Group Crisis Intervention

Individual Crisis Intervention&

Peer SupportCrisis intervention is NOT psychotherapy, rather it is a specialized acute emergency mental health intervention which requires specialized training/ As physical first-aid is to surgery, crisis intervention is to psychotherapy. Thus, crisis intervention is sometimes called "emotional first-aid." Crisis interventions are typically done individually (one-on-one) or in groups. This program is designed to teach participants the fundamentals of, and a specific protocol for, individual intervention. The audience for this class includes both emergency services, military, and business/industrial peer support personnel without formal training in mental health, as well as mental health professionals, who desire to increase their knowledge of individual (one-on-one) crisis intervention techniques(13 Contact Hours or 1.3 General CEUs through University of Maryland Baltimore County)

Please note that this is a two day class. The topics listed below will be covered over the course of two days.

Day 1 :(8:30 a.m - 5:00 p.m.)

The concept of CISM as a comprehensive crisis intervention program

The role of the individual crisis intervention in the comprehensive CISM program

Terms and concepts relevant to the study of crisis, traumatic stress and crisis intervention

Differential utilities of selected crisis communication techniques

Demonstration of selected crisis communication techniques

Psychological reactions to crisis and trauma

SAFER protocol for individual crisis intervention and it's role in comprehensive CISM

Demonstration of the use of SAFER protocol for individual crisis intervention

Review of common problems encountered while working with individuals in crisis

Day 2:(9:00 a.m - 4:30 p.m.)

Day 2 will continue where Day 1 finished.

Participants: Anyone who is interested in learning how to assist someone who is experiencing crisis.

Non-mental health folks are definitely welcomed

Maximum number of participants is 30 due to practice of protocols.

Location: Corporate Offices; Bernard & Associates, P.C.; 5600 Brainerd Road; Suite B-42 TCCS

East Gate Town Center, Chattanooga, TN 37411-5356

Date:

January 4 & 5, 2008 (all class dates and times must be attended to attain the certificate of participation no exceptions)Time:

9:00am- 5:00pm daily (Check in begins at 8am on first day) Lunch & Snacks providedCost:

$250.00{Regular cost at an ICISF Regional conferences: $350.00 - plus lodging and meals}This course is taught by an authorized instructor from the International Critical Incident Stress Foundation, Ellicott, City, MD. and is one of the courses to complete a Certificate of Specialized Training in various aspects of Critical Incident Stress Management. Discounted membership to the International Critical Incident Stress Foundation will be offered at the end of this course along with the opportunity to obtain a discounted subscription to The International Journal of Emergency Mental Health. For more information about the International Critical Incident Stress Foundation, Certificate of Specialized Training and their other course offerings, visit their web site at: www.icisf.orgREGISTRATION FORM

Deadline: Noon Tuesday December 4, 2007Individual/Peer CISMName:

Credentials:

Address:

City:

State:

Zip Code:

Telephone:Home:

Work:

Cell:

E-mail:

Company or Organization:

Occupation:

Method of Payment: FORMCHECKBOX Cash/M.O. FORMCHECKBOX Check($30.00 returned check fees) FORMCHECKBOX Credit Card (VISA, MC)Mail, Fax, or e-mail this pageBernard & Associates, P.C.

Fax: (763) 322-3290 with payment to:

5600 Brainerd Road Ste # B-42 TCCS

or (must be received prior to above deadline)Chattanooga, TN 37411-5356

sambernard@comcast.net

Cancellation Policy: 75% of the registration fee will be refunded if greater than 30 days notice is given prior to the course date. No refunds will be given for less than 30 days notice. Cancellation notice must be in writing. If the class does not acquire a sufficient number of participants, all registrants will be notified within 30 days of the course date. Another person may attend for the initial registrant only if a letter authorizing such is provided. Inclement weather cancellation and/or postponements will be made as soon as possible.ABOUR YOUR INSTRUCTOR: Sam D. Bernard, Ph.D. is President of Bernard & Associates, P.C. and the PAR Foundation a Chattanooga based firm specializing in Disaster Psychology and Crisis Response. He is a licensed Senior Psychological Examiner Health Service Provider in Tennessee, National Certified Counselor, National Certified Psychologist & Certified Traumatologist. While providing a range of consultation, coordination, education and direct services, he is nationally known for professionalism, humor and service with a sense of urgency. He is an instructor with the American Red Cross Disaster Mental Health Services; the International Critical Incident Stress Foundation in Basic Group, Peer/Individual, School, Suicide and Pastoral CISM; Stress Management for the Trauma Provider, the American Academy of Experts in Traumatic Stress in Comprehensive Acute Traumatic Stress Management, School, and University ATSM. He is Board Certified in Homeland Security Crisis Intervention through ACFEI. He is Chair of the Advisory Board of the Tennessee Suicide Prevention Network appointed by the Governor, The American Academy of Experts in Traumatic Stress Diplomat and Fellow, and the American College of Forensic Examiners Crisis Intervention Division. He was a responder to New Yorks lower Manhattan for 3 weeks during 9-11; consultant to GA Emergency Management during the Tri-State Crematory event for two months, Deputy Incident Commander for the Florida State University based Green Cross Projects response to the 2005 Tsunami and US Hurricanes Katrina & Rita. He has taught for the North Carolina Area Health Education Coalition concerning Disaster Psychology. Locally he is the clinical director of the Tri-State CISM Team and Lutheran Support Team, coordinated responses to the Tennga Bus-Train accident and various events including fires, line-of-duty death, industrial events, workplace violence, & armed robbery. He is a consultant to the TN Department of Agriculture and has served as an evaluator for the TN Dept of Agriculture & UT College of Veterinary Medicines Food Terrorism Table-Top exercise in 2005 and in 2006 for the Agri-Terrorism Table-Top cosponsored by the TN Dept of Homeland Security, TN Dept of Agriculture and TEMA. He is a 28 year volunteer with the American Red Cross where he was a maintenance volunteer & Lifeguard in High School and an instructor in Community CPR and First Aid, Professional Rescuer CPR AED, Stress Management, HIV-AIDS Education. He was a former EMT while attending Emory & Henry College in southwest Virginia. Sam is a member of Civil Air Patrol, Auxiliary of the US Air Force. He has served on the local and state levels as Public Affairs Officer and currently is the Southeast Region Coordinator of CISM services covering TN, AL, MS, GA, FL PR.. He is the CISM representative to the CAP C4 facility at Maxwell Air Force Base in Alabama. He has taught at Robins, Dobbins and McGee Tyson Air Force Bases and currently holds the rank of Lieutenant Colonel. He has responded to aviation incidents nationally and is survivor of an aviation incident in Karachi, Pakistan while serving as a People-To-People High School Ambassador in 1981. Sam is an FAA Licensed pilot who enjoys rising above it all for his own stress management. He is a native of Kingsport, TN and makes his home in Chattanooga where he enjoys gardening and landscaping along with his dogs Buddy, a petit sheltie, who is a registered pet therapy dog. For more information about Sam Bernard, visit his web site at: www.sambernard.info.That response is Critical Incident Stress Management.

There are at least 10 distinctive tools for care in CISM, which can be learned and offered by ordinary individuals. In fact, CISM is often best received by peers and others with whom the affected have a prior relationship.

David Williams, MA, has been offering care at times of trauma to law enforcement and the general public since 1987. That care became more formalized earlier this decade as he adopted the CISM model taught by the International Critical Incident Stress Foundation. In addition to being a member of two CISM teams, Williams is a trainer, helping a variety of individuals learn CISM that they might be able to assist those close who have been traumatized by a critical incident. He is a Board Certified Crisis Chaplain with the American Academy of Experts in Traumatic Stress. He has trained law enforcement, fire services, emergency medical responders, mental health professionals, clergy, health providers, corporate employees, school officials and other community members.

David Williams offers certification in five CISM courses ...

GROUP CRISIS INTERVENTIONThe CISM: Group Crisis Intervention training program is designed to present the core elements of a comprehensive, systematic and multicomponent crisis intervention curriculum. The two day course prepares participants to understand a wide range of crisis intervention services including pre and post incident crisis education, significant other support services, on-scene support services, crisis intervention for individuals, demobilizations after large scale traumatic incidents, small group defusings and the group intervention known as Critical Incident Stress Debriefing (CISD). The CISM: Group Crisis Intervention course specifically prepares participants to provide several of these interventions, specifically demobilizations, defusings and the CISD. The need for appropriate follow up services and referrals when necessary is also described. Considerable evidence gathered to date strongly supports the multicomponent crisis intervention strategy, which is discussed in this course. The CISM: Group Crisis Intervention course is designed to specifically teach crisis intervention and Emergency Mental Health skills such as demobilizations, defusing, and CISD. At the completion of this course, participants will be able to : Define stress, CIS, and PTSD; List the 10 basic interventions of CISM; and Define and describe in detail the CISM group processes of Demobilizations, Defusings, and Debriefings.

(14 Contact Hours; 14 CE Credits for Psychologists; 14 PDHs for EAPs; 14 CE Hours for Calif. MFTs & LCSWs; OR 1.4 general CEUs from UMBC)* Completion of The CISM: Group Crisis Intervention class and receipt of a certificate indicating full attendance (14 Contact Hours) qualifies as a CORE class in ICISFs Certificate of Specialized Training Program.

ADVANCED GROUP CRISIS INTERVENTIONThe Advanced Group Crisis Intervention training program has been designed to provide participants with the latest information on critical incident stress management techniques and post-trauma syndromes. The program emphasizes a broadening of the knowledge base concerning critical incident stress interventions as well as Post- Traumatic Stress Disorder which was established in the basic program and/or in publications. At the conclusion of this educational program the participants will have been exposed to specific, proven strategies to intervene with those suffering the ill effects of their exposure to trauma. The emphasis will be on advanced defusings and debriefings in complex situations.

The Advanced Group Crisis Intervention training has been developed for EAP, human resources and public safety personnel, mental health professionals, chaplains, paramedics, firefighters, physicians, police officers, nurses, dispatchers, airline personnel and disaster workers who are already trained in the critical incident stress debriefing format. It will also be useful for those who are working extensively with traumatized victims from various walks of life.

INDIVIDUAL CRISIS INTERVENTION AND PEER SUPPORTCrisis intervention is NOT psychotherapy, rather it is a specialized acute emergency mental health intervention which requires specialized training. As physical first-aid is to surgery, crisis intervention is to psychotherapy. Thus, crisis intervention is sometimes called "emotional first-aid." Crisis interventions are typically done individually (one-on-one) or in groups. This program is designed to teach participants the fundamentals of, and a specific protocol for, individual intervention. The audience for this class includes both emergency services, military, and business/industrial peer support personnel without formal training in mental health, as well as mental health professionals, who desire to increase their knowledge of individual (one-on-one) crisis intervention techniques.(13 Contact Hours)

Please note that this is a two day class. The topics listed below will be covered over the course of two days.

The concept of CISM as a comprehensive crisis intervention program

The role of the individual crisis intervention in the comprehensive CISM program

Terms and concepts relevant to the study of crisis, traumatic stress and crisis intervention

Differential utilities of selected crisis communication techniques

Demonstration of selected crisis communication techniques

Psychological reactions to crisis and trauma

SAFER protocol for individual crisis intervention and it's role in comprehensive CISM

Demonstration of the us of SAFER protocol for individual crisis intervention

Review of common problems encountered while working with individuals in crisis

PASTORAL CRISIS INTERVENTION In times of crisis, people often confer with their spiritual advisers as immediate help. Following disasters, the general population often gravitates toward houses of worship. Pastors are trained in pastoral counseling, but few have received the unique tools of Criticial Incident Stress Management. In this two-day course, students will learn about the tools of CISM, develop the skills to offer one-to-one crisis intervention, become aware of the unique religious and spiritual concerns in trauma and respond to the emotional, physical and spiritual crises of critical incident stress. Students completing this course will receive CISM certification with ICISF, Inc. and CEUs with the University of Maryland.

LAW ENFORCEMENT PERSPECTIVES Stress in law enforcement is unique to most other professions. There are the daily pressures of the job, a law enforcement culture which fosters some other pressures, deadly situations leading to criticial incident stress and social pressures of family and community. This two-day course is to educate students on the unique culture of law enforcement and its stresses. This course will examine the law enforcement culture, identify predictable stressors, highlight the personality of many peace officers and give tools for helping law enforcement recover from critical incidents. Those who would benefit from this training include law enforcement officers, family and friends of peace officers, chaplains and mental health professionals who often interface with law enforcement, media who wants to accurately understand law enforcement and others in the general public who want to further understand law enforcement. Students of this two-day course will receive certification with the ICISF, Inc. and CEUs from the Univerisity of Maryland.

David ordinarily trains in the Central Valley of Northern Californiabut he may be available to training in other regions based on calendar.

UPCOMING TRAININGS:January 15 and 16, 2008Individual Crisis Intervention, Turlock, CA(CLASS FULL)

A more detailed explanation of continuing education units can be found here:www.icisf.orgBasic CISM Course Agenda

This 14 hour training program is designed to present the core elements of a comprehensive, systematic and multi-component crisis intervention curriculum. It prepares participants to understand a wide range of crisis intervention services including pre and post incident crisis education, significant other support services, on-scene support services, crisis intervention for individuals demobilizations after large scale traumatic incidents, small group defusings and the group intervention known as Critical Incident Stress Debriefing (CISD). This program specifically prepares participants to provide several of these groups crisis interventions, specifically demobilizations, defusings and the CISD. The need for appropriate follow up services and referrals when necessary is also discussed. Considerable evidence gathered to date strongly supports the multi-component crisis intervention strategy which is discussed in this program. The program consists of the following agenda: Critical Incident Stress Management

Stress

Stress Management

Traumatic Stress

Critical Incident Stress Debriefing (CISD)

Defusings

Demobilizations

CISM Team Formation

Serious Mistakes

Hands-On-Exercises

This program meets the guidelines and criteria of the International Critical Incident Stress Foundation. It has also been accepted for meeting the training requirements of many organizations on a state and national level.Student manual and certificate are included.

CISM Course AgendaIndividual Crises Intervention and Peer Support

This 13 hour training program is designed to present specialized acute emergency mental health intervention. As physical first-aid is to surgery, crisis intervention is to psychotherapy. Thus, crisis intervention is sometimes referred to as "emotional first-aid". Most crisis intervention is done individually (one-on-one). This program is designed to teach participants the fundamentals of, and a specific protocol for, individual crisis intervention and increase emergency mental health skills.The program consists of the following agenda: Critical Incident Stress Management and Peer Support

Basic Terminology and Concepts in Crises Intervention

Crises Communication Techniques

Psychological Reactions to Crises and Trauma

Intervention Protocol to Assist Individuals in Crises

Common Problems Encountered Working With Individuals in Crises

Hand-On-Exercises

This program meets the guidelines and criteria of the International Critical Incident Stress Foundation. It has also been accepted for meeting the training requirements of many organizations on a state and national level.Student manual and certificate are included.What is a critical incident? Any situation that causes a strong emotional reaction with the potential to dominate usually efficient coping strategies of an individual or group and with the power to interfere in their capacity to perform their tasks in that moment or later on.

What are the purposes of CISM? To provide a flexible response system through which it is assured a comfortable space and the necessary confidentiality concerning the support given. This fundamental goal stands no matter the type of intervention or the place where it occurs Is CISM program mandatory? The CISM program has a strictly voluntary character for both users and Peers.

Who are the Peers? The Peer is defined as an Air Traffic Controller or an Aeronautical Information and Communication Technician, selected and trained with the purpose of providing the first line of support and assistance in crisis to other colleagues. What are the Peers tasks? Guarantee support and assistance to co-workers after the occurrence of a critical incident.

Support and encourage colleagues to use the CISM Program in order to receive the necessary assistance.

Participate actively in the CISM Program promotion, including divulgation, information and clarification of its benefits.

Create, develop and promote informational and educational material about the CISM Program.

Explain and give information whenever is required inside or outside the company to relatives or other professionals related to aeronautics.

Comply with what is established in the three-year contract they have signed.

Attend and participate in their teams meeting every three months and in the annual National Meeting.

Give assistance to the National Coordinator, the Clinic Coordinator or other mental health professional in the groups interventions, being responsible for clarifying information (phraseology, air traffic control situations), maintaining the groups dynamics, proceeding to an individual support every time it is necessary, walking someone out, staying in the room after the session has ended to give further information, etc.

Act as a link in the referral process.

Take the necessary measures to maintain the CISM Programs good quality level.

Evaluate the Programs efficiency and the co-workers/colleagues satisfaction.

Confidentiality? Confidentiality is the insurance that all the information entrusted is kept secret and protected against its non-authorised disclosure.

The confidentiality rule applies to all of CISMs activities and all CISM members should respect it. Specific rules are established and should be made clear to all of those involved in a CISM intervention process in order to ensure them that they are protected against the threat of a confidentiality breach.

In any circumstance will the specific details of what was mentioned during an intervention be revealed; no records of names and dates or any type of written, digital or audio registers that may identify the operators using CISM Program are allowed.

Confidentiality has to be respected by all members of the CISM team; its breach will result in the suspension of the team member.

How can the CISM team be activated? Peers can be contacted directly by the co-worker(s) involved in a critical incident or they can be notified through: -a supervisor -a co-worker or co-workers -an ATS unit head of staff, his representative, etc.

It is the Peers responsibility to decide whether to assist who has established contact or indicate someone else for it.

What kind of training did the Peers receive? The basic Peer training consists in different subjects and lasts five days. The subjects addressed in the training are the following:

Nature and purposes of CISM;Structure and management of the Program;Peers role;CIS nature, symptomatology and strategies to reduce its impact;Individual and group support techniques training;Specific basic advice techniques and normalization training;Ethics, including confidentiality, acknowledgment of the competences and roles limits and the Programs limitations;Referral procedures.

The subsequent training includes refreshing actions and the training included in the CISM National Meeting.

All training is assured by collaborators properly/adequately qualified and certified by ICISF (International Critical Incident Stress Foundation).

How can I be one of CISMs team Peers? The Peers recruiting and selection process consists of 3 stages:

-applications for the volunteers;-formal selection process;-training.

Every time new volunteers are needed an application communication will be sent to all Air Traffic Controllers and Aeronautical Information and Communication Technicians. After the application process is completed, all of those who fill in and hand in the form to the National Coordinator are called to an interview.

The initial training period is the final stage of the recruiting process. It is possible that not all candidates are considered fit after finishing the initial training.

What should I do after a critical incident? If you have experienced a trauma event or critical incident, as soon as possible, and the sooner the better, contact your CISM team (one of the Peers or the National Coordinator). They are prepared to help you at anytime and anywhere you chose.

It is very common and quite normal to experience some strong emotional or physical reactions immediately or after a critical incident. Sometimes the reactions to stress occur right after the event, other times, they appear hours or days later. And in some cases, it takes weeks and even months.

The signs and symptoms of stress can last days, weeks, months or even longer, depending on your response and the way of cope with the event.

The Peer can give you information on how to cope in a healthy way with the situation, so you can recovery and go back to your usual way of functioning.

Sometimes a healthcare professionals intervention is needed; the Peers know when to do the referral.

The concept of CISM (Critical Incident Stress Management)CISM is a multi-component program designed with the purpose of providing assistance and psychological support to those involved in a critical incident.Besides its primary goal of support and follow-up during the crisis (the crisis represents a disruption in the psychological balance) it also includes an educational program, which comprises an efficient and prevention-oriented health promotion education plan, thus allowing individuals to learn how to deal with a stress leading situation in the moment it occurs and in the following moments.CISM begins before the incident: with information, education and training, making the possible changes in the enterprises culture concerning Human FactorsCritical Incident A critical incident is defined as any event that has enough impact to oppress the individuals or groups usual and effective coping (of stress management) and with the power to interfere in their capacity to perform their tasks in that moment or later on.Examples of possible critical incidents in the Air Traffic Services are: loss of separation, temporary loss of the traffic situation perception/awareness, near collision, abnormal and emergency situations and accidents. These are stress leading situations inherent to the profession and therefore it is necessary that one learns how to deal with them by adopting strategies that might diminish their impact. Stress after a critical incident - The physiological, cognitive, emotional and behaviour reactions experienced by an individual or a group as a response to a critical incident. These can last a few days or a more extended period of time. They are normal reactions to an abnormal event.CISM intervention - It is a formal, structured and professionally acknowledged process with the purpose of helping those who have been involved in a critical incident. It is an educational, voluntary and confidential process.Some of the signs and symptoms of stress after a critical incidentPhysical Weakness, dizziness, nausea, fatigue, chest pain, headaches, high blood pressure, vomiting, grinding of teeth, shivers, muscle tremors, tachycardia, eyesight problems, profuse sweating, breathing problems, etc.CognitiveNightmares, confusion, uncertainty, hyper vigilance, distrust, intrusive images, blaming someone, lack of the capacity to solve problems, lack of abstraction capacity, lack of attention / decision, lack of concentration / memory, time, place or personal disorientation, problems with identifying objects / people, etc..EmotionalFear, guilt, panic, denial, anxiety, agitation, irritability, depression, intensive anger, worriment, emotional control losses, inappropriate emotional response, etc.BehaviourAnti-social attitudes, inability to rest, hyperactivity, asynchronous movements, speech and appetite changes, hypersensitivity, alcohol use increase, tobacco use increase, changes in the normal communication methods, etc.What to do after a critical incident

If you have experienced a trauma event or critical incident (any situation you have lived causing you a strong emotional reaction, which has the potential to interfere with your capacity to perform your job that moment or later on) you might feel strong reactions, both emotional and physical, immediately or after. Sometimes the reactions to stress occur right after the event. Other times, they appear hours or days later. And in some cases, it takes weeks and even months.The signs and symptoms of stress can last days, weeks, months or even longer, depending on the seriousness of the event.As soon as possible, and the sooner the better, contact your CISM team (one of the Peers or the National Coordinator). They are prepared to help you at anytime and anywhere you chose. Sometimes a healthcare professionals intervention is needed; the Peers know when to do the referral.Such a reaction usually disappears faster with the understanding and support of relatives and/or co-workers. Sometimes it is such a traumatic situation that the intervention of a professional is needed and this is not a symptom of madness or weakness. It only means that the event was too strong for a person to be able to overcome it by herself.

Ways to respond to / cope with your stress responsesIN THE FIRST 24 48 HOURSPeriods of physical exercised combined with relaxing periods might relief some of your physical reactions;Organize your time keep yourself busy;Remember that you are having normal reactions to an abnormal situation;Talking about the event is the best remedy;Avoid the alcohol and pills/tablets abuse, you dont need to worsen the situation even further;Seek support the others care about you;Dont isolate;Help your co-workers/colleagues as much as possible by sharing feelings, sensations;Dont restrain from feeling depressed and share that feeling with others;Write down what is happening to you during the periods you cant sleep;Do things that please you;Remember that those around you are under tension as well;Dont make radical changes in your lifestyle;Make as many decisions as possible so that you can feel you have control over yourself, e.g.: if someone asks you what you want to eat, answer even if you dont know for sure;Rest;Repetitive thoughts, dreams or retrospectives are normal dont try to fight them they will fade away with time and will become less painful;Eat regular and balanced meals (even if you dont feel like doing this).

Useful Information for relatives and friends

Pay attention while listening;Find the time to spend with the traumatised person;Offer to help and listen;Show them trust;Help them in the daily tasks such as: cleaning, cooking, looking after the family, taking care of the children;Leave them alone for a while;Dont think that any angry-like attitude is against you;Dont tell them that it could have been worse traumatised people dont take comfort in such reasoning. On the other hand, say that you are sorry for the event and show that you understand and want to help them.

Individual Crisis Intervention & Peer SupportJanuary 4 & 5, 2008)

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