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FRIDAY, FEBRUARY 14, 2003

An Application of CISM Principles at the Pentagon after 9/11
Steven Jiggetts, LCSW, Major Stacey Williams, PhD, Major Kevin Stevenson, LCSW

Review the initial post trauma grief reaction of family members who lost loved ones, the mobilization of humanitarian support, & the importance of individual & group crisis interventions. Emphasis will be placed on the importance of information & referral & governmental & civilian community partnering to address long-term recovery needs.
 

Talking to Our Children about Death, War & Terrorism
Susan Sneck, MA, LCMHC, LADC

Participants will explore the way they understand, feel about, & explain death, war, & terrorism. Discuss child development with a focus on a child’s ability to understand death, including how much information a child can handle. Opportunity to role play these very challenging interactions. Perfect for anyone with children in their life.
 

The National EMS Stress Study: Climb Aboard
Robert T. Scott, PhD, Mark Woolf, PM/FF, Stephen Pierrel, PhD, HFD, Jennifer Bissett, PhD, HFD, Angie Lindstein, Mary-Catherine Rooney, MA, Tania Glenn, MFT, Barry W. Jacobs

Following up on their workshop at the 6th World Congress, presenters outline the development of the 'National EMS Stress Study Project.' Since the last World Congress four urban Fire/EMS departments have begun to collect & analyze the stress levels of their EMS & Fire employees. Results of these ongoing scientific studies &  'lessons learned' will be discussed & evaluated.
 

The Use of Massage In & After Disaster Situations
Mary Lou Knapke, SC, LMT, Rena M. Slater, LMT

Describes the creation of the Sisters of Charity Crisis Response Initiative team, its function & lessons learned from the use of massage in NYC after 9/11. Includes demonstration & hands-on experiences of massage techniques for neck, shoulders, back. Explore the benefits of massage aftercare of crisis teams, formation of volunteer massage teams & local engagement with crisis teams.
 

COPS Hands on Programs & Peer Support
Shirley Gibson

COPS Hands-On-Programs were established to instill confidence & encourage teambuilding among survivors of law enforcement officers killed in the line of duty.  Peer support shared at COPS’ programs shows participants they are not alone in their grief and participation can provide the courage to cope with the grief that traumatic loss can produce.
 

A Mass Fatalities Response: When a Nightmare Comes True

Peter R. Teahen, FD
 

Disaster responders face incredible professional and personal challenges during a mass fatalities incident.  The unique stressors of a mass fatalities incident is complicated when the incident involves an act of terrorism.  This presentation will enable responders to effectively respond to the needs of victims, survivors and emergency responders while ensuring self-preservation through stress management.
 

95 School District Superintendents Said, “Yes!”
Renelle B. Grubbs, LCSW, Michael Flaherty, MA, Elizabeth Cassady Storey, MAE

Major events, including a bus crash & school shooting, have shaped the development of Kentucky’s Regional School Crisis Intervention Resource Teams. The GRREC Team showcases mutual aid across Kentucky's west central counties & includes 65 CISM trained school personnel.  Explore stakeholder "buy-in", nuts & bolts of team evolution & lessons learned from recent school & disaster responses.
 

Performing Crisis Education Through Media
C. Dwight Bain

CISM teams can utilize the media to educate the general public to better deal with critical incidents. Learn what you need to do & not do in dealing with all types of media, in order to achieve a positive outcome, and how to handle the media before, during & after a critical incident, with a powerful communication model successfully used to empower large groups of people with Critical Incident information.
 

Pastoral Crisis Intervention after 9/11 with First Responders & Long Term Recovery Workers
Barbara L. Cohen, PhD

The meshing of the worlds of psychology & CISM with the St. Paul's Chapel Relief Ministry will be described & considered with reference to Dr. Everly's formulations regarding pastoral crisis intervention. The presenter will also discuss the power of symbolism & CISM in a context defying accepted CISM protocol, while providing crucial discipline/structure & allowing for innovation.
 

Applications of Thought Field Therapy in Traumatic Stress Recovery
Robert L. Bray, PhD, LCSW, CTS

Designed to assist those in the CISM field in making informed decisions about using Thought Field Therapy (TFT).   Participants will leave with a list of questions to ask when making referrals to mental health professionals using TFT.  The history & development of TFT will be reviewed along with current research. Recently published articles provide the structure for discussions about controversial issues around the use of TFT.
 

Workshops B: 4:00pm – 5:30pm

What Heroes are Made Of: Firefighter Personality -- Myth or Reality
Allison Peters, PsyD, Robert T. Scott, PhD, CTS, BCETS

Describes recent research that replicates & expands observational & research findings by Mitchell (1986) regarding firefighter personality. Presenters’ findings show that firefighters differ from the general population on more than half of the traits measured on the MIPS (Millon Index of Personality Styles). Mitchell’s original hypothesis appears to be substantiated; there is some evidence suggesting that these traits may be a combination of predisposition & socialization. The implications of these findings for future research & study are discussed & analyzed.
 

Terrorism & Disaster Response: The New Trained Crisis Responder Program of the National Guard
Lt. Col. Charles E. Woods

Overview of the new Trained Crisis Responder Program of the National Guard.  Describes reasons for the development of the program, as well as a training overview.  Presents the types & numbers of personnel trained to date, the future of the program, how TCR's are mobilized, & how they interface with existing Federal & State entities.
 

In the Inferno: Critical Incident Stress Management in the Fire Service -- What Works & How Do We Know?
Leigh S. Blaney, RN/BScN/MA (cand.)

Reviews preliminary results of field study of CISM programs in three B.C. fire departments.  Hear what firefighters perceive to be important, relevant & useful components of CISM.  Outcomes of the study are relevant to all CISM programs. This workshop requires participants to "think outside the box", & will appeal to all attendees, from front-line service providers to program developers to researchers.
 

Managing an Extended School Crisis Team Deployment
Gregory Childs, MA, MFT, Leslie Fadem, MA, MFT

The Poway Unified School District Crisis Response Team deployed to Creekside Elementary School for an extended period to offer crisis intervention services to the students, staff & parents after the kidnapping & murder of a student. The tragedy consisted of three critical incidents: the reported disappearance & exhaustive search, the arrest of a neighbor, & the recovery of the boy’s body. Learn from the complexity of the affected community’s reactions and the Team’s response.
 

Coordinating a Team Response in the Aftermath of 9/11
Toni Cavalenes, CSW, CTS, Mirta San Martin, MA, Cynthia L. Metzig, MA, LPC, NPC, Monte Posner, CSW, EMT, Gary Bisogna, MA

Within 15 minutes of the first plane crashing into the World Trade Center, the South Beach Critical Incident Response Team began providing CISM services & consulting with agencies throughout NYC on organizing their crisis response. Presenters discuss how pre-disaster preparedness such as team development, training, maintenance & interagency networking maximize a team’s effectiveness when disaster strikes, illustrated with lessons learned during the team’s ongoing 9/11 experiences.
 

Crisis as Opportunity: An Organizational Development Perspective
Teresa Deneau, LPC

Review the process of crisis in organizations from a developmental perspective. Understanding that crisis provides a powerful catalyst toward growth & development is a key perspective. Workshop provides theoretical perspectives on organizational crisis. Offers specific techniques, language & general intervention guidance for practitioners as they support the management of crisis within organizations.
 

One Year Later: Lessons Learned & 9/11 Anniversary Actions in NYC Schools
Joanne Tortorici Luna, PhD, BCSCR, Kendall Johnson, PhD, MFT, BCSCR, Teresa Goudie, MS

The 9/11 terrorist attacks presented enormous challenges for the New York City Schools.  Learn from the tasks schools confronted during the crisis & currently face in the recovery phase.  Lessons learned for large incident management & healing in the schools will be presented, as will the 9/11 anniversary actions undertaken by Lower Manhattan schools.  Includes the future needs for New York City's schoolchildren & their families.
 

Fighting Back Against the Negative Influences of Police Stress
SSA Joseph A. Harpold

Emphasizes the need to choose a healthy lifestyle in the face of the accumulation of stress that police officers confront daily. Presenters discuss research project by National Institute of Justice entitled, “Project Shields” evidence that policing has room for improvement in helping members better cope with stress before they are overexposed to the toxicity of the job.  Concludes with a prevention/reduction model.
 

What We Did: United Airlines’ Response to 9/11
Ana Horne, MEd, EMT, CEAP, Capt. John Petrek, B777, Julie Talley, BA, MA, CEAP

On 9/11/01 United Airlines faced not only catastrophic loss of personnel, passengers, & equipment.  The events of the day also impacted co-workers & family in every State & several countries & threatened the company's survival.  The panel describes the mobilization & coordination of peers, MHPs, & community resources to care for both company & customers, discusses how insights & lessons learned can have application in other organizations, & facilitates discussion of how other services met similar challenges.
 

A Seamless Response: Integrating CIRT, NOVA & Hospital-Based Response Teams
Richard Haymes, PhD, Candace Adams, MDiv, Mary Young, CCR

To provide response services to customers in both urban & rural areas, three agencies in Southwest Missouri have formed a partnering link. Southwest Missouri CIRT, CoxHealth/Burrell CISM Team (both ICISF trained) & the Community Crisis Team of the Ozarks (NOVA-trained) present their structure--one that strives toward a comprehensive response system to emergency personnel, hospital personnel & to citizen victims of crime & disasters.

 

SATURDAY, FEBRUARY 15, 2003

Workshops C: 2:00pm – 3:30pm

Dispatch, The Hub of the Wheel, How to Survive & Thrive
Janet Childs, AAETS

Dispatchers take the first wave of trauma & lessen the impact for subsequent responders. The Bay Area CISM Team has found that 9-1-1 dispatchers are faced with unique stress issues. Identify specific personal & team coping skills for the multi-task profession of communications & explore techniques for bridging information to field personnel through cross-disciplinary training & CISM coordination.
 

Identifying the Delayed Effects of Terrorism
Linda T. Fatkin

Our heroes are suffering.  Born from a desperate need for safety & security, our expectations have contributed to delayed reactions of civilian & military operations personnel.  From the emergency workers at NY & DC to the military Special Forces personnel returning from Afghanistan, the effects of terrorism can be identified & treated.  A field-practical method for accomplishing this will be demonstrated.
 

Child Protection -- Copping the Abuse!
Monica Kleinman, MEd, MAPS

Research has shown that where children are the victims, the impact on those who respond always has a greater potential to cause pain.  In child protection, the victim is always a child.  Explore some of the hidden personal costs of working in this area with a focus on the work of police officers.  A trial study undertaken with police officers in NSW, Australia that seeks to address this will be discussed.
 

All Gave Some: Some Gave All: The FDNY Firehouse Support Teams
Francis X. Gunn, ofm, CSW, CTS, John Brown, Joseph Krebbs, MEd, John “Spike” Lawless, Frank Ungaro

The attacks of 9/11 resulted in thousands of civilian losses & hundreds of line of duty deaths, including 343 in the FDNY.  FEMA, IAFF, NFFF & the FDNY Counseling Services Unit collaborated to provide CISM to the FDNY & families through Firehouse Support Teams. Discuss services provided & lessons learned from the teams who made approximately 475 visits to the 255 firehouses in New York City.
 

Critical Incident Respite Care (CIRC)
Hayden Duggan, EdD, Sandy Scerra, Valerie Duggan, LICSW

CIRC, piloted at the On-Site Academy, is a rapid, overnight residential intervention that any CISM team could potentially implement, with the proper training. Requiring close teamwork by advanced CISM trained peers & clinicians, the program combines CISM, the SAFE-R model & the principles of combat stress. Participants undergo an intensive debriefing, combined with EMDR in a focused, after-action approach for immediate symptom reduction, geared towards return to duty.
 

The Pentagon Civilian EAP Response to 9/11
Rachel Kaul, LCSW, CTS, Jane Shea, PhD

In the aftermath of terrorism, Employee Assistance Programs are focussing on incorporating CISM services into the traditional EAP model. Explore lessons learned from working with traumatized Pentagon employees who remain at risk for further exposure to trauma. Focus on: integrating CISM to accomplish outreach, normalize reactions, provide psycho-education, prevent PTSD, promote resilience & facilitate access to treatment.  Self-care for practitioners in this environment will also be addressed.
 

Helping Young Children Recover from Disaster
Beryl Cheal, MA, MS

Discuss how to integrate the concepts of mental health into daily cognitive learning & social interactions of children in a classroom. The trauma of disaster can have lasting effects on young children. It is important for schools, Head Starts, preschools, & child care programs to put in place a recovery program as soon as possible after the event. Discuss how that will look when implemented.
 

Vicarious Traumatization in the Aftermath of 9/11
Monte Posner, EMT, MSW, RCSW, Gary Bisogna, MA, Cindy Metzig, MA, NCC, LPC

Active through 9/11, the NYC based South Beach Psychiatric Center Critical Incident Response Team had to care for their own grief while helping thousands of disaster survivors. Review techniques for monitoring & managing Team wellness during protracted deployment. Learn how to: check a team’s fatigue level; “debrief debriefers” with a modified model useful for repeated applications; teach stress inoculation; learn common “vicarious traumatization” symptoms, & plan a team wellness retreat.
 

Behind the Scene: The Administrative Side of a Crisis
Cheryl M. Leonard, MPA, Deborah L. Leonard

Provides behind the scene look at administrative duties before, during & after a crisis.  Dissect an existing plan for before, during & after a crisis. Examine an approach to coordination & deployment of teams during a crisis to address the emotional needs of local, state, & federal "rescue" personnel.  “Off the record" tips will be shared that shape the CISM response following a traumatic event.
 

Trauma & Ministry: Coping with Clergy Compassion Fatigue
Rev. Susan M. Pfeil, STM, LADC

What has caused clergy to be overlooked as candidates for “Compassion Fatigue?” How does the caregiving role of clergy set them apart from other human service providers in spite of the fact that they are first line responders in crisis events? Clergy & faith leaders are caught in a tension of acknowledging their vulnerabilities vs. a deep sense of mission to serve others. Engage in a conversation about Theology, Psychology & CISM approaches. 
 

Workshops D: 4:00pm – 5:30pm

KAL Flight 801 Air Disaster - Mental Health Response
Kenneth A. Furman, PhD

Describes the response of the 36th Medical Group CISM Team to the crash of Korean Air Lines (KAL) Flight 801 in Guam, over a period of approximately 2.5 weeks in August 1997. Covers from initial notification & response to prolonged services provided to responders & search & recovery personnel. Challenges & lessons learned in responding to a major air disaster will be emphasized.
 

Breaking Through the Barriers of School Systems
Carol Hacker, PhD, CTS, CEAP

Schools may have good crisis plans but large tragedies can overwhelm school resources. Yet schools tend to be closed systems that do not want non-educators working with students & staff. Address how to break through schools’ hesitance to let outsiders help them. Schools are unique organizations & all crisis models must be adapted to fit them. Examples of inner city, suburban & rural schools of all sizes & grades will be given.
 

Discuss a new Post-Vention process to address WTC related needs over the long-term. This method educates, supports, screens & refers participants to support groups or other assistance.  Based on the CISM model, peers or clinicians will appreciate how this process takes CISM beyond the initial crisis response period & may be used for the long haul.
 

The Role of Spirituality & Religion in Crises & Disasters
Jan McCormack, MDiv, BCC

Caregivers will learn how to: differentiate between “spirituality” & “religion;” identify positive & negative aspects of theology & spiritual/religious issues & recognize & prevent mistakes made by untrained caregivers. Other topics covered: ministry needs in a crisis; various faith positions & how each affects crisis reactions; techniques for functioning in a pluralistic setting without compromising one’s faith; the difference between proselytizing, evangelizing & witnessing & spiritual & religious resources to assist in the recovery process.
 

Setting up a Multi-Team Network: The Process & Lessons Learned
Carol S. Morrow, Dolores B. Watkins, MS

Virginia was one of the first states to develop a statewide network of CISM teams in the mid-1980s. Learn the advantages of having a coordinated network of CISM teams & the recently developed CISM Strike Team concept for deployment of CISM resources, used after 9/11/01. Provides information on establishing & maintaining a team network, strike teams, & the CISM funding mechanisms used in Virginia.
 

Disaster Preparedness Goes Beyond CISM: EAP Lessons Learned from 9/11
James E. Nestor, MAS, GADC, CEAP

The attacks on 9/11 have presented a greater need for EA professionals to understand the sophisticated multi-discipline emergency response process & to examine how EAP services can be modified to best meet clients’ needs following disasters. From the instructor’s experiences at Ground Zero, learn how to adapt the traditional CISM methodology to rise to the challenges presented during & after a disaster.
 

Supporting Family Groups in the Face of Trauma
Lynn Ewing, MA, NCC, LPC

The example of a suspended mobile, pieces gently jiggling when touched, is often used to depict the interactions of family members.  Trauma in a family can cause some of the pieces of the mobile to swing out of control, others may become entangled, & sometimes a piece will fall off.  We can assist the family group during trying times. Share experiences & explore current methods for interacting, debriefing, & counseling the family group experiencing trauma.
 

Data Collection & the Roles of Professionals on a Federal Law Enforcement CISM/Peer Support Team
Cindy Newbern, MSW, Tom Kadar, Paul Susenbach, CTS, Pastor Cynthia Corey, MA

For the past 3 years the Federal Law Enforcement Training Center’s CISM/Peer Support Team has successfully offered services to the law enforcement training community, local law enforcement officers, firefighters, the Department of Family & Children Services, the YMCA, & federal agents. The Pastor, Social Workers, & Law Enforcement Officers work together to provide quality services. Three years of data has been collected & analyzed.
 

Disaster Deployment: The Before, During & After of Team Care
Elizabeth Dansie, MA, BCETS, Lt. Daniel Siri

For teams & individuals new to disaster response, as well as review for those more experienced.  Discuss strategies to address the full spectrum of disaster CISM deployment.  Will focus primarily on a law enforcement CISM team response to NYPD/POPPA request.   Opportunity for CISM disaster responders to examine preparation, training, response & readiness for the next deployment.
 

Where’s the Silver Lining? Challenges in Debriefing Targets of Terrorism
John S. Kennedy, MD

An essential element in an effective CISD is its ability to move groups of people out of their painful discussion of the event, towards the discovery of a "silver lining".  This, in turn, helps set up the re-entry step of the debriefing.  Senseless acts of intentional harm, such as the 9/11 terrorist attacks, pose significant hurdles to this process.  Discuss techniques to move past these hurdles.