Essay On Crisis Emergency

With assaults against first responders rising, there should be new training requirements necessary. Escape should always be the goal of the assaulted EMS practitioner. Training offers first responders the ability to learn proper responses to better stay away from a situation that will

A key leader needs to attend a train-the trainer event. These events have proven to be an effective method for getting effective training done at the local level (Thomas & Carruth, 2015). This person should be in a full-time leadership position in safety services to ensure availability to receive and pass along the training in a timely fashion.

Law enforcement interactions with the mentally ill community are increasing, due to a number of factors such as cuts on long-term psychiatric beds, improvements in treatments and the philosophy of integration (Adelman, 2003). Which leads to mentally ill people living in the community, which leads to increase crisis and police interaction because of insufficient funding. Existing community-based crisis response services are not well unified and are limited, especially in rural areas. General hospital-based emergency services can also be difficult to access because of bed reductions, and only offer treatment to those only that are seriously ill (e.g. be actively delusional or suicidal). As Eric Macnaughton states in his study BC Early

The recent increase in emergency 9-1-1 calls involving mentally ill persons has heightened the awareness of the Criminal Justice System. Across the nation, law enforcement encounters with mentally ill persons have become more frequent, and the use of deadly force against mentally ill persons has increased. Since the deinstitutionalization of the mental health system, law enforcement officials have been tasked with controlling deviant and sometimes criminal behavior of persons who suffer from mental illness. As a result, law enforcement agencies have implemented crisis intervention training (CIT) and diversion tactics due to the numerous challenges faced when serving the mentally ill. Major deficiencies in the mental health system and State legislations have hindered progressive efforts towards assisting mentally ill persons. With the dramatic consequences associated with untreated mental illness, it is certain that law enforcement officers will experience an encounter requiring knowledge, specialized training, and the ability to build collaborative partnerships.

Crisis Intervention Team (CIT) is a community initiative and training program that has been developed in many U.S. states to help law enforcement officers react appropriately and improve the outcome of law enforcement interactions in situations involving mentally ill or developmentally disabled individuals (CIT Overview). CIT training has many key components such as community collaborations, a 40 hour training program that includes basic information about mental illness and how to recognize the signs, de-escalation training and role play, as well as information about the local mental health system and local laws, plus consumer and family involvement (CIT Overview). The CIT program began in Memphis, Tennessee in 1987 when 27-year-old Joseph Dewayne Robinson was shot and killed during a confrontation with the Memphis Police Department. After the shooting incident the community became outraged and this lead to a new way of doing business for both the police and the mental health community in Memphis (CIT Overview). Based on a collaborative effort a design emerged to help police officers identify and deal with the mentally ill (CIT Overview). In 1988, the Memphis, TN Police Department joined in partnership with the Memphis chapter of the Alliance for the Mentally Ill, mental health providers and two local Universities, the University of Memphis and University of Tennessee at Memphis in organizing, training and implementing a specialized unit (CIT Overview). This unique and

“Mental Health Reporting.” Law Center to Prevent Gun Violence, Law Center to Prevent Gun Violence,

There is a rising issue in our country today that requires a heightened sense of awareness and in our fire and EMS services. This issues is the possibility of an active shooter, this can come from a terrorist group, radicalized extremist or a disgruntled worker in the town or department they work for. Active shooter events in a fire department/ EMS setting presents a unique set of challenges, not only does it present a very vulnerable target but it makes the one that are potentially responding to an incident the actual target. Active shooter

Not only is it vital for first responders to understand and train in job specific

The primary clinical intervention is a primary part of general health care and mental health care that is provided by primary care health professions who can provide mental health care to older veterans and enable mental health promotion. For example, the primary care-based interventions are designed to improve the emotional, social, cognitive, and health of an older veteran who suffers from depression. Moreover, interventions include training for primary care workers include basic education about older veteran’s mental illness, community-based crisis intervention, maintenance of care, and rehabilitation.

This model integrates various assessment and triage protocols with three primary crisis-oriented intervention strategies: the seven-stage crisis intervention model, psychological debriefing, and trauma support services (Roberts, 2005). With this method, there are three different strategies; the seven-stage crisis intervention model, psychological debriefing, and trauma support services. Breaking down the ACT model is as follows; A is for assessment/appraisal of immediate medical needs, threats to public safety and property damage (Roberts, 2005). C is connecting to support groups, the delivery of disaster relief and social services, and critical incident stress debriefing (Mitchell and Everly’s CISD model) implemented (Roberts,2005). The T is for traumatic stress reactions, sequelae, and post-traumatic stress disorders (PTSDs) (Roberts, 2005).

One area of Emergency Medical Services that needs a change is violence on EMS and the need for training to assist personnel in how to defend one’s self. When an EMT approaches a scene where the probability of violence is high, we do not know what to do. When EMS goes to any call, it’s their safety first. Current education and initial training for personnel does not include violence awareness or how to react and possibly defend themselves if a violent encounter arises. As the administrator, I would like to get the awareness and implement some training on self-defense. The risk for non-fatal assaults on Emergency Medical Service personnel is approximately thirty times higher than the national average. The risk that the EMS provider will

Whenever a police department, fire department, public safety personnel, or any type government agency; whether private or non-private encounters a crisis mode, it can be extremely difficult to operate and properly direct their personnel without a plan. For example, if a small city/town encounters a violent mass shooting, bombing, or a terrorist’s attack and if the police or fire department has never trained for one; communication and direction can be brutal. One can never be ready for a mass casualty incident, however, agencies nearby can always prepare for one through practice, presentation, and most importantly; learning from past history. In addition, since September 11, 2001, according to Galea (2016) stated “9/11 changed everything:

The area of that needs more attention these days in order to effectively deal with contemporary disasters is the need to include experts of the mental health (psychiatrists) as part of the group of first responders that will answer in case of a disaster.

Working in Emergency services there is no time to sit and wait for someone to make the decisions. Being able to identify when there is

Swift and efficient psychological first aid is imperative in order to ensure that individuals do not develop any lasting psychological reactions. The first thing that a disaster mental health responder must do is to make