Miller Laurence
Int J Emerg Ment Health. 2006 Summer;8(3):189-201.
Critical incident stress debriefing (CISD) has evolved and diversified to address the needs of various subpopulations of public safety and emergency services personnel, including law enforcement. This article describes the concept of critical incident stress as it applies to police officers and other law enforcement agents. It then discusses the traditional debriefing models and the specialized modifications and applications that have been introduced to deal with the needs of law enforcement individuals and groups. Next, the role of peer-debriefing is described in addressing law enforcement critical incident stress, as well as specific examples of model programs within different types of law enforcement agencies. Finally, the as yet incompletely resolved legal and administrative issues surrounding the use of peers versus professional clinicians for critical incident intervention are addressed.
重大事件应激晤谈(CISD)已经发展并多样化,以满足公共安全和应急服务人员(包括执法人员)不同亚群体的需求。本文描述了适用于警察和其他执法人员的重大事件应激概念。接着讨论了传统的晤谈模式以及为满足执法个人和群体需求而引入的专门修改和应用。然后,描述了同伴晤谈在应对执法重大事件应激方面的作用,以及不同类型执法机构内示范项目的具体例子。最后,阐述了在使用同伴而非专业临床医生进行重大事件干预方面尚未完全解决的法律和行政问题。