1. The Nature of Stress. - It is all about the impact of stress.

• Overview of Stress

• Stress Response

• Physiological Action of Stress

• Fight or Flight Response

• Freeze?

• Relaxation Response

• Chronic Stress

2. Diagnosis of Stress Related Illness- Overview of stress related psychological illness, including diagnostic criteria and differential diagnosis.

3. Basic CISM.

• History and development of Critical Incident Stress Management and the International Critical Incident Stress Foundation

• CISM Terms

• CISM Core Components

• Safe R Crisis Intervention

• CISM Team

• CISM Interventions- Onsite, Demobilizations, Defusing, Debriefing, Post-Activity, Follow-up.

• CISD 7 Stage Intervention

• Time Line for CISM Interventions

4.  Introduction to Advanced CISM

• Multiple Events

• Significantly Delayed Interventions

• Suicide of a Colleague

• Line of Duty Death

• Disaster/Multi-casualty

5.  CISM in the Workplace  

• The Organization

• Role of Employee Assistance Programs in Corporations.

• Structure of EAPs- Internal and External

6. EAP/CISM Intervention

• Types of Critical Incidents Affecting Workplaces

• Types of EAP/CISM Interventions.

• From first contact to leaving the building. Choosing the right intervention. The nuts and bolts of the entire intervention with special focus on the stress response and recovery process.

• Job Performance Referrals and CISM

7. Complex Issues

• Problems in groups

• Attendance and missing employees

• Dealing with Family

• Confidentiality

• Management

• Large Scale incidents

• Multiple EAP roles- EAP counselor, CISM interventionist, fitness for duty evaluator, coach, disability management.

8. Taking Care of Yourself.

• Compassion Fatigue and Secondary Traumatic Stress.

• Preparedness.

• Steps to mitigate your own stress reactions.

To review your trainer, Robert Intveld, LCSW and Robert Douglas and Associates proceed to the next page.