New Castle County CISM Team - CISM Response
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CISM Response
There are many methods for dealing with stress resulting from exposure to a critical incident.  The NCC CISM Team is trained to support public safety personnel who are involved in emergency operations.  The NCC CISM Team is called into action through the New Castle County Fireboard after a critical incident.   The purpose of this group is to assist in mitigating long-term effects of stress by using several response methods.   These response methods include, but are not limited to, the following:
Critical Incident Stress Debriefing:  The debriefing process provides a format in which personnel can discuss their feelings and reactions regarding a stressful incident, thus reducing the reactions and stress which can result from exposure to a traumatic event or series of traumatic events. There are no written or recorded notes and all debriefing(s) will be STRICTLY CONFIDENTAL.  A critical incident stress debriefing is not a critique of emergency services operations at the incident.  A debriefing is scheduled 24 hours to 10 days after the event whenever possible.  (2-4 weeks following mass disasters).

Defusing:  A defusing is similar to a debriefing, but is usually done 3 to 4 hours post incident or before the end of the shift. All defusing(s) will be STRICTLY CONFIDENTIAL.
One-On-One:  A one-on-one is an individual meeting with a CISM Team member designed to return the emergency services worker back to normal functioning, 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.  The meeting may be initiated by an officer; however, it may come as a suggestion from a co-worker, supervisor or the individual who is affected.   A CISM Team member may initiate the session after learning about the incident.
Demobilization:  A demobilization is a primary stress prevention and intervention technique which occurs immediately after personnel are released from a large-scale incident and before they return to their normal duties or return home. The demobilization is provided in a safe and secure environment and is out of the view of the public and media.  A demobilization is similar to a defusing but allows the affected personnel to rest and take of immediate physical needs.
Deactivation:  A deactivation is the removal of an affected individual from duty for the remainder of his/her shift and the recommendation should be coordinated with the individual’s officer or supervisor. 
Pre-Incident Education:  Information provided to emergency services personnel and their families to improve coping skills, increase awareness of symptoms of critical incident stress, suicide, depression and anxiety that may occur as a result of involvement in a critical incident.
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