Teaching Phase:
  • Symptoms:

  • Discussion of CIS
  • Normal people and reactions
  • Only event is abnormal
  • Stress Management
  • Sleep, Nutrition, Exercise, Talk
  • Long term symptoms & counseling
  • Better with time from event
  • Some need referral
/ Re-entry Phase:
  • Team go around for last thoughts
  • Questions or comments
  • Restate the overall purpose of debriefing and CISM team (e.g. short term)
  • Reinforce confidentiality
  • Encourage personal plan of action
  • Reassurance about improvement
  • Stay after for refreshments/discussion
  • Thanks for participating
  • Handouts/contact information
**After, allow time for team to self debrief**
Defusing Modifications:
  • Closer to event, shorter the encounter
  • May follow debriefing format
  • Less depth of phases
  • <72 hrs, skip reaction phase
 2000 Card Design S.A. Pulley, D.O. / Teaching Phase:
  • Symptoms:

  • Discussion of CIS
  • Normal people and reactions
  • Only event is abnormal
  • Stress Management
  • Sleep, Nutrition, Exercise, Talk
  • Long term symptoms & counseling
  • Better with time from event
  • Some need referral
/ Re-entry Phase:
  • Team go around for last thoughts
  • Questions or comments
  • Restate the overall purpose of debriefing and CISM team (e.g. short term)
  • Reinforce confidentiality
  • Encourage personal plan of action
  • Reassurance about improvement
  • Stay after for refreshments/discussion
  • Thanks for participating
  • Handouts/contact information
**After, allow time for team to self debrief**
Defusing Modifications:
  • Closer to event, shorter the encounter
  • May follow debriefing format
  • Less depth of phases
  • <72 hrs, skip reaction phase
 2000 Card Design S.A. Pulley, D.O.
Teaching Phase:
  • Symptoms:

  • Discussion of CIS
  • Normal people and reactions
  • Only event is abnormal
  • Stress Management
  • Sleep, Nutrition, Exercise, Talk
  • Long term symptoms & counseling
  • Better with time from event
  • Some need referral
/ Re-entry Phase:
  • Team go around for last thoughts
  • Questions or comments
  • Restate the overall purpose of debriefing and CISM team (e.g. short term)
  • Reinforce confidentiality
  • Encourage personal plan of action
  • Reassurance about improvement
  • Stay after for refreshments/discussion
  • Thanks for participating
  • Handouts/contact information
**After, allow time for team to self debrief**
Defusing Modifications:
  • Closer to event, shorter the encounter
  • May follow debriefing format
  • Less depth of phases
  • <72 hrs, skip reaction phase
 2000 Card Design S.A. Pulley, D.O. / Teaching Phase:
  • Symptoms:

  • Discussion of CIS
  • Normal people and reactions
  • Only event is abnormal
  • Stress Management
  • Sleep, Nutrition, Exercise, Talk
  • Long term symptoms & counseling
  • Better with time from event
  • Some need referral
/ Re-entry Phase:
  • Team go around for last thoughts
  • Questions or comments
  • Restate the overall purpose of debriefing and CISM team (e.g. short term)
  • Reinforce confidentiality
  • Encourage personal plan of action
  • Reassurance about improvement
  • Stay after for refreshments/discussion
  • Thanks for participating
  • Handouts/contact information
**After, allow time for team to self debrief**
Defusing Modifications:
  • Closer to event, shorter the encounter
  • May follow debriefing format
  • Less depth of phases
  • <72 hrs, skip reaction phase
 2000 Card Design S.A. Pulley, D.O.