# Presentation: 689828

## Recovery Exercise

- Kelly Ryan-Biskup
- ERCM Project Director
- MSAD 60/Windham, Maine

## Assessment & Reconnaissance
Verify accuracy of incident details
Medical examiner & law enforcement
Survivor circles
At-risk populations
Safety issues 
Incident command: by invitation only
Wake & funeral services

**Verify accuracy of incident details**
**Medical examiner & law enforcement**
**Survivor circles**
**At-risk populations**
**Safety issues **
**Incident command: by invitation only**
**Wake & funeral services**

## 	TARGET:  
Who might need an intervention?
Determine the circles of risk

	TYPE:  
Intervention continuum

TIMING:  
When is the intervention to take place

- Who might need an intervention?
- Determine the circles of risk
**	****TYPE:**
- Intervention continuum
**TIMING:**
- When is the intervention to take place

## Scenario:

- Car accident:  A female high school sophomore was killed in a single car crash on Saturday evening.
***What further information do you need?***

## Verified Information:

- Her sister was driving the car and survived. Her sister graduated the prior year from the same school. No one else was in the car. The accident was due to ice on the road, no speed or alcohol was involved. The student was on the soccer team and was a member of the Student Council. She had no other siblings. Several students were in a separate car behind her vehicle and witnessed the accident. Several more students arrived on the scene after first responders arrived.

## TARGET: Circles of Risk

- By exposure
- By other risk factors:
- 	Familiarity with victim(s)
- 	Individual and family history
-    Previous trauma or loss

## PSYCHOLOGICAL EXPOSURE RISK ZONES

## Who might be impacted by this event?

## Sister
Eye witnesses to the accident
Eye witnesses to the scene
Soccer team
Student council
Friends
Homeroom

- Eye witnesses to the accident
- Eye witnesses to the scene
- Soccer team
- Student council
- Friends
- Homeroom

- Classmates
- Sister's friends
- Coaches
- Teachers
- Parents
- Boyfriend(s)
- Students with recent personal losses
- Students with history of trauma

## TYPE and TIMING:
     Stabilization (0 Hour to 72Hours)
Assessment of functioning & needs
Stabilization group(s)
Individual crisis intervention
Orientation sessions??
Referral system

**     ****Stabilization (0 Hour to 72Hours)**
**Assessment of functioning & needs**
**Stabilization group(s)**
**Individual crisis intervention**
**Orientation sessions??**
**Referral system**

## TYPE and TIMING:
    Coping & Resource Identification 
         (72 Hours to 12 Weeks)
Assessment of appropriate interventions
Coping groups
Resource identification (community wide)
Individual crisis intervention & referrals 
Orientation sessions

**    ****Coping & Resource Identification **
**         ****(72 Hours to 12 Weeks)**
**Assessment of appropriate interventions**
**Coping groups**
**Resource identification (community wide)**
**Individual crisis intervention & referrals **
**Orientation sessions**

## TYPE and TIMING:
Recovery Support (12 Weeks to 52 Weeks)
Ongoing evaluation of services
Ongoing stakeholder contact (anniversary reactions)
Follow up debriefings
Post critical incident seminars 
"Debriefing the Debriefer" and self care programs

**Recovery Support (12 Weeks to 52 Weeks)**
**Ongoing evaluation of services**
**Ongoing stakeholder contact (anniversary reactions)**
**Follow up debriefings**
**Post critical incident seminars **
**"Debriefing the Debriefer" and self care programs**

## What types of support/interventions might you offer?

## Counseling referral to sister
"Safe room" available to students
Individual and/or group "grief counseling" for appropriate survivor circles
One-on-one check-ins with impacted students
Support for care-givers
Disseminating information on coping with trauma to students and parents (e.g., possible parent information session)
Means for students to express reactions (e.g., journal, cards, art, poetry, etc.)
Compassionate presence
Counselors available following the funeral/wake 

- "Safe room" available to students
- Individual and/or group "grief counseling" for appropriate survivor circles
- One-on-one check-ins with impacted students
- Support for care-givers
- Disseminating information on coping with trauma to students and parents (e.g., possible parent information session)
- Means for students to express reactions (e.g., journal, cards, art, poetry, etc.)
- Compassionate presence
- Counselors available following the funeral/wake

## Lessons Learned

- Pre-plan
- Have consistent protocols following student deaths
- Consult with experts
- Utilize community partners

## Kelly Ryan-Biskup

- E-mail: _[Kelskup@aol.com](mailto:Kelskup@aol.com)_
- Phone: 207-284-1173
- Fax: 207-284-2555

**Kelly Ryan-Biskup**
**Project Director**
**Project SMARRRT**
**Windham, ME**
**E-mail: Kelskup@aol.com**
**Phone: 207-284-1173**

**www.SMARRRT.org**