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June, 2007


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June, 2007

  1. 1. WYO CISM NET A Newsletter for Critical Incident Responders in Wyoming June, 2007 WYOMING CISM UPDATE The following is taken from the manual for CISM: Advanced Group Crisis Intervention (3rd Edition, Nov, 2006). It is placed here as a review and reminder: Elements of CISM 1. Strategic Planning – Structuring an integrative 6. Critical Incident Stress Debriefing (CISD) (small intervention homogenous groups) 2. Pre-incident education, resistance, and resiliency 7. One-on-one crisis intervention training 8. Family CISM 3. Demobilizations, Respite Centers (large groups of emergency personnel) 9. Organizational/Community intervention, consultation 4. Crisis Management Briefings for large groups of 10. Pastoral crisis intervention primary or secondary victims (emergency personnel), and tertiary victims ( family, co-workers, 11. Follow-up community, etc.) 12. Referral for continued care 5. Defusings (small homogenous groups) When a critical incident occurs, the CISM Crisis Intervention might include one or more of the following and, if needed, referral to one or more of the following resources. CISM Crisis Intervention Refer to _ CISM Crisis Intervention Refer to________________ Family Support • Information - EAP Family Support • Information  Chaplain/Clergy • Individual - EAP • Individual  Human Resources • Group  Chaplain/Clergy Family Advocate • Group  Refer • Family   Legal Human Resources • Family  as needed  Mental Health • Organization   Family Advocate Psychotherapy • Organization  to any  • Community  / Hospitalization Legal • Community  / Rehabilitation • Follow-up  / Mental Health • Follow-up  / Other resources • Referral mechanisms  / Psychotherapy • Referral mechanisms  / Hospitalizatio
  2. 2. REMINDER: The majority of individuals exposed to a traumatic event will not need formal psychological intervention. However, that does not negate the obligation to respond to the needs of those who could benefit from acute psychological support. CERTIFICATION PROGRESS - Requirements for Certification as a CISM Responder through the Rocky Mountain Region Disaster Mental Health Institute will include: • Complete Application For Certification as CISM Responder through the Rocky Mountain Region Disaster Mental Health Institute. • Verification of completion of Core courses in CISM (5 courses: can send certificate copies) • Verification of completion of ICS-100 and NIMS-700 courses from FEMA (can send certificate copies) • Recommendation letter from at least one Team Coordinator or CISM Team Leader • Documentation of at least one year as a CISM Responder either as individual or as team member. This should include at least two CISD sessions as a CISD Team member. • Remittance of Certification and Exam Fee of $50. • Once successfully completed, Certification will be for a period of two (2) years, after which re- certification will be required. This will involve successful completion of the online update course that is offered by ICISF and Weber State University. • Additional Advanced Certifications can also be achieved by successfully completing Specialty courses and other advanced courses relevant to specialty areas. Requirements for Advanced Specialty Certifications will be available elsewhere. • This and Advanced Specialty Certifications are available through the Rocky Mountain Region Disaster Mental Health Institute. ICISF UPDATE The following article was recently sent to Trained Trainers by Donald R. Howell, Executive Director, International Critical Incident Stress Foundation, Inc. Here is the article that is posted in all UN pages worldwide. I have received an impressive number of positive comments from the UN senior officials at the highest level. If there is anything to change let me know, I will correct it Thanks for your support. Moussa Ba, MD, MPH Chief , Critical Incident Stress Management Unit United Nations, New York, NY New crisis and stress management training programme launched In an effort to enhance the quality of psychosocial support services provided to UN staff worldwide, the UN Department of Safety and Security (UNDSS) Critical Incident Stress Management Unit (CISMU) has instituted an intensive counselor training and certification programme. The training represents a key component of the Unit's strategic framework, which aims to provide harmonized, readily accessible, quality psychosocial services to UN staff utilizing professional resources at the country level. The results of the pilot programme, initiated during the past two years, illustrate the efficacy of this model. Critical Incident Stress Intervention Cells (CISICs), comprised of locally-based counsellors and peer helpers, were established in Indonesia, Pakistan, and India. Assessment results after one year revealed that the programme was highly successful. Managers at the field level provided strong support for the structure, and the programme was acknowledged as a "best practice" in psychosocial management at the 2007 Humanitarian Coordinators' meeting. As a result of these successes, CISMU has proposed expanding the programme to the global level. With a view toward building a worldwide network of UN affiliated counsellors and delivering services consistent with the best practices in crisis management, CISMU established a Consultative Working Group 2
  3. 3. on Stress that included a panel of globally distinguished experts in traumatic stress management. Criteria for selection included recognized expertise in the area of traumatic stress management and accessibility to global networks of professional mental health practitioners. A meeting was held in Paris April 10-13, 2006 that included Mark Lerner (President of the American Academy of Experts in Traumatic Stress), Louis Crocq (President of the Francophone Association for Traumatic Stress and originator of the French National Medicopsychological Emergency Programme), Didier Cremniter (National Committee on Medico-psychological Emergencies), Nayla Chidiac (Medico Psychological Emergency Cells of Paris), Mark Van Ommeren (WHO focal point for Emergency Mental Health and Stress), Jeffrey Mitchell (International Critical Incident Stress Foundation), Ruth Sembajwe, (Head of the United Nations Staff Counsellor's Office, OHRM, DM), and Moussa Ba, Chief (UNDSS Critical Incident Stress Management Unit). As a follow up to the Paris initiative, a second meeting was held. As a result of the meeting, a group of the world's leading experts on crisis and traumatic stress management agreed on a scientific, holistic approach to the topic and further, assisted in developing a UN specific counsellors' training package. A ninety-hour course has been designed that incorporates both the strong practical and theoretical orientations of the experts. The material emphasizes the individual's inherent capacity for healing and recovering from ordeals while acknowledging important cultural and diversity perspectives. It comprehensively encompasses key aspects of stress and crisis management, providing an array of tools—including assessment and strategic planning, human communication and crisis intervention (for individuals and for small and large groups), management of mass disasters, and advice to decisions makers in crisis settings. The inaugural Certification Training in Crisis and Stress Management Course included 15 UN counsellors from around the globe representing 11 nationalities and 10 UN duty stations or missions. Conducted in Glen Cove, Long Island March 11-23, 2007, the course was endorsed by the Consultative Working Group on Stress and administered in collaboration with four of the experts referenced above: Louis Crocq, Didier Cremniter, Mark Lerner, Jeffrey Mitchell and United Nations counsellors who provided vital input on topics particularly relevant to UN staff. Because the course content was equivalent to the extensive training offered by these respective organizations to practicing professionals, participants received official certification from the American Academy of Experts in Traumatic Stress, the French Institute of Research and Education in Traumatic Stress and the International Critical Incident Stress Foundation. The completion of this initiative represents a remarkable accomplishment within the field of critical incident stress management, building a bridge between the French and the American approaches to crisis and traumatic stress management and taking into account WHO's important recommendations in this area. The resources of leading experts on traumatic stress management have been adjusted to reflect the complex realities of the United Nations resulting in the development of a unified, standardized approach to crisis and stress management that will ultimately facilitate the provision of improved psychosocial services to UN staff members worldwide. TEAM UPDATES SWEETWATER ASSIST CISM TEAM – ROCK SPRINGS The Sweetwater ASSIST CISM Team met for their monthly meeting on May 15 at the Rock Springs Police Department Training Room. The attendees included representatives from Southwest Counseling, Western Wyoming Community College, Family Dynamics, and Emergency Management as well as Peer Coordinator Randy Hanson from the Rock Springs Police Department. Traci Ciepiela from Western Wyoming Community College discussed her upcoming classes: “Terrorist101”, “Why they think what they do. July27th 2007 from 1-4p @ WWCC in Green River and “RAD” Womens’ self defense Training on the 7th and 8th. At their next CISM meeting on June 19th, instructors from Southwest Counseling will put on the “Gatekeeper” Suicide Prevention course for the Sweetwater team. This was organized by Randy Hanson, Steve Sorenson and Mike. The course is informative and instructional about suicides and prevention. In the area of recruitment, Randy Hanson has been in contact with Reverend Joyner of the First Congregational Church. He receives copies of the monthly meeting minutes to keep him informed of team activities and is reported to be very interested in this. Susan Nate from Nate Counseling attended a team 3
  4. 4. meeting and provided a brief history of her involvement with CISM. She has years of experience and indicated that she would like to become a part of the team. Randy Hanson is still working with his administration to get Officer Bob Cottrell assigned to the team and Judy Roderick said she is talking with another possible recruit who also might be interested in the team. Upcoming trainings in August were discussed. Randy Hanson has secured classrooms at Western Wyoming Community College for the following Classes: • 8:30-5:00 Mon & Tues Aug. 27th & 28th – CISM: Group Crisis Intervention - Room 1405 • 8:30-5:00 Mon & Tues 27th & 28th - “Capstone” Strategic Response to Crisis - Room 1406 • 8:30-5:00 Wed & Thurs Aug. 29th &30th Advanced Group CISM Room 1006 Cost is $75.00 per class, to cover instructors and materials The next meeting of the Sweetwater ASSIST CISM Team will be on Tuesday, June 19th 2007 at the Rock Springs Police Department Training Room from 5:30 – 8:00 P.M. The major activity will be the Gatekeeper Suicide Training. CAMPBELL COUNTY CISM TEAM – GILLETTE The Campbell County CIS Team recently responded to a request for a multiple incident Critical Incident Stress Debriefing. They responded to a call from Thermopolis by an EMT Team that had responded to a number of highly stressful incidents within a very short period of time. The CISM Team planned their intervention(s), assigned team members, designed and followed a protocol for a multiple-incident debriefing, traveled to the site and provided the service. They worked with each other following the Debriefing to provide Post Action Staff Support (PASS) for the Debriefing Team. At their last monthly Team meeting, Go Book materials were handed out and discussed. The Team is still working on Policies and Procedures. Upcoming training that will be sponsored by the Campbell County CISM Team will take place at Campbell County Memorial Hospital on June 29th – 30th – CISM: Strategic Response to Crisis. Cost is $75.00 for the class, to cover instructor and materials expenses. FREMONT COUNTY CISM TEAM – RIVERTON The Fremont County Team is sponsoring the CISM: Suicide Prevention, Intervention, and Postvention course in Riverton November 2nd – 3rd at Central Wyoming Community College. Alice Nichol has arranged for the classroom. She also has negotiated with the Holiday Inn for a block of rooms at a special rate of $49 per night. Rooms must be reserved by October 19th in order to get that rate. People should indicate that they are attending the CISM Conference at Central Wyoming College. The Holiday Inn is located at 900 E. Sunset Dr. at the corner of Sunset Dr. and Federal Blvd. on the north end of town, about half a mile south of WalMart. Phone is: 307-856-8100 or 877-857-4834. CASPER CISM – CASPER The developing Casper CISM Team will be hosting the following CISM Specialty courses in Casper at the Health Department in July: • 8:30 AM – 5:00 PM July 13-14 – CISM in Healthcare Settings • 8:30 AM – 5:00 PM July 17-18 – CISM: When Disaster Strikes • 8:30 AM – 5:00 PM July 19-20 – Domestic Terrorism and Weapons of Mass Destruction: A CISM Perspective Cost is $75 for the Healthcare class and $100.00 per class for the other two, to cover instructors and materials expenses. UPCOMING TRAINING The Rocky Mountain Region Disaster Mental Health Institute will be providing CISM courses at various locations around Wyoming again this year. These workshops will include the core courses as well as three specialty courses. It is important for those interested in these trainings to register as soon as possible after locations and dates are posted. There are limited numbers of slots available for each of them. This is especially true for the Capstone course on Strategic Response to Crisis (Gillette and Rock Springs), CISM: Suicide Prevention, Intervention and Postvention (Riverton), CISM in Healthcare Settings (Casper), CISM: When Disaster Strikes (Casper), and Domestic Terrorism and Weapons of Mass Destruction: A CISM 4
  5. 5. Perspective (Casper). Please check the online brochure for CISM Trainings in Wyoming at: for updates, courses offered, course descriptions, instructor bios, course fees and REGISTRATION FORMS. As locations are firmed up, these will be posted there and on the Rocky Mountain Region Disaster Mental Health Newsletter at: and on the WYO CISM NET discussion site. The following courses will be offered on the dates locations listed: • CISM: Group Crisis Intervention – Rock Springs – August 27-28 Instructor: Pamela Fuller • CISM: Advanced Group Crisis Intervention - Rock Springs August 29-30 Instructor: George W. Doherty • CISM: Strategic Response to Crisis – Gillette -June 29-30 and Rock Springs August 27-28 Instructor: George W. Doherty • CISM: Pastoral Crisis Intervention – Dates & location TBD Instructor: Bob Rudichar • Stress Management for the Trauma Provider – Prior to Annual Conference in Cheyenne (November 8-10) Instructor: Gordon Harper The following Specialty courses will be offered only once during the year in Wyoming. Due to limited instructor availabilities and the fact that the instructors for these specialty courses come from other parts of the country and their fees are higher and also include travel (air, hotel, meal expenses). The following courses will be offered on the dates and at the locations below: • CISM in Healthcare Settings – July 13-14 – Casper, WY Instructor: Patricia L. Tritt, RN, MA • CISM: When Disaster Strikes – July 17-18 – Casper, WY Instructor: Douglas J. Mitchell, MPA, Lt. (Ret.) FDNY • Domestic Terrorism and Weapons of Mass Destruction: A CISM Perspective – July 19-20 – Casper, WY Instructor: Douglas J. Mitchell, MPA, Lt. (Ret.) FDNY • CISM: Suicide Prevention, Intervention and Postvention – November 2-3 – Riverton, WY Instructor: Daniel W. Clark, PhD PayPal sites are available for all offered courses at the following site: . Please call 307-399-4818 with questions. CURRENT CISM TEAMS IN WYOMING The following Teams are organized and available for responses within the state: • Snowy Range CISM Team - National Registered Team Peer Coordinator: Sgt Dave Smith, Laramie Police Department Mental Health Coordinator: George W. Doherty, Rocky Mountain Region Disaster Mental Health Institute CONTACT: 800-821-3711 Email: • Sweetwater ASSIST CISM Team – Wyoming Registered Team Peer Coordinator: Sgt Randy Hanson, Rock Springs Police Department Mental Health Coordinator: Michael Bauer, S.W. Counseling CONTACT: Ph: 307-352-1575 Email: • Fremont County CISM Team Peer Coordinator: Sgt Jerry Evagelatos, Sheriff’s Department Mental Health Coordinator: Alice Nichol, Central Wyoming Community College CONTACT: Ph: 307- 857-3604 Email – • Campbell County CISM Team Coordinator: Bob Rudichar Peer Coordinator: Charlie Messenheimer Mental Health Coordinator: Robin Voigt CONTACT: 307-685-1067 (Press 8 at opening message) • Southeast Wyoming CISM Team Coordinators: Sandra Jacquez and Dori Clark CONTACT: 307-637-6525 or, during business hours 307-637-6507 or 307-633-4756 • Sheridan CISM Administrative Coordinators: Michelle Cunningham & Jennifer Shassetz at Sheridan Police Dept. 307-672-2413 5
  6. 6. The following are teams that are in the beginning stages of development and organization: • Casper CISM Current CONTACT: Lt. Stewart Anderson & Theresa Simpson Phone: 307-235-9205 • Additional Team is also being considered in Evanston. 6