CISM Team Construction and Maintenance · 2018. 7. 13. · makes your life worthwhile. CISM team...
Transcript of CISM Team Construction and Maintenance · 2018. 7. 13. · makes your life worthwhile. CISM team...
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CISM Team Construction and
MaintenanceJeffrey T. Mitchell, PhD., CCISM
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Setting up and Running a
CISM Team
It takes dedication and some work
It is worth the effort
Helping even one person to change their life
makes your life worthwhile
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CISM team structure
All Teams have leaders: Clinical Director, team
coordinator(s), and Team liaison / Administrator
Most teams are voluntary, non-paid
Many team are multi-agency or multi-
jurisdictional
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CISM Team Members
Peer Support personnel
Mental Health Professionals
Chaplains / clergy
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What is a MHP?
Masters or Ph.D.
Psychology, social work, Psych nursing,
pastoral counseling, etc.
All members must be trained in CISM
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Questions so far
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Peer Support Personnel
peer support personnel are drawn from all the
organizations who can use them
No one should be pressured to serve
Should play active roles on teams
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PEER
RESPONSIBILITIES
INITIATE CONTACTS
ASSESS (5 T’S)
INFORM COORDINATORS AS TO NEEDS
PROVIDE DEFUSING (GUIDANCE FROM MHP)
ACTIVE ROLES IN CISD
SUPPORT INDIVIDUALS
PROVIDE FOLLOW-UP/ REPORT IN/ FOLLOW INSTRUCTIONS
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CRITERIA FOR PEERS
EXPERIENCE IN THE SERVICES
MATURE / HAS RESPECT OF PEERS
HIGH LEVEL OF CONFIDENTIALITY
TEAM PLAYER
KNOWS THEIR LIMITS
PROPERLY TRAINED
GOOD PEOPLE SKILLS
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CISM ELEMENTS
SENSIBLE STAFF SUPPORT WITH PROPER TRAINING
READY TEAM
ADMINISTRATIVE ENDORSEMENT
SIGNIFICANT OTHER SUPPORT / FAMILY LIFE PROGRAMS
SOP’S
SYSTEMATIC APPROACH
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CISM ELEMENTS
PRAGMATIC APPROACH
FLEXIBILITY AND ADAPTABILITY
MUTUAL AID
REFERRAL SYSTEM
A WIDE RANGE OF CISM INTERVENTIONS
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ESTABLISHING A CISM
TEAM
ESTABLISH NEED
ADMINISTRATIVE APPROVAL
RECRUIT PEER / MENTAL HEALTH
SUPPORT
REVIEW EXISTING PEER SUPPORT
PROGRAMS
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ESTABLISHING A CISM
TEAM
SET UP A STEERING COMMITTEE TO GUIDE THE
DEVELOPMENT OF THE TEAM
DECIDE ON A LEAD AGENCY / ORG
DEVELOP THE TEAM STRUCTURE
SOLICIT APPLICATIONS FROM POTENTIAL TEAM
MEMBERS
SCHEDULE THE TRAINING
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ESTABLISHING A CISM
TEAM
TRAIN
SELECT TEAM MEMBERS
ESTABLISH EFFECTIVE LEADERSHIP
WRITTEN PROTOCOLS
ADVERTISE THE TEAM
MAINTAIN OPERATIONS
EVALUATE TEAM PERFORMANCE
PUBLISH ARTICLES AND RESEARCH FINDINGS.
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TRAINING
REQUIREMENTS
MINIMUM : ASSISTING INDIVIDUALS IN
CRISIS AND GROUP CRISIS SUPPORT
PROFICIENCY: ADVANCED INDIVIDUAL AND
ADVANCED GROUP
HIGHLY SKILLED: SUICIDE PIR AND
STRATEGIC RESPONSE TO CRISIS
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Things to remember
Comprehensive CISM
Focus on primary targets, but be ready to help other
organizations on a case by case basis
Do not have policies that suggest you help everyone.
Likewise, do not have policies that suggest you help no
one outside of you primary target groups.
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Major pitfalls
Providing services, beyond limited emergency conditions,
to people you are too emotionally close to
Providing CISM services on incidents in which you played
a significant role
Providing CISM services when you have direct command
or supervisory responsibilities
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Reducing the risk of legal
action
Risks are: inadequate training and violations of
standard CISM practices and procedures
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Protecting the team from
legal Action
Proper training
Adherence to standards of practice
Know the laws that apply to you
Respect the right of individuals to refuse help
Don’t turn a CISD into a therapy session
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Protecting the team from
legal action
Informed consent
Reasonable and prudent guidance
Report to clinical director any suicidal
indications and threats to others
maintain confidentiality
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Protecting the team from
legal action
Do not take notes or make recordings
MHP must follow the ethical code of their
profession
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Keeping the team going
Education, education, education
Cross familiarization
Regular team meeting: a) intervention review, b)Team
business, c) education
Branch out where possible
Post Action Staff Support
Disciplinary action if necessary.
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Questions
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