WESTERN PSYCHIATRIC INSTITUTE AND CLINIC
CRITICAL INCIDENT STRESS MANAGEMENT: INDIVIDUAL CRISIS INTERVENTION AND PEER
SUPPORT AND GROUP CRISIS INTERVENTION (PY25)
April 28, 29, and 30, 2015
8 a.m. to 6:30 p.m.
Champion Commons, Room 116
5231 Penn Avenue
Pittsburgh, PA 15224
PRESENTERS:
Robert Fonte, RN, MEd, CTR
ICISF Trainer
Program Coordinator, Senior
Crisis Training Institute
re:solve Crisis Network
Western Psychiatric Institute and Clinic of UPMC
Jeffrey D. Magill, MS, CTR
ICISF Trainer
Project Coordinator
Behavioral Health Emergency Management
Western Psychiatric Institute and Clinic of UPMC
PROGRAM DESCRIPTION:
This program is designed to present the core elements of a comprehensive, systematic, and multi-component crisis
intervention curriculum. The three day course prepares participants to understand a wide range of crisis intervention
services including Group and Individual Crisis Intervention techniques. The need for appropriate follow up services and
referrals when necessary is also described. Considerable evidence gathered to date strongly supports the multicomponent crisis intervention strategy, which is discussed in this course.
EDUCATIONAL OBJECTIVES:
At the conclusion of the program, participants should be able to:
 Define stress, critical incident stress, and post-traumatic stress disorder.
 List at least four fundamental principles of crisis intervention.
 List the 10 basic interventions of CISM.
 Define and describe in detail the CISM group processes of demobilization, crisis management briefing,
defusings, and CISD debriefings.
 Define and describe in detail the CISM individual process of SAFER-R.
 List common critical incident stress signs and symptoms.
 Demonstrate individual and group crisis intervention techniques.
WHO SHOULD ATTEND:
The audience for this class includes emergency services, military, business/industrial, hospital, and mental
health professionals who desire to increase their abilities to utilize crisis intervention techniques.
TUITION: $350
REGISTRATION:
You must contact Robert Fonte by email at fonters@upmc.edu in order to confirm that there is a space
available for you in the training. No one will be admitted to the training unless they have received an email
confirmation from Robert Fonte.
Upon successful completion of this program, class participants receive certificates in “Individual Crisis
Intervention and Peer Support” and “Group Crisis Intervention” from the International Critical
Incident Stress Foundation.
CONTINUING EDUCATION CREDIT
EDUCATORS: ACT 48
Western Psychiatric Institute and Clinic is recognized by the Pennsylvania Department of Education to offer continuing
education credits under Act 48 guidelines. Western Psychiatric Institute and Clinic adheres to the Act 48 Continuing
Education Guidelines.
CERTIFIED ALCOHOL AND DRUG COUNSELORS/CERTIFIED CO-OCCURRING DISORDERS
PROFESSIONAL: CADC/CCDP
The Office of Education and Regional Programming, Western Psychiatric Institute and Clinic of UPMC is certified by the
Pennsylvania Certification Board (PCB) to provide Certified Alcohol and Drug Counselor (CADC) and Certified CoOccurring Disorders Professional (CCDP) continuing education credits. This program is being offered for 27.0 continuing
education credits.
MENTAL HEALTH PROFESSIONALS: CEU
Nurses and other health care professionals are awarded 2.7 Continuing Education Units (CEU). One CEU is equal to 10
contact hours. Nurses: For attendance at this program you will receive a Certificate of Attendance confirming 27 hours of
continuing education. These hours may be considered eligible in completing the 30 hours of continuing education required
for bi-annual nursing re-licensure in Pennsylvania. Peer Specialists: This program fulfills requirements for Certified Peer
Specialist continuing education.
COUNSELORS: NCC
Western Psychiatric Institute and Clinic of UPMC is recognized by the National Board for Certified Counselors to offer
continuing education for National Certified Counselors. Western Psychiatric Institute and Clinic of UPMC adhere to the
NCC Continuing Education Guidelines. This program is being offered for 27.0 continuing education credits.
PSYCHOLOGISTS
Western Psychiatric Institute and Clinic of UPMC is approved by the American Psychological Association to offer
continuing education for psychologists. Western Psychiatric Institute and Clinic of UPMC maintains responsibility for this
program and its content. This program is being offered for 27.0 continuing education credits.
LICENSED/CLINICAL SOCIAL WORKERS, LICENSED PROFESSIONAL COUNSELORS, LICENSED
MARRIAGE AND FAMILY THERAPISTS: SW/LPC/LMFT
27.0 clock hours of continuing education are provided through co-sponsorship of the University of Pittsburgh School of
Social Work, a PA-approved provider of social work continuing education in accordance with all the applicable
educational and professional standards of the Council on Social Work Education. These clock hours satisfy requirements
for LSW/LCSW, LPC and LMFT renewal. For information of social work continuing education, call 412-624-3711.
REGISTRATION FORM
Once you have verified that there is space for you in the training,
please complete this form and return by April 17, 2015 to:
Robert S. Fonte, RN, MEd, CTR
re:solve Crisis Network
333 North Braddock Avenue
Pittsburgh, PA 15208
Phone Number: 412-864-5101
Email: fonters@upmc.edu
CRITICAL INCIDENT STRESS MANAGEMENT: INDIVIDUAL CRISIS INTERVENTION AND PEER
SUPPORT AND GROUP CRISIS INTERVENTION (PY25)
April 28, 29, and 30, 2015
REGISTRATION FORM
Name
Social Security Number (Last five digits only)
-
Agency
Address
City
State
Zip Code
County
Day Telephone
Email Address
TUITION:
 $350
Method of payment
 Check #
(Payable to Western Psychiatric Institute and Clinic)
 UPMC Account Transfer
Department ID and Business Unit
Administrator’s Name
Administrator’s Signature
 Send invoice to: