Houston, TX 


Critical Incident Stress Management (CISM)

“Organizations that act swiftly when there is a critical incident send a message to employees and their families that they are cared for, supported and have help.”

Trauma: It is inevitable

Critical incidents can include:

  • Death a colleague due to natural causes, suicide or homicide
  • Large scale layoffs
  • Natural disaster: Weather event
  • Manmade disaster: Mass casualty event
  • Reaction to volatile events linked to politics or racism

Having a rapid Critical Incident Stress Management (CISM) response can help your company or organization manage associated risks more effectively and inexpensively. CISM interventions can:

  • Help reduce job stress and burnout
  • Promote employee wellness
  • Raise awareness of PTSD

Critical Incident Stress Management Interventions

Several types of interventions send the message to your workers that they are supported, there is education and there are resources for continuing care. It comes in four forms:

  • Psychological first aid is used in one-on-one meetings to provide immediate, innovative and flexible help
  • Group diffusing is a short group intervention done shortly after an incident. Multiple interventions are adapted to meet the needs of diverse organizational cultures and workers facing myriad challenges.
  • Critical incident stress debriefing: This group intervention is used as a follow-up (if needed) to the group diffusing. This acts to get a sense of where people are weeks after the crisis.
  • Crisis management briefing: This is a large, homogeneous group intervention used before, during and after the crisis to present facts, and facilitate a brief, controlled discussion to include stress survival skills

Meeting the needs of your employee group

This is not a “one size fits all” service. Guided by my extensive training, which has been fortified by certification in trauma response by Johns Hopkins, I have provided successful interventions to first responders, federal agencies, companies, hospital workers and first responders that are designed to:

  • Provide education on stress reactions and symptoms
  • Enhance resiliency and build coping skills
  • Promote team cohesion
  • Offer referral sources for further help
  • Normalize stress response and mitigate traumatic reactions

Who benefits from Critical Incident Stress Management

Among the groups:

Hospital staff: Infant demise, incorrect medical procedure conducted on patient

Fire and police personnel: Line of duty death, suicide of colleague, failed infant CPR, WMD

Military personnel: Death of battle buddy, failed extraction, betrayal by trusted indigenous personnel or command structure

Rescue/Relief team: Reentry following mission, response to mass casualty event

School Staff: Pupil death, crime on school campus, death of a teacher’s child

Private sector: layoffs, salary reductions, death/suicide of co-worker

Prasad Counseling and Training



Bill Prasad

Prasad Counseling and Training

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