Interagency Critical Incident Stress Management Team
Provides stress management services to any emergency response personnel,
paid or volunteer, to reduce the effects of critical incident stress.
Critical Incident Stress (CIS) is a state of intensified arousal accompanied by strong cognitive, physical, emotional, behavioral, and spiritual reactions as a result of the exposure to the critical incident. CIS is a normal survival response; Post Traumatic Stress Disorder (PTSD) is a pathologic end result of unresolved CIS.
1. Pre-crisis Preparation. Includes stress management education,
stress resistance, and crisis mitigation training for both individuals and
2. Rest Information Transition Services (RITS): A brief
intervention prior to release of employee(s) following a large-scale
incident or disaster.
3. Crisis Management Briefings (CMB): A large group meeting to
provide information about the incident, control rumors, discuss potential
symptoms of distress and the components of stress management, and identify
available resources for affected individuals who may later elect to seek
4. Defusing: A shorter, informal version of the debriefing
process, the defusing is conducted shortly after the incident, preferably
during the same shift. Most incidents that are defused do not need to be
5. Critical Incident Stress Debriefing (CISD): CISD is designed
as a seven-phase, structured group discussion with the support of mental
health care professional, trained peers and chaplains.
6. Individual Crisis Intervention: One-on-one counseling or
psychological support throughout the timeline of the critical incident.
7. Family Crisis Intervention: Includes organizational
consultation, as needed.
8. Follow-up and Referral: Intervention components for follow-up
assessment and treatment, if necessary. This can include use of mental
health providers, and other specialized programs
9. Civilian Assistance: Although assisting victims, survivors,
and families is not the primary function of the CISM Team, it may be
necessary to provide interim support services to these individuals so that
the emergency service crews may perform their duties without being
hampered. CISM team will act as Liaison to gather local resources for
civilians. (Red Cross, County Mental Health, etc.)