Traumatic Incident Reduction Case Studies in Australian Emergency Services Peter Kueffer Clinical Director Victoria State Emergency Service

Traumatic Incident Reduction Background Theory and Practice Case Studies Results ‘Where to from here…?’

TIR – Theory Sigmund Freud Carl Rogers Frank A Gerbode

TIR Practice The ‘Viewer’ The ‘Facilitator’ The ‘Therapeutic Hour’

Measures Short Screening Scale for DSM IV PTSD Breslau et al Range: 0-7 Cut off for PTSD Post Traumatic Stress Disorder Checklist (PCL) Weathers et al Range: 17-85 Cut off for PTSD - 50

‘George’ Event - February 2009 Assessment – March 2014 Breslau - 5, PCL - 61 TIR - April 2014 Breslau - 0, PCL - 20

‘Kelvin’ Event - December 2013 Assessment - January 2014 TIR - January 2014 ‘…it has really helped a lot…the after effects of the job have been almost non existent…’

‘Cathy’ Event - 2001 Assessment - May 2014 Breslau - 5, PCL – 59 TIR - May 2014 Breslau - 0, PCL - 17

‘Simon’ Event - 1992 Assessment - November 2014 Breslau - 4, PCL - 59 TIR - December 2014 Breslau - 0, PCL - 18

Results Breslau PCL T1 T2 T1 T2 ‘George’ 5 0 61 20 ‘Cathy’ 5 0 59 17 ‘Simon’ 4 0 59 18 Review and discuss with group. Ask if they are surprised by any of this information. 10

‘Where to from here…?’ Victoria State Emergency Service Practitioner training ‘Post Traumatic Stress’