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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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