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

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

3. TIR – Theory
Sigmund Freud
Carl Rogers
Frank A Gerbode

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

5. 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

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

7. ‘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…’

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

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

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

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