ICISF, Inc. Infographic

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Overview

Learn more about the International Critical Incident Stress Foundation, Inc. and the training & resources we offer.

Handouts

K9 Intervention in Volunteer Fire/EMS Service

(Video)

$4.99

Overview

I’m a volunteer firefighter. It’s been twenty fives years but I can still see the young mans face as he lay there void of life at a motorcycle crash during my first year of service. I think that’s why it took me 25 years to figure things out. I compartmentalized everything to survive. It took years to let those barriers relax enough for my experiences to blend and realize I can help other first responders.

In the volunteer model there’s no-one there to follow up to see how providers are managing the stressors after a call. The responder goes back to empty firehouse and then home. There was nothing in place to mitigate or manage a “bad” call. The connection of seeing my dog at the door when I came home from a bad call was powerful. I didn’t understand the science, I just knew how it made me feel. Call after all and year after year I continued to receive healing comfort from the many dogs that lived with me and the ones that crossed my path.

The purpose of this presentation is to reach as many first responders and provide them with tools to mitigate or interrupt the process of PTS/PTSI.

There are four levels of intervention in this model. In level one and two the dog belongs to the handler responder and trained and certified at the therapy dog level and exposed to the components present in debriefing and various settings. Level 3 uses puppies. Most are obtained from breeders.
There are several different organizations that provide services dogs and they all have their own different ways of doing so. Some use rescue dogs, others use breeders. Each has pros and cons. The ideal breed for service is the breed with which the handler is most comfortable. Any breed is suitable for service, but the requirements for temperament are not. Temperament is critical and cannot be compromised. Again, keeping the mantra of “safety” in mind is key. If the responder/handler is afforded a safe environment (which becomes mobile with a service dog), this process becomes life changing and all possibilities are on the table.

Level 1. K9 CISM
To provide peer debriefings for fire fighters, EMS personnel and police; essentially providing Critical Incident Stress Management support for first responders who have experienced trauma — in the line of duty, during active duty or after leaving service – in order to attempt to prevent the onset of PTSI using the Mitchell model of peer support.
To support various first responder agencies to create preventative support strategies to head off PTSI before it takes hold, by creating safe places to process trauma

Level 2. Therapy/”Mobile Service” (1:1 – K9 Team: Responder)
Handler uses their personal therapy dogs for those who require K9 intervention, but for some reason are not able/do not want their own dog

Level 3. PTS Service Dogs
To network with breeders and trainers in order to provide affordable service dogs to first responders, veterans and others who suffer with PTSI who are in need of PTSI Service Dogs. The canines are puppies obtained from established selected breeders and provided to handler at minimal cost.
The puppy is in handlers possession at 8 weeks, then to trainer for 1-2 week B/T for polishing and detailing

4. Education
To speak to as many groups as possible to educate in PTSI prevention in high risk environments in order to be able to access what ever services are needed when the time comes.

Learning Objectives:

Upon completion, participants will be able to

Know the two hormones stress reduction and production.
Know the five levels of K9 Intervention.
Know the difference between “PTSD” and “PTSI”.

Presenter

Michelene L. McCloskey, EMT, FF, EMSI, K9 Handler

EMT, FF, EMSI, K9 Handler

K9 PTS Intervention

With over 20 years of service as a Fire Fighter/Emergency Medical Technician, 20 as a CISM provider and 14 as an Emergency Medical Services Instructor, Michelene became the Coordinator of the Animal Response Team in her home town of Chester County, PA after hurricane Katrina. In 2015 she became the event manager for a local Search dog team and has since founded K9 PTS Intervention, an organization providing interventions in many different models to responders traumatized in the line of duty or during active duty.

Handouts

K9 Response Program – Responders Helping Responders

(Video & Handout)

$9.99

Overview

“When everyone walked away Charlie stayed by my side.
Not coping to healthy coping, he brought me from sinking further into that dark downward spiral back up into the light and life”

After losing 6 friends on my FD to suicide, I went to Chaplain Mario Gonzalez, the director of my peer support program and he called for a meeting with the clinical director. It was decided there was an obvious need and I was instructed to do a 3 month pilot study with Charlie at my station. That’s how the MDFR Response K9 program got started. It looked different back then but has grown into what it is today.

When I started doing research into the benefit of therapy and service dogs I decided certification was the way to go for our teams and our organization as we already had CISM training for the humans. It was through the connections with I.C.I.S.F. and our CISM training program that I ended up meeting Cindy Ehlers, an expert in the field of civilian canine crisis response and a K9 handler at the WTC site after 9/11.

After seeing the direct benefits as backed up by current research indicating therapy and service dogs play a role in resiliency and post traumatic growth we set up the program with 3 separate tiers for this specific responder program.

The purpose of this presentation is to promote an awareness of how crisis response canines can help both civilian and responder organizations and explain the differences in training and certification currently available for both.

There are three parts to the program:

(1) CISM Response K9
In this tier, the responder with his or her own trained K9 is an active member of the CISM Peer Support team. In all CISM settings the benefit to the recipients is the oxytocin release and immediate physiological responses for calming. The dogs help create a safe space for responders where its ok not to be ok and process what they just experienced.
We’ve noticed the dog can also become a focal point for people who are struggling to share. when the guys have a hard time talking they automatically start staring at Charlie.
its easier to look at a dog than other people when they have something difficult to say. the dogs can be a focal point for people having a hard time sharing and some have used Charlie as a shield to lean on when they flat out broke down. In a diffusing setting we expect the dogs to alert to mood changes when humans change emotions and pheromones are produced. In this way the dogs aren’t just a prop for people to look at, they become active participants in the diffusing.

(2) Station Dogs
Because of cumulative trauma, station dogs are justified as reasonable to have something in place before and after each call as responders are not able to process the events of the last call before running the next call.
The expected benefits from long term exposure to the same dog include less time off from work, more cohesive crews, less discipline issues, etc.

(3) Service dogs
To be able to provide personnel with service dogs that can provide healing to the soul, reduce symptomology and build the foundation of the person, not just the first responder.

Learning Objectives:

Upon completion, participants will be able to

List why the use of trained certified canines are beneficial for responders in CISM/ Stress management roles
Define and describe the training and certification criteria such as ethical care of canines, what advocacy really means, why learning how to read your canine’s signs are paramount in the training process, etc.
Learn the best practices for using canines in CISM and stress management roles in First Responder organizations

Presenters

Shawn Campana, CK9RT, CDT, CISM

Response K9 Coordinator for Peer Support Team

Miami Dade Fire Rescue

Captain Shawn Campana has worked for Miami Dade Fire Rescue for 24 years. She has been on the department's CISM Peer Support team since 2015. Shawn started a Response K9 program 5 years ago in response to the PTSD and Suicide Ideation epidemic that has impacted her fire department. She started the program with her dog Charlie who was also her service dog, and has grown the program into what it is today. The team has grown to 10 Peer Support handler K9 teams. She is looking forward to expanding the program to provide station dogs, and service dogs for firefighters, and continues to help other organizations implement their own Peer Support canine programs.
Cindy Ehlers, D.N.C.C.M., CT, CFE, FT

Cindy Ehlers

Green Cross

Cindy’s passion is helping responders and civilians through the human animal bond. After responding to a high school shooting in Oregon in 1998, she developed and implemented programs utilizing dogs to reach at risk populations and those in crisis. In 2001, at the request of the American Red Cross, Cindy and three other handler/dog teams provided comfort on the ferry boats and provided respite foot responders at the WTC site. She has achieved diplomate status through the National Center for Crisis Management for her experience & contribution in the field of Canine Crisis Response and Animal Assisted Crisis Interventions. Cindy provides expert advice in the field of canine crisis response to both civilian and responder organizations. She is a member of ICISF, Green Cross and National Center for Crisis Management.

Handout

Crisis Response K9 Program

METHODS TO MAINTAIN AND ENHANCE RESILIENCE

(PDF)

$0.00

Overview

(PDF)

Handouts

Mid and Post Pandemic Mental Healthcare for Hospital Employees

(Video & Handout)

$4.99

Overview

Power point presentation to include the St Luke’s response to the COVID-19 Pandemic with specific attention to the mental health of our 22,000 network employees in our major University Healthcare network. How we identified needs, what we did to address needs, and what we continue to do to ensure the mental and physical health of our hospital employees. Attention to PTSD, Acute Trauma, Acute stress reactions. How we have supported our nextwork from the mental wellness aspect in order to mitigate long term critical incident stress disorders.

Learning Objectives:

Upon completion, participants will be able to

Verbalize 3 programatic elements they can add to their care of hospital, healthcare, first responder employee mental health.
Plan live, large support group sessions for hospital and first responder personnell.
Name evidenced based depression and trauma scales that can be used during and after pandemic or prolonged stress.

Presenter

Amie Allanson-Dundon, LPC,CCTP,CAADC

Network Director, Clinical Therapy Services

St Luke's University Health Network

Amie Allanson-Dundon, MS, LPC, CFAS,CCTP, CCDPD, CAADC is Network Director, Clinical Therapy Services for Behavioral Health Services at St Luke’s University Health Network.. Focused on the treatment of substance use disorders, trauma, critical incident stress, and mood disorders, Amie assesses and supervises complex cases, consults with network physicians, and is a lead for the Crisis Response Team at St Luke's. Working with St Luke's University Health Netowrk since 1997, Amie oversees the clinical programming and teams for School Based Psychotherapy, Partial Hospitalization services, Outpatient therapy and Integrated mental and physical healh care. Amie is also Program and Facility Director for the DDAP certified and DOH approved level 4.0 Medical Detox at St Luke's Sacred Heart Campus in Allentown Pa. Amie completed her graduate work at Villanova University, has certifications in trauma, addiction, forensic addiction and is a licensed professional counselor in PA & NJ.

Handout

Mid and Post Pandemic Mental Healthcare for Hospital Employees Handout

Reaching Rural Police: Challenges, Implications, and Applications

(Video & Handout)

$4.99

Overview

The current spotlight on policing and law enforcement issues is focused mainly on urban departments rather than rural areas. Ironically, the majority of police agencies across the nation are not in large cities, but small or rural towns. In 2013, 71% of all police departments served jurisdictions of fewer than 10,000 residents, and 30% served communities of less than 2,500 residents. About half of law enforcement departments have fewer than ten officers (Weisner et al., 2020).

The U.S. Census Bureau (2016) defines rural areas as less dense and sparsely populated than urban areas. Ninety-seven percent of the United States’ landmass is rural. About one-fifth of the population, sixty million people, inhabit rural areas; many are employed in agriculture, forestry, mining, and manufacturing, sectors that are plagued by declining job opportunities. Rural areas tend to be impoverished and do not have the tax base to fund social programs, including police and public safety adequately. As a result, rural agencies are underfunded, understaffed, often undertrained, and lack the necessary equipment. (Ricciardelli, 2012). Rural agencies face challenges in training opportunities, access to resources, types of crimes, interaction with citizens, degree of scrutiny, inferior technology, and mutual aid access, and cooperating overlapping jurisdictions e.g. Native American, federal and local.
Rural areas are often characterized by conservative values, aversion to government interference and authority, a tendency to exert social control among their own, and higher gun ownership that urban areas. Crimes related to wildlife, agriculture, and hate groups are common. Of necessity, rural police departments tend to have a unique culture and way of doing things depending on local history, demographics, size, and budget. (Weisheit et al, 1994).

In addition, because rural agencies are generally spread over large geographical areas and sparsely populated areas, response times are measured not in minutes, but hours. With few resources and more area to cover, they are spread thin. Consequently, big city solutions to policing issues are often not relevant to small town and rural police departments.

A sheriff’s deputy explains: “When our department goes to trainings in the big cities we just sit there. What they are teaching is not relevant to our daily operations. They have departments for every job. In rural policing we see and touch it all. Any of us could be first on scene at a traffic collision or a homicide. We’re search and rescue, the coroner, the victim advocate at the scene of domestic violence, the family therapist, the sex crimes investigator, and the ones who evacuate people from wildfires.”

Although the study of rural agencies has been largely neglected, it is essential as the profession faces upheaval. Rural policing is plagued by a lack of material resources, limited staffing, and vast response areas with limited back up. Rural officers also face mental health issues such as depression, anxiety, PTSD symptoms, and suicidal ideation similar to urban officers. These issues may be exacerbated by isolation, cultural barriers, and unique organizational expectations. Geographical location and long shifts often limit access to mental health services. Emerging advances and ongoing research in interventions such as telehealth and existing treatment modalities such as peer-support groups and critical incident stress management (CISM) may prove to be a bridge in closing the gap for this underserved population.
The purpose of this paper, while not comprehensive in addressing the myriad issues that are relevant to rural policing, will elucidate the stressors unique to rural law enforcement agencies and the peace officers who serve in them. Additionally, methods to increase resiliency and stress management will be proposed.

References
– Ricciardelli, R. (2018). “Risk it out, risk it out”: Occupational and organizational stresses in rural policing. Police Quarterly, 21(4), 415-439. https://doi.org/10.1177/1098611118772268
– U.S. Census Bureau (2016). New census data shows differences between urban and rural populations. https://www.census.gov/newsroom/press-releases/2016/cb16-210.html
– Weisheit, R. A., Falcone, D. A., & Wells, L. E. (1994). Crime and Policing in rural and Small-Town America: an overview of the Issues. National Institute of Justice Rural Crime and Rural Policing, 2(2). https://www.ncjrs.gov/txtfiles/crimepol.txt
– Weisner, L., Otto, H. D., & Adams, S. (2020). Issues in Policing Rural Areas: A Review of the Literature. Criminal Justice Information Authority. https://doi.org/10.13140/RG.2.2.10290.76489

Learning Objectives:

Upon completion, participants will be able to

To be able to identify five challenges faced by rural law enforcement .
Describe five implications of the challenges.
Identify three specific applications to help remedy the challenges.

Presenters

Marilyn J. Wooley, Ph.D.

Psychologist

West Coast Posttrauma Retreat

Marilyn J. Wooley, Ph.D. is a clinical psychologist who has a private practice in semi-rural Redding, California. Her primary focus is treating first responders and their families, treatment of post traumatic stress injuries, pre-employment psychological evalutions, and crisis response. Marilyn teaches Mitchell Model CISM through the International Critical Incident Stress Foundation. She is actively involved with the First Responders Support Network and has regularly served as a volunteer lead clinician for the West Coast Posttrauma Retreat in California since 2001. Her published articles include the topics of crisis response, first responder resilience, critical incident stress, and surviving the 2018 Carr Fire. She is currently writing a manuscript about post-traumatic growth in first responders and a biography about her grandfather's experiences liberating Dachau Concentration Camp during WWII. Marilyn grows roses and enjoys adventures with her husband, daughter, and two brilliant grandchildren. She has survived skydiving, SCUBA diving with sharks, summitting Mt. Shasta, swimming a class IV rapid while attempting to whitewater kayak, and belly dancing at a biker bar.
Shaneika Smith, MA

Psychological Assistant

West Coast Posttrauma Retreat

Shaneika Z. Smith currently resides in Redding, CA. She is a Clinical Psychology doctoral Student at Fielding Graduate University. Prior, she attended the University of Chico where she earned a B.S. and M.S. in psychology with an emphasis on Marriage Family Therapy. Shaneika became interested in working with first responders when she began a practicum with Dr. Marilyn Wooley in 2018. She quickly became affiliated with the West Coast Posttrauma Retreat where she provides treatment services for law enforcement, fire, communications dispatch, and medical personnel. She plans to continue her training in CISM and working with families of first responders while she pursues her doctorate in Psychology.

Handout

Reaching Rural Police Handout