CISM as the Standard of Care in Response to COVID
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(Video)
Overview
Learning Objectives:
- Estimate surge of mental health distress
- Define CISM
- Explain why CISM is the standard of care for COVID
Presenter
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George S. Everly, Jr., PhD, ABPP, CCISM
Co-Founder
The ICISF, Inc.
George S. Everly, Jr., PhD, CCISM is an award-winning author and researcher. In 2016, he was ranked #1 published author in the world by PubMed PubReMiner in the field of crisis intervention. He holds appointments as Professor in the Department of International Health (affiliated) at the Johns Hopkins Bloomberg School of Public Health, Associate Professor (part time) in Psychiatry at the Johns Hopkins School of Medicine, and Professor of Psychology at Loyola University in Maryland (core faculty). He is considered one of the founding fathers of the field of disaster mental health. He was a co-founder of the Dept of Psychiatry at Union Memorial Hospital and served on the management committee 12 years. In addition, he has served on the adjunct faculty of the Federal Emergency Management Agency, the FBI’s National Academy at Quantico, Virginia, and ATF’s Peer Support Team. He is an advisor to the Hospital Authority of Hong Kong. Dr. Everly is co-founder of, and serves as a non-governmental representative to the United Nations for, the International Critical Incident Stress Foundation, a non-profit United Nations-affiliated public health and safety organization. He was Senior Advisor on Research in the Office of His Highness the Amir of Kuwait. Prior to these appointments, Dr. Everly was a Harvard Scholar, visiting in psychology, Harvard University; a Visiting Lecturer in Medicine, Harvard Medical School; and Chief Psychologist and Director of Behavioral Medicine for the Johns Hopkins Homewood Hospital Center.
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Overview
Presentation Details:
The Crisis Management Briefing is one of the most versatile interventions we have in our toolkit. Over the years, I have developed and refined a structure for providing this intervention so our team is providing it in a similar fashion. This seminar describes the structure and offers a video sample of the model. It might be helpful to organizing your own approach for this often under utilized tool
Learning Objectives:
Upon completion, participants will be able to:- Identify 3 reasons to utilize a structured CMB
- Identify the 3 steps in completing a CMB
- Identify 5 keyk teaching points in a CMB
Presenter
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Dennis Potter, LMSW, FAAETS
CEO
Kantu Consultants
Dennis Potter is a licensed social worker who helped to form one of the first community based Crisis Response Teams in Michigan in 1986 and the Michigan Crisis Response Association. Dennis is the CEO of Kantu Consultants. He is an Approved Instructor for all of the ICISF Core Courses, and is a member of the ICISF Faculty since 2006.
Dennis has been a presenter at the last 14 International Critical Incident Stress Foundation World Congresses. Dennis was awarded the ICISF Excellence in Training and Education Award at the 2011 World Congress. Dennis was given the Grand Rapids Police Department Exceptional Civilian Service Award for his 22 years of working with their Peer-to-Peer program.
Handouts
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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
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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.
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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
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Overview
Presentation Details:
This presentation will be prerecorded followed by a live breakout session with interactive activities and facilitated conversation. The content will include educational information on the particular types of stress that comes with disasters and impacts an activated Emergency Operations Center environment. Whether that EOC is a government agency, a private business or a school system, the work is impacted by the intensity of the task at hand. Emergency Managers of all kinds often see themselves as immune since they are not in the field dealing hands-on with victims or survivors.
The reality is they are at times more prone to disaster stress than their counterpart first responders. The appropriate use of CISM activities are designed to keep people productive, not take them off line. Just like trickle charging a battery, effective in the moment disaster stress management can help ensure good judgement and appropriate decisions are being made. This workshop will use case studies and facilitated conversation to explore this topic.Learning Objectives:
Upon completion, participants will be able to- Participants will examine the unique stressors in an EOC environment
- Participants will be able to differential between Disaster Stress Management on Disaster Mental Health
- Participants will increase their knowledge of deploying to an activated Emergency Operations Center
Presenter
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Mary C. Schoenfeldt
Emergency Management Professional
Green Cross Academy of Traumatology
Dr. Mary Schoenfeldt is an Emergency Manager with a specialty in school and community crisis. She has a passion for Disaster Psychology delivers Disaster Stress Management for a non profit ..Green Cross Academy of Traumatology. She responded to Columbine HS shooting, Hurricane Katina, Haitian Earthquake, Sandy Hook Elementary Shooting, Hurricane Harvey and was in the Emergency Operations Center for 6 weeks following the 530 Mudslide. She currently is providing support manage COVID 19. When she isn’t traveling she is behind the podium as Past President of Everett Port Gardner Rotary.
Handouts
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Overview
Background for this Presentation:
Crisis responders, peer supporters, and caregivers have entered into the world of COVID crisis and trauma. They experience the worst of situations many only read about or see through electronic media. They enter into COVID crisis day after day and hour after hour. Distress and the results of this high level of stress are a constant companion and the ramifications are life altering for most of these providers of care in crisis. Research, education, and training have taught them that stress mitigation is an essential part of their survival. Self-care is fundamental to being a crisis responder and building resiliency is not an option. Unfortunately, most crisis responders have only learned and practiced the physical and emotional aspects of building resiliency, and sometimes they have found it lacking. Rest and exercise, diet and hydration– these are the physical essentials for building resiliency. Building a strong system of social support, catharsis, and reinterpretation – these are some emotional essentials for building resiliency. What if there’s more? What if there are untapped resources for enhancing the resiliency we try to build? What if you could develop a few habits that could multiply your ability to be resilient even through the worst events and times of your life? What is you could do it without going to the gym, without spending a lot of money, or without having to go to a therapist? It can be done. Transformational resilience can happen!Transformation is not a change brought about by simply doing good or improving our behavior. Imagine a person who is undernourished, sickly, and pale, but who puts on makeup to improve their appearance. They may look healthier, but the makeup is only cosmetic, something externally applied. What they really need is a genuine change that results from a life process within.
If that same undernourished, pale person were to eat healthy, nourishing food, a noticeable change would begin to occur. Their color would improve and their body would be strengthened. Eventually, their appearance would become healthy not because of something they did outwardly, but because of something that changed inwardly.
Transformation occurs at the cellular level – the lump of coal, under a great deal of pressure, becomes a diamond. The coal does not become fluorescent nor does it change color – it becomes completely different matter with different characteristics, value, and purpose. Coal does not pretend to be a diamond; it completely becomes a diamond.
Need this Presentation Addresses:
Today, responders face a myriad of COVID challenges on a regular basis. These challenges may be physical, emotional, operational, organizational, financial – in addition to relational, personal, spiritual, mental, behavioral, etc. Unfortunately, most crisis responders have only learned and practiced the physical and emotional aspects of building resiliency, and sometimes they have found it lacking.Each individual may experience COVID challenges differently. However, each responder has the ability to transform his or her present self into a healthier self by using the pressure of the COVID crisis to transform characteristics that will enhance resilience.
Purpose of this Presentation:
To teach crisis responders, peer supporters, and care providers to enhance resilience at the cellular level in a COVID world.Presentation Content:
1. Presentation includes a broad survey of factors that influence resiliency – internal, external, and personality characteristics.
2. Based on the principles of self regulation, actions to choose responses that will enhance resilience will be presented through data, anecdotes, and research.
3. A final action plan with responses, action required, and stress/resilience benefits will be presented.Learning Objectives:
Upon completion, participants will be able to:- List pandemic’s unique stressors
- Describe traditional and transitional resilience
- Describe strategic application of transformational resilience tactics
Presenter
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Naomi Paget, BCC, DMin, FAAETS
Rev. Dr.
K-LOVE Crisis Response Care / FBI
Rev. Dr. Naomi Paget BCC is the Chair, National VOAD ESCC. Her work in disasters/crises has officially spanned 55 years with Red Cross, FBI, SBC Disaster Relief, ICISF, National VOAD and other crisis relief agencies. Instructor, curriculum writer, awarded Fellowship in American Assoc. of Experts in Traumatic Stress and Fellowship in the National Academy of Crisis Management, she is a published author and K-LOVE CRC and ICISF Approved Instructor for many crisis and trauma courses, consulting for several national and international organizations. She is an adjunct professor at Denver Seminary and Gateway Seminary. She has written several courses in peer support, crisis intervention, and chaplaincy which receive contact hours from Crown College. She received the Life Time Achievement Award from ICISF and from Southern Baptist Disaster Relief, and Distinquished Alumni Award from Golden Gate Baptist Theolocial Seminary.
Handouts