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Wars Accidents Emergency Services Daily Operations

History. Wars Accidents Emergency Services Daily Operations. CRITICAL INCIDENT. any event that has the potential to create significant human distress and to overwhelm someone’s usual coping mechanisms. Critical Incident Stress. Normal Reaction to Abnormal Event. Critical Incident.

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Wars Accidents Emergency Services Daily Operations

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  1. History • Wars • Accidents • Emergency Services • Daily Operations

  2. CRITICAL INCIDENT any event that has the potential to create significant human distress and to overwhelm someone’s usual coping mechanisms

  3. Critical Incident Stress Normal Reaction to Abnormal Event Critical Incident Stress Management Critical Incident Stress Management Critical Incident Stress Management

  4. Confidential • Voluntary • Not Counselling • Psychological First Aid • Peer Support Peer support personnel have a credibility that no academic training programme can provide!

  5. Individual Intervention Group Intervention Crisis Management Briefing

  6. Individual Intervention (Defusing) • Within 12 hours • Peer Support • 20 - 45 minutes

  7. Group Intervention (Defusing) • Within 12 hours • Peer Support • Small Groups (max 4) • 20 - 45 minutes

  8. Group Intervention Critical Incident Stress Debriefing (CISD) • High Impact Events • Within 7 days • Peer and Clinical Support • 1 - 3 hours • Highly Structured

  9. Crisis Management Briefing • Provide information • Provide a sense of leadership • Reduce sense of chaos • Enhance credibility • Rumour control • Provide coping resources • Engender cohesion and morale • Re-establish a sense of community/social cohesion • Psychological screening

  10. 2004 • ATCOs only • 2006; Engineers • 2008; Award for Outstanding Achievement • 2010; All Personnel • 2011; CISM for Managers

  11. 2010 • 40 Individual Defusings per month • 2 CISDs per year • 220 Defusers • 15 Interventionists • 19 Units

  12. DOES IT WORK? "I do not doubt that CISM played a crucial part in helping my staff to come to terms with this incident and cope emotionally." Debbie Westley, ATC Watch Supervisor “I’m really grateful to the controller who ‘defused’ us. They were available immediately and although I didn’t think it was something that I needed, it was really valuable to have done it.” Jill Martin, Flight Information Service Officer (FISO)

  13. IS IT WORTH IT? £ € ATC Case Study: 11 Senior Managers 38 Operational Managers 352 ATCOs 11 Units 66 Incidents 48 Incidents followed by CISM intervention $ Case Study: Human Performance and Air Traffic Management WHITE PAPER, EUROCONTROL, September 2010

  14. IS IT WORTH IT? £ € • ATC Case Study: • CISM • Reduced emotional stability • Performance unaffected • No loss of productivity • ATC Case Study: • NON-CISM • Reduced emotional stability • Impairment of traffic flow • Delays of flights • 10% Loss of productivity over 7.7 days $ IS IT WORTH IT? Every € returns 3.6 times Case Study: Human Performance and Air Traffic Management WHITE PAPER, EUROCONTROL, September 2010

  15. CONCLUSION CISM has become a standard part of an SMS in ANSPs world wide. There is no reason to believe that CISM would not work in any other Aviation SMS

  16. Any questions?

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