Haldimand County: Emergency Services Post-Traumatic Stress Disorder Prevention Plan
|
|
- Doreen Dawson
- 6 years ago
- Views:
Transcription
1 Report: CS-HR , Attachment 4 Haldimand County: Emergency Services Post-Traumatic Stress Disorder Prevention Plan The Corporation of Haldimand County 45 Munsee Street North Cayuga, Ontario N0A 1E0 Date Prepared: March 24, 2017 Prepared By: Lianne Park Deputy Chief, Paramedic Services Haldimand County Mike Pittaway Coordinator, Fire Training/Health and Safety Haldimand County Katie Meyer Coordinator, Health and Safety Haldimand County
2 Contents Introduction...3 Scope and Application...3 Goals and Objectives...3 Focus Areas Prevention Intervention Recovery and Return to Work...4 Legal Considerations...4 Awareness: What is Post-Traumatic Stress Disorder?...5 Known Risk Factors...5 Signs and Symptoms Intrusive Memories Avoidance Hyper-arousal Symptoms...7 PTSD Plan - Roles and Responsibilities...8 Senior Management shall:...8 Managers and Supervisors shall:...8 Employee s shall:...9 Human Resources Division shall:...9 Joint Health and Safety Committee shall:...9 Notification and Response to Psychological Injury Early Intervention Strategies Following a Traumatic Event Responding to Signs and Symptoms of PTSD Reporting An Incident PTSD Claim (Workplace Injury) Haldimand County Anti Stigma Practices Education and Awareness Post-Traumatic Stress Disorder and Anti-Stigma Training Post Exposure Education and Awareness Initial Training Roll-Out Plans (a) Firefighter: (b) Paramedic: (c) Management: Additional Resources for Employees and Supervisors Employee Assistance Program (EAP) Volunteer Firemen s Insurance Service (VFIS) References Page 2
3 Introduction The Corporation of Haldimand County is committed to addressing Post Traumatic Stress Disorder (PTSD) in our workplace. This plan outlines a hands on and holistic approach to addressing PTSD and the focus of this plan is to establish foundational elements based on the prevention, intervention and recovery through return to work policies and practices. Scope and Application This program applies to all Haldimand County first responders who are exposed to emergencies and traumatic events, that are in some way connected to work, including off-site meetings, training and day to day operations. First responders are currently employed in Haldimand County s Emergency Services Division, being both Haldimand County Fire Department and Haldimand County Paramedic Services. Goals and Objectives The goal of the plan is to provide all employees information on the initiatives and programs undertaken to address PTSD prevention, intervention and recovery and return to work in the County s services. The specific objectives of the PTSD plan are to: Define the legal requirements in addressing PTSD under the Occupational Health and Safety Act. Explain how to identify and respond to PTSD injuries. Establish roles and responsibilities within the organization. Establish policies and procedures to support PTSD prevention in the organization. State crisis intervention expectations and screening protocols. Outline the organization s intervention practices and procedures, ensuring that supervisors and managers understand the intervention options that are available. Review the organization s duty to accommodate as it relates to PTSD injuries, recovery and return to work. Focus Areas 1. Prevention Prevention focuses on outlining the basic elements of health and safety management. These elements include understanding legal responsibilities, recognizing, assessing and Page 3
4 controlling the hazard, defining roles and responsibilities and incident reporting for Haldimand County Emergency Services. The goal is to integrate PTSD prevention practices for the promotion of a healthy and safe workplace that actively works to prevent harm to a workers mental health. 2. Intervention Intervention focuses on actions that can be taken to improve a situation. This includes ensuring that workers know how to report psychological injuries, when they occur, and are supported in doing so. It also identifies intervention options that are evidence based and that can be utilized in organizations effectively. 3. Recovery and Return to Work Recovery and Return to Work ensures that managers understand how to accommodate a worker who is suffering from PTSD and that there are clearly established roles and responsibilities for supporting workers through this process. Recovery and return to work is an important aspect of preventing future or further injury. Haldimand County is committed to working with the parties to ensure an appropriate accommodation/return work plan is completed which measures: Cognitive Demands Analysis (CDA) documentation. Cognitive Abilities Form for assessing abilities/restrictions. County-wide accommodation practices. Good working relationship with unions and employee groups allowing accommodation opportunities outside of the emergency responder role, if and when required. Legal Considerations Haldimand County understands its legal requirement under the Occupational Health and Safety Act (the Act ), to take every precaution reasonable in the circumstances for the protection of a worker [Section 25(2)(h)]. Employers are required to inform all workers about psychological hazards on the job and provide training to employees on how to prevent these hazards. Accordingly, this plan has been established to inform first responders of the risks of PTSD as well as provide information on the prevention, intervention and recovery initiatives associated with PTSD at Haldimand County. Workers, under the Act, are also required to follow policies and procedures set out by the employer, where applicable. Page 4
5 Awareness: What is Post-Traumatic Stress Disorder? PTSD can develop when someone experiences, or learns about an event involving actual or threatened death, serious injury or sexual violence. It is believed that PTSD is caused by a complex mix of: Life experiences that include the amount and severity of trauma you have experienced since early childhood. The way the brain regulates the chemicals and hormones the body releases in response to stress. Inherited mental health risks such as increased risk of anxiety or depression and inherited aspects of your personality or temperament. Traumatic Stress resulting from 4 main sources: o Trauma An impact injury: Due to events provoking Terror, horror or helplessness. o Fatigue A wear and tear Injury: Due to the accumulation of stress over time. o Grief A Loss injury: Due to the loss of people who are cared about. o Moral Injury A Loss Injury: Due to a disruption in trust in moral values. Known Risk Factors Having a job that increases your risk of being exposed to traumatic events, such as firefighting or paramedicine. Experiencing intense or long lasting trauma. Feeling helpless, horror or fear. Having experienced other trauma earlier in life, including childhood abuse or neglect. Having a lack of a good support system, such as family and friends. Dealing with additional personal stress. This may include the recent loss of a loved one, loss of job or home, etc. Having biological relatives with mental health problems, including PTSD and depression. The Four Main Categories are: o Historical: adverse childhood (abuse, neglect, violence etc.), family history, exposure to previous trauma. o Biological: Biochemistry, Hormonal. o Psychological: stress, negative distorted thinking patterns, attitudes/beliefs. o Social: lack of social support, recent negative life workplace and relationships. Page 5
6 PTSD can increase the risk of other mental health problems such as: Depression and anxiety. Issues with drugs and alcohol. Suicidal thoughts or actions. Signs and Symptoms Symptoms may start within 3-months of a traumatic event but can sometimes not appear until years after the event. The symptoms can make it hard for the affected person to live their everyday life and can be accompanied by depression, substance abuse, or other anxiety disorders. Following are three common symptoms associated with PTSD: 1. Intrusive Memories Also called re-experiencing symptoms, intrusive memories can start from the persons own thoughts, or can be triggered by words, objects or situations that are reminders of the traumatic event. This may include: Recurring, unwanted distressing memories of the traumatic event. Reliving the event as if it were happening again. Upsetting dreams about the event. Severe emotional distress (heart racing, hands sweating) to something that reminds you of an event. 2. Avoidance Avoidance symptoms may cause a person to change their routine such as avoiding things that remind them of the event, as well as negative changes in thinking and moods. This may include: Avoiding places, objects, activities or people that remind you of the event. Increased negative feelings about self or others. Feeling emotionally numb or an inability to experience positive or negative emotions. Feeling hopeless about the future. Losing interest in activities that were enjoyable in the past. Difficulty maintaining close relationships. Page 6
7 3. Hyper-arousal Symptoms These symptoms are changes in emotional reactions that are usually constant, and can make a person feel stressed, angry, overwhelmed and on guard. The symptoms may include: Irritability, feeling tense. Difficulty sleeping. Self- destructive behavior. Being easily startled or frightened Angry outbursts or aggressive behavior. Page 7
8 PTSD Plan - Roles and Responsibilities Senior Management shall: Become familiar with the impact that PTSD and other occupational stress injures have on first responders and the organization. Ensure that Supervisors of first responders receive training in being able to recognize signs of PTSD, along with risk factors. Supervisor training should also outline and address methodologies and resources to support staff in dealing with injuries attributed to PTSD. Ensure that first responders receive training in strategies for resiliency, mental health behavior and resources. Deal with addressing the situation directly and promptly when made aware or witness the signs and symptoms of PTSD. Ensure consistent and appropriate communication with first responders suffering from PTSD including how they, or other team members, can provide support to the worker. Provide information about the resources and options that first responders have to address PTSD, and help access the supports available as needed. Set the tone and lead by example to reduce stigma by encouraging conversations around PTSD, including prevention, intervention and recovery. Enforce the policies, procedures and plan/program to prevent PTSD. Ensure measures are in place to maintain, evaluate and update the department s programs to prevent and / or effectively address PTSD in Haldimand County. Managers and Supervisors of First Responders shall: Participate in training to be aware and be ready to address the day to day aspects of PTSD prevention, support and management of injuries. Have working knowledge in how to recognize signs and symptoms of PTSD and understand the risk factors. Provide support and resources to first responders, as needed. Identify individuals at risk of PTSD and follow proper protocol for responding to the recognition to signs and symptoms as per the program. Encourage active discussion with workers about mental health and psychological safety. Help identify control methods that support prevention of PTSD. Reduce stigma by participating in positive conversations and awareness initiatives. Ensure familiarity with County procedures and resources to accommodate a first responders suffering from PTSD. Actively participate in safe and coordinated return to work process for workers returning to the workplace following an occupational stress injury. Page 8
9 Employees shall: Comply with policies, procedures and the program. Participate, as required, in training and education about PTSD, including but not limited to, resilience, anti stigma and mental health training. Report concerns and incidents, as they occur, so that they can be investigated and addressed promptly. Listen to coworkers and encourage engagement in the program and resources, if needed. Reduce stigma by participating in positive conversations regarding psychological safety. Human Resources Division shall: Act as a resource to managers/supervisors and employees with respect to the prevention, intervention and recovery of PTSD. Liaise with managers/supervisors, treating health professionals, and WSIB representatives to assist in the management of an injury and/or coordinate a safe, early and successful return to work. Take steps to prevent further injury/illness for workers returning to work from a psychological injury/illness. Help resolve issues or disputes related to any return to work process. Emergency Services Joint Health and Safety Committee shall: Assist with workplace assessments and participate in identifying controls to reduce occupational stress injuries. Assist in monitoring workplace mental health and wellbeing issues by identifying hazards related to occupational stress and Post Traumatic Stress Disorder. Help identify controls that can be put in place to address psychological health and safety. Help reduce stigma by participating in positive conversations about psychological safety. Page 9
10 Notification and Response to Psychological Injury Early Intervention Strategies Following a Traumatic Event A worker, co-worker, or dispatcher may identify to the applicable Emergency Services Division Deputy Chief or on call Duty Officer that a particular call may be considered traumatic, thereby potentially exposing the first responder to a traumatic event. Per the Critical Incident Stress Management policy (OP 52), the applicable Deputy Chief or on call Duty Officer will be notified by dispatch when a traumatic incident, based on the following criteria, takes place. In each of these cases, the employee is assumed to have been exposed to a traumatic event: Death of an infant or child. Serious Injury or death of a co-worker, particularly in the line of duty, including suicide. Incidents with extreme personal threat to emergency personnel. Loss of a patient after a prolonged rescue attempt. Incidents where the victim may be known to rescue workers. Mass Casualty Incidents. Incidents that attract unusually strong media attention. Personal identification with the patient or their circumstance. Serious injury or death of an emergency service workers immediate family member. Any incident that has significant emotional power to overwhelm a rescue workers normal coping abilities. Other particularly traumatic incidents Whenever any emergency worker feels CISM services may be required. When workers are exposed to a traumatic event, the on call Duty Officer will provide the worker(s) with support and suggested resources while attempting to determine if the traumatic event has had an effect on the employee such that would cause undue stress potentially leading to PTSD. Responding to Signs and Symptoms of PTSD Managers and Supervisors of first responders are expected to know how to recognize and respond to signs and symptoms of PTSD in a worker or fellow supervisor. If the signs and symptoms are found to be present it is expected that the supervisor will: If not already completed, initiate the completion of the reporting form, making note of any early intervention strategies that have taken place. Initiate and maintain open lines of communications with the worker. Follow up with the worker asking how they or others can provide support. Page 10
11 Provide information around the ongoing resources available to the worker to identify and manage PTSD. Aid the worker in accessing the appropriate supports and resources (ie. provide EAP, contact information, peer support members). Encourage the worker to talk to someone they trust about what has happened. This could be co-workers identified to provide peer support, family members, friends, and/or a supervisor. Confirm that what the worker is experiencing is a normal reaction. Provide information about the signs and symptoms and when they should speak to a professional or seek additional help. Reporting An Incident All psychological injuries, including PTSD must be reported in accordance with reporting procedures and forms. Following the notification of an injury / illness, reporting may be shared with various parties, as outlined in Haldimand County Accident / Incident Reporting and Investigation Policy (HS-04), the Occupational Health and Safety Act, and in Section 5 of the Industrial Establishment Regulation. Particular importance must be given to 5(2)(j) to include steps to prevent further illness. Based on the specifics and severity of the injury, reports may be provided to the Emergency Services Joint Health and Safety Committee, union representatives and/or provincial representatives such as the Ministry of Labour or Workplace Safety and Insurance Board (WSIB). PTSD Claim (Workplace Injury) When reporting a PTSD claim to the WSIB, the reporting process is completed in the in the same manner as all other injuries or illnesses. For clarity, when an injury or illness occurs, the employer must submit a WSIB Form 7: Report of Injury or Illness, within three days of being notified the worker sought medical attention for a work-related injury (physical and or psychological). Critical Incident, Section 51 and 52 of the Occupational Health and Safety Act defines a Critical Incident and requires notification of a critical injury and occupational illness to the Ministry of Labour, Joint Health & Safety Committee and applicable union. Page 11
12 Haldimand County Anti Stigma Practices Haldimand County is committed to maintaining a workplace where employees are protected from stigma associated with mental illness. Divisions will ensure that all employees are treated with respect and dignity. This includes those suffering from mental illness and those who support other workers suffering from mental illness. Harassment and acts of discrimination will not be tolerated. Such actions would be in contravention of the Haldimand County Respect in the Workplace Policy (HR01-18). Types of behavior and acts that contribute to stigma include: Prejudicial attitudes and discriminating behavior directed towards individuals. Trivializing or belittling people suffering from PTSD, or PTSD itself. Ostracizing people who are suffering from PTSD, or their friends and supports. To support a Stigma-free workplace, Haldimand County will: Provide PTSD awareness training and education, as required. Provide an effective and fair reporting process. Lead by example. Managers and supervisors are responsible for fostering a stigma-free workplace and setting the example of appropriate behavior. Employees are responsible for treating coworkers with respect in the workplace, bringing forward complaints and cooperating with investigations into complaints, as per the Haldimand County Respect in the Workplace Policy (HR01-18). It is expected that all county employees treat all parties and situations in a sensitive and confidential manner. Page 12
13 Education and Awareness Post-Traumatic Stress Disorder and Anti-Stigma Training The Haldimand County Emergency Services Division is committed to providing PTSD and anti stigma awareness training to all emergency service workers within our organization. The Divisions will implement and maintain the awareness training program to ensure all first responders are familiar with signs and symptoms of PTSD. All Supervisors of first responders will receive training on how to recognize the signs and symptoms of PTSD and learn the County s expectations on how to respond to and address these signs and symptoms. Post Exposure Education and Awareness Education and awareness is offered to those who have experienced a traumatic event. This education focuses on providing information about signs and symptoms, how to access care and includes regular follow up from affected supervisors. Initial Training Roll-Out Plans (a) Firefighter: In February 2017, all Haldimand County Fire duty officers received the Road to Mental Readiness (R2MR) program. This ensures that there is always a trained R2MR duty officer available 24/7. PTSD awareness training for in station supervisors is scheduled in The goal is to complete awareness training for all in station supervisors by the end of Anti Stigma and PTSD Resource awareness will be delivered to all Firefighters in 2017 with continued education and awareness delivered through the quarterly training program, as of 2018, and an awareness campaign including but not limited to posters, brochures, safety talks, bulletins. (b) Paramedic: In March 2017, Haldimand County paramedics delivered the Road to Mental Readiness (R2MR) course to all full time and part time employees. The 4 hour course was delivered during the paramedics quarterly block training. Haldimand County is committed to delivering and Page 13
14 maintaining the R2MR course in the future to new paramedics, as well as refresher training for the current staff. (c) Management: All management employees in the Emergency Services Division, as well as the Coordinator, Health and Safety are trained in the R2MR course for Supervisors. This ensures that there is access to a trained R2MR supervisor on duty 24/7. Page 14
15 Additional Resources for Employees and Supervisors Employee Assistance Program (EAP) Haldimand County offers a confidential Employee Assistance Program, as part of the employee s compensation package. This program allows for trained counsellors in trauma to aid employees when dealing with psychological injury. Family Services Employee Assistance Program (519) or Ext. 239 Volunteer Firemen s Insurance Service (VFIS) Contact Human Resources for more information. References Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), published by the American Psychiatric Association (More information DSM-5) Ministry of Labour Act, Section 9.1(1) Occupational Health and Safety Act (OHSA )Occupational Health & Safety Act (OHSA) Bill 163, Supporting Ontario's First Responders Act Bill 163 Supporting Ontario's First Responders Act (PSD) 2016 Workplace Safety and Insurance Act (WSIA) Workplace Safety & Insurance Act (WSIA) Critical Incident Stress Management Policy (OP52) Reporting and Investigating Employee Accidents and Incidents (HS-04) Page 15
The Township of Sioux Narrows Nestor Falls PTSD Prevention Plan
The Township of Sioux Narrows Nestor Falls This has been developed to outline our approach to managing Post Traumatic Stress Disorder at Township of Sioux Narrows Nestor Falls. The goal of this plan is
More informationPost-Traumatic Stress Disorder
Post-Traumatic Stress Disorder Teena Jain 2017 Post-Traumatic Stress Disorder What is post-traumatic stress disorder, or PTSD? PTSD is a disorder that some people develop after experiencing a shocking,
More informationTrauma and Stress- Related Disorders. Adjustment Disorder Post Traumatic Stress Disorder Reactive Attachment Disorder
Trauma and Stress- Related Disorders Adjustment Disorder Post Traumatic Stress Disorder Reactive Attachment Disorder What is psychological trauma? Psychological trauma is an emotional response to a terrible
More informationCase Management Approach for Posttraumatic Stress Disorder (PTSD): Overview
Case Management Approach for Posttraumatic Stress Disorder (PTSD): Overview Schedule 2 Employer Group October, 2017 Agenda Traumatic Mental Stress (TMS) overview PTSD overview PTSD case management approach
More informationWorkplace Mental Health: Lunch & Learn for Employees
Workplace Mental Health: Lunch & Learn for Employees Introduction About Me About Vital Life Supported by a grant from the Research and Workplace Innovation Program of the Workers Compensation Board of
More informationThrough the use of the stress management programs offered, the department projects the following benefits:
Kent PD Title #8.90 Peer Support Policy There is a need for employees to have support for both personal and professional crisis situations and general work stressors. Employees may be under personal stressors,
More informationEmployee Drug-Free Workplace Education
Employee Drug-Free Workplace Education Working Partners for an Alcohol- and Drug-Free Workplace Provided by the Office of the Assistant Secretary for Policy U.S. Department of Labor Employee Education
More informationPRISM SECTION 15 - STRESSFUL EVENTS
START TIME : PRISM SECTION 15 - STRESSFUL EVENTS Statement I.1: These next questions are about difficult or stressful things that can happen to people. It may be hard to remember everything about these
More informationMODULE IX. The Emotional Impact of Disasters on Children and their Families
MODULE IX The Emotional Impact of Disasters on Children and their Families Outline of presentation Psychological first aid in the aftermath of a disaster Common reactions to disaster Risk factors for difficulty
More informationEmployee Education Working Partners
Employee Education Working Partners for an Alcohol- and Drug-Free Workplace Provided by the Department of Human Resources Management Mississippi State University Employee Education Outline Objectives of
More informationCLAIMANT S FACTS ABOUT TRAUMATIC INCIDENT CAUSING PTSD These facts should be written in a narrative statement giving details about the following:
CLAIMANT S FACTS ABOUT TRAUMATIC INCIDENT CAUSING PTSD These facts should be written in a narrative statement giving details about the following: 1. The nature of the trauma such as military combat, sexual
More informationNorthwest Territories and Nunavut 03.09
POLICY STATEMENT The Workers Safety and Compensation Commission (WSCC) may provide compensation benefits to workers who develop a psychiatric or psychological disability arising out of and during the course
More informationThe ABC s of Trauma- Informed Care
The ABC s of Trauma- Informed Care AGENDA What do we mean by trauma? How does trauma affect people? What can we learn from listening to the voices of people who have experienced trauma? Why is understanding
More informationTRAUMA INFORMED CARE: THE IMPORTANCE OF THE WORKING ALLIANCE
TRAUMA INFORMED CARE: THE IMPORTANCE OF THE WORKING ALLIANCE Justin Watts PhD. NCC, CRC Assistant Professor, Rehabilitation Health Services The University of North Texas Objectives Upon completion of this
More informationARCHIVE. Alberta WCB Policies & Information
1. Under what circumstances is a psychiatric or psychological injury 2. How does WCB determine whether a psychiatric or psychological injury is WCB will consider a claim for psychiatric or psychological
More informationTrauma in Organisations:
Trauma in Organisations: The impact of trauma and development of effective post trauma responses Dr Noreen Tehrani Chair Crisis, Disaster & Trauma Section British Psychological Society www.noreentehrani.com
More informationMembers Can Do. What Community. From the National Institute of Mental Health. Helping Children and Adolescents Cope with Violence and Disasters
Helping Children and Adolescents Cope with Violence and Disasters For Teachers, Clergy, and Other Adults in the Community What Community Members Can Do From the National Institute of Mental Health Violence
More informationBUILDING A PTSD PREVENTION PLAN DR. ASH BENDER, MD, FRCPC KIM SLADE, DIRECTOR RESEARCH AND PRODUCT DEVELOPMENT PSHSA
BUILDING A PTSD PREVENTION PLAN DR. ASH BENDER, MD, FRCPC KIM SLADE, DIRECTOR RESEARCH AND PRODUCT DEVELOPMENT PSHSA 1 THIS SESSION IS DESIGNED TO HELP YOU Understand what PTSD is and how it might present
More informationCreating A Trauma Informed System. Al Killen-Harvey,LCSW The Harvey Institute
Creating A Trauma Informed System Al Killen-Harvey,LCSW The Harvey Institute Al@theharveyinstitute.com 619-977-8569 Goals and Objectives 1.Describe the attributes of the various forms of trauma 2.Delineate
More informationUnderstanding Secondary Traumatic Stress
Understanding Secondary Traumatic Stress Introduction Each year, millions of children are exposed to some type of traumatic event including physical, sexual or emotional abuse, neglect, witnessing domestic
More informationMental Health in the Workplace
Mental Health in the Workplace Petroleum Safety Conference 2018 Kris Porlier 02 May 2018 Version for distribution Photo: Katie Mulligan Topics Definitions Stigma Signs and Symptoms of MH Problems Key messages
More informationPOLICY NUMBER: POL 01
Chapter: CLAIMS Subject: PSYCHOLOGICAL OR PSYCHIATRIC CONDITION Effective Date: April 1, 1993 Last Updated On: September 12, 2016 PURPOSE STATEMENT: The purpose of this policy is to describe how the Workers
More informationENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER
ENTITLEMENT ELIGIBILITY GUIDELINE POSTTRAUMATIC STRESS DISORDER MPC 00620 ICD-9 309.81 ICD-10 43.1 DEFINITION Posttraumatic Stress Disorder (PTSD) is a condition in the Diagnostic and Statistical Manual
More informationAnnual Insurance Seminar. Tuesday 26 September 2017
Annual Insurance Seminar Tuesday 26 September 2017 Dublin Dublin London London New New York York San San Franscisco Francisco Welcome Emer Gilvarry, Chairperson Dublin Dublin London London New New York
More informationEarly Intervention and Psychological Injury
Early Intervention and Psychological Injury SISA Conference 22 July 2008 Dr Peter Cotton FAPS Clinical & Organisational Psychologist Session Overview Key drivers of psychological injury The difference
More informationDSB Program Planning Committee. Robert Smith, Chief of Paramedic Services. Date: April 26, 2017 Post-Traumatic Stress Disorder - Prevention Plan
Report To: From: DSB Program Planning Committee Robert Smith, Chief of Paramedic Services Date: April 26, 2017 Re: Post-Traumatic Stress Disorder - Prevention Plan Purpose The Ministry of Labour requires
More informationPost-traumatic Stress Disorder following deployment
Post-traumatic Stress Disorder following deployment Fact Sheet Introduction A substantial majority of the Dutch population (approximately 80%) will at some point experience one or more potentially traumatic
More informationNational Institute of Mental Health. Helping Children and Adolescents Cope with Violence and Disasters
National Institute of Mental Health Helping Children and Adolescents Cope with Violence and Disasters For Parents of Children Exposed to Violence or Disaster What Parents Can Do Each year, children experience
More informationOverview of Peer Support Programs
Supporting Mental Health in First Responders Overview of Peer Support Programs BCFirstRespondersMentalHealth.com Introduction First responders attend calls and witness events that can cause them to experience
More informationThe ABCs of Trauma-Informed Care
The ABCs of Trauma-Informed Care Trauma-Informed Care Agenda What do we mean by trauma? How does trauma affect people? What can we learn from listening to the voices of people who have experienced trauma?
More informationContents. Chapter. Coping with Crisis. Section 16.1 Understand Crisis Section 16.2 The Crises People Face. Chapter 16 Coping with Crisis
Chapter 16 Coping with Crisis Contents Section 16.1 Understand Crisis Section 16.2 The Crises People Face Glencoe Families Today 1 Section 16.1 Understand Crisis A crisis is a situation so critical that
More informationDepression: what you should know
Depression: what you should know If you think you, or someone you know, might be suffering from depression, read on. What is depression? Depression is an illness characterized by persistent sadness and
More informationCreating and Sustaining a Trauma Informed Approach. Re n e e D i e t c h m a n L e s l i e W i s s
Creating and Sustaining a Trauma Informed Approach Re n e e D i e t c h m a n L e s l i e W i s s Meet the Facilitators Renee Dietchman, MA Licensed Psychologist Director of Clinical Services Leslie Wiss,
More informationUnderstanding Mental Health and Mental Illness. CUSW Health & Safety
Understanding Mental Health and Mental Illness CUSW Health & Safety Outline Mental Health / Mental Illness Statistics Lifestyle Factors Stress Stigma Resources Burlington TS Health Services What does mental
More informationUnderstanding and Preventing Workplace Violence. Alameda County Health Care Services Agency
Understanding and Preventing Workplace Violence Alameda County Health Care Services Agency Why WPVP Training? Raise awareness Understand County Policy Recognize warning signs Steps to prevent incidents
More informationIndividual Planning: A Treatment Plan Overview for Individuals with PTSD Problems.
COURSES ARTICLE - THERAPYTOOLS.US Individual Planning: A Treatment Plan Overview for Individuals with PTSD Problems. Individual Planning: A Treatment Plan Overview for Individuals with PTSD Problems. Duration:
More informationChapter 13 and 16. Combined by Mrs. Parker Taken from Families Today Text
Chapter 13 and 16 Combined by Mrs. Parker Taken from Families Today Text Key Concepts Identify causes and symptoms of stress Determine how people can manage stress. Section 13.2 Stress Management Stress
More informationINDIVIDUALS ARE COPING ALL THE TIME.
Coping Strategies INDIVIDUALS ARE COPING ALL THE TIME. COPING (CONTENDING) Coping: Is the behavior that protects us from becoming psychologically and physiologically disorganized. Usually incorporates
More informationPolicy A worker is entitled to benefits for traumatic or chronic mental stress arising out of and in the course of the worker s employment.
A worker is entitled to benefits for traumatic or chronic mental stress arising out of and in the course of the worker s employment. A worker is not entitled to benefits for mental stress caused by decisions
More informationCHILDHOOD TRAUMA AND ITS RELATIONSHIP TO PTSD.!! Andrea DuBose, LMSW
CHILDHOOD TRAUMA AND ITS RELATIONSHIP TO PTSD!! Andrea DuBose, LMSW "There are words that Never Show on the body that are deeper and more harmful than anything that bleeds" Laurel K. Hamilton, Mistral's
More informationCharles Schroeder EMS Program Manager NM EMS Bureau
Charles Schroeder EMS Program Manager NM EMS Bureau Objectives Understand the nature of stress, emotional and psychological distress Understand how it affects people and why Help you to recognize the stressors
More informationIMPORTANCE OF SELF-CARE. Dr. Heather Dye, LCSW, CSAC East Tennessee State University Johnson City, TN
IMPORTANCE OF SELF-CARE Dr. Heather Dye, LCSW, CSAC East Tennessee State University Johnson City, TN Define and differentiate: Vicarious Trauma Secondary Traumatic Stress/Compassion Fatigue Burnout Discuss
More information3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose
A module within the 8 hour Responding to Crisis Course Our purpose 1 What is mental Illness Definition of Mental Illness A syndrome characterized by clinically significant disturbance in an individual
More informationPost-Traumatic Stress Disorder (PTSD) Among People Living with HIV
Post-Traumatic Stress Disorder (PTSD) Among People Living with HIV Milton L. Wainberg, M.D. Associate Clinical Professor of Psychiatry College of Physicians and Surgeons Columbia University mlw35@columbia.edu
More informationAN INTRODUCTION TO TRAUMA INFORMED CARE. County of Delaware
AN INTRODUCTION TO TRAUMA INFORMED CARE County of Delaware AN INTRODUCTION TO TRAUMA INFORMED CARE Professionals who provide services for children, adults and families, it is very possible that many of
More informationThe Impact of Changes to the DSM and ICD Criteria for PTSD
The Impact of Changes to the DSM and ICD Criteria for PTSD Jonathan I Bisson Institute of Psychological Medicine and Clinical Neursociences Cardiff University What is PTSD? Question Diagnosing PTSD DSM-IV
More informationNew Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality
New Criteria for Posttraumatic Stress Disorder in DSM-5: Implications for Causality Paul A. Arbisi, Ph.D. ABAP, ABPP. Staff Psychologist Minneapolis VA Medical Center Professor Departments of Psychiatry
More informationSurviving and Thriving: Trauma and Resilience
Guiding our community s children through life s critical moments with trauma-informed mental health and child development services. Surviving and Thriving: Trauma and Resilience John Richardson-Lauve,
More informationPost Combat Care. The Road Home
Post Combat Care The Road Home 1 Demographics: OEF/OIF Veterans Using VA Health Care Approximately 2.04 million individuals have been deployed since 2002 1,094,502 OEF and OIF veterans who have left active
More informationSecondary traumatic stress among alcohol and other drug workers. Philippa Ewer, Katherine Mills, Claudia Sannibale, Maree Teesson, Ann Roche
Secondary traumatic stress among alcohol and other drug workers Philippa Ewer, Katherine Mills, Claudia Sannibale, Maree Teesson, Ann Roche Trauma and PTSD among clients AOD clients Dore et al. (2012).
More informationStaying Emotionally Healthy in the Fire Service: What You and Your Family Should Know. Prepared for the September 2015 Recruit Class
Staying Emotionally Healthy in the Fire Service: What You and Your Family Should Know Prepared for the September 2015 Recruit Class 1 The Shifting Self Image of a Firefighter Random person: So what do
More informationEffects of Traumatic Experiences
Effects of Traumatic Experiences A National Center for PTSD Fact Sheet By Eve B. Carlson, Ph.D. and Josef Ruzek, Ph.D When people find themselves suddenly in danger, sometimes they are overcome with feelings
More informationNEEDS ANALYSIS & INTEGRATION CHECKLIST
Mental Health & Suicide Prevention for Construction Companies NEEDS ANALYSIS & INTEGRATION CHECKLIST MENTAL HEALTH & SUICIDE PREVENTION FOR CONSTRUCTION COMPANIES: NEEDS ANALYSIS & INTEGRATION CHECKLIST
More informationResiliency and Recovery Post-Trauma
Resiliency and Recovery Post-Trauma Texas Children s Health Plan CME November 18, 2017 Megan Mooney, Ph.D. Assistant Professor, Baylor College of Medicine Training Coordinator, Trauma and Grief Center
More informationReference document. Post-traumatic intervention
Reference document Post-traumatic intervention Table of content Introduction 2 Definition 2 Psychological and organizational impacts 3 Post-traumatic intervention and deployment of specialists 3 Consequences
More informationReference document. Post-traumatic intervention
Reference document Post-traumatic intervention Table of content Introduction 2 Definition 2 Psychological and organizational impacts 3 Post-traumatic intervention and deployment of specialists 3 Consequences
More informationVictims of the Khmer Rouge year visiting the Toul Sleng Genocid Museum in Phnom Penh
Victims of the Khmer Rouge year visiting the Toul Sleng Genocid Museum in Phnom Penh 21 Adapted from: David Satcher et al. (1999): Chapter 4.2, Mental health: A Report of the Surgeon General, in: http://en.wikipedia.org/wiki...last
More informationCHILDREN S RESPONSES TO TRAUMA REFERENCE CHART
CHILDREN S RESPONSES TO TRAUMA REFERENCE CHART Children s responses to disaster vary with the age of the child. These responses are considered normal if they are of brief (under 2 weeks) duration. *Although
More informationPsychological First Aid
Psychological Symptoms and Psychological Preschool through Second Grade 2) Generalized fear 1) Helplessness and passivity 3) Cognitive confusion (e.g. do not understand that the danger is over) 4) Difficulty
More information36 Elgin Street 2nd Floor Sudbury, Ontario P3C 5B4
36 Elgin Street 2nd Floor Sudbury, Ontario P3C 5B4 EMPLOYMENT PACKAGE: The following employment package contains information to apply for the position of Outreach Peer Supporter, Casual, Temporary. The
More informationPTSD: Armed Security Officers and Licensed Operators. Peter Oropeza, PsyD Consulting Psychologist
PTSD: Armed Security Officers and Licensed Operators Peter Oropeza, PsyD Consulting Psychologist History of PTSD 1678 Swiss physician Johannes Hofer coins the term nostalgia. to describe symptoms seen
More informationAdvocacy in Difficult Situations. AFSCME Local 88 Steward Training October 19, 2011
Advocacy in Difficult Situations AFSCME Local 88 Steward Training October 19, 2011 Types of Challenges Dealing with victims of sexual harassment or bullying Dealing with ineffective or arrogant people
More informationInstitutional Trauma: The Role of a Trauma Counselor in EAP
Institutional Trauma: The Role of a Trauma Counselor in EAP Brenda Wilson, LCSW, CEAP Joyce Camden-McCusty, LCSW Faculty & Employee Assistance Program www.uvafeap.com 434.243.2643 UVA & Charlottesville
More informationManaging Mental Health (at Work)
Managing Mental Health (at Work) So what do you hope to get from this session? Can you name some types of Mental Health Conditions? Depression Eating problems Phobias Anxiety Schizophrenia Stress Post-traumatic
More informationA compensable claim for psychological injury can arise as an injury by itself with no physical injury or as a result of a physical injury.
Section Policy 40 44.05.30 Section Title: Subject: Effective Date: Benefits Administration Adjudication and Compensation Adjudication of Psychological Injuries November 1, 2012, for all claims regardless
More informationTrauma: From Surviving to Thriving The survivors experiences and service providers roles
Trauma: From Surviving to Thriving The survivors experiences and service providers roles Building Awareness, Skills & Knowledge: A Community Response to the Torture Survivor Experience Objectives 1. To
More informationWorkplace Mental Health & Wellbeing Programs An overview
1 A New Mindset Workplace Mental Health & Wellbeing Programs An overview 2 A New Mindset A New Mindset is a suite of workplace mental health and wellbeing programs developed by the OzHelp Tasmania Foundation.
More informationBehavioral Emergencies. Lesson Goal. Lesson Objectives 9/10/2012
Behavioral Emergencies Lesson Goal Recognize, assess, & treat patients with behavioral emergencies, including patients with psychiatric history & substance abuse Lesson Objectives Define these terms: Suicide
More informationHuman Trafficking: Best Practices for the Courtroom and for the Clinical Setting
Human Trafficking: Best Practices for the Courtroom and for the Clinical Setting Mandi Pierson, MSW, LISW-S (she/her) & Hannah Estabrook, MA, LPCC-S (she/her) Outline 1. 2. Human Trafficking & Prostitution
More informationSafety Individual Choice - Empowerment
Safety Individual Choice - Empowerment Diane M. Gruen-Kidd, LCSW Department for Behavioral Health, Developmental and Intellectual Disabilities Diane.Gruen-Kidd@ky.gov Please Be Aware There are parts of
More informationUP LIFTING LIFE AND COMMUNITY AT THE SAME TIME PRESENTER Charlise Smith, CEO Women Against Violence Enterprises and Services (WAVES)
UP LIFTING LIFE AND COMMUNITY AT THE SAME TIME PRESENTER Charlise Smith, CEO Women Against Violence Enterprises and Services (WAVES) #A NEW WAVE OF LIFE Our Mission The mission of WAVES is to primarily
More informationReactions to Trauma and Clinical Treatment for PTSD
Reactions to Trauma and Clinical Treatment for PTSD Cultural specific concerns and recommendations. Dr. K. Loan Mai AHSSC. October 19, 2012 Post-Traumatic Stress Disorder (PTSD) is an anxiety disorder
More informationChildren Exposed to Trauma
Shock Waves: Children Exposed to Trauma N. Ann Lowrance, M.S., C.D.S.V.R.P. Department Head of Social Services Oklahoma State University, Oklahoma City One out of every 4 children attending school has
More informationSURREY FIRE SERVICE CRITICAL INCIDENT STRESS MANAGEMENT TEAM
CISM DEFUSING/ DEBRIEFING HANDOUTS Common Signs and Symptoms During a CIS Event You have experienced a traumatic event, or a critical incident. Even though the event may be over, you may now be experiencing,
More informationWhat the heck is PTSD? And what do I do if I have it?
What the heck is PTSD? And what do I do if I have it? Dr. Dion Goodland, Psychologist Goodland Psychology November 2015 Outline for today What is Posttraumatic Stress Disorder (PTSD)? How do I get it?
More informationCaring for Children Who Have Experienced Trauma
Caring for Children Who Have Experienced Trauma Introduction Illustrations by Erich Ippen, Jr. Used with permission. Why a Trauma Workshop? Many children in foster care have lived through traumatic experiences.
More informationM E N TA L A N D E M O T I O N A L P R O B L E M S
CHAPTER 9 M E N TA L A N D E M O T I O N A L P R O B L E M S LESSON 1 MENTAL DISORDERS 1. Define the term mental disorder. An illness of the mind that can affect the thoughts, feelings, and behaviors of
More informationCalming the Chaos April
Calming the Chaos April 2018 1 SELF AWARENESS LEGACY REALM ATTITUDE TheIronJen.com Self Aware. What is standing in my way? What is the white elephant in the room? 3 Legacy What do I want to be known for:
More informationTrauma Sensitive Practices for School Psychologists Michelle Schnack, LCSW.
Trauma Sensitive Practices for School Psychologists Michelle Schnack, LCSW Email: michelle23lcsw@gmail.com Objectives Discuss symptoms of trauma and how trauma affects behaviors and learning Provide tips
More informationCaring for Yourself and Your Team
Caring for Yourself and Your Team Marvarene Oliver, Ed.D., LPC-S, LMFT-S Professor, Department of Counseling and Educational Psychology Texas A&M University-Corpus Christi Why This Topic? Those who work
More informationCOMMON SIGNS AND SIGNALS OF A STRESS REACTION
COMMON SIGNS AND SIGNALS OF A STRESS REACTION PHYSICAL SIGNS Fatigue Nausea (upset stomach) Twitches Muscle tremors (lips, hands) Thirst Vomiting Elevated blood pressure Headaches Chills Dizziness Grinding
More informationGRIEVING A SUICIDE LOSS
GRIEVING A SUICIDE LOSS WHAT IS SUICIDE LOSS GRIEF? Grief is grief (also called bereavement), but when it involves a suicide death many people react differently than with, for example, a death resulting
More informationMental Health First Aid at a Glance
Mental Health First Aid at a Glance Candice M. Haines, LCPC Program Supervisor Mental Health First Aid Instructor Pilsen Wellness Center chaines@pilsenmh.org Overview Address myths vs facts Warning signs
More informationUnderstanding and addressing trauma in the lives of those we serve..
Understanding and addressing trauma in the lives of those we serve.. Presented By: Joan Gillece, Ph.D. SAMHSA Promoting Alternatives to Seclusion and Restraint through Trauma-Informed Practices Important
More informationWho develops PTSD? What are the symptoms of PTSD?
Who develops PTSD? Anyone can develop PTSD at any age. This includes war veterans as well as survivors of physical and sexual assault, abuse, car accidents, disasters. terror attacks, or other serious
More informationCrisis Response: More Than Just Psychological Bandaids
Crisis Response: More Than Just Psychological Bandaids Today s Objectives Differentiate between a behavioral emergency and a crisis. Understand factors specific to those in crisis List the elements of
More information11/5/2015 STRESS IN EMS. Workplace stress has been linked with OBJECTIVES OF PRESENTATION SO, IS IT STRESSFUL TO WORK IN EMS? CHRONIC STRESSES IN EMS
STRESS IN EMS OBJECTIVES OF PRESENTATION Discuss the empirical and theoretical underpinnings of research into stress reactions in EMS ELIZABETH DONNELLY, PHD, MPH, LICSW, NREMT Review the results of three
More informationThe PTSD Checklist for DSM-5 with Life Events Checklist for DSM-5 and Criterion A
The PTSD Checklist for DSM-5 with Life Events Checklist for DSM-5 and Criterion A Version date: 14 August 2013 Reference: Weathers, F. W., Litz, B. T., Keane, T. M., Palmieri, P. A., Marx, B. P., & Schnurr,
More informationA Quiet Storm: Addressing Trauma & Addiction through a Trauma Informed Lens
A Quiet Storm: Addressing Trauma & Addiction through a Trauma Informed Lens P R E S E N T E D B Y : B R E N D E N A. H A R G E T T, P H. D., L P C, L C A S, N C C, M A C A L G R E E N E A D D I C T I O
More informationClinician-Administered PTSD Scale for DSM-IV - Part 1
UW ADAI Sound Data Source Clinician-Administered PTSD Scale for DSM-IV - Part 1 Protocol Number: XXXXXXXX-XXXX a Participant #: d Form Completion Status: 1=CRF administered 2=Participant refused 3=Staff
More informationPTSD and TBI. Rita Wood, Psy.D. Assistant Chief of VA Police Aaron Yoder
PTSD and TBI Rita Wood, Psy.D. Assistant Chief of VA Police Aaron Yoder Outline Prevalence of Post Traumatic Stress Disorder What is a traumatic event? Acute Stress Disorder (ASD) Risk Factors for PTSD
More informationStress Reactions & Coping Mechanisms Honor Guard. Presented by the Military & Family Life Counselors
Stress Reactions & Coping Mechanisms Honor Guard Presented by the Military & Family Life Counselors Objectives» Define stress and stress reactions» Better understand how we try to cope with stress» Help
More informationRETURNING FROM THE WAR ZONE
RETURNING FROM THE WAR ZONE Produced by the National Center for PTSD November 2005 A Guide for Military Personnel ON BEHALF OF A GRATEFUL NATION WELCOME HOME! This pamphlet is provided to assist military
More informationENGAGING AND SUPPORTING FAMILIES IN SUICIDE PREVENTION
ENGAGING AND SUPPORTING FAMILIES IN SUICIDE PREVENTION Luciana Payne, Ph.D. McLean Hospital Silvia Giliotti, Ph.D. NYS OMH Suicide Prevention Office Perry Hoffman, Ph.D. National Education Alliance for
More informationFIREFIGHTER SURVIVAL SKILLS ANNE NESBIT KEY PENINSULA FIRE DEPARTMENT
FIREFIGHTER SURVIVAL SKILLS ANNE NESBIT KEY PENINSULA FIRE DEPARTMENT Anyone you know? Fire Service Stressful occupation Expect to see others in trouble Routinely manage crises EMS Stress The social support
More informationWarning Signs of Mental Illness in Children/Adolescents. Beth Confer, MA, LPC Director, Community Relations Clarity Child Guidance Center
Warning Signs of Mental Illness in Children/Adolescents Beth Confer, MA, LPC Director, Community Relations Clarity Child Guidance Center Identify At least 5 warning signs of mental illness in children
More informationMental Health Strategy. Easy Read
Mental Health Strategy Easy Read Mental Health Strategy Easy Read The Scottish Government, Edinburgh 2012 Crown copyright 2012 You may re-use this information (excluding logos and images) free of charge
More informationTrauma Informed Care in Homeless and Housing Service Settings
Trauma Informed Care in Homeless and Housing Service Settings Courtney Miller, MSW, LSWAIC YWCA Objectives Acknowledge the impact of homelessness as a traumatic event Identify ways that trauma can manifest
More information