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A.2.20 (a) YOUTH SERVICES Critical Incident Stress Management Request Form To: Deputy Secretary Assistant Secretary Regional Director From: Statewide CASM Coordinator Date, Location and Description
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How to fill out critical incident stress management

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How to fill out critical incident stress management:

01
Assess the situation: Begin by identifying the critical incident that occurred and its impact on individuals involved. This could be a traumatic event, a natural disaster, or a major crisis. Gather as much information as possible to understand the context and scope of the incident.
02
Identify affected individuals: Determine who may have been directly or indirectly affected by the critical incident. This could include victims, witnesses, emergency response personnel, or even family members. It's important to consider both physical and psychological impacts when identifying those in need of support.
03
Provide initial support: Immediately after the critical incident, it is crucial to provide initial support to affected individuals. This could involve ensuring physical safety, offering reassurance, and connecting them with appropriate resources such as medical care or crisis helplines. This initial response helps individuals feel supported during the immediate aftermath of the incident.
04
Conduct assessments: Once the initial response has been provided, conduct individual assessments to gauge the level of stress and other psychological impacts experienced by those affected. This can be done through interviews, surveys, or standardized self-report measures. Assessments help identify individuals who may require further intervention or support.
05
Implement interventions: Based on the assessments conducted, implement appropriate interventions to address the psychological impact of the critical incident. This could include individual counseling or therapy, group support sessions, psychoeducation, or referral to specialized mental health professionals. Interventions should be tailored to the specific needs of each individual or group.
06
Follow up and monitor progress: Continuously assess the progress and well-being of individuals who have undergone critical incident stress management. Follow up with them regularly to ensure they are receiving the necessary support and to identify any changes or additional needs. Monitoring progress helps evaluate the effectiveness of the interventions and allows for adjustments if necessary.

Who needs critical incident stress management?

01
Individuals directly affected by the critical incident: This includes victims of the incident, witnesses, and anyone who experienced the traumatic event firsthand. They may be experiencing a wide range of emotions, such as fear, anger, guilt, or grief, and require support to cope with these intense feelings.
02
Indirectly affected individuals: Even those who were not present at the scene of the critical incident can be impacted by it. This could include family members of victims or witnesses, emergency response personnel who were involved in the aftermath, or community members who may have been exposed to the incident indirectly. These individuals may also experience distress and benefit from critical incident stress management.
03
Professionals involved in managing the incident: Emergency response personnel, healthcare providers, law enforcement officers, and other professionals who are directly involved in managing the aftermath of the critical incident may also require critical incident stress management. Due to their roles, they may experience high levels of stress, fatigue, or burnout, and need support to effectively cope with the demands of their work.
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Critical Incident Stress Management (CISM) is a process designed to help individuals deal with and recover from traumatic events.
Any individual or organization that has experienced a critical incident may be required to file CISM.
CISM forms can usually be filled out online or in person with a CISM specialist.
The purpose of CISM is to provide support and interventions to help individuals cope with the emotional impact of traumatic events.
Information reported on CISM may include details of the incident, emotional reactions, and coping strategies used.
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