While sufficiently discredited by research, many first responding organizations continue to use Critical Incident Stress Management (CISM) as a part of their strategy for employee wellness, particularly after a big event or a mass casualty. I’ve not made it a secret that I think CISM is harmful (which is consistent with research). I most thoroughly discussed some of the problems in my review of Opening Up. One could easily wonder why I read this book. The answer has to do with intentionally trying to give it a chance – to extract some of the good things from the approaches. I found a few nuggets, but it was hard to find the things that are good and should be a part of any trauma response program.
As our CISM Team leader, this book and its companion on CISD, were critical to understanding CISM, developing proper procedures and team training into critical incident stress debriefings, and conducting ethical defusings/debriefings of affected employees.