Emergency response professions are stressful by nature.  Especially stressful situations, called critical incidents, produce unusually strong reactions – with the potential to interfere with a responder’s ability to function at the scene or later.  Critical Incident Stress Management provides a model for mitigating and managing the effects of critical incident stress.

Critical Incident Stress Management (CISM) is a comprehensive, integrated, systematic and multicomponent crisis intervention program. It was developed to help manage traumatic experiences within organizations and communities. CISM is a “package” of crisis intervention tactics that are strategically woven together to: 1) mitigate the impact of a traumatic event; 2) facilitate normal recovery processes in normal people, who are having normal reactions to traumatic events; 3) restore individuals, groups and organizations to adaptive function; and to 4) identify people within an organization or a community who would benefit from additional support services or a referral for further evaluation and, possibly, psychological treatment.1 Read More

U.S. Navy Recognizes Benefits of the CISM Model

The Region J Critical Incident Stress Management Team provides CISM services to emergency response workers, and their significant other, to assist them to appropriately manage the effects of emergency response related stress. The Team is trained to mitigate long-term stress reactions in a positive manner.  The Team provides these services at no and all sessions are kept in the strictest confidence.  There is no note taking, recordings or sharing of information outside of the actual interventions.

The Team follows the model advocated by the International Critical Incident Stress Foundation (ICISF) developed by Dr. Jeffrey T. Mitchell. The model is described in the document: Critical Incident Stress Debriefing; An Operations Manual for CISD, Defusing and Other Group Crisis Intervention Services, Jeffrey T. Mitchell & George S. Everly, 3rd Edition, Chevron Publishing.


Team Coordinator:  (919) 906-9340, (919) 855-4686 or peggy.handon@dhhs.nc.gov

1Mitchell, Jeffrey.  “Critical Incident Stress Management.”  iTrauma.  Web Accessed 27 May 2015. http://www.info-trauma.org/flash/media-e/mtichellCriticalIncidentStressManagement.pdf

Leave a Reply

Your email address will not be published.