Sierra Nevada CISM Network — 24 / 7 Working Together To Fit The Pieces... 
*Individual Peer Support and Critical Incident Stress Management was established to ensure first responders involved in work-related critical incidents are provided with available resources to treat the immediate effects of stress related incidents. The team provides support in a neutral comfortable setting, and provides follow up when necessary. Research has shown that early intervention after a critical incident or a traumatic event can lessen the effects of stress and trauma until more professional help can be accessed.
*Crisis Management Briefing ( CMB )
This process is a short informational meeting that is focused on relaying information about the incident and reactions after a large-scale emotional taxing incident. This can be conducted for any size group.
*Defusing
This process allows those involved to put together the pieces of the incident and talk about their reactions or thoughts. CISM Peers and/or Mental Health professionals provide information about normal stress reactions, available support services, and details of a possible follow-up debriefing. This is a group process, usually conducted with the first 24 - 48 hours following a critical incident and can be conducted for 3 to 40 people.
*Debriefing
This process is designed to mitigate the impact of a critical incident. It is a structured intervention by specially trained peers and Menatal Health Professionals of the CISM Team that allows a group to meet and encourages those involved in a Critical Incident to openly discuss their thoughts and reactions in a safe, non-threatening environment. It also provides crisis management tools and resources. Ideally this takes place 24 - 72 hours after the Critical Incident and can be conducted for 3 to 40 people.
**Times can vary based on needs. All services and conversations are held strictly confidential unless there is a threat to harm self or others.
About
Sierra Nevada Critical Incident Stress Management Network (SNCISMN) was founded in 1993 to meet the needs of First Responders and Health Care Personnel involved in events that may tax their normal coping mechanisms — our purpose is to help reduce stress after critical incidents...
As an emergency service and/or health care provider, your training and experience is valuable to your unit and your community.
Our goal is to provide stress management tools to decrease the chance of post-event burnout and fatigue, so responders can continue to function and contribute to the health and safety of the community.
The SN CISM Network Team consist of volunteer professionals from a variety of public service agencies, including; Correctional Facilities, Dispatch, EMS, Fire, Hospitals, Law Enforcement, Mental Health professionals and Spousal Support to provide peer support and assistance to First Responders.
The Sierra Nevada CISM Network is a private, non-profit ( 501.c.3 ) organization as specified by IRS guidelines. The Sierra Nevada CISM Network team is endorsed by ICISF (International Critical Incident Stress Foundation) for individuals and teams to provide leadership, education, training, consultation, and support services to emergency response and health care professionals.
SN CISM Network is supported entirely by contributions, fundraising, its members and the people of the communities we serve. . "Click Here To Donate"
Sierra Nevada CISM Network "...working together to fit the pieces."
The goal is to provide support to emergency workers after a period of intense involvement at a critical incident. Crisis Management Briefings and Defusings are short informal intercessions that are conducted within the first few days following the incident. Debriefings follow 7 specific steps. Introduction, Fact phase, Reaction, Thoughts Signs and Symptoms, Crisis Management tools and resources and Re-entry.
CISM - Provided in a Group Setting
Trained Peer Personnel along with Mental Health professionals conduct structured group discussion, education or initial intervention for emergency first responders, and can conduct: Crisis Management Briefings, Debriefings, Defusing, and On Scene Support. Peer Support Services – For one-to-one assistance
Peer to peer support occurs when trained peers provide knowledge, experience, emotional, social or practical help to each other. Peers are trained to identify the specific resources available to best serve the responder’s needs after the responder is exposed to a traumatic event.
TO ACTIVATE THE TEAM, OR SPEAK WITH A COORDINATOR, CALL: 775.858.6011
(*REMSA DISPATCH will forward your info to the SN CISM Net Coordinator on call )
Individual Peer-to-Peer Support is available to ensure first responders involved in work-related critical incidents are provided with mediation and available resources to treat the immediate effects of a traumatic incident and support in a neutral or comfortable setting and provide follow up when necessary.
CISM CMB, Defusings and Debriefings are conducted for 3 - 40 people at one session, in a group setting to discuss reactions, thoughts or feelings related to the incident. The goal is to provide education on stress signs, symptoms and stress related coping skills. The team also provides resources to individual follow-up if requested. Services provided by the team are oriented towards stress management, crisis intercession and education. KEY SIGNS AND SYMPTOMS: Fatigue / exhaustion Numbness Distress Anger Guilt Mood changes / swings Insomnia Excessive sleep Poor memory Apathy Flashbacks Avoidance Cynicism Over protection Memory impairment Tunnel vision Disorientation Loss of appetite Digestive problems Hyper arousal Depression Loneliness Hopelessness Aggressive behavior Negative feelings Irritability Fear / Terror Loss of pleasure helplessness Self-blame Impaired Concentration Impaired Decision making Tunnel vision KEY POINTS FOR PREVENTION: Get support from others Eat nutritional meals Excercise 3-5 times a week for at Get as much rest or sleep each day Cut back on your intake of caffeine, Find a new hobby or pick one you Start a journal Do something you enjoy Practice deep breathing Create space in your day for quality Take time, each day, for some form Clearly establish priorities in your life Keep a regular schedule of your Laugh and keep your sense of humor Understand your feeling are normal Be kind to yourself Seek help if signs and symptoms Critical Incident Stress is a common reactions by normal people to an abnormal situation that may tax their coping skills...
Sierra Nevada Critical Incident Stress Management Network (SNCISMNet) was founded in 1990 to meet the needs of First Responders and Health Care Workers of Northern Nevada and the surrounding areas during and after incidents which may tax their normal coping mechanisms.
The SN CISM Network offers education regarding what First Responders and Health Care Workers may experience following an incident, as well as provide some of the tools you can do to help relieve the stress.
TWO MODELS AVAILABLE
CISM
P-to-P
CISM / Peer-to-Peer FAQ's
least 20 minutes
as possible
sugar and alcohol
use to do
time with your family and friends
of relaxation
normal activities
persistWHAT IS CRITICAL INCIDENT STRESS?
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