1. 13 th Annual Emergency Management Higher Education Conference Tuesday, June 8, 2010

3. CISMP is…  A Multi-tactic early intervention program  A Structured peer-driven, clinician- supported and guided process  Designed to provide interventions to address disaster-related mental health issues.

4. Individual Employee  Self Awareness  Supportive of others  Awareness Level Training  Supportive of the CISMP

5. BASIC Peer Support  Friend / Small Group Peer Support (less formal)  One-on-One Peer Support (Defusing) Trained Peer for immediate response and intervention

6. ADVANCED Peer Support  Facilitated Debriefing with Clinician Support & Guidance  Comfortable Setting  Formalized Process  Critical Incident Stress Debriefing (CISD)

7. DEBRIEFING  Small Group  Controlled Environment  Seven Phase Process  Peer Driven (facilitated)  Follow-up procedures in place  Clinical Intervention of Referrals (available as needed)

8. CISMP Keys to Success  Awareness of early warning signs  Knowing how / where to get help  “No Fear” of asking for help  Formal activation process  Leadership Supported  Trained / Respected Peers & Clinicians  Follow-up Mechanisms available (Peer & Clinician)

11. Pre-Planning  A Systems Approach  Peer & Clinician Training (to Standards)  Employee Awareness Level Training  Activations Mechanisms in Place  On-going Program Evaluation

12. Event Briefings  Risk Communication Is Vital  Set Intervals (ICS = Start of Shift)  Critical Change Announcements  Stress Mgmt & Mental Health Planning Early On Incorporated into IAPs  Access to Resources during work  Access to Resources at end of shift **

13. A Defusing  1 on 1 Peer Support (or small group of 2 – 3)  Immediate  Quick Assessment  Listening (Peer)  Stress Information and Resources Provided

14. A Debriefing  Larger Groups (About 20 max)  1 Peer for every 5 – 7 Participants  Within 24 – 72 hours Post Event(s)  Listening & Sharing (Peer & Participant)  Peer Facilitated  Clinician Supported & Guided  Voluntary & Closed to Outsiders  No Recordings or Documentation

15. QUESTIONS ?

16. Jeff Long, CISM-Advanced Training Specialist, US DHS/FEMA Recovery; VA-NPSC Winchester, VA Jeffery.long@dhs.gov