Critical Incident Stress And Trauma In The Workplace: Recognition... Response... Recovery

✍ Scribed by Gerald W. Lewis

• Publisher: CRC Press
• Year: 1994
• Tongue: English
• Leaves: 145
• Category: Library

✦ Synopsis

This text was developed as a manual for those employed in the emergency services ESP, those who deal with victims of trauma in the workplace, work in school systems or acute psychiatric settings, provide assistance to ESP, or who are employed in other settings where persons may experience trauma. The book can also be used by mental health workers as they conduct workshops or provide debriefings where trauma has occured.

✦ Table of Contents

Front Cover
Critical Incident Stress and Trauma in the Workplace
Copyright Page
Table of Contents
Dedication
Preface
List of Figures
1.
Understanding Stress and Stress Management
General Concepts of Stress
Biological Relationships
Stress in Life
Stress Management
2. Critical Incident Stress (CIS)
Crisis, Trauma, Disaster
Understanding Critical Incident Stress (CIS)
Definition
Release
Multi-casualty
Single Victim Incident
Signs and Symptoms
Reaction and Time Delay
Acute
Delayed
Cumulative or Gradual CIS
3.
Description of "At Risk" Occupations
Effects of Stress
Factors Affecting Risk
Intervention
Immediacy
Intensity
Instability
Information
Imperilment
Isolation
Public Approval
Characteristics of Individuals in Helping Professions
4.
Post-Traumatic Stress Disorder (PTSD)
Determinants of PTSD
Relationship of CIS to PTSD
Case Examples of PTSD in Clinical Practice
Case 1
Case 2
Dynamics Involved with PTSD
Case 3
Summary
5.
Dynamics and Definitions Involved with Different Types of Crises
Situational Factors Affecting Extent
Warning
Nature of the Crisis
Severity of the Crisis
Physical Proximity
Personal Factors Affecting Individuals Responses
Psychological Proximity
Coping Skills
Concurrent Stressors
Role Conflict/Overload
Previous Experience
Age
Temporal Proximity
Trauma Recovery Phases
Phase 1: Pre-impact Phase
Phase 2: Impact Phase
Phase 3: Post Impact Phase
Summary of Trauma Recovery Phases
Stages in Dying and Death Experience
Denial Stage
Bargaining Stage
Anger Stage
Depression Stage
Acceptance Stage
Normality of Trauma Reaction
6. Critical Incident Stress Response (CISR): Strategies and Interventions to Deal with CIS
Policies, Procedures, Programs (The Three Ps)
For the Department/Agency on an Ongoing Basis
As Ongoing Strategies for the Individual ESP
At the Time of a Critical Incident
If an Individual is Experiencing Symptoms of CIS
7. Reactions of Others
Openness Versus Closure with Family Members
Spouse/Significant Other Becomes the Victim
Debriefing Staff and Their Families
Esp Work and Potential Affect on the Family
Time Plus Professional Assistance Needed
Primary Level
Secondary Level
Tertiary Level
8.
Trauma and Crisis in the Workplace
Examples of Crises and/or Trauma Situations
Trauma in the Workplace
Layoffs, Downsizing, and Other Transition Crises
Managers' Vulnerability
Prescription for Resolution
Coping with Transition
Communication is the Key to Trust
9. Guidelines for Conducting Debriefings (and other types of
interventions)
Timing of a Debriefing
Pre-intervention Planning
Post-intervention Discussion
Components of a Formal Debriefing
Introduction
"Painting the Picture" Phase
Reaction Phase
Education Phase
Follow-up Phase
Other Components of the Debriefing
Other Types of Interventions
For Injury or Death
For Victimization by Violent Crime
For Serious Illness or Death of Coworker
For Employees Involved in a Robbery
For Employees Involved in a Corporate Restructwing
Note to Employee Assistance Professionals
The Difference Between a CIS/T Response and Other Mental Health Interventions
10.
Crises in School Settings
Suicide among Adolescents
Categories of Self-harming Behavior
Self-harming Gesture
Physical Mutilation
Self-destructive Behavior
Suicide Attempt
School Protocol
Protocol for Death or Suicide
Summary
Bibliography
Index
About the Author
Abbreviations