Why Critical Incident Stress Management Teams Matter in Primary Care

2021 ◽  
Vol 5 (1) ◽  
pp. 5-14
Author(s):  
Kira Batist ◽  
Alissa Mallow

ObjectiveCritical incident stress management (CISM) teams can be adapted in urban primary care clinics to address and process traumatic events in primary care. A guide for implementing the CISM team model within this setting is delineated.MethodsReview of existing literature and guide to implementation of CISM team in primary care.ResultsRespondents reported the team validated their reactions to the critical incident and were grateful for CISM presence.ConclusionDespite indications that vicarious traumatization, burnout, and compassion fatigue are rising (Bodenheimer & Sinsky, 2014; Coles et al., 2013; Woolhouse et al., 2012), there is little information about efforts to address this. Operating and emergency rooms and intensive care units utilize CISM (Maloney 2012; Powers, 2015); however, it's overlooked in primary care (Blacklock, 2012; Naish et al., 2002).

2009 ◽  
Vol 7 (4) ◽  
pp. 17
Author(s):  
Norma S.C. Jones, DSW ◽  
Kamilah Majied, PhD

This article presents a critical incident stress management program (CISMP) that is designed to anticipate and mitigate the emotional impact of external and internal critical incidents upon individuals and groups who deliver disaster recovery services. This comprehensive program provides for immediate and sustained responses to assist disaster workers in effectively minimizing the emotional detriment of stressful incidents, resulting from interactions with disaster victims. Disaster workers have the potential to experience compassion fatigue as they listen to the disaster survivors’ stories of pain and losses, and work long work hours over extended work periods. The program is a structured, peer-driven, clinician-guided, and supported process designed to provide interventions to address disaster-related mental health issues. Emphasis is placed on individual peer support for immediate action, and specialized individual and group support, assessment, and referral is provided by a stress management clinician. Peer partners participate in a training program, which includes: (1) an overview of stress assessment and management; (2) critical/intervention orientation; (3) identification and utilization of peer support techniques; (4) event preplanning, event briefings, defusings, and debriefings; (5) protocol for responding to an incident; and (6) basic information on workplace violence.


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