HI Carol
I tried to contact you on the address below but it bounced back. I am
very interested in my team doing my training in debriefing and would be
grateful if you vould explain more
Many thanks, and I look forward to hearing from you
[log in to unmask]

Revd Mia AK Hilborn

Hospitaller, Head of Spiritual Health Care and Chaplaincy Team Leader

Guy's and St Thomas' NHS Foundation Trust


The Chaplaincy

St Thomas' Hospital

Westminster Bridge Road

London SE1 7EH

Chaplains: 020 71885588

Direct line: 020 7188 1187

Hospital Switchboard 020 7188 7188

Chaplaincy email: [log in to unmask]




From: A network for chaplains, educationalists and researchers
[mailto:[log in to unmask]] On Behalf Of
Hough Carole (RD8) Milton Keynes Hospital
Sent: 24 August 2008 10:00
To: [log in to unmask]
Subject: Re: Debriefing

            Dear Annabel, I would offer a different opinion to that of
Mark and have found that there is a place for critical incident
debriefing- and 

            Indeed have used it as a tool. I was trained by a person who
works at Interhealth who is involved in the debriefing  those who have
served over seas

            and also from an analytical psychotherapist.

            There are differing views about its place-  I am happy to
give you more info- my email address is- [log in to unmask]

            Many thanks, Carole



-----Original Message-----
From: A network for chaplains, educationalists and researchers
[mailto:[log in to unmask]] On Behalf Of
Stobert, Mark
Sent: 22 August 2008 17:23
To: [log in to unmask]
Subject: Re: Debriefing




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


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


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 clarify.                      


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] 


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