A Guide to Managing Stress in Crisis Response Professions
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Acknowledgments
This publication was produced by the Substance Abuse and
Mental Health Services Administration (SAMHSA), Center
for Mental Health Services (CMHS), U.S. Department of
Health and Human Services (DHHS) and was reviewed by a
group of experts. Ms. Maria Baldi served as the Government
project officer. The SAMHSA Disaster Technical Assistance
Center (operated by ESI under contract with CMHS),
researched, compiled, and edited the information, and
designed the cover and layout for this publication. SAMHSA
gratefully acknowledges the contributions of Nancy C.
Carter, M.S.W.
Public Domain Notice
All material appearing in this document is in the public
domain and may be reproduced or copied without
permission from SAMHSA or CMHS. Citation of the source
is appreciated. However, this publication may not be
reproduced or distributed for a fee without the specific,
written authorization of the Office of Communications,
SAMHSA, DHHS.
Electronic Access and Copies of Publication
This publication may be accessed electronically through the following
Internet connection: www.samhsa.gov. For additional free copies of
this document, please contact SAMHSA's National Mental Health Information
Center at 1-800-789-2647 or 1-866-889-2647 (TDD).
Recommended Citation
U.S. Department of Health and Human Services. A Guide
to Managing Stress in Crisis Response Professions. DHHS
Pub. No. SMA 4113. Rockville, MD: Center for Mental
Health Services, Substance Abuse and Mental Health
Services Administration, 2005.
Originating Office
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road, Rockville, Maryland 20857
DHHS Publication No. SMA 4113
Printed 2005
TABLE OF CONTENTS
Preface
Introduction
CHAPTER I. Understanding the Stress Cycle
Common Stress Reactions
Extreme Stress Reactions
CHAPTER II. Managing Stress Before, During, and After an Event
Pre-Event Planning
During the Crisis—At the Scene
After the Crisis
CHAPTER III. Promoting a Positive Workplace Environment
Minimizing Stress
CHAPTER IV. Self-Care for Crisis Response Professionals
Self Monitor for Signs of Stress
Minimizing Stress
CHAPTER V. References and Recommended Reading
Selected SAMHSA Resources
Internet Sites
Tip Sheet
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