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Handbook of Community-Based Clinical Practice$
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Anita Lightburn and Phebe Sessions

Print publication date: 2005

Print ISBN-13: 9780195159226

Published to Oxford Scholarship Online: April 2010

DOI: 10.1093/acprof:oso/9780195159226.001.0001

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Critical Incident Debriefings and Community-Based Clinical Care

Critical Incident Debriefings and Community-Based Clinical Care

(p.529) 33 Critical Incident Debriefings and Community-Based Clinical Care
Handbook of Community-Based Clinical Practice

Joshua Miller

Oxford University Press

Critical Incident Stress De-briefing (CISD) has emerged as an intervention in response to disasters. It is a structured group process for survivors and victims of disasters and other trauma-inducing events. De-briefings are usually considered part of a larger system of crisis responses to “critical incidents” known as Critical Incident Stress Management (CISM), which include more immediate responses known as “defusings,” briefings for management, and individual crisis intervention. CISD and CISM are community-based interventions and often rely on a peer or volunteer model of responders and facilitators. This chapter focuses on debriefings, the most widely used crisis intervention service in response to disasters. It describes what de-briefings are, summarizes research about their effectiveness, and considers how they are an essential component of a community-based system of clinical care.

Keywords:   CISD, mental health services, community-based clinical practice, crisis intervention, social work practice

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