It would be important to know what you meant by 'debriefing'.  There is no
evidence to support Psychological Debriefing (PD) or Critical Incident
Debriefing (CSID), for the victims of Trauma.


The Dudley Borough Crisis Support Team, which I am a member of have now been
trained to use the Trauma Support Model , which is an evidence bases pathway
that is support continuum for victims of trauma from the point of incident.
It is in effect a supportive way of assessing and identifying those people
involved who may be at risk of going on to develop PTSD.


I've outlined the Model attached:


It is not a rigid model.  It should be applied reflexively, and with
competence. Trauma support session 2 is a short review using an evidence
based Trauma Screening Questionaire that seeks to identify the degree of
Acute Stress symptoms and therefore the risk of developing PTSD.  


The rational is the evidence that most (65 -75%) of those who have
experienced a traumatic event recover (some even grow from the experience),
without any further treatment.  However some (25 -35%) will remain
symptomatic for up to 3 years or longer an may develop secondary problems.
It is this last group that Trauma Focussed psychological treatments such as
CBT can be directed to if the screening process is administered.


The training was initially provided by Suzanna Rose, Berkshire Healthcare
NHS Trust, but latterly by Gerry Jackson who is a consultant and counselor
in stress management.  Gerry also trained a team within the Mental Health
Acute Unit comprising Band 6 and 7 Psychiatric Nurses to provide staff
support to staff who experience trauma in the work place.


Often staff involved in caring in traumatic circumstances find value in
informally 'defusing' following incidents it has been found that such non
structured responses to critical incidents lead to break time conversations
being dominated by the incident for one or two days and were individually
negative about performance and critical about the system.  Formal processes
of 'defusing' and support have been found to promote the opposite.


I am happy to continue the conversation outside of the forum is required to


Mark Stobert

Chaplaincy Team Leader


Dudley Group of Hospitals NHS Trust,  

Russells Hall Hospital, 

Dudley West Midlands, 

DY1 2HQ.


T.N 01384 456111  ex 2352  sec. 2244

Mobile 07786 510217


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From: Annabel Barber [mailto:[log in to unmask]] 
Sent: 19 August 2008 10:23
To: [log in to unmask]
Subject: Debriefing


I wondered if anyone could give me details of training courses in
debriefing. I'd also be interested to know what training other chaplains
have received to equip them to cope with major incidents?

Many thanks


Revd Annabel Barber 
Senior Chaplain 
Diana Princess of Wales Hospital, Grimsby 
Phone 01472 875475 extn (75)7239 
Chaplaincy office direct line: 01472 875204 
e-mail to: [log in to unmask]