Individual and Peer Support
March 10 & 11, 2005
Purpose
Crisis intervention is NOT psychotherapy, rather it is a specialized acute emergency mental health
intervention which requires specialized training. This program is designed to teach participants the
fundamentals of, and a specific protocol for, individual crisis intervention. The audience for this class
includes both emergency services, military, and business/industrial peer support personnel without formal
training in mental health, as well as mental health professionals, who desire to increase their knowledge of
individual (one-on-one) crisis intervention techniques.
Please note this is a two day class. The topics listed below will be covered over the course of two days.
Instructor
Vaughn Donaldson is a District Chief with the Midland Fire Department, Midland, Texas. He is a Licensed
Paramedic and has worked in Emergency Medical Services since 1981. He serves as Coordinator of the
Midland Fire Department CISM Team and President of the Permian Basin CISM Team. He is the founding
President of the Critical Incident Stress Management Association of Texas and is an International Critical
Incident Stress Foundation (ICISF) approved trainer for the Basic, Advanced, and Peer Support/Individual
Crisis Intervention courses. Chief Donaldson is a Diplomate of the American Academy of Experts in
Traumatic Stress, is Board Certified Expert in Traumatic Stress and is Board Certified in Emergency Crisis
Response.
Objectives
Upon completion, participants involved in this training will be able to:
1.
2.
3.
4.
5.
Discuss CISM as a comprehensive Crisis Intervention Program
Define the role of individual crisis intervention
Differentiate between need for group and individual crisis intervention
Describe the SAFER protocol
Demonstrate use of individual crisis intervention using SAFER protocol
Thursday, March 10th, 2005
Friday, March 11th, 2005
8:00 – 8:30
Registration
8:00 – 8:30
Registration
8:30 – 10:00
The concept of CISM as a
comprehensive crisis intervention
program
8:30 – 10:00
Psychological reactions to crisis
and trauma
10:00 – 10:15
Break
10:00 – 10:15
Break
10:15 – 12:00
10:15 - 12:00
The role of the individual crisis
intervention in the
comprehensive CISM program
SAFER protocol for individual
crisis intervention and its role in
comprehensive CISM
12:00 – 1:00
Lunch on your own
12:00 – 1:00
Lunch on you own
1:00 – 2:30
1:00 – 2:30
Terms and concepts relevant to
the study of crisis, traumatic
stress and crisis intervention
Demonstration of the use of
SAFER protocol for individual
crisis intervention
2:30 – 2:45
Break
2:30 - 2:45
Break
2:45 – 4:30
2:45 – 4:30
Differential utilities of selected
crisis communication techniques
Demonstration of selected crisis
communication techniques
Review of common problems
encountered while working with
individuals in crisis
Disaster Mental Health Volunteer Requirement
Because this training is being held as a part of a SAMHSA Disaster Mental Health Capacity grant, all
participants are required to register as volunteers on the ODMHSAS on-line volunteer application. The
application can be found at the www.odmhsas.org home page. Participants should wait until the
conclusion of the workshop to complete the application. Previous applicants do not need to repeat
application.
Continuing Education Credits
ODMHSAS has applied for 13 credit hours of continuing education through the Oklahoma State Board of
Psychologists, Oklahoma State Board of Licensed Social Workers and the Licensed Professional Counselors
Committee. Participant evaluation forms must be submitted in order to receive continuing education credit and a
certificate of attendance.
How to Receive Your Certificate of Attendance
Certificates of attendance from ODMHSAS and the International Critical Incident Stress Foundation will be
distributed at the end of the training. You must complete the entire 2-day training in order to receive a
certificate. One-day registrations will not be accepted.
Special Accommodations
Sign interpreters and/or other special accommodations required by disabled participants will be available
upon advance request (please allow one week’s notice). Please indicate on the registration form the type of
special accommodations, if any, you require. For requests, call 405-522-8300.
Seminar Fees
Early-bird registration (Before March 1) $75. Late registrations (after March 1) will be charged $85. Payment
may be made by check or money order only; cash cannot be accepted. No refunds. You must pre-register to attend
this training. No on-site registrations will be accepted.
Location
This training event will be held in the Will Rogers Room, 4th floor of the Nigh University Center, University
of Central Oklahoma, 2nd Street and Garland Godfrey Drive, Edmond, OK. From Interstate 35, take the 2nd
Street exit in Edmond (Exit 141) and travel west to the University campus. Turn north on Garland Godfrey
Drive and you will immediately see the Nigh University Center. Visitor parking is directly east of the Nigh
University Center. All visitors must take a parking voucher from the machine before entering the parking
lot. Parking will cost $2.00 per day. Visitors will be ticketed in other parking areas.
LODGING
Participants must make their own lodging reservations. A block of rooms has been set aside for participants
until March 2, 2005. Call the hotel listed below and ask for the special group rate for “Individual and Peer
Support”.
Sleep Inn
3608 S Broadway Extension
Edmond, OK 73013
For reservations please call:
1/405-844-3000
****Complete the form below and mail it (with payment, if applicable) to:
Seminar Coordinator
Human Resource Development Division
Institute for Mental Health and Substance Abuse Education and Training
2401 NW 23rd St., Suite 82
Oklahoma City, OK 73107
Registration:
Individual and Peer Support
March 10th & 11th, 2005
University of Central Oklahoma,
Nigh University Center, 2nd and
Garland Godfrey Drive,
Will Rogers Room
Edmond, Oklahoma
Faxed registrations are accepted at 405-522-8320.
Name ________________________________________________________________________
Home Phone/Cell #
__________________________________________________________
Occupation or Job Title__________________________________________________________
Place of Employment____________________________________________________________
Address_______________________________________________________________________
City, State, Zip_________________________________________________________________
Daytime Phone_________________________________________________________________
E-Mail Address_________________________________________________________________
ENROLLMENT IS LIMITED TO 100 PARTICIPANTS. PLEASE ENROLL EARLY!
Continuing Education Credit Requested:

ODMHSAS Employee/Retiree : $20

LPC/LMFT

LBP

Psychologist

RN or LPN

Student

LSW

CDSVRP

CADC

CLEET

Other_________
NOTE: Please check in at the registration desk each day to verify
your attendance. Continuing education credit is not provided
without verification. Upon completion of the workshop, all
participants will receive a certificate of attendance from the
ODMHSAS Institute for Mental Health and Substance Abuse
Education and Training and from ICISF.
For more information, call:
405-522-8300
Faxed registrations are accepted at:
405-522-8320
Payment Method:

Paying with purchase order

Check or money order for $75 enclosed, payable to DMHSAS, FEI# 73-6017987

Late registrations, $85

Require special accommodations as follows: