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Public information officers - PowerPoint Presentation

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Public information officers - PPT Presentation

Public information officers And Critical Incident stress management A Critical Incident Is Not Defined by the Incident Itself It is defined by individuals andor an organizations reaction to what occurred ID: 769771

incident cism critical support cism incident support critical peer intervention fire crisis groups coordination individuals personnel management coordinator liaison

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Public information officersAndCritical Incident stress management

A Critical Incident Is Not Defined by the Incident Itself: It is defined by individuals and/or an organization’s reaction to what occurred. Is any unexpected, traumatic event that affects an individual’s feelings of personal safety, their ability to perform daily activities, and their ability to concentrate personally and in the job.

Crisis intervention should be based on recognition of need, not strictly the occurrence of an event…It is important to get advice on what post-incident support would be appropriate as soon as possible . One o f the challenges is intervening only where and when needed using the most appropriate intervention tactic for the situation .

CISM includes a crisis intervention tactic called Peer Support.Peer Support is the official Standard of Care adopted by the BLM. It is widely utilized within the Forest Service and other wildland fire agencies. Critical Incident Stress Management (CISM)

Effective CISM Program Pre-Incident Education & Planning Resilience and Health Crisis Intervention (CIPS ) Follow Up and Long Term Care Research and Development

Exposure to Critical IncidentsWildland fire personnel will at some point in their career will experience and be directly affected by a "critical incident" and traumatic stress. How affected they may be will depend on how we: Prepare them through pre-incident education Instill resilience, and positive coping skills R espond and support after a critical incident.

Causes confusion and tension because we don’t operate like an IMTExpectation that CISM is like Incident Management TeamNot On-Call or “in rotation.”Date and Time Needed Determined by AA and CISM Coordinator. Reporting location(s) and “in-briefing” are different The Term “CISM Teams”

Critical Incident Peer Support GroupsAssembled by a qualified and credentialed CISM CoordinatorOversight provided by a CIPS Group Leader Comprised of Peer Supporters Require a Mental Health Professional (MHP) May have a Liaison assigned Ordered through the Dispatch/Coordination System May be split up to cover large geographic areas – most involved in a Critical Incident receive CISM at Home UnitMay be comprised of Peer Supporters/Leads from other Agencies and Geographic Areas

What We DoCritical Incident Peer Support Groups provide crisis intervention with Mental Health Professional(s) who specialize in trauma.Situation assessment for managers to help determine timing and type of support needed. Provide Peers who can Travel to the fireline , spike camp and other remote locations*** Support to IMT’s , non-fire support personnel, and militia affected by an incident**** Provide Referrals for follow up care.

Confidentiality and Integrity.Those impacted by a traumatic/critical incident may find it difficult to open up and express themselves to those they do not trust, respect, or find credibility with. Peers who are trustworthy, and demonstrate integrity and respect in what they do are the key element to assisting individuals in crisis.

Agency Administrator is responsible for identifying and event as a critical incident and GACC notification. GACC contacts CISM Coordinator. CISM Coordinator gathers intell from AA including: Theme (who, what, when, where ). Intake Form/Data Base Date, time, reporting locations are negotiated between CISM Coordinator and Agency Admin. Placing a Request

Not an Emergency. Usually 48-72 hour after an incident. Services can also be provided within a few weeks or longer depending on the incident. It is important to allow time for affected individuals to disengage operationally and re-connect with family and friends. Once this occurs individuals are typically emotionally ready to benefit from peer support. Important for demobilization Appropriate Timeframes for Response

Level of Operational EngagementCrisis intervention is not effective with personnel who are still operationally engaged. Crisis intervention strategies and tactics are based on the outcome – not “what might happen.”

Most Common Critical IncidentsMost occur during initial attackVehicle AccidentsSnagsEntrapment (IA, Large Fires, Prescribed Fire) Aviation Suicide Heat related and cardiovascular illness

Coordination with IMT CISM Coordinator will assign a Liaison to Command and General StaffMost CISM Work is Done at Home Unit(s)Meeting Locations and LogisticsFire Line and Fire Camp Visits Information Crisis Management Briefing Meeting locations and logistics

Coordination With CRP, FLA, SAIIn-brief with investigative group“Off Site” or via PhoneSituation assessment Determine best timing for crisis intervention and FLA or investigation interviews.Stay in different hotels Perception Offer Clinician Assistance How to frame questions, arrange room, etc. Investigative Groups May Need CISM Support Do not use the same CIPS Group, order a separate CIPS group to respond. Qualified CISM Liaison is assigned who has experience with investigative groups

Coordination With Forest ServiceSignificant positive shift with the Forest ServiceCRP Forest Service policy after LODD of FS employee regardless of jurisdictionCISM Liaison works directly for CRP LeaderBLM CISM membership on CRP Standing Team When CISM is done first: Reduces anxiety about the investigation process and interviews Individuals are often in a better place to tell their story Assistance for investigation groups: How to frame questions Dedicated MHP

Coordination With BLM/DOI

Who We AreProvide Critical Incident Stress Management (CISM) services through interagency Critical Incident Peer Support Groups consisting of specially trained wildland fire and aviation personnel from throughout the Nation.

Program and Response History 2003 Formal program established Great Basin Over 700 personnel trained – 100 active Formal Mental Health Professional IDIQ Active Training Curriculum and certification* 90+ responses* Iron 44 Yarnell Hill Twisp River Gold Butte/ Malhuer * Frog Fire Desoto Helicopter Crash Air Tanker crashes since 2004

What We Are Not – But Often Requested ForPart of any problem-solving process for administrative problems.Peer Support is not grief counseling. Funeral or Memorial Service Support. Psychotherapy or Counselors . Family/Hospital Liaisons. Non-Fire or Off Duty Death Support****

Other Requests….Follow Up VisitsFatigue/Burn OutBad News DeliveryCareer CounselingSupport for Investigative Report or FLA ReleaseCumulative EffectsLoss of Natural ResourcesNatural Disasters***

Sources of Information https://gacc.nifc.gov/cism/index.html

Not all peer programs look the same S ignificant potential for psychological harm Need for Coordinated Reponse

Do The Best for Our People“Do No Harm”https://gacc.nifc.gov/cism