Critical Incident Stress Management

This program is currently provided by an affiliate team and is no longer a program of the Triangle J Council of Governments.  Please contact 919-906-9340 to request services or for additional information.


Emergency services agencies and Triangle area mental health professionals provide the Critical Incident Stress Management (CISM) program to EMS/rescue, fire, hospital emergency department, and law enforcement services. CISM is also provided to spouses and significant others of these professionals. The focus of CISM is to minimize the harmful effects of job stress, particularly in extraordinary situations or after having responded to a critical incident.


Some of the work we have done includes:

  • The Region J CISM Team responded to the September 11, 2001 disasters in New York and Washington, DC and provided ongoing support afterwards.
  • Region J CISM Team received national registry with the International Critical Incident Stress Foundation (ICISF), placing the team on an on-call list to respond to national disasters.
  • Region J CISM Team coordinated and held a major role in the response to the 1999 Eastern North Carolina flood.


A "critical incident" is defined as one which results in experiencing unusually strong emotional involvement such as:

  • serious injury or death of a civilian
  • serious injury or death of a responder resulting from emergency response
  • mass casualty incidents
  • death of or violence to a child
  • suicide of an emergency responder
  • any other incident charged with profound emotion.


There is no charge for this service. All debriefings are conducted by specially trained personnel and are strictly confidential. Debriefings are not an evaluation or critique of the incident. Formal debriefings should be conducted within seventy-two hours of an incident.