EMS/Fire
Showing 1–12 of 16 results
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Overview
Join Cofounder, Jeffery T Mitchell, PhD, CCISM, as he discusses the mental health challenges that Dispatchers and Communication personnel are subject to on a daily basis. He will describe actual Case Studies of CISM work in this field and its effectiveness.
Presenter
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Jeffery T Mitchell, PhD, CCISM
Co-Founder
ICISF, Inc.
Jeffrey T. Mitchell, PhD, CCISM is Clinical Professor of Emergency Health Services at the University of Maryland in Baltimore County, Maryland and President Emeritus of the International Critical Incident Stress Foundation. He earned his Ph.D. in Human Development from the University of Maryland. Dr. Mitchell serves on the graduate faculty of UMBC and also has served as a dissertation reviewer for numerous graduate students in international universities when their dissertations were related to emergency personnel. He has presented at conferences in twenty-eight nations around the globe.
After serving as a firefighter/paramedic, Dr. Mitchell developed a comprehensive, integrated, systematic, and multi-component crisis intervention program called “Critical Incident Stress Management.” He has authored over 275 articles and 19 books in the stress and crisis intervention fields and serves as an adjunct faculty member of the Emergency Management Institute of the Federal Emergency Management Agency. Dr. Mitchell is a reviewer for the Journal of the American Medical Association and the International Journal of Emergency Mental Health. He received the Austrian Red Cross Bronze Medal for his work in Crisis Intervention in the aftermath of the Kaprum Train tunnel fire.
The Association of Traumatic Stress Specialists approved Dr. Mitchell as a Certified Trauma Specialist, and The United Nations appointed him to the United Nations Department of Safety and Security Working Group on Stress. He actively teaches CISM and consults with emergency services, military personnel, hospitals, business and industries on a regular basis.
Handout
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Overview
Join Cofounder Jeffery T Mitchell, PhD, CCISM as he discusses challenges Emergency Medical Services. He will describe actual Case Studies of CISM work in this field and its effectiveness.
Presenter
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Jeffery T Mitchell, PhD, CCISM
Co-Founder
ICISF, Inc.
Jeffrey T. Mitchell, PhD, CCISM is Clinical Professor of Emergency Health Services at the University of Maryland in Baltimore County, Maryland and President Emeritus of the International Critical Incident Stress Foundation. He earned his Ph.D. in Human Development from the University of Maryland. Dr. Mitchell serves on the graduate faculty of UMBC and also has served as a dissertation reviewer for numerous graduate students in international universities when their dissertations were related to emergency personnel. He has presented at conferences in twenty-eight nations around the globe.
After serving as a firefighter/paramedic, Dr. Mitchell developed a comprehensive, integrated, systematic, and multi-component crisis intervention program called “Critical Incident Stress Management.” He has authored over 275 articles and 19 books in the stress and crisis intervention fields and serves as an adjunct faculty member of the Emergency Management Institute of the Federal Emergency Management Agency. Dr. Mitchell is a reviewer for the Journal of the American Medical Association and the International Journal of Emergency Mental Health. He received the Austrian Red Cross Bronze Medal for his work in Crisis Intervention in the aftermath of the Kaprum Train tunnel fire.
The Association of Traumatic Stress Specialists approved Dr. Mitchell as a Certified Trauma Specialist, and The United Nations appointed him to the United Nations Department of Safety and Security Working Group on Stress. He actively teaches CISM and consults with emergency services, military personnel, hospitals, business and industries on a regular basis.
Handout
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Overview
Join Cofounder Jeffery T Mitchell, PhD, CCISM as he discusses the challenges that Fire and Rescue personnel are subject to on a daily basis. He will describe actual Case Studies of CISM work in this field and its effectiveness.
Presenter
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Jeffery T Mitchell, PhD, CCISM
Co-Founder
ICISF, Inc.
Jeffrey T. Mitchell, PhD, CCISM is Clinical Professor of Emergency Health Services at the University of Maryland in Baltimore County, Maryland and President Emeritus of the International Critical Incident Stress Foundation. He earned his Ph.D. in Human Development from the University of Maryland. Dr. Mitchell serves on the graduate faculty of UMBC and also has served as a dissertation reviewer for numerous graduate students in international universities when their dissertations were related to emergency personnel. He has presented at conferences in twenty-eight nations around the globe.
After serving as a firefighter/paramedic, Dr. Mitchell developed a comprehensive, integrated, systematic, and multi-component crisis intervention program called “Critical Incident Stress Management.” He has authored over 275 articles and 19 books in the stress and crisis intervention fields and serves as an adjunct faculty member of the Emergency Management Institute of the Federal Emergency Management Agency. Dr. Mitchell is a reviewer for the Journal of the American Medical Association and the International Journal of Emergency Mental Health. He received the Austrian Red Cross Bronze Medal for his work in Crisis Intervention in the aftermath of the Kaprum Train tunnel fire.
The Association of Traumatic Stress Specialists approved Dr. Mitchell as a Certified Trauma Specialist, and The United Nations appointed him to the United Nations Department of Safety and Security Working Group on Stress. He actively teaches CISM and consults with emergency services, military personnel, hospitals, business and industries on a regular basis.
Handout
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Overview
Join Cofounder Jeffery T Mitchell, PhD, CCISM as he discusses the mental health challenges that Frist Responder personnel are subject to on a daily basis. He will describe actual Case Studies of CISM work in this field and its effectiveness.
Presenter
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Jeffery T Mitchell, PhD, CCISM
Co-Founder
ICISF, Inc.
Jeffrey T. Mitchell, PhD, CCISM is Clinical Professor of Emergency Health Services at the University of Maryland in Baltimore County, Maryland and President Emeritus of the International Critical Incident Stress Foundation. He earned his Ph.D. in Human Development from the University of Maryland. Dr. Mitchell serves on the graduate faculty of UMBC and also has served as a dissertation reviewer for numerous graduate students in international universities when their dissertations were related to emergency personnel. He has presented at conferences in twenty-eight nations around the globe.
After serving as a firefighter/paramedic, Dr. Mitchell developed a comprehensive, integrated, systematic, and multi-component crisis intervention program called “Critical Incident Stress Management.” He has authored over 275 articles and 19 books in the stress and crisis intervention fields and serves as an adjunct faculty member of the Emergency Management Institute of the Federal Emergency Management Agency. Dr. Mitchell is a reviewer for the Journal of the American Medical Association and the International Journal of Emergency Mental Health. He received the Austrian Red Cross Bronze Medal for his work in Crisis Intervention in the aftermath of the Kaprum Train tunnel fire.
The Association of Traumatic Stress Specialists approved Dr. Mitchell as a Certified Trauma Specialist, and The United Nations appointed him to the United Nations Department of Safety and Security Working Group on Stress. He actively teaches CISM and consults with emergency services, military personnel, hospitals, business and industries on a regular basis.
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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
This presentation outlines the findings of a small yet impactful study exploring the experiences of Peer Support Workers in an Irish Fire based EMS organisation. It was noted that there was a gap in the literature pertaining to the voices of those first responders who provide peer support to their colleagues and so a qualitative research approach utilising semi structured interviews was carried out. Interpretative Phenomenological Analysis was used to examine the results and findings revealed four master themes, namely Giving Back, Old versus New, Personal Transformations and Frustrations. These, along with their twelve superordinate themes, will be presented using direct quotes from participants transcripts. Much of the research on peer support in first responders reports the negative effects of critical incident stress but this study demonstrates that there are positives to be gleaned from this essential work. Reflexivity of the researcher will be described as it is of the utmost importance in this study and the quality of the work will also be addressed. Recommendations will be made on the implications for possible future research in this area.
Learning Objectives:
Upon completion, participants will be able to- Describe the ‘Shattered Vase’ metaphor.
- List some of the components of post traumatic growth.
- Outline the benefits and challenges of providing peer support in emergency services, from the peer supporter perspective.
Presenter
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Michelle L. O'Toole, BSc, GDip EMS, MA
Researcher (Former Firefighter/Advanced Paramedic)
Royal College of Surgeons in Ireland
Formerly a Firefighter, Advanced Paramedic and CISM Team member with Dublin Fire Brigade, Republic of Ireland, I was recently appointed to full time researcher role in the Simulation Dept of Royal College of Surgeons in Ireland. I'm an Accredited Paramedic Tutor and CISM Instructor with an interest in enhancing mental health and wellbeing in all first responders, particularly following traumatic events. I have completed a MAsters in Psychological Trauma at University of Nottingham (UK) which sparked my interest in Post Traumatic growth following adverse events. My presentation will be based on peer supporters perspectives of providing support in an Irish context.
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Overview
The peer lead, clinically supported approach used by the CISM model is a key ingredient in breaking barriers and in fostering the trust required for the delivery of effective support and services. This installment of Learning With Leaders will discuss strategies for protection and sustainment of those relationships in the wake of legislative and legal mandates. It will specifically highlight: 1. Two pieces of case law about which every CISM provider and practitioner should be aware. 2. The advent of recent legislative trends and mandates which could impact CISM services. 3. Strategies to help navigate current conditions.
Presenter
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Marc Junkerman
Faculty
ICISF, Inc.
Marc “Junk” Junkerman is a retired law enforcement commander from Maryland, independent
consultant, and proud ICISF faculty member. He spent 33-years in uniform serving first as a
soldier then finishing his career protecting the citizens of Maryland. This included postings as a
CISM/Peer Support coordinator, trainer and advocate for over 15 years.
Marc has continued working within this arena and now focuses on improving organizational
wellness using CISM as the blueprint. He is a strong advocate for the implementation of
adaptable and practical public safety wellness approaches which place a heavy emphasis on
proactive, pre-event “inoculation”. Marc has channeled his efforts and his post-graduate work
into creating his own original packages for the ICISF which are designed to foster sustainable
resiliency cultures. This has resulted in the fielding of his 360 Degrees of CISM: A forward
focused approach to building a resiliency culture and his S.O.A.Ring with CISM: A
Strategic Planning Primer courses in addition to multiple “Leaning with Leaders” offerings.
Marc is married to a retired law enforcement officer, has a son in active police service, two
daughters in the nursing field, and a brother-in-law serving as a Corrections professional. It is
this skin in the game which continues to fuel his passion to support those who selflessly serve
our communities.
Handout
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Overview
Join Dr George Everly as he presents: Introduction to Peer Paracounseling: Perhaps the first major breakthrough in Peer Support in 50 years. A prelude to ICISF’s newest course Crisis Informed Peer Para-Counseling Intervention Enhancement to the CISM Continuum.
Presenter
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George S. Everly, Jr., PhD, CCISM
Co-Founder
ICISF, Inc.
George S. Everly, Jr., PhD, CCISM is an award-winning author, researcher, and pioneer in the field of psychological trauma and disaster mental health. He has held appointments at the Johns Hopkins Bloomberg School of Public Health, the Johns Hopkins School of Medicine, and Harvard University. He has also served as Chief Psychologist and director of Behavioral Medicine at the Johns Hopkins Homewood Hospital. He has authored numerous professional papers and 20 books including the ground-breaking books Controlling Stress and Tension, Occupational Health Promotion, The Johns Hopkins Guide to Psychological First Aid, and A Clinical Guide to the Treatment of the Human Stress Response. He is co-founder of the International Critical Incident Stress Foundation (ICISF) and author of one of the most viewed online courses of all time Psychological First Aid (Coursera).
Biographical records:https://en.wikipedia.org/wiki/George_S._Everly_Jr.
http://hopkinshumanitarianhealth.org/people/george-s-everly-jr/
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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
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Overview
Join Cofounder Jeffery T Mitchell, PhD, CCISM as he discusses the transportation industry is a crucial part of our daily lives and global economy. This sector constantly adapts to new challenges and opportunities seeking to enhance safety. Explore case studies and CISM lessons learned after disasters and crises involving the transport of goods or people on air, rail, road or water.
Presenter
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Jeffery T Mitchell, PhD, CCISM
Co-Founder
ICISF, Inc.
Jeffrey T. Mitchell, PhD, CCISM is Clinical Professor of Emergency Health Services at the University of Maryland in Baltimore County, Maryland and President Emeritus of the International Critical Incident Stress Foundation. He earned his Ph.D. in Human Development from the University of Maryland. Dr. Mitchell serves on the graduate faculty of UMBC and also has served as a dissertation reviewer for numerous graduate students in international universities when their dissertations were related to emergency personnel. He has presented at conferences in twenty-eight nations around the globe.
After serving as a firefighter/paramedic, Dr. Mitchell developed a comprehensive, integrated, systematic, and multi-component crisis intervention program called “Critical Incident Stress Management.” He has authored over 275 articles and 19 books in the stress and crisis intervention fields and serves as an adjunct faculty member of the Emergency Management Institute of the Federal Emergency Management Agency. Dr. Mitchell is a reviewer for the Journal of the American Medical Association and the International Journal of Emergency Mental Health. He received the Austrian Red Cross Bronze Medal for his work in Crisis Intervention in the aftermath of the Kaprum Train tunnel fire.
The Association of Traumatic Stress Specialists approved Dr. Mitchell as a Certified Trauma Specialist, and The United Nations appointed him to the United Nations Department of Safety and Security Working Group on Stress. He actively teaches CISM and consults with emergency services, military personnel, hospitals, business and industries on a regular basis.
Handout
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Overview
Join Dr. Jeffrey T Mitchell, Phd, CCISM, cofounder ICISF as he discusses case studies using the CISM protocol in Natural Disasters. Critical Incident Stress Management (CISM) is a protocol designed to help individuals and communities cope with the emotional and psychological impact of critical incidents, including natural disasters. Critical Incident Stress Management (CISM) is a protocol designed to help individuals and communities cope with the emotional and psychological impact of critical incidents, including natural disasters.
Presenter
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Jeffery T Mitchell, PhD, CCISM
Co-Founder
ICISF, Inc.
Jeffrey T. Mitchell, PhD, CCISM is Clinical Professor of Emergency Health Services at the University of Maryland in Baltimore County, Maryland and President Emeritus of the International Critical Incident Stress Foundation. He earned his Ph.D. in Human Development from the University of Maryland. Dr. Mitchell serves on the graduate faculty of UMBC and also has served as a dissertation reviewer for numerous graduate students in international universities when their dissertations were related to emergency personnel. He has presented at conferences in twenty-eight nations around the globe.
After serving as a firefighter/paramedic, Dr. Mitchell developed a comprehensive, integrated, systematic, and multi-component crisis intervention program called “Critical Incident Stress Management.” He has authored over 275 articles and 19 books in the stress and crisis intervention fields and serves as an adjunct faculty member of the Emergency Management Institute of the Federal Emergency Management Agency. Dr. Mitchell is a reviewer for the Journal of the American Medical Association and the International Journal of Emergency Mental Health. He received the Austrian Red Cross Bronze Medal for his work in Crisis Intervention in the aftermath of the Kaprum Train tunnel fire.
The Association of Traumatic Stress Specialists approved Dr. Mitchell as a Certified Trauma Specialist, and The United Nations appointed him to the United Nations Department of Safety and Security Working Group on Stress. He actively teaches CISM and consults with emergency services, military personnel, hospitals, business and industries on a regular basis.
Handout
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Overview
Health and safety legislation exists to protect the mental health of workers, including those at high risk of psychological injury, by separating the responsibilities between the worker (for self and others) and the manager (for the work environment). However, the traditional clinical viewpoint seems to ignore this in favour or seeing all psychological injuries as phenomena in need of medical, psychiatric or psychological expertise once symptoms have emerged and persisted. For example, symptoms of posttraumatic stress disorder (PTSD) have to await the passage of 28 days before diagnosis and treatment, while health and safety law demands immediate action. As crisis intervention is designed for immediate action and clinical guidance requires a delay, crisis intervention appears to be in keeping with legislation created to secure mental health. The tension that exists between the clinician’s advice to ‘watch and wait’ and the peer’s compulsion to ‘act now’ might be resolved by a psychological risk assessment undertaken in the immediate 28 day post-incident period.
Risk assessment for any health condition has three steps: 1. Identify the hazard, 2. Intervene to minimise or eliminate the hazard, and, 3. Monitor to ensure the intervention has worked. An online portal that measures depression, anxiety and PTSD and reports results to the completer themselves has several advantages. First, the assessments can be the same as those likely to used by the clinician should symptoms persist and recovery does not occur. Second, the completer is now aware of their likely condition and the level of risk exhibited by the scores. Third, the organisation can be informed of the overall levels of mental health by demographic variables including team, department and location. With information shown to the worker and statistical patterns shown to the manager both carry their own legal responsibility to act to ‘minimise or eliminate’ the hazard represented by high scores on clinical assessments.
Taking the discrepancy that exists between the clinical viewpoint and the crisis intervention viewpoint a secure online portal has been designed to meet the health and safety demand for risk assessment by informing the worker themeslves (with contact details for support and guidance), informing the organisation’s managers of ‘hot-spots’ of mental health hazards in the workplace and putting both ‘on notice’ that they should now act. The ‘I didn’t know’ claim to justify inaction would become invalid for both parties. This presentation will show how the backdrop of health and safety legislation justifies the use of crisis intervention following critical incidents. It also offers a means by which workers can self-assess and decide how they will tackle the risk they have been informed of, In addition this will allow managers to shape the workplaces structure and policies in light of the patterns emerging from the de-identified data generated by the workers collectively. The potential to use the data generated to underpin mental health policy, identify training needs and show the effectiveness of crisis intervention will be discussed.
Learning Objectives:
Upon completion, participants will be able to:- Recognise key indicators that return to duty is safe following a critical incident
- Assess risks to mental health in compliance with workplace safety and health legal demands
- Complete assessment, intervention and return-to-duty within 28 days of a critical incident
Presenter
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John Durkin, MSc. PhD
STAGE-28 International
John Durkin Ph.D sits on the Boards of the International Critical Incident Stress Foundation (ICISF), Crisis Intervention Management, Australasia (CIMA) and is co-director of STAGE-28 International offering training, research and consultancy in crisis intervention and psychological risk assessment. His interest in posttraumatic growth took hold in his early career as a firefighter and was later strengthened by his role in the post-9/11 support effort at New York’s fire and police departments. Convinced that critical incident stress management (CISM) delivered by peers had the potential to prevent a number of mental disorders he sought enhancements that might challenge clinical therapies for effectiveness. Further qualifications and training persuaded Dr Durkin that peers delivering crisis intervention in a person-centered fashion would prove superior to standard treatments for PTSD and facilitate posttraumatic growth. A number of pilot projects have supported this and led to training a team of firefighters in CISM, informed by person-centered theory. When Dr Durkin was called to lead the crisis response for the Metropolitan Police Service following London’s 2017 terrorist attacks and Grenfell Tower fire, the same team of firefighters came in support. Over 80 police officers were seen and no report of PTSD or depression had been received three years later. Growth in police officers and firefighters has been widely reported and awaits empirical confirmation in future projects. The legal demands of occupational safety and health were met during this period leading to the design of a psychological risk assessment for use in the emergency, medical and military services.
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