Members Involved in a Traumatic Critical Incident

Question 1

Critical Incident

Supervision

• Supervisory Officer notification mandatory
   when involved in a _____
   upon becoming aware that another member has been involved in a traumatic critical incident, or is _____
   _____

Answer 1

1. traumatic critical incident
2. showing signs and symptoms of critical incident stress
3. firearm discharge (officer involved shooting)

Question 2

The determination of whether or not the Critical Incident Response Team (CIRT) / Peer Support Volunteer (PSV) is immediately contacted will be dependent on the assessment by the _____ in consultation with _____. However, the CIRT/PSV must be contacted in all instances in which the member has requested immediate support. Additionally, supervisors, officers in charge and unit commanders MUST ensure an _____ is completed for all members involved in an event and submitted in compliance with Procedure 08–03.

In determining whether an event should be reported as a “Traumatic Critical Incident”, the decision should be based on the nature and circumstances of the event rather than on the reactions, or lack of reactions of the involved individuals. In making such a determination, members MUST consult with _____ and/or the _____.

Factors that may impact the assessment include, but are not limited to the
* nature of the event
* member’s Service experience
* member’s life experience
* member’s involvement in previous traumatic critical incidents, and
* member’s behaviour.

Answer 2

1. officer in charge
2. the Toronto Police Operations Centre (TPOC)
3. Injured on Duty Online Report
4. the officer in charge
5. TPOC

Question 3

Critical Incident

The on–call CIRT/PSV works together with the affected unit to initiate peer support defusing sessions. In consultation with the officer in charge, unit commander and/or the TPOC, the Service Psychologist (if applicable), and the EFAP provider’s CIRT, the CIRT/PSV determines which, if any, of these sessions are required. If the on-call CIRT/PSV or the Service Psychologist determines any sessions are required, attendance is _____but active participation in the discussion is voluntary.

Answer 3

1. mandatory

Question 4

Post incident firearms exposure sessions do not apply to _____.

Answer 4

1. the discharge of a firearm for the purpose of dispatching an animal, unless circumstances suggest otherwise

Question 5

_____ are individual sessions involving firearm exercises undertaken with a qualified firearms instructor.

Answer 5

1. Post incident firearms exposure sessions

Question 6

Critical Incident- Member

1. When involved in a traumatic critical incident shall
   * _____
   * seek medical attention, if necessary
   * attend defusing and debriefing sessions as directed by the supervisor, officer in charge or the unit commander of the affected unit and/or the CIRT/PSV or their designate
2. When involved in an officer–involved shooting incident shall
   * comply with item 1
   * attend a post incident firearms exposure session as directed by the _____

 _____ involved in a shooting incident may request to participate in a post incident firearms exposure session.

3. Upon becoming aware that another member has been involved in a traumatic critical incident or is showing signs and symptoms of critical incident stress shall
   * _____
   * _____

Answer 6

1. immediately report the incident to a supervisor
2. Unit Commander
3. Any officer
4. immediately notify a supervisor
5. refrain from making any diagnosis

Question 7

Critical Incident

The wording for the Injured on Duty Report under the section “Nature and Area of Injury(ies)” shall be: “_____”.

Answer 7

1. Traumatic Critical Incident

Question 8

Critical Incident - Supervisory Officer

Supervisor

4. Upon becoming aware that a member has been involved in a traumatic critical incident or is showing signs and symptoms of critical incident stress shall
   * immediately notify the _____ of the affected member’s unit or civilian equivalent
   * ensure an _____is completed and submitted in compliance with Procedure 08–03
   * participate in the assessment of the incident with the _____ to determine the appropriate level of support for the member
   * provide support and ongoing encouragement to assist the member

Answer 8

1. Officer in Charge
2. Injured on Duty Online Report
3. officer in charge

Question 9

Critical Incident - Officer in Charge / Civilian Equivalent

7. Upon becoming aware of a traumatic critical incident taking place shall
   * consult with the _____ the appropriate level of response
   * advise the _____ when it is determined in consultation with the _____ that the CIRT/PSV is required to attend
   * comply with Procedures 08–03 and 15–03, where applicable

Answer 9

1. Officer in Charge – TPOC to determine
2. Unit Commander
3. TPOC

Question 10

Critical Incident - Officer in Charge / Civilian Equivalent

8. When involved in an assessment of a traumatic critical incident shall _____. Members not assigned a memorandum book shall make a _____.
9. When consulted regarding an _____ shall make a record of the consultation and actions taken in their memorandum book. Members not assigned a memorandum book shall make a written record of the consultation and actions taken.

Answer 10

1. record all factors considered and actions taken in their memorandum book
2. written record of all factors considered and actions taken
3. officer–involved shooting incident

Question 11

Critical Incident - Officer in Charge / Civilian Equivalent

10. When a member is involved in a traumatic critical incident and the CIRT/PSV is not immediately consulted shall ensure the member is
    * advised that _____
    * provided _____
    * made _____
11. Upon becoming aware that a member has been directed to attend a _____ defusing session, debriefing session, or post incident firearms exposure session shall ensure that the member complies with such direction.

Answer 11

1. immediate support from the Service’s EFAP provider is available
2. a copy of the Critical Incident Stress Handout (Appendix A)
3. aware of all the services available to them
4. mandatory

Question 12

_____ means the team consisting of Peer Support Volunteers coordinated through the Service to respond to incidents where critical incident stress may occur and to assist members and their families to cope after becoming involved in a traumatic critical incident. CIRT members are trained in trauma response measures and are qualified to lead defusing sessions. CIRT members are not counsellors.

Answer 12

1. Critical Incident Response Team (CIRT)

Question 13

_____ means physical and psychological symptoms experienced by a member as a result of being involved in a traumatic critical incident.

Answer 13

1. Critical Incident Stress

Question 14

_____ means a scheduled formal meeting specifically set up for members directly involved in the traumatic critical incident to discuss reactions to the traumatic event in confidence with a qualified mental health professional. The debriefing session takes place a few days after the conclusion of the traumatic critical incident, in a secure location where disruptions can be eliminated and can last up to two and one half (2.5) hours. The Employee Family Assistance Program Liaison/Critical Incident Response Team (CIRT) Coordinator will work with the Officer in Charge, CIRT Peer Support Volunteer and/or the qualified mental health professional to schedule the session. Attendance is mandatory for the members directly involved but active participation in the discussion is voluntary.

_____ may be conducted by a mental health professional assisted by members of the CIRT and are not operational debriefings.

Answer 14

1. Debriefing Session
2. Debriefing sessions

Question 15

_____ means an immediate informal meeting attended by an individual or a group of members involved in a traumatic critical incident to assess the need for further assistance prior to the end of shift. The _____ takes place immediately after the conclusion of the traumatic critical incident in a secure location where disruptions can be eliminated and lasts for approximately fifteen _____ minutes. Two (2) Peer Support Volunteers normally lead these meetings with Employee Family Assistance Program support if necessary. Attendance is mandatory but active participation in the discussion is voluntary.

_____ may be conducted by a mental health professional assisted by members of the Critical Incident Response Team and are not operational debriefings.

Answer 15

1. Defusing Session
2. defusing session
3. (15) to thirty (30)
4. Defusing Session

Question 16

_____ means a session involving firearm exercises undertaken with a qualified firearms instructor. This session does NOT consist of a qualification standard and is NOT an operational debriefing. Rather, a post incident firearms exposure session consists of an individual course of fire intended to be educational, to provide reassurance, and to promote officers’ confidence with their firearm after an officer-involved shooting incident. The post incident firearms exposure session will take place prior to being returned to full duties after a shooting incident.

_____ are mandatory for officers who discharge their firearms in the line of duty and officers determined by their Unit Commander to be directly impacted by the incident. However, any officer involved in a shooting incident may request to participate in a post incident firearms exposure session. Post incident firearms exposure sessions do not apply to the discharge of a firearm for the purpose of dispatching an animal, unless circumstances suggest otherwise.

Answer 16

1. Post Incident Firearm Exposure Session
2. Post Incident Firearm Exposure Session

Question 17

______ means the assistance provided by the Employee and Family Assistance Program provider or Psychological Services to members and their families in locating a community mental health professional or other service suitable to the presenting difficulty.

Answer 17

1. Referral

Question 18

Critical Incident - General for UC

27. Ensure that unit _____ and unit administration staff co–ordinate the completion of paperwork related to WSIB, criminal injuries, injured on duty (IOD), benefits, etc., on behalf of the affected member to minimize trauma and stress to the member and family.
28. All _____ should be directed to monitor the emotional well–being of members in all sections of the unit and take appropriate action.
29. If appropriate, ensure that all evidence of the traumatic critical incident is removed from the home unit as soon as possible.
30. Consider requesting a special budget project number for expenses related to the incident.
31. Contact the Senior Officers Organization and/or Toronto Police Association for any assistance deemed appropriate and necessary.

Answer 18

1. supervisors
2. supervisors