I will post my questions and comments with the understanding that I have absolutely no clinical psychological training nor do I have any hard stats, studies or figures to quote at this very moment. I for one am pro-CISD, I have seen it work many times in my personal experience and I have seen people who were unsure of it at first become very thankful that they did it later on.
now the questions I will ask purely to stimulate conversation not debate are:
A quote was made of treating the pt and not the disease. Do we want to wait until the disease is present before we try to fix it, or do we want to prevent it from ever happening?
Not saying CISD will prevent all bad things from occurring, but do we want to lose even one coworker to ETOH abuse, drugs, suicide or even something that seems as benign as "marriage problems' , all becasue we didnt feel it was neccessary to help them out mentally.
It seems to me that this is a nice prophylactic treatment and like all vaccines or drugs, some people will experience adverse reactions, however this is a minimal percentage of the population so it is safe or recommended for most.
How do we quanitfy whether or not a CISD helped or didn't help. Since we are possibly preventing a series of misfortunate events secondary to PTSD, how can we say it didn't help. If the treatment actually worked, we can not say it didn't help because there is no way to know what may or may not have happened had we not treated.
So basically, I think it should always be made readily avaliable and encouraged. Those that need it will use it and hopefully those that have not used it will try it.
Just a small comment, but the presentaion of the CISD is most critical. It sounds as if many of you have had some bad experiences which unfortunatley has left a sour taste in your mouth with regards to CISDs. The ones you guys have described have sounded most inappropriate and I would probably feel the same had it occurred to me. However, I do not think you should criticize anyone that requests one nor should you think any lesser of them for choosing to do so. If your partner asks for one and you were on the call and you feel fine, you should still attend and support your partner. We need to take care of each other out there cause no one else is going to.
For those of you that have trotted over and through dead bodies, babies and just been to hell and back....we all have been there one time or another in some form or fashion of our own personal hell, I am glad that you are ok and do not need anything to assist you--some people are just not as strong as you and nor should they be. We can not all be perfect...