Critical Incident Stress Management (CISM) - A Practical Review - First Edition - Review Course

Sep 4, 2026

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Critical Incident Stress Management (CISM) is presented as a practical review course focused on understanding and addressing psychological responses to critical incidents, including terrorism and psychological toxicity. The material outlines key foundations of CISM, describes crisis intervention and its effectiveness, and connects interventions to functional and pastoral elements such as peer support and disaster mental health. A continuum-of-care perspective and the Johns Hopkins Resiliency Model (RRR) support structured, multicomponent approaches to reducing traumatic stress.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages11

Reading Time28 min

AccessFree to download

Introduction

Chapter One: Foundations of CISM

Critical Incident

Terrorism as a Critical Incident

Psychological Toxicity

The Effects of Terrorism

Psychological Efforts to Mitigate the Adverse Impact of Terrorism

Psychological Crisis

Crisis Intervention

PIE

Effectiveness of Crisis Intervention

Pastoral Crisis Intervention (PCI)

Functional Elements of PCI

Peer Support Approach

Disaster Mental Health

Continuum of Care

A New Paradigm: The Johns Hopkins’ Resiliency Model (RRR)

Critical Incident Stress Management (CISM)

FIRST EDITION REVIEW COURSE Critical Incident Stress Management (CISM): A PRACTICAL REVIEW International Critical Incident Stress Foundation, Inc . George S. Everly, Jr. , PhD, ABPP, CCISM The Johns Hopkins University, Loyola University, Maryland Jeffrey T. Mitchell, PhD, CCISM The University of Maryland Baltimore County CRITICAL INCIDENT STRESS MANAGEMENT (CISM): A Practical Review George S. Everly, Jr., PhD, ABPP, CCISM & Jeffrey T. Mitchell, PhD, CCISM © 2016 George S. Everly, Jr. and Jeffrey T. Mitchell All rights reserved. Duplication of any of these materials is strictly prohibited. About the Authors George S. Everly, Jr. George S. Everly, Jr., PhD, ABPP, FAPA, FAPM, CCISM is an award-winning author and researcher. In 2016, he was ranked \#1 published author in the world by Pub-Med Finder in the field of crisis intervention. His paper on resilient organizational cultures was ranked \#1 in it content domain by Bio-Med Library. Dr. Everly is co-Founder and Chairman Emeritus of the International Critical Incident Stress Foundation. He holds appointments as Associate Professor (part time) in Psychiatry at the Johns Hopkins School of Medicine, Professor in the Department of International Health (adjunct) at the Johns Hopkins Bloomberg School of Public Health, and Professor of Psychology at Loyola University in Maryland (core faculty) . In addition, he has served on the adjunct faculty of the Federal Emergency Management Agency and the FBI’s National Academy at Quantico, Virginia. He was a member of the CDC Mental Health Collaboration Committee (having chaired the mental health competency development sub-committee), the Infrastructure Expert Team within the US Department of Homeland Security, and the NVOAD Emotional & Spiritual Care Committee, as well as the NVOAD Early Psychological Intervention sub-committee. He was Senior Research Advisor, Social Development Office, Office of His Highness, the Amir of Kuwait, State of Kuwait. Prior to these appointments, Dr. Everly was the Chief Psychologist and the Director of Behavioral Medicine for the Johns Hopkins' Homewood Hospital Center. He was a Harvard Scholar visiting in Psychology, Harvard College and a Visiting Professor atthe University of Hong Kong. Dr. Everly is a Fellow of the American Psychological Association and a Fellow of the American Institute of Stress, in addition, he has been awarded the Fellow's Medal of the Academy of Psychosomatic Medicine and the Professor's Medal of the Universidad de Weiner (Peru) . He was elected a “Pioneer in Traumatology” by Florida State University and received the Leadership Award from the American Red Cross. Jeffrey T. Mitchell Jeffrey T. Mitchell, PhD, CCISM is Clinical Professor of Emergency Health Services at the University of Maryland in Baltimore County, Maryland. He is a member of the Graduate Faculty of the University of Maryland. He is a co-founder and President Emeritus of the International Critical Incident Stress Foundation. He earned his [Ph.D. in](Ph.D. in) Human Development from the University of Maryland. He served for six years as a regional coordinator of Emergency Medical Services for the Maryland Institute for Emergency Medical Services Systems. He was responsible for the development of the Emergency Medical Services System in five southern Maryland counties. After serving as volunteer paramedic / firefighter for ten years, he developed a comprehensive, integrated, systematic, and multicomponent crisis intervention program called “Critical Incident Stress Management.” Today, that program reduces traumatic stress in many countries. He has authored more than 275 articles and 19 books in the stress and crisis intervention fields. He serves as an adjunct faculty member of the Emergency Management Institute of the Federal Emergency Management Agency. He is a faculty member of Florida Institute of Technology and teaches a course on the psychology of disasters. Dr. Mitchell

FAQs

What does CISM aim to do in response to critical incidents?

CISM focuses on understanding psychological responses to critical incidents and applying crisis intervention approaches to mitigate traumatic stress and adverse impact.

How is terrorism treated within the CISM foundations chapter?

The chapter frames terrorism as a critical incident and discusses its psychological effects, along with psychological efforts to reduce adverse impact.

Which crisis intervention approaches and care concepts are highlighted?

The course covers crisis intervention (including PIE), the effectiveness of interventions, pastoral crisis intervention (PCI), peer support, disaster mental health, and a continuum of care supported by the Johns Hopkins Resiliency Model (RRR).

Sep 4, 2026

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