question

Critical Incident Stress Management (CISM) is a comprehensive, therapeutic and educational intervention process designed to minimize the impact of critical incidents on police and other emergency service workers. It involves peer, group and one-on-one support during, immediately after, and in the days following a critical incident, regardless of shift.

answer

true

question

The CISM program is designed to complement the department's existing stress management programs, which include stress awareness classes and consultation with the department psychologist. It is available to both sworn and non-sworn employees. The Tampa Police Department follows the __of Critical Incident Stress Management (CISM).

answer

Mitchell Model

question

While it is not intended to be therapy, Critical Incident Stress Management (CISM) and a ___assist employees in understanding and coping with their stress and has been proven to accelerate the recovery process in persons experiencing normal emotional reactions after a critical incident.

answer

Critical Incident Stress Debriefing (CISD) will

question

__ An acute emotional reaction to a powerful stimulus or demand

answer

Crisis:

question

Three characteristics of a crisis are: 1) the usual balance between thinking and emotions is disturbed; 2) the usual coping mechanisms fail; 3) there is evidence of distress, impairment or dysfunction in the individual or group involved in the crisis.

answer

true

question

___ An explanation of the facts of the crisis event from a respected and highly credible spokesperson. Objective and credible information should serve to 1) control destructive rumors; 2) reduce anticipatory anxiety and 3) return a sense of control to victims.

answer

Crisis Management Briefings (CMB):

question

Members of the Tampa Police Department that have been selected and designated as specialty team member of the CISM Team. Members must have completed Critical Incident Stress Management training as approved by the International Critical Incident Stress Foundation.

answer

true

question

The Tampa Police Critical Incident Stress Management Team works in partnership with the __a multi-agency team comprised of local, regional, regional, state, and national members. The membership within this organization is multi-disciplinary; and composed of a psychologist, trained mental health professionals, and peer debriefers from various emergency services.

answer

Tampa Bay Regional Critical Incident Team, Inc. (TBRCIT),

question

__Powerful traumatic events that initiate the crisis response. These events are usually outside of the usual range of normal human experiences on the job or in one's personal life. Examples are line of duty deaths or serious injury to operations personnel. Child deaths, multiple casualty events and severe threats to emergency personnel are also classified as "".

answer

critical incidents critical incidents

question

Critical Incident Stress Debriefing: A specific, __ group crisis intervention tool designed to assist a homogeneous group of people after an exposure to the same significant traumatic event. The Critical Incident Stress Debriefing (CISD) is not a stand alone process and it should never be provided outside of an integrated package of interventions within the Critical Incident Stress Management (CISM) program. A debriefing is not a critique of police department operations. ___ will not be discussed.

answer

7-step Performance issues

question

__ A comprehensive, integrated, systematic and multi-tactic crisis intervention approach to manage critical incident stress after traumatic events.

answer

Critical Incident Stress Management (CISM):

question

___ A multi-disciplinary team composed of a psychologist, trained mental health professionals, and peer debriefers from various emergency services, including police, fire, EMS, dispatchers, hospital personnel, etc.

answer

CISD Team:

question

Defusing: A "__", not as detailed, lengthy or structured as a full debriefing, performed immediately after an incident is over. It allows for peer support, information and ventilation of feelings or immediate concerns affecting employees. In many cases, defusing may eliminate the need for a debriefing.

answer

mini-debriefing

question

__Quick informational and rest sessions applied when operational units have been released from service at a major incident that requires over 2/3 of available personnel (typically more than __)

answer

Demobilization: 100

question

Family Support: Family support services provide emotional and logistic support to the families of department employees. This service may be offered in cases of a line-of-duty death of an employee or the traumatic and unexpected death of an employee's immediate family member and is provided on a case-by-cases basis with __ approval.

answer

departmental staff

question

Services may be include coordinated assistance with the Honor Guard in assisting the family in making funeral arrangements, providing needed transportation to and from funeral functions, assisting family members in notifications to other family and friends, and providing other assistance as authorized by the CISM team commander. Although this service goes beyond the Mitchell Model of CISM practices, it has been deemed to be correlated to the team's primary mission and the well being of departmental members.

answer

true

question

All team member activities must be pre-authorized by the team commander and properly documented (statistical information only) on the ___ reporting form.

answer

Tampa Bay Regional Critical Incident Team, Inc. (TPRCIT)

question

One-On-One (Individual Crisis Management): A one-on-one is an individual meeting between the person being assisted and a trained CISM Team member. It is an intervention designed to return the employee to function, mitigate symptoms of stressful event(s) and/or make referrals as needed. This meeting may take place during the affected individual's tour of duty, or at any other time and place with authorization from the__.

answer

team commander

question

One-On-One (Individual Crisis Management): An officer may initiate the meeting; or it may come from a supervisor, concerned co-worker, or any other employee who believes the employee could use assistance. The request may be made by contacting any CISM team member, or requesting to be contacted by a member through the ___.

answer

Communications Bureau supervisor

question

__ A CISM team member or volunteer who has been trained to provide support to emergency service workers after a critical incident. Team members and volunteers are specifically selected because they have experienced the same pressures and job experiences as those they seek to help.

answer

Peer Debriefer:

question

__: Physical and/or emotional symptoms that originate with a specific critical incident and may include nightmares, flashbacks, fatigue, nausea, concentration and memory problems, anxiety, depression, intestinal problems, etc.

answer

Stress Reaction Symptoms:

question

Mandatory Notification of CISM:

answer

a. Line-of-duty death or life threatening injury of an employee; b. Suicide of an employee; c. Mass casualty incident; d. Death or life threatening injury to a citizen resulting from police operations; or e. Request from outside agencies for CISM assistance (for review by the team commander and approval by department staff).

question

Discretionary Notification of CISM:

answer

a. A duty related serious injury to an employee; b. Death of an immediate family member of an employee; c. Incidents involving extreme emotional distress of an employee; or d. Any incident that is charged with profound or overwhelming emotion to the officers and employees involved, such as incidents of extreme danger, incidents involving severe injuries or fatalities, incidents that attract unusually intense media coverage, etc.

question

The __shall notify the Tampa Police CISM team commander or their designee of all mandatory notifications. Incidents considered beyond the capabilities of the Tampa Police CISM team and requiring CISM resources from additional agencies will be requested through the Hillsborough County Emergency Operations Center (EOC).

answer

Communications Supervisor

question

Incidents deemed beyond the capabilities of the Tampa Police CISM team may include:

answer

1. Mass causality incidents; 2. Catastrophic natural disasters (hurricanes, floods, etc.); or 3. Emotional incidents so severe, or with close ties to CISM team members, that team members themselves require the assistance of CISM services. These may include the death of a team member, the death of a highly respected and admired department employee, or traumatic events in which many team members took an active first-responder role.

question

The__ will evaluate each request for assistance and determine the appropriate initial response level depending on the specific circumstances. The levels of response include: 1. One-on-one interventions; 2. Defusing; 3. Crisis Management Briefing (CMB); 4. Debriefing; and 5. Demobilization.

answer

CISM team commander

question

CISM team members assigned to the incident shall wear identification tags, identifying them as CISM members. They shall maintain a __, acting as observers, and are restricted to the __or other CISM designated area unless directed into the scene by the incident commander.

answer

low profile outer perimeter

question

The Structure of a Defusing can be defined as a __ phase intervention with the goal of normalizing or lowering tensions, providing pertinent information, discussing coping methods, and to identify those who may be in need of additional support.

answer

3

question

Defusing phases. Phase 1: Introduction - Introduces the team; lay out the guidelines; lower anxiety about the process; insure confidentiality. Phase 2: Exploration - Allows a brief discussion of the experience (a brief "story" of the event). Phase 3: Information - Provides information, normalize, teach, guidance, and summarizing key points.

answer

true

question

Based on the nature of the event and number of employees involved, the CISM team commander will dispatch three or more CISM team members to participate. a. One team member will be designated as the 'Team Lead". The lead will be the __ of the defusing. b. One team member will be designated as the "Educator". The educator will distribute materials relevant to stress reaction symptoms and discuss them as well as methods that have been proven to help mitigate those symptoms. c. One or more team members will be designated as "Peer Support". Crisis Management Briefing (CMB):

answer

primary facilitator

question

Crisis Management Briefings shall: a. Control destructive rumors; b. Reduce anticipatory anxiety; and c. Return a sense of control to victims / emergency service workers.

answer

true

question

The process of a Crisis Management Briefing consists of five core practices or duties and responsibilities of the CISM team.

answer

a. Assemble participants; b. Provide facts regarding crisis; c. Discuss and normalize common behavioral / psychological reactions; d. Discuss personal and community stress management; and e. Direct participants toward further assistance if required

question

A __ is an organized homogeneous group discussion of the event designed to mitigate the potential for long term stressful reactions. The debriefing will be coordinated by the CISM team commander with the affected division commander. a. It is a group process and will normally be held within (1-10) days after most incidents; (1-3) days for most acute incidents; (3-4) weeks for disasters. b. It will be held in a clean, private, and quiet location and normally last 1 - 3 hours.

answer

debriefing

question

The Structure of a Debriefing can be defined as a seven phase intervention with the goals of mitigating distress, facilitating psychological normalization and "closure", set expectations of behavioral reactions, provide stress management education, and serve as a platform for psychological triage and referral.

answer

true

question

Phases of the Debriefing Structure Phase 1: Introduction - Introduces the team; lay out the guidelines; lower anxiety about the process; address confidentially. Phase 2: Fact Phase - Explore what occurred from each participant's perspective. Phase 3: Thought Phase - Explore what thoughts each participant had during the incident. Phase 4: Reaction Phase - Explore each participant's perceptions at the time of the event from a "What was the worst part of the event for you?" point of view

answer

true

question

Phases of the Debriefing Structure Phase 5: Symptom Phase - Explore possible emerging physical or behavioral changes participants may be experiencing. Phase 6: Teaching Phase - Normalize reactions, provide anticipatory guidance, teach stress management, and describe external resources available. Phase 7: Re-Entry Phase - Reiterate normalization, allow for questions and answers, summarize key points or "lessons learned", and foster group cohesion.

answer

true

question

Based on the nature of the event and number of employees involved, the CISM team commander will dispatch __ or more CISM team members to participate.

answer

4

question

a. One team member will be designated as the 'Team Lead". The lead will be the primary facilitator of the debriefing. b. One team member will be designated as the "Educator". The educator will distribute materials relevant to stress reaction symptoms and discuss them as well as methods that have been proven to help mitigate those symptoms. c. Two or more team members will be designated as "Peer Support". d. Debriefings are always augmented by a mental health professional and clergy (if clergy is available) as provided by the regional CISM team.

answer

true

question

The ___ of a major incident will determine the need for demobilization services. These services can be coordinated for all emergency service workers at the scene. 1. Demobilization services provide for: a. A break or rest area for units in continuing service at the event. b. Information and support as officers leave the scene, and an opportunity for ventilation of thoughts and reactions. Command officers may give closing remarks or incident updates.

answer

on scene commander

question

The process of Demobilization consists of seven core practices or duties and responsibilities of the CISM team.

answer

a. Establish an appropriate demobilization center; b. Check in units as they arrive, keeping work teams together for demobilization; c. Assign CISM trained team members to provide information to the group and identify employees who may need additional assistance; d. Provide twenty minutes for rest and nourishment; e. Let participants know if a debriefing is planned; f. Provide a handout on stress survival suggestions; and g. Conduct one-on-one interventions as needed.

question

Based on the nature of the event and number of employees involved, the CISM team commander will dispatch eight or more CISM team members to participate.

answer

a. One team member will be designated as the 'Team Lead". The lead will be the primary facilitator of the debriefing. b. Two team members will be assigned to check units in for demobilization and guiding units to the appropriate areas for support, rest and food. c. Two team members will be designated as the "Educators". The educators will distribute materials relevant to stress reaction symptoms and discuss them as well as methods that have been proven to help mitigate those symptoms. d. Three or more team members will be designated as "Peer Support".

question

CISM ETHICS CODE: a. Boundaries of Competence. Team members shall provide services or conduct training only within the boundaries of their competence, based on their education, training, or supervised experience. b. Maintaining Expertise. Team members shall undertake ongoing efforts to maintain competence in the principles associated with Critical Incident Stress Management through bi-monthly team training and career advancement courses.

answer

true

question

CISM ETHICS CODE: Personal Problems and Conflicts. Team members shall recognize that their personal problems and conflicts may interfere with their effectiveness. Accordingly, they shall refrain from taking on an activity when they suspect, know, or should know, their personal problems or feelings are likely to lead to ineffectiveness, thus subjecting an employee or other effected person to possible further harm. Additionally, such ineffectiveness would be a negative reflection of the team and the program's reputation.

answer

true

question

CISM ETHICS CODE: Personal Problems and Conflicts. Team members shall recognize that their personal problems and conflicts may interfere with their effectiveness. Accordingly, they shall refrain from taking on an activity when they suspect, know, or should know, their personal problems or feelings are likely to lead to ineffectiveness, thus subjecting an employee or other effected person to possible further harm. Additionally, such ineffectiveness would be a negative reflection of the team and the program's reputation.

answer

true

question

Confidentiality Discussing the Limits of Confidentiality. Unless it is not foreseeable or is contraindicated, the discussion of confidentiality occurs at the outset of the relationship and thereafter as new circumstances may warrant. Minimizing Intrusion on Privacy. Members shall discuss confidential information obtained from program related contacts only for CISM professional purposes and only with persons clearly authorized to advise on such matters.

answer

true

question

Confidentiality Maintenance of Records. Members maintain appropriate confidentiality when creating, storing, accessing, transferring and disposing of records under their control, whether these are written, automated or in any other medium. Team members shall maintain and dispose of records in accordance with the law in a manner that permits compliance with the requirements of this Ethics Code.

answer

true

question

Confidentiality Team members may only disclose confidential information without the consent of the individual for a valid, exigent purpose. Such disclosures are: (1) to provide needed professional services to an individual, (2) to obtain appropriate professional consultations, such as EAP or (3) to protect the effected employee, first-responder or others from harm.

answer

true

question

Confidentiality Team members do not share confidential information which reasonably could lead to the identification of a firstresponder, agency or organization with whom they have had a debriefing relationship unless they (1) obtain the prior consent of the person, agency or organization or (2) the disclosure cannot be avoided. Information is shared only to the extent necessary to achieve the purpose of supplementary, enhanced consultation.

answer

true

question

Use of Confidential information for Teaching or Other Purposes. Program members do not disclose in their writing, lectures or other public media, confidential, personally identifiable information concerning the firstresponders or agencies for whom they have provided assistance, unless the person or agency has consented in writing or unless there is an ethical or legal obligation for doing so. Ordinarily, in scientific and professional presentations, members disguise confidential information concerning persons or organizations so they are not individually identifiable to others and so that discussions do not cause harm to persons who might identify themselves.

answer

true

question

Boundaries. It is the responsibility of team members - NOT those being assisted by CISM team activities, to maintain appropriate boundaries. All contacts shall be treated in a professional manner and members shall not enter into personal relationships with any person whom sought or was assigned assistance from the CISM team.

answer

true

question

Conduct. Team members must be vigilant regarding any conduct that could impair their objectivity and professional judgment in serving persons being assisted, and any conduct that carries the risk and/or the appearance of exploitation or potential harm to the person being assisted. Dual Relationships. Team members must recognize and avoid the dangers of dual relationships when relating to a person being assisted in more than one context, whether professional, social, educational, or personal.

answer

true

question

Dual relationships are forbidden and include, but are not limited to:____

answer

1) Accepting an assignment to assist anyone with whom the team member has had a prior romantic relationship. 2) Forming a romantic relationship with a current or former person assisted.

question

Sexual Relationships. Team members must not use their professional position to establish or pursue a sexual or improper emotional relationship with a person being or having been assisted or someone close to them whom the team member contacted through CISM activities

answer

true

question

A CISM team member is in a position of power and trust and sexualization of the relationship is a betrayal of that trust. As persons being assisted have suffered a traumatic experience and as studies have shown that emotional victims are susceptible to a false sense of security and bonding with caregivers -it is a violation of professional ethics and exploitation of trust, knowledge, influence, and emotions derived from the current or former professional relationship

answer

true

question

Consenting relationships is not a defense for violation of this policy. Past Relationships - no longer offering assistance, is not a defense for a violation of this policy if the past professional contact occurred within the last __ years.

answer

2

625 CRITICAL INCIDENT STRESS MANAGEMENT – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards