How to Coach Yourself and Others Empowering Coaching And Crisis Interventions | Page 144
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Use the following as a guide:
Refreshments situated opposite entrance to room (across room if possible).
Healthy snacks, sandwiches (simple fillings), fruit, juice, bottled water, decaffeinated coffee (do not
indicate), milk/sugar.
No red food, no grilled food, no bone-in food (rare beef, Italian, barbeque, fried chicken, etc.).
Avoid strongly-spiced, messy or “ethnic” foods whenever possible.
Critical Incident Stress Management (CISM) : “How do I know when I’m in over my head?”
Prepared by: Gregory Janelle, Janelle & Associates Consulting Ltd., 1997. Revised 2001
Peer support training does not fully equip the average layperson for the occasionally overwhelming
circumstances that may be encountered after a critical incident. This is especially true during Defusing and
One-On-One intervention, when the Peer is often the first to respond and assessment of a survivor’s
emotional state is difficult at best.
No matter how experienced and confident one may feel going into a situation, there may inevitably come a
point when it would be harmful, even dangerous, to try to handle a survivor without professional mental
health intervention. A responsible Peer will always enter a dialogue cautiously and follow established
guidelines with due care. It is very important that the Peer remain constantly vigilant to “danger signals”
that may alert them to the moment when they feel they are beyond their limits as a caregiver and no longer
capable of providing proper support to the traumatized individual. To err on the side of caution is always
the best route to take.
As a helpful guide, consider the following BEFORE speaking to a person in crisis:
(Excerpt with permission, from “Coping With Survival” by Margaret A. Kilpatrick, 1981)
Alertness and Awareness
You can probably handle, if the survivor:
is aware of who he/she is, and what happened
is only slightly confused or dazed, or shows slight difficulty in thinking clearly or concentrating on
a subject
Consider referral, if the survivor:
is unable to give own name or names of people he/she is living with
cannot give date; state where he/she is; tell what he/she does
cannot recall events of past 24 hours
complains of memory gaps
Actions
You can probably handle, if the survivor:
wrings his/her hands; appears still and rigid; clenches his/her fists
is restless, mildly agitated and excited
has sleep difficulty
has rapid or halting speech
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