Enclosure (1) to COMDTINST 1754.3
ON-SCENE SUPPORT SERVICES. Services provided under "on-scene" conditions are
brief, practical crisis intervention functions to limit the level of distress members encounter.
On-scene support does not interfere with operations. These service providers usually are
peers, with chaplains or mental health professionals called only as needed. The process
Stabilize the situation and protect from additional stress.
Mobilize a wide range of resources to assist distressed persons.
Normalize the experience and reduce the feelings of uniqueness and abnormality.
Restore to function as quickly as possible.
DEMOBILIZATION. Demobilizations are generally used during a disaster or in a large-scale
catastrophic critical incident. A primary stress prevention and intervention technique, it is
applied immediately after personnel are released from the scene and before they return to
normal duties. Its two segments are, first, a 10- to 15-minute lecture on understanding and
managing stress reactions and, second, a 20-minute rest and eating session. The process
Providing a transition from the traumatic event to normal routines.
Reducing the intensity of immediate stress reactions.
Assessing preliminary group needs for additional support services.
Forewarning participants about potential reactions.
Providing information about the incident and members' reactions.
Providing practical information for managing stress and establishing linkages for
Establishing positive expectations about outcome.
FOLLOW-UP SERVICES. If CISM provides initial services post-incident, follow-up
services are mandatory. The Work-Life staff is responsible for ensuring follow-up services
are provided or accessible. Peers may be used if they have added training and experience in
such services as individual crisis intervention; family debriefings; unit training; and/or referral
to other mental health services.