Crisis Intervention For Emergency Medical Personnel

Psychological Crisis Intervention: The SAFER-R Model is designed to provide the reader with a simple set of guidelines for the provision of psychological first aid (PFA). The model of psychological first aid (PFA) for individuals presented in this volume is the SAFER-R model developed by the authors. Arguably it is the most widely used tactical model of crisis intervention in the world with roughly 1 million individuals trained in its operational and derivative guidelines. This model of PFA is not a therapy model nor a substitute for therapy. Rather it is designed to help crisis interventionists stabile and mitigate acute crisis reactions in individuals, as opposed to groups. Guidelines for triage and referrals are also provided. Before plunging into the step-by-step guidelines, a brief history and terminological framework is provided. Lastly, recommendations for addressing specific psychological challenges (suicidal ideation, resistance to seeking professional psychological support, and depression) are provided.

Prehospital Behavioral Emergencies and Crisis Response was designed to complement Jones & Bartlett Learning's Continuing Education series. This resource educates readers on the crisis and behavioral health issues of patients in the prehospital environment. Separated into three parts, coverage includes: the acute behavioral crisis, chronic mental health issues, and prehospital response. Prehospital Behavioral Emergencies and Crisis Response simplifies various types of diagnosed mental disorders such as mood, personality, eating, and sleeping, as well as schizophrenia and psychosis. This is a great resource for continuing education courses and is also appropriate for any basic, intermediate, or paramedic prehospital provider course. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.

A practical guide to the origins and treatment options for agitation, a common symptom of psychiatric and neurologic disorders.

Originally published in 1986, this volume presents the clinical and administrative aspects of emergency psychiatry from the point of view of the clinician administrator involved in organizing and running an emergency service. Part 1 provides an administrative overview of psychiatric emergency care – the development of the field, the concepts, the patient profile, the team, the architecture, fiscal planning, legal constraints as well as training and research issues. Part 2 describes psychiatric emergency care delivery systems in the emergency department, the average hospital wards, the community mental health centers and health maintenance organizations. Part 3 gives examples of the process of administration – in one instance how a psychiatric emergency service developed, in the other how one functions day to day and what themes recur administratively. Part 4 focuses on protocols and models useful to the emergency service administrator: protocols, records, standards of care, politics, liaison with the court, mobile response, collaborative arrangements and disaster preparedness. Part 5 provides an annotated bibliography which reviews and draws attention to the relevant literature for the clinicians and administrators to use in practicing emergency psychiatry.

Critical situations in acute and emergency care are one of the great clinical challenges because of the uncertainty, high stakes, time pressure, and stress that are involved. This book provides a comprehensive outline of all the human factors issues relevant to patient safety during acute care. Following an initial section discussing the basic principles of human behavior and decision making, the various influences on safe patient care are discussed in depth. These are divided into three interacting groups: individual factors, team factors, and organizational factors. Relevant psychological theories are carefully examined, and case studies and descriptions of proven strategies help to ground these theories in daily practice. This newly revised edition, in which each chapter has been enlarged and updated, will help both physicians and non-physicians to better understand the principles of human behavior and decision making in critical situations and thus to provide safer treatment.

The purpose of this quantitative study is to determine if Crisis Intervention Team (CIT) Training needs to be extended to Emergency Medical Services (EMS) personnel based on the frequency of calls for service involving persons experiencing a psychological episode, assaults perpetrated by persons experiencing a psychological episode, and restraint use on persons experiencing a psychological episode administered by EMS personnel. Prior mental health training for EMS personnel and agency protocols for addressing violent patients will help determine if there is a need to extend CIT Training to EMS personnel. Additionally, this study will examine if EMS personnel are willing to undergo Crisis Intervention Training and if they believe the training would be beneficial when providing services to patients with psychological disorders. Although no research examines whether there is a need to extend CIT Training to EMS personnel, previous research suggests that mental health training for EMS personnel is effective by improving emergency responses, confidence levels of emergency responders, patient-provider communication, and the safety of patients and emergency responders. Therefore, it is hypothesized that there is a need to extend CIT Training to EMS personnel. Results of this study suggest that 60.2% of EMS personnel were not assaulted on duty, 45.2% came into contact with persons experiencing psychological disorders at low frequencies, and 60.2% restrained patients experiencing a psychological episode at low frequencies, despite their lack of CIT Training. However, 53.8% of EMS personnel reported that they would be willing to complete CIT Training and 85.7% of EMS personnel believe that CIT Training would be a valuable skill set to have when responding to calls for service involving persons experiencing a psychological episode. Surveys were administered face-to-face to Florida certified firefighters, paramedics, and EMTs employed with a central Florida fire agency. The survey was anonymous.

This document reports on a descriptive study of mental health crisis response systems. It was sponsored by the Center for Mental Health Services as part of its continuing effort to support knowledge development & dissemination relevant to critical aspects of mental health service delivery for persons with long-term mental illness. Chapters: overview of mental health crisis services; telephone crisis services; walk-in crisis services; mobile outreach crisis services; residential crisis services; inpatient crisis services; selected references; & list of respondent communities & agencies by State. Seven exhibits & thirty tables.