Stress Manageme NT: Fire Senior Leadership Course National Fire Training Institute

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STRESS

MANAGEME
NT
FIRE SENIOR LEADERSHIP COURSE
National Fire Training Institute
Objectives
✗ Review the definition of stress and its symptoms
✗ Review trauma
✗ Explain what is Critical Incident Stress

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Stress
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STRESS
✗ The response of our body to various factors that are
perceived to be a demand or threat
✗ It protects our well-being by triggering our defense and
coping mechanisms to mitigate the effect of the stressful
event on our mind and body

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STRESS
✗ It can help you motivate yourself and be productive
✗ It can cause damage to a person’s well-being,
relationship and mental health if it is experienced in an
excessive amount

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Firefighte
rs 6
Risk factors of Firefighters
✗ Firefighters often responds to critical incidents
✗ Can experience secondary stress
✗ Heightened vulnerability to trauma
✗ Inaquadecy of social support
✗ Stigma on mental health

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CRISIS
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What is crisis?
✗ In mental health terms, a crisis refers not necessarily to a
traumatic situation or event, but to a person’s reaction to an
event.
✗ A crisis presents an obstacle, trauma, or threat, but it also offers
an opportunity for either growth or decline.

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Types of Crisis

✗ Developmental crises
✗ Existential crises
✗ Situational crises

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Developmental Crises

✗ These occur as part of the process of growing and


developing through various periods of life.

✗ Sometimes a crisis is a predictable part of the life


cycle

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Existential crises

✗ Inner conflicts are related to things such as life


purpose, direction, and spirituality.
✗ A midlife crisis is one example of a crisis that is
often rooted in existential anxiety.

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Situational crises

✗ These sudden and unexpected crises include


accidents and natural disasters. Getting in a
car accident, experiencing a flood or
earthquake, or being the victim of a crime
are just a few types of situational crises.

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Signs or
Symptoms of
Critical Incident
Stress 14
Physical
✗ Fatigue
✗ Chills
✗ Unusual Thirst
✗ Chest Pain
✗ Headaches
✗ Dizziness

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Cognitive
✗ Uncertainty
✗ Confusion
✗ Nightmares
✗ Poor attention
✗ Poor decision making
✗ Memory problems
✗ Poor problem solving activity

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Emotional
✗ Grief
✗ Fear
✗ Guilt
✗ Intense anger
✗ Apprehension and depression
✗ Irritability
✗ Chronic anxiety

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Behavioral
✗ Inability to rest
✗ Withdrawal
✗ Anti-social behavior
✗ Increased alcohol consumption
✗ Changes in communication
✗ Loss or increase in appetite

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Critical Incident

Stress
management 19
Critical Incident Stress
Management
✗ a type of crisis intervention designed to provide support for
those who have experienced traumatic events.
✗ It is comprised of multiple crisis response components that
attempt address each phase of a crisis situation.
✗ It can be implemented with individuals, families, groups,
organizations, and communities.
✗ Although some research has found CISM to be ineffective and
even harmful, defenders of CISM argue that, when
implemented properly, this intervention offers powerful crisis
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support.
HISTORY
✗ Critical incident stress management is rooted in crisis
intervention theory, group therapy, and community psychology.
✗ Theorists like Eric Lindemann, Irvin Yalom, and Gerald
Caplan provided the foundation for CISM developers Jeffrey T.
Mitchell and George S. Everly, Jr. to begin their work in the
1970s. During the 1980s
✗ During the 1980s, Mitchell and Everly officially introduced
critical incident stress debriefing as part of their critical
incident stress management system of crisis intervention.
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Objectives of Critical Incident
Stress Debriefing
✗ Lessen the impact of the critical incident
✗ Normalize instinctive reactions to the incident
✗ Encourage the natural recovery process
✗ Restore the adaptive functioning skills of the
person and/or group
✗ Determine the need for further supportive
services or therapy 22
Different Components of
Critical Incident Stress
Management
✗ Pre-Crisis Preparation
✗ Community Support Programs
✗ Critical Incident Stress Debriefing (CISD)
✗ DEFUSING
✗ Other Crisis Interventions 23
Pre-Crisis Preparation
✗ This component involves helpful procedures that
encourage stress management, crisis education, and
crisis planning.

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Crisis Education

addresses the knowledge, skills and


dispositions
required for people in precarious
times.
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Crisis Planning

is an important part of proactive


and effective management. To create
your plan, you'll need to establish a
crisis team, identify key risks,
develop the crisis plan, and plan for
full recovery. 26
Community Support
Programs
✗ Often referred to as “town meetings,” these
programs support organizations, schools, and
communities by providing structured
opportunities for discussion and processing of
disasters or events.
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Critical Incident Stress
Debriefing (CISD)
✗ CISD is a major component of the CISM crisis
intervention system.
✗ CISD is not meant to be used as standalone
intervention, but rather as a CISM technique for
use with small groups.
✗ This seven-phase intervention attempts to mitigate
traumatic stress, determine the need for further
mental health treatment, and assemble a sense of 28
DEFUSING
✗This three-phase technique is similar to
CISD in that it is a group intervention,
but it is more immediate in nature.
Intended to take place within hours of the
event, defusing involves confidential
discussion groups that promote
stabilization and prevention of traumatic
stress. 29
Limitations and Concerns of
CISM
✗ Critical incident stress management has often been
criticized for its lack of efficacy in preventing
symptoms of posttraumatic stress and reducing the
impact of acute stress response.
✗ some research indicates that CISM techniques like
CISD can actually increase the likelihood that trauma
will have a greater psychological impact. 30
Limitations and Concerns of
CISM
✗ Defenders of CISM insist that many of the studies
that portray CISM as ineffective are scientifically
flawed.
✗ Additionally, CISM supporters argue that these
research studies incorporated techniques improperly
or used non-CISM techniques such as single-session
debriefings. 31
Limitations and Concerns of
CISM
✗ As with all interventions, therapies, and treatments, it
is paramount that individuals seek support from
trained professionals.
✗ In general, people on both sides of the CISM debate
agree that CISM techniques should be delivered
appropriately, by certified personnel, and with the
utmost care. 32
Critical Incident

Stress
management 33
Paperworks Wearing PPEs
Paperworks Wearing PPEs

Heavy Workload Commands of Seniors


Heavy Workload Commands of Seniors

Long Work Hours Challenging and Risky Tasks


Long Work Hours Challenging and Risky Tasks

Work on Weekends Psychological Trauma


Work on Weekends Psychological Trauma

Answering Distress Calls Limited Time with Family


Answering Distress Calls Limited Time with Family

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MODELS
OF
STRESS 35
DIATHESI
S STRESS
MODEL 36
SELF-CARE
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BREATHE FOCUS
✗ Sit or lie flat in a comfortable position.
✗ Put one hand on your belly just below your
ribs and the other hand on your chest.
✗ Take a deep breath in through your nose, and
let your belly push your hand out. Your chest
should not move.
✗ Breathe out through pursed lips as if you were
whistling. Feel the hand on your belly go in,
and use it to push all the air out.
✗ Do this breathing 3 to 10 times. Take your time
with each breath. 38
BODY SCAN
✗ This technique blends breath focus with progressive
muscle relaxation. After a few minutes of deep
breathing, you focus on one part of the body or
group of muscles at a time and mentally releasing
any physical tension you feel there. A body scan can
help boost your awareness of the mind-body
connection. If you have had a recent surgery that
affects your body image or other difficulties with
body image, this technique may be less helpful for
you.
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GUIDED IMAGERY
✗ For this technique, you conjure up soothing scenes,
places, or experiences in your mind to help you relax
and focus. You can find free apps and online
recordings of calming scenes—just make sure to
choose imagery you find soothing and that has
personal significance. Guided imagery may help you
reinforce a positive vision of yourself, but it can be
difficult for those who have intrusive thoughts or
find it hard to conjure up mental images.
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