Critical Incident Stress Management CISM in ATC History

Critical Incident Stress Management (CISM) in ATC History • Wars • Accidents • Emergency Services • Daily Operations

Critical Incident Stress Management (CISM) in ATC CRITICAL INCIDENT any event that has the potential to create significant human distress and to overwhelm someone’s usual coping mechanisms

Critical Incident Stress Management (CISM) in ATC Critical Incident Stress Normal Reaction to Abnormal Event Critical Incident Stress Management

Critical Incident Stress Management (CISM) in ATC • Confidential • Peer Support • Voluntary • Not Counselling • Psychological First Aid Peer support personnel have a credibility that no academic training programme can provide

Critical Incident Stress Management (CISM) in ATC Individual Intervention Group Intervention Crisis Management Briefing

Critical Incident Stress Management (CISM) in ATC Individual Intervention (Defusing) • Within 12 hours • Peer Support • 20 - 45 minutes

Critical Incident Stress Management (CISM) in ATC Group Intervention (Defusing) • Within 12 hours • Peer Support • Small Groups (max 4) • 20 - 45 minutes

Critical Incident Stress Management (CISM) in ATC Group Intervention Critical Incident Stress Debriefing (CISD) • High Impact Events • Within 7 days • Peer and Clinical Support • 1 - 3 hours • Highly Structured

Critical Incident Stress Management (CISM) in ATC Crisis Management Briefing • • • Provide information Provide a sense of leadership Reduce sense of chaos Enhance credibility Rumour control Provide coping resources Engender cohesion and morale Re-establish a sense of community/social cohesion Psychological screening

Critical Incident Stress Management (CISM) in ATC • 2004 • ATCOs only • 2006; Engineers • 2008; Award for Outstanding Achievement • 2010; All Personnel • 2011; CISM for Managers

Critical Incident Stress Management (CISM) in ATC 2010 • 40 Individual Defusings per month • 2 CISDs per year • 220 Defusers • 15 Interventionists • 19 Units

Critical Incident Stress Management (CISM) in ATC DOES IT WORK? "I do not doubt that CISM played a crucial part in helping my staff to come to terms with this incident and cope emotionally. " Debbie Westley, ATC Watch Supervisor “I’m really grateful to the controller who ‘defused’ us. They were available immediately and although I didn’t think it was something that I needed, it was really valuable to have done it. ” Jill Martin, Flight Information Service Officer (FISO)

Critical Incident Stress Management (CISM) in ATC £ € IS IT WORTH IT? ATC Case Study: 11 Senior Managers 38 Operational Managers 352 ATCOs 11 Units 66 Incidents 48 Incidents followed by CISM intervention Case Study: Human Performance and Air Traffic Management WHITE PAPER, EUROCONTROL, September 2010 $

Critical Incident Stress Management (CISM) in ATC £ IS IT WORTH IT? ATC Case Study: CISM • Reduced emotional stability • Performance unaffected • No loss of productivity $ € ATC Case Study: NON-CISM • Reduced emotional stability • Impairment of traffic flow • Delays of flights • 10% Loss of productivity over 7. 7 days IS IT WORTH IT? Every € returns 3. 6 times Case Study: Human Performance and Air Traffic Management WHITE PAPER, EUROCONTROL, September 2010

Critical Incident Stress Management (CISM) in ATC CONCLUSION CISM has become a standard part of an SMS in ANSPs world wide. There is no reason to believe that CISM would not work in any other Aviation SMS

Critical Incident Stress Management (CISM) in ATC Any questions?