When to Call our District Critical Incident Stress Management Team. Rev. Dr. William W. Wagner South Wisconsin District Disaster coordinator

Transcription

1 WELCOME

2 When to Call our District Critical Incident Stress Management Team Rev. Dr. William W. Wagner South Wisconsin District Disaster coordinator

3 CISM WHAT IS IT? SWD Compassionate Believers Rev. Dr. William W. Wagner, February 22, 2014

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8 Thank You For Coming!

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10 Eustress

11 DISTRESS

12 TYPES OF STRESS GENRAL STRESS: Everyone has this type of stress all the time-day and night. This form of stress usually resolves within a day or two. CUMULATIVE STRESS: Prolonged stress which builds up after time and can lead to adverse mental and/or physical consequences ACUTE TRAUMATIC STRESS: Also call critical incident stress. Produces considerable psychological distress. Normal reaction to abnormal event. POST TRAUMATIC STRESS DISORDER: Severe distress produced only by sever psychological traumatization. Can produce lasting changes in person s life and work. Produced by unresolved Critical Incident Stress generally needs professional assistance

13 4 Characteristics of Crisis Sudden Short duration Coping mechanisms have failed Potential for dangerous or unacceptable behavior

14 Crisis Intervention Psychological first aid Goals: 1. Stabilization 2. Symptom reduction 3. Return to adaptive functioning, or 4. Facilitation of access to continued care

15 Signs and Signals of Stress Reactions Physical Cognitive Emotional Behavioral Spiritual

16 Physical Reactions Chills Chest Pain Difficulty Thirst Headaches breathing Fatigue Elevated BP Nausea Rapid Heart Rate Fainting Muscle tremors Twitches Shock Symptoms Vomiting Grinding Teeth Dizziness Visual difficulties Weakness profuse sweating

17 Cognitive Confusion Calculation difficulties Poor concentration Disruption in logical thinking Repeatedly visualizing the event Lowered attention span Memory problems Distressing dreams Blaming someone

18 Emotional Fear Grief Panic Denial Anxiety Agitation Irritability Depression Intense anger Emotional shock Apprehension Emotional outbursts Feeling overwhelmed Loss of emotional control Inappropriate emotional response

19 Change in activity Suspiciousness Increased smoking Excessive humor Unusual behavior Overly vigilant to environment Change in communication Increased alcohol use Excessive silence Change in eating habits Withdrawal Behavioral

20 Crisis of Faith FAITH = THAT WHICH ALLOWS YOU TO ACCEPT THAT WHICH YOU CANNOT UNDERSTAND! (Everly, 2002) Crisis of Faith = When one s normal, established relationship with God and accompanying theological worldviews are violated and rendered seemingly helpless / useless. (Webb, 2001).

21 Just / Fair World Value in Trusting Others Self-efficacy, Self-esteem Need for Safety Order, Faith, Religion (Everly & Lating, 2002) Five Core Beliefs

22 Crisis Intervention (CI) Is one aspect in an overall continuum of care. It requires specialized training.

23 THE CORE COMPONENTS OF CISM Pre-crisis preparation Demobilization Crisis Management Briefing (CMB) Defusing Debriefing 1:1 Family CISM Organizational intervention/consultation Pastoral Crisis Intervention (PCI) Follow-up/referral

24 When To Contact a Team Death of a church worker Death of a child Suicide A natural or manmade disaster Misconduct in office Misappropriation of funds Other

25 CRITICAL INCIDENT STRESS DEBRIEFING Introduction Fact Phase Thought phase Reaction phase Symptom phase Teaching phase Re-entry phase

26 Preparing Your Congregation Disaster Response Training The Nature of Disasters The Call of the Church mercy Preparing a Congregation for a Disaster Responding as a Congregation During a Disaster Mobilizing as a Congregation After a Disaster

27 Who TO Contact South Wisconsin District President Rev. Dr. John Wille Team Coordinator Rev. Dr. William W. Wagner (H) South Wisconsin District Human Care Peg Raabe

28 THE END

29 THANK YOU FOR COMINING