Organizational Approaches
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Montgomery County Critical Incident Stress Management Team

 

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Montgomery Hospital Medical Center Stress Mitigation

 Minimizing Stress

Before the Crisis

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Become familiar with the NIMS/NICS and your organization's role in it and train personnel in its use

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Establish clear lines of authority and responsibility minimize stress by eliminating confusion about who reports to whom

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Provide regular training on stress management techniques

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Create a facility evacuation plan and practice drills regularly

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Provide ongoing training to ensure that staff are thoroughly familiar with safety procedures and policies

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Develop guidelines to help workers prepare for a major event

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Maintain an updated list of family members' contact information for each employee

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Have a pre-established plan for how employees will check on their families if disaster strikes during work hours

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Provide a well-articulated chain of command

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Define the scope and limits of workers' decision-making authority

Organizational Approaches for Stress Prevention and Management

During the Crisis

EFFECTIVE MANAGEMENT STRUCTURE & LEADERSHIP

bulletClear chain of command and reporting relationships
bulletAvailable and accessible clinical supervisor
bulletOrientation provided for all workers
bulletShifts no longer than 12 hours with 12 hours off
bulletBriefings provided at beginning of shifts as workers exit and enter the operation
bulletNecessary supplies available
bulletCommunication tools available

CLEAR PURPOSE & GOALS

bulletClearly defined goals and strategies appropriate to assignment

FUNCTIONALLY DEFINED ROLES

bulletStaff oriented and trained with written role descriptions for each assignment setting

TEAM SUPPORT

bulletBuddy system for support and monitoring stress reactions
bulletPositive atmosphere of support and tolerance with "good job" said often

PLAN FOR STRESS MANAGEMENT

bulletWorkers' functioning assessed regularly
bulletWorkers rotated between low-, mid-, and high stress tasks
bulletBreaks and time away from assignment encouraged
bulletEducation about signs and symptoms of worker stress and coping strategies
bulletIndividual and group defusing and debriefing provided
bulletExit plan for workers leaving the operation: debriefing, reentry information, opportunity to critique, and formal recognition for service

 

Adapted from:  

U.S. Department of Health and Human Services. A Guide to Managing Stress in Crisis Response Professions. DHHS Pub. No. SMA 4113. Rockville , MD : Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 2005.

U.S. Department of Health and Human Services.  Tips for Managing and Preventing Stress:  A Guide for Emergency and Disaster Response Workers.  Center for Mental Health Services, Substance Abuse and Mental Health Services Administration: Rockville , MD, 2005.

 

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