Stress Manageme NT: Fire Senior Leadership Course National Fire Training Institute
Stress Manageme NT: Fire Senior Leadership Course National Fire Training Institute
Stress Manageme NT: Fire Senior Leadership Course National Fire Training Institute
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
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Existential crises
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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
Stress
management 33
Paperworks Wearing PPEs
Paperworks Wearing PPEs
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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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