Critical Incident Response

Critical Incident Stress Management (CISM) is a comprehensive, integrative, multicomponent crisis intervention system that spans the entire temporal spectrum of a crisis (Everly & Mitchell, 1997). CISM serves to address the various forms of stress reactions that result from critical incidents and cause individuals psychological distress.


Care Plus Solutions has been employing Critical Incident Response services for over 35 years.

Critical Incident Stress Management (CISM) interventions include the following:


Critical Incident Stress Defusing

In this immediate telephonic intervention, our Counselors are available 24/7 to Senior Management and on site Management for consultation regarding how to communicate the incident to their employees and manage their teams during their time of turbulence. Counselors will also gather the details of the incident and any additional information, and schedule and plan interventions.

In addition, defusing is meant to orient Managers and employees to the feelings and emotional reactions they can expect to experience after a critical incident. Care Plus Solutions’ Counselors are available 24/7 for telephonic support to all employees.



Critical Incident Stress Debriefing (CISD)

CISD is an intervention that takes place between 24 and 72 hours after the incident, and is in the format of a small group facilitated by a member of our CISM team. The purpose of a CISD group is to afford employees, family, and dependents a safe space to process their reactions to a crisis and alleviate symptoms. In addition to stress reactions, individuals can expect to experience one or more of the stages of grief, which include denial, anger, bargaining, depression, and acceptance. This is also the time when Counselors assess the need for follow up.


Follow Up (Ongoing)

Employees, Managers, families, and dependents may call EAP Counselors 24/7 for ongoing additional support. EAP Counselors will assess and make referrals to longer-term treatment interventions such as counseling, support groups, or other treatment interventions, if needed.


Examples of a Critical Incident include but are not limited to:

• Serious workplace injuries or accidents

• Death of a co-worker or family member

• Assaults, violent acts, or threats in the workplace

• Suicide of an employee

• Traumatic family or work events

2-300 Employees

301+ Employees

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