISM Response Team Leader Signup and view all the answers

What is the purpose of the CISM Community?

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

What is primarily addressed during the Defusing phase?

Acute symptoms and assessment Signup and view all the answers

What is the role of the CISM Coordinator?

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

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

1-3 contacts Signup and view all the answers

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

To offer leadership and education in crisis intervention Signup and view all the answers

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

To assemble the MDFR Response Team Signup and view all the answers

When must confidentiality be maintained in CISM interventions?

Throughout all forms of interventions Signup and view all the answers

What is the purpose of a Debriefing?

To process and discuss the events of a critical incident Signup and view all the answers

Who must be present during a Debriefing?

A Licensed Clinician Signup and view all the answers

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

Peer Chaplain and additional team members Signup and view all the answers

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

Providing assistance beyond training Signup and view all the answers

What is the purpose of the MDFR CISM Team?

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

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

Confidentiality of shared information Signup and view all the answers

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

To provide a platform for sharing hidden stressors Signup and view all the answers

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

Inform the Battalion and provide estimated time of arrival Signup and view all the answers

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

Being emotionally affected by the incident Signup and view all the answers

How long do CISM interventions typically last?

40-50 minutes Signup and view all the answers

What should Team Leaders ensure before starting a CISM intervention?

Ground rules are established and introductions are made Signup and view all the answers

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

Intervention contents can be recorded Signup and view all the answers

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

Information shared is strictly confidential and not for reporting Signup and view all the answers

What documentation is required for suspected emotional or psychological trauma?

Psychological Exposure Report Signup and view all the answers

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

They should decline participation to avoid conflict Signup and view all the answers

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

Debriefing focuses on emotional details while defusing does not Signup and view all the answers

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

Peer Chaplain and other active CISM members Signup and view all the answers

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

Aggressive showing or biting Signup and view all the answers

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

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

What type of environment is encouraged for a CISM intervention?

An open circle without barriers Signup and view all the answers

What constitutes conduct unbecoming according to department policy?

Persistent absence from mandatory trainings Signup and view all the answers

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

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

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

Discussing confidential case information with unauthorized personnel Signup and view all the answers

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

To prevent individuals from emotionally overextending themselves Signup and view all the answers

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

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

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

Personal preferences of team members Signup and view all the answers

How is the goal of a defusing primarily characterized?

Mitigating symptoms and providing closure Signup and view all the answers

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

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

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

Enforcement Signup and view all the answers

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

A debriefing may be scheduled thereafter Signup and view all the answers

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

They are required to attend an informational RITS Signup and view all the answers

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

Ensuring the presence of a licensed clinician Signup and view all the answers

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

According to established policy and procedure Signup and view all the answers

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

Managing financial budgets for deployed teams Signup and view all the answers

Which of the following statements about debriefings is true?

Debriefings follow a structured seven-phase format Signup and view all the answers

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

Potential closure for affected individuals Signup and view all the answers

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

A licensed clinician Signup and view all the answers

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

Ensure ongoing communication for guidance. Signup and view all the answers

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

ICISF Peer Training Individual and Group Intervention. Signup and view all the answers

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

Assess the need for possible intervention. Signup and view all the answers

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

Six (6) Signup and view all the answers

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

Continued non-participation. Signup and view all the answers

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

MDFR Training Coordinator. Signup and view all the answers

Which statement about the CISM Peer Support program is true?

All employees can benefit from educational opportunities. Signup and view all the answers

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

By submitting written intent to the appropriate coordinators. Signup and view all the answers

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

International Critical Incident Stress Foundation. Signup and view all the answers

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

Firefighter Safety Training. Signup and view all the answers

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

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

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

Foster open dialogue about unmitigated stress effects. Signup and view all the answers

What happens if a CISM Peer engages in conduct unbecoming?

A review of active status may occur. 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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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.