Shots Fired: Breaking the Silence on PTSD in 911
$9.99
(Video & Handout)
Overview
The purpose of this presentation is to shed light and start the conversation of addressing PTSD in the 911 telecommunications profession. In 2015 I was working as a police dispatcher for Boston police, and successfully managed an officer involved shooting. While I received many awards for how I managed the situation, the fallout of PTSD and lack of support had me making the difficult decision to leave 911 altogether in order to address my mental health. During my journey of healing, I came to the realization that the 911 field was my passion, and that dispatchers everywhere are lacking the support needed in order to continue in the field. I’ve now been back in the filed for 4 years. In addition to sharing my story, I’ve applied my experience to working on NENA’s Wellness Committee, specifically the Peer Support sub-committee, and the Acute Stress working group. Locally, I attended the Group and Individual Counseling Training, and applied to be a part of the local CISM team, which recognizes the important of including 911 personnel for defusing and debriefings. I am currently the point of contact for my agency. Recently, myself and other 911 professionals on the team have been meeting to discuss the 10 top calls for dispatchers, as well as discuss how we can spread the word that CISM teams in our area is a resource available to all dispatchers. In addition to walking viewers through my story – the initial call, the PTSD fallout, and the steps I took to change my mindset and heal – I want to be able to present the dispatcher’s point of view in handling critical incidents, and how agencies can help stop burnout and high turnover by providing resources to their dispatchers.
Learning Objectives:
- Identify problems 911 professionals face on the job
- Understand how they can contribute to changing the conversation about PTSD in first responders
- Identify obstacles 911 personnel face utilizing a CISM team
Presenter
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Nicole Janey
Emergency Communications Supervisor
Chelsea Emergency Management
Nicole has been working in the 911 field for 15 years. Highlights of her career include working the Boston Marathon Bombing and the ensuing week, as well as successfully managing an officer down call. Following that event, she took a break from 911 in order to address the PTSD. She returned to 911 with a passion for all things related to 911 mental health and wellness, and is particularly focused on spreading the word about the effects of PTSD in the 911 community, and the need for better support and services for our personnel. She is also involved in the Greater Boston Law Enforcement CISM team, and the National Emergency Number Association. She is active in several subcommittees within NENA's wellness continuum. As a side project, she is currently curating “You Are Not Alone: Portraits of the Gold Line Family” , a photography project that seeks to put a face to all members of the 911 profession, and showcase how everyone is effected by the job, regardless of role.
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Overview
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- Understand 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 Distinguished Alumni Award from Golden Gate Baptist Theological Seminary.
Handouts
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Overview
Communities are demanding police change how they respond to incidents, which someone is in crisis or with mental health and/or social issue concerns. Traditionally, police have responded with a law & order approach, which at times is hurtful to those in need of help. This approach may further escalate someone in crisis, which is not helpful, but further hurts the person in their time of need. Even worse is when officers use physical force when de-escalation would have been far more appropriate.
Jen Corbin and Lieutenant Steven Thomas will discuss how the SAFER-R model and CISM can be utilized to assist the community in their time of need. Law enforcement routinely responds to traumatic incidents and they will discuss how CISM interventions can be used to help families and the community. Further they will discuss how the SAFER-R model can be adapted to assist citizens whether it be: for children living in traumatic living conditions, someone looking for recovery from substance abuse, someone facing re-entry into the community from incarceration or to assist someone making threats.
Learning Objectives:
Upon completion, participants will be able to- Describe how the SAFER-R model can be modified for various community policing interventions.
- List situations which the SAFER-R can be utilized in community policing.
- Describe a “trauma responsive mindset”
Presenters
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Steven J. Thomas
Lieutenant
Anne Arundel County Police
Lt. Steven Thomas, CCISM has a BA from UMBC and a MA from the University of Baltimore. He started as a patrolman with the Anne Arundel County Police in 1996 where he remained in patrol until he became the CIT and Peer Support Coordinator in 2016. In 2020 the Anne Arundel County CIT Unit was named International CIT Unit of the Year.
He is the Anne Arundel County CISM Team Coordinator. Further, he is an ICISF approved instructor and in the spring of 2019 received the ICISF Pioneering Spirt Award.
He is a Youth & Adult Mental Health First Aid Instructor and in 2018 he was named a top 100 instructor. -
Jennifer Corbin
Director
Anne Arundel County Crisis Response
Jennifer Corbin, LMSW is Director of the Anne Arundel County Crisis Response System. Much of her work is in collaborating with outside agencies to work with the crisis system such as A. A. County Police and Fire, Health Dept., Public Schools, local hospitals, and local providers. She is a trained instructor in Mental Health First Aid (MHFA). Ms. Corbin is also trained in Critical Incident Stress Management (CISM) and helped develop a peer support team for A.A. County Police. Ms. Corbin received her master’s degree in Social Work from The UMD School of Social Work.
Handouts
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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
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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.
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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 traumaLevel 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 dogLevel 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 detailing4. 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
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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