September 2024 CISM (Critical Incident Stress Management) Facilitator Application

CISM (Critical Incident Stress Management) Facilitator Application

September 24-26, 2024 - Behavioral Health Training Summit, Bend, OR
Purpose & Goal of CISM Facilitator Training: Please Read in Full

Critical Incident Stress Management (CISM) is a comprehensive, integrated, multi-tactic crisis intervention approach to managing critical incident stress after a traumatic event. CISM can include individual and group support as well as education and coping techniques. Originally developed to assist in the emotional stabilization of first responders, CISM is now used with a variety of populations and professions after a traumatic event or during crisis intervention. Oregon has also begun offering CISM to youth-serving adults after a youth suicide death.

The Association of Oregon Community Mental Health Programs(AOCMHP) is offering low-cost ($75) CISM facilitator training to county and community mental health program staff, suicide prevention coalitions, key social service agencies, and other community-based organizations who may provide support during crisis, with a focus on suicide postvention response. Prospective facilitators will attend the 3-day Assisting Individuals in Crisis & Group Crisis Intervention training from the International Critical Incident Stress Foundation (a $675 value). Upon completion of the course, facilitators will have the opportunity to join Lines for Life's Suicide Rapid Response program's network of CISM facilitators to assist in suicide postvention as paid subcontractors.

To better support and connect Oregon's CISM facilitators and crisis professionals, there are quarterly learning collaborative meetings, hosted in January, April, July, and October. It is our hope that the learning collaborative will create a statewide network of mutually supportive professionals with the skills to provide structured support to their peers after an incident has occurred. Established CISM teams are encouraged to join and attend.

About Suicide Rapid Response: Suicide Rapid Response helps alleviate overwhelm for Oregon's communities that are healing from a youth death by suicide. Suicide Rapid Response aims to reduce risk of further suicide behaviors by providing support, education, resources, and partnership with subject matter experts. CISM facilitators may be requested for community debriefings and listening sessions. Stipends and travel support (for in-person responses) are available for subcontracted facilitators.

Please note that a completed MOU between Lines for Life and the facilitator's employer (if applicable), background check, and a certiicate of insurance are required to be a subcontractor in the Suicide Rapid Response network. More information will be available upon completion of the CISM Facilitator Training.

About this Application
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CISM Facilitator Expectations & Qualifications
Expectations, Roles, & Responsibility
- Attend 3-day CISM facilitator course in its entirety
- Regular participation in quarterly learning collaborative meetings (at least 2/year)
- Respond to a quarterly survey on use of CISM
- Willingness to respond to group and individual needs to support the care and wellbeing of others during emergent/crisis situations
Recommended Facilitator Qualifications
- Relevant experience, education, and/or training (i.e., crisis mangement and response, mental healthcare, peer support, trauma-informed care, public health, grief support, etc.)
- Commitment to the safety and wellbeing of ofthers
- Commitment to cultural humility
- Ability to maintain confidentiality
- Strong engagement skills
- Leadership skills

ABOUT YOU
Name

First NameLast Name
Email
example@example.com
Organization
Job Title
Credentials
Do you provide service to people with substance use disorder?

YesNo
Phone Number
Please enter a valid phone number.
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
DEMOGRAPHIC INFORMATION
How do you identify your race, ethnicity, tribal affiliation, country of origin, or ancestry?*
What is your primary language?*
What language(s) do you speak at home?*
What other languages are you proficient in, if any?*

APPLICATION QUESTIONS

In 1-3 paragraphs, provide answers to the following questions. You may use your personal, professional, and educational experiences to answer.
1. Why do you want to be trained as a CISM facilitator? Why do you feel CISM is important?*
2. How will your employer support you as a CISM facilitator (if applicable)? a. Will you be able to provide CISM outside of your organization? Outside of your county? b. Does your organization have a CISM team? If not, are you interested in starting one?*
3. Please describe your ability to respect privacy and confidentiality. Why is this important?*
4. Name some qualities you possess that would enable you to be helpful toward others during difficult times.*
5. How do you manage your own self-care? Who are the people and what are the practices that help you?*
6. Please list any relevant education, training, volunteer work, employment, or life experiences that you feel would help you to provide support as a CISM facilitator.*
7. Please list any access needs you have that will enable you to better participate in a virtual facilitator training (ex. captions, sign language interpretation, etc.)*
7. Do you have any additional information you'd like to share?
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CISM (Critical Incident Stress Management) Facilitator Application

CISM Facilitator Expectations & Qualifications

Expectations, Roles, & Responsibility

Recommended Facilitator Qualifications

ABOUT YOU

DEMOGRAPHIC INFORMATION

APPLICATION QUESTIONS