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HomeMy WebLinkAbout1987-09-22; City Council; 9159-1; Trauma Intervention Program (TIP)A Y\ ow 'z 0 M CL a 4 .. g 5 4 s z 3 0 0 CIWOF CARLSBAD - AGENqOBlLL / AB#~~ZC?L TITLIE: TRAUMA INTERVENTION PROGRAM d MTG.9/22/87 DEPT. CM RECOMMENDED ACTION: Approve City participation in the Trauma Intervention Program by min motion and direct City staff to work with the County of San Diego an( the City of Oceanside to implement the program. ITEM EXPLANATION - : At its September 8, 1987 meeting, City Council heard a presentation f Dennis Meehan urging the City to participate in the Trauma Interventi Program. with a recommendation. City staff has been working with a representative from Supervisor Mal office, the Oceanside Police Department and the County Mental Health ment over the past few months regarding the possible implementation ( program in Carlsbad. Carlsbad's Fire and Police Chiefs have reviewec program and believe that it would be a useful resource to have availal for emergency service personnel. volunteer organizations such as the Women's Resource Center which provides services for battered women and abused children. of the Fire and Police Chiefs' opinion, the Trauma Intervention Progr: would furnish another resource which may provide services in certain situations. Although the demand for trauma intervention services may not be as high in Carlsbad as in adjacent cities, the value of the program to a victim would be just as high. Along with the benefits of the program some liabilities. The City's Risk Manager has evaluated the program i has concern about the potential risk exposure. Manager's analysis is attached. In deciding whether or not to partici: in the program, Council should balance the need and value of the pra to the community and city emergency personnel versus the potential liability exposure. This is always difficult to do since it is based on number of "what if" assumptions. However, cities are in the busines: of providing public services and Council should decide if this is an appropriate service area for Carlsbad to enter into in light of the potential liability exposure. Mr. Wayne Fortin of the County Mental Health Departinent will be pret at the Council meeting to explain this program. The program is Cour sponsored and operated. Volunteers are recruited and trained by thc County and are provided limited accident and liability coverage in ace with a County policy on volunteers. Volunteers are dispatched when requested by emergency service personnel from the Oceanside Police 1 Dispatch Center. The program and activities of volunteers are monitc supervised by the County Department of Mental Health. EXHIBBITS: 1. Agenda Bill No. 9159, dated 9/8/87 2. Report from Risk Manager, dated 8/7/87, with attachments Council directed staff to review the program and return The City currently uses a number In view A copy of the Risk \ ' a[ .. z 0 5 a =i 0 z 3 0 0 Clm OF CARLSBAD - AGEN9 BILL AB# 9/59 TITLE: MTG. 9/8/87 DEPT. CM RECOMMENDED ACTION: If Council so desires, direct staff to review the Trauma Intervention Program (TIP) and return to Council with a recommendation on whether or not the City should participat in TIP. TRAUMA INTERVENTION PROGRAM IE ITEM EXPLANATION: On August 24, 19817, the Acting City Manager received a req from Mr. Dennis Meehan to place the Trauma Intervention Prc (TIP) on the Council agenda for consideration. TIP is a County c:reated program which utilizes the service: volunteers to provide immediate assistance to both primary secondary victims; of crimes and other traumatic events. Volunteers are called to the scene of the incident by polic officers, firefighters, and/or paramedics through their di: center. There are obvious benefits of this program. There is also potential risk to the City in terms of exposure to liabilii Staff would like to research all aspects of this program bc the City becomes involved with the Trauma Intervention Proc EXHIBITS : 1. TIP Program Outline 2. Letter from Supervisor John MacDonald supporting TIP, July 22, 1987. 3. Victim Volunteers Mobilize to Minister", Steve Scarai Emergency Magazine, March 1987. 4. Letter from Dennis Meehan, dated August 24, 1987. BAIT1 0 ( The Trauma Intervention Program e f The Trauma Intervention Program (TIP) is a program which utilizes assist victims of crime and other traumatic events at the scene on a Volunteers are called to the scene of the incident by police officers, or paramedics through their dispatch center. The TIP program is joir and operated by two police agencies, two fire departments, and San Mental Health. While existing programs at the local level provide crisis services to populations (rape victims, for example) and to victims a day or two afte, (victim / witness program) this program provides immediate personal victims of traumatic events. The TIP program is comprehensive and encc officers and firefighters to call a volunteer no matter how "little" the and to call a volunteer to assist "secondary victims" i.e. family membei bystanders etc. The program therefore serves victims who are suff but who are not' usually identified by emergency first responders or services as potential clients. The TIP program is also unique in it of volunteers to provide emotional support and practical help to vict families. These volunteers are not restricted by a professional role anc cate to victims that "your neighbors care for you" much more effectivelj sional helpers. Also by training citizens to help others in crisis, is providing the comnunity an ongoing pool of "natural helpers" who skills beyond the limits of the TIP program. The TIP program is a special partnership between police, fire, and organizations and between two city governments and a county government. are equal partners and not simply user agencies and share the burden as well as operational costs. The TIP program is unusual in its incir departments into the iprogram and can serve as a model in that regard. has a well defined feedback system which insures that emergency per! feedback from volunteers on how the volunteer was able to provide i the scene. This feedback process enables emergency personnel to get calls which might otherwise be difficult for them to "shake." The TIP program ha5 gotten wide recognition from the local print medi the L.A. Times) and hlas been featured on the local television news. 1987 issue of Emergency Magazine will contain an article in the progr 1986 the program received a County Achievement Award from the National ' of Counties. The TIP program can indeed serve as a model program in that it brings t ments of volunteer involvement, immediacy, agency cooperation, and compr for the purpose of helping victims. - - _- W w > HERE'S A HELPFUL TIP THE TRAUMA INTERVENTION PROGRAM Yhat is TIP? 28 trained OFD citizen volunteers available 24 hours a day to help you help citizens in crisis. station, or to Tri City Hospital. Volunteers can be called to the scene, to the Yhy call TIP? The recovery of a person from a crisis event is largely dependent on tke support he/she gets immediately after a crisis. not immediately available from family or friends - that is where the TIP Volunteer comes in. Often this support is When to Call In any situation in which you judge that a person could benefit from emotional reassurance or practical support (telephone calls, clean up, etc.) Examples of situation in which officers have called for a volunteer include: domestic violence house fire completed suicide threatening suicide confused elderly sudden death problem with adolescents SIDS death auto accidents res i dent i a 1 bu rgl a ry Remember: involved. TIP Volunteers are particularly helpful with "secondary victtmsY i .e. those who were not directly vjctimized but who arc nevertheless on the scene and suffering because of their assodation with the victim. A routine call for you may be a big crisis for a citizen Don't wait for "the big call" to call a TIP Volunteer. How to call Acknowledge the citizens crisis ("this is a tough time for you") and offer to send "one of our volunteers to help you ...I' Call dispatch and request a TIP Volunteer. When the TIP Volunteer arrives {within 20 minutes of the time called) volunteer will seek your initial direction and then will stay with the victim as long as necessary. Men and Women from.all walks of life between the ages o committed to helping others. They are extensively scree 6 nd recei ve extensive classroom and hands-on training. They attend mandatory continuing education classes and have 24 hour professional backup available to* them. brief hirn/her on the situation. The Mho are the TIP Volunteers 30-6 who are e rrauma Intervention Program @I A,, Progress Report - Oceanside Fire Dept. July 17,1986 TO November 17,1986 1 7 Total Number of Calls 18 Location of Intervention: Client Home 8 Tri City E.R. 10 Number of Calls per OFD shift: Shift A 4 Shift B 5 Shift C 9 Averaqe Time Spent per Call wrt Family - Death 2 hrs. 5 5 2) Support Family - Sickness / Injury 3) Support injured or ill citizen 4 4) Support anxious / depressed citizen 3 5) Support Fire Victims -- 1 Type of Intervention 1) Emotional Support and Practical Help until other support available 18 3) Other Follow Up Referrals 6 2) Follow up calls 12 * Tri City Social Workers * Red Cross * Senior Services Team * County Mental Health . EX1 e - a 1 c Moulrfg nf $8rt pep /6 e RlSK kl&q,e, :. sic :- c, JOHN MACDONALD SUPERVISO(~ FIFTH OISTRICT (613) 724-5660 BOARD OF SUPERVlSORS ?? 325 s MECROSE ORIVE. VISTA CALIFORNIA 92083-681 7 7 '+ - -- :JJ I; July 22, 1987 1 1 -*- ? Claude Lewis, Mayor Jk anoi crn OF cb+ -, Dear Ma wis : City of Carlsbad 1200 Elm Avenue Carlsbad, CA 92008 I am writing to register my support for the Trauma Intervention Program now being reviewed by the City of Carlsbad. This progran which has been in effect for two years now, is not only a benefit to the victims contacted but also to the city as a whole. I know of no better way to assist our emergency rescue personnel in doin that "little extra" to help these people who have been violated i some way. available to its citizens in a most great time of need can be not but positive. I also realize that there is a liability risk involved, as is in n services provided by cities. Yet, to deny the citizens of Catlsbz this asset of a program because of the "what if's" surrounding it, would be a sad loss to the multitudes standing to benefit. I sincerely hope you take the time to discuss the proposal in its entirety with the people who adzinister the program. The ievel of human kindness afforded by the volunteers is a rare yet beautiful sight in our society today. I am comforted to know that these peo- are waiting and available to come to my aid, at any time of the da? should I need them. I am sure you will agree, after you become mo familiar with the Trauma Intervention Program. Should you need further information OT clarification with regard tc the program, please contact either Gloria Cothran of my office at 236-2293, or Wayne Fortin, Coordinator, at 433-6141. Thank you for taking the time eo look into the senrice offered. Sincerely, w The reflection on the City for having loving support kE4 Supervisor, Fifth District EXHI e 0 Victim Volunteers Mobilize to. M 1 1 BY STEVE SCARANO n the last decade, the media and health record which migh care services have devoted an immense priate for members] amount of attention to the impact that TIP members US each month as wel huniim-made and natural disaster has upon quired to work a I hdividuais and youps of people. We’ve observed the rapid growth of crime-victim training meeting. As advocacy organizations, victim sensitivity the duties are divide, guidelines in the operating procedures of 7 a.m. to 7 p.m., anc helping agencies, and batteries of mental According to Fori health prolessiorials who can mobilize to little that would not riiinister to survivors of high-drama events by either the victim like aviation accidents, earthquakes and the volunteer does i mass murders. takes the burden oft We all applaud those efforts and, indeed, time.” People in cris this article describes a very unique, grass. and the TIP counsel roots approach to crisis response, called any stage. “What ( the Trauma Intervention Program (TIP). emphasize,” he said,’ that stage and be fl My experierice as an emergency services worker, however, prompts me to offer a accordingly with the quick aside: Is it possible that we are losing tion techniques tha sight of the primary responder’s personal rescuer, needs.” needs? That is, what machinery or organi- Volunteers are ins\ zation is in place to rescue the rescuer, to and from, and dur kip the helper? activity. The Hold I My point is two-fold. First, I am keenly signed by volunteer! aware of the issues involving bearing the them from seeking cc burden of occupational stress in the caring city on account of inj professions. Secondly, I believe that models pation in the program like the Trauma Intervention Program can TIP counselors art sinnificantly mitigate the helper’s stress by not only with the ir providing an effective and expeditious crisis,.,but also with means of servicing the needy people he or who are often ignorec stit. is committed to. gency services profe So this is not just another trade.journal the people who are p discourse about victims’ needs and rights. by the stress of the c My viewpoint includes the people who boyfriend of the rap scoop them up, suck blood and vomit opt friend of a family whic of their throats and package in evidence out of their home, or a bags the crime.stained bedding and under- husband has been a$ ‘wear ol emotionally traumatized people. victims can even in The public safety industry’s broad motive crew - poiice office! to “save life and protect property” has paramedics. been brought into sharper focus in recent Department policy F years. In their own particular and collective making referrals to TI, “search for excellence,” police, fire and cases which are likely pre-hospital care personnel are redefining side bar). During the six-week training tion and follow.up in t their roles in working for the common these instances, counc good. This community service ethic is what organization, Victim we’re heretor. In fact. the way in which an called. The counselor emergency services organization responds emotional, technical a tc people in crisis can be held as a yardstick to victims of family L against which the technical skill, leadership assault. Whereas TIP vc and humaljness of the agency and its to a single follow-up c, members can be measured. client’s welfare, VAP st The Trauma lrltervention Program is a nel and literally accc tested, reliable system which enables a person through hospit; police officer, firefighter or paramedic to access a competent lay counselor through the emergency services dispatcher with a guaranteed 20-minute response time at the scene of the crisis. County Mental Health’s co.organizer of TIP acknowledges that often those who are first on the scene to help in an emer- gency aren’t “equipped to handle the emo- tional needs of some involved.” Wayne Fortin cites the lack of time and sense of urgency that emergency workers feel be- cause they have to be available for other calls or patients; the inability to keep current with changing community resources; and competitive, practical, situational require- ments like traffic control, triage and treat- ment or documentation. Directly after the crisis, the victim is very sensitive, vulnerable and feeling helpless. “What is needed,” said Fortin, “is reassur- ance, direction from others (this is NOT the time for crisis responders to mind their own business) and help with concrete tasks like making phone calls to family members and clearing up the mess.” , Like emergency medicine’s “golden hour” of physical trauma care, prompt and effi- cient care of the victim’s emotional needs can be critical to recovery. “If we’re going to help them, we need to get to them early on,” Fortin emphasized. “After the neces. sary practical help is rendered by EMS, police or firefighters, a gap exists until the victim is connected to his or her natural support system-relatives or friends.” Absent that, other nurturing help is vital. That’s where Tlkcomes in. TIP volunteers are area residents who can provide their own transportation to crisis scenes at any hour and who are motivated to help people. No formal experi- ence is required, but they must survive a rigorous basic training program and parti- cipate actively in continuing education (see program, staff trainers verify that volunteers possess qualities such as a non-judgmental attitude, common sense and an ability to listen, particularly in evaluating role-playing performance. Not every applicant completes the train- ing. Since the program is officially endorsed by the police department, a background check is made to determine if participants have any criminal history or unsafe driving I EMERGE the accurate situational analysis of the on- site officers and medics, have kept these kind of incidents from occurring. Like the iii~sion of other emergency responders, the first requirement for the TIP volunteer IS the safe and expeditious delivery of coinpelent talent. Violation of the rules of the road are intolerable- trainees learn that if they’re stopped foe a viotption en route to a call, it will be futile for them to tell the officer tha! they are “on a police emergency.” They’re cautioned about the effects of some prescription drugs and the consumption of alcohol while on the duty roster. A curbside look-and-listen assessment is encouraged, and the problem Of parking too close to emergency vehicles is ex- plained. The JdVantWes Of a threshold evaluation, listening at the door for a moment before knocking, are described by a police trainer. Upon entering, the TIP counselor is urged to act upon what his or her senses suggest, and to leave at any time danger is felt. Trainees learn about some of the risks peculiar to certain areas of,a residence- to tactfully arrange disputants or despon- dent persons to gain a tactical safety advantage. ne hazards of underestimting females+ fighting abi]ity, is a !esson the po~ice trainer speaks of from personal experience. When both the requesting officer and the TIP volunteer are in agree. ment that the situation is safe, the latter releases the oflicer. Since its inception in January, 1985, volunteers have responded to 180 incidents. The average call-out lasts about two hours, and evenings and Sundays seem to be the busiest periods. About half of the calls involve supporrinq survivors of family death by suicide, accident or natural causes. Roughly 15 percent have to do with some kind of personal ;>ssault, and 30percent o[ the call-outs deal with despondent people who have called the police, ‘and family bedroom, barhroom and kitchen, and how 48 WLI)OENCY/MARCH 1987 In this citation, NAC Director John Thomas informed the unit that a file would so much for the e/ficii?ri:i shown to us on the nlqht $1 officers see and do VJ crisis. The shouiderw posure of the TIP volui officers elevate the aw3’ police to the availability a of the program, so the lei tunity is double-edged. “1 academy topics include the helping relationrih the experience of working in the hospite helping the family c * suicide assessment dr helping the survivorj c working with the elder personal safety issues family dispute rnediiltio * spousal assault getting peer support working with the polic Continuing education for th TIP counselor generaily empt types of call-outs being exper given training period, and i include dealing with death, c vention at disasters. and 2 problems. Instructors who participat the “rookie” and in-service stai ment have included po~ice department cl,apl hospital social worker emergency services dispi coroner’s office deputy Red Cross disaster Lean1 emergency room nurse police counselor psychiatrist funeral director “Size Up” Upon arrival at the cgsis scene, the volunteer interventionist is likely to debrief the investigating police officer or paramedic before actually being intro- duced to the person(s) being called to assist. Typical elements of this dialogue involve obtaining essential information regarding the following: THE NATURE OF THE CALL H~~ was the call dispatched to the officer? Was it dispatched differently to the volunteer? 0 What is the nature of the call as the officer or medic actually found it? (It wi\l always be different to emergency sewices.) THE HISTORY OF INCIDENTS AT THAT ADDRESS OR WITH THOSE INVOLVED (“Have you been called here before?’) What is the threat assessment7 Are there verbal threats, weapons or force being used? Does the victim have the ability to caw out threats of violence? Has the victim requested specific assistance (from friends, Clergy Or rejatives* etc-)? Describe the symptoms or behavior of the victim. Who is inside? Has anyone left? Is there an expectation that anyone will be coming back? “What do you recommend be done here9 Officer?” A TIP volunteer’s six-week “boot camp” consists of about 40 hours of didactic and role-playing experience, coupled with three ride-alongs in the field with the police department’s beat officers. The ride-alongs give the TIP trainee a practical perspective on what matized room victim tion What is the situation now? either drugs Or alcohol involved? Are departments term relationship with the client doesn’t request of the fire department’s paramedics. permit the volunteer to watch the helped Future users may be another bordering person grow as a professional might.” An- community and nearby state-operated other remarked, “We only see the tragedy.” campgrounds, where rangers often deal Some volunteers get discouraged when with homeless transients. they spend their shift “waiting for the big one” and aren’t called out. Steve Scarano is a sergeant and training Remarkably, helper stress is dealt with manager ot the Oceanside Police Depart- purposefully at the monthly team-building ment in California. 4t MFGR’S OF I MEDICAL E 4909-8 MC PEN SACOLi 904-45 U.S. PATEN CI..,IYn * 7 w w Ocean Pointe realty Tel. (619) 438-7470 A California Corporation ,G!AoLst ZL;, 1987 ., Ray Patchctt City Manager Car i scad : (3G 92!3c78 isoo tzirn avenue Dear ilr. Patchztt 7 Piease consider this a farma! req,ie:.tt to p~:t the discussior: of the TraGza Ii>t~~~v;~i~t ion Pi-Ggram on the Counci 1 aqenda---hopeful ly for the Se~temSer 1 meeting. C number of Carlsbad rc-sidents have Seen asc,isted by this program while in neighborinQ cities, and other Carlsbad residents are inte-ested in vol~ntcering and would like to have this highly successful proql-am avaiiablc to all Carlsbsd residents and visitors. S i n c e r e i y ? e- Denn i s PI . Pleet-r an DMM/ jm j 0 0 August 7, 1987 TO : Assistant City Manager FROM : Risk Manager REVIEW OF TRAUMA INTERVENTION PROGRAM (T. I .P.) Program Summary: The Trauma Intervention Program (T.I.P.) is a counl created program which utilizes the services of volunteers to provide assis to both primary and secondary victims of crimes or other traumatic event: (Please refer to Exhibit #1.) Volume and Type of Events: per month. The current T.I.P. Unit receives about 30 Those calls are categorized into the following approximations: 60% are related to deaths; 10% are related to victims of violent crimes; 10% are related to victims of domestic violence; 10% are related to victims of depression; and 10% are related to the provision of support for the elderly. Of the calls received each month, approximately 80% require a response tc Tri-City Hospital. (This information was provided by representatives of county at a meeting called by Supervisor MacDonald's office on 7/16/87.) Volunteers: The volunteers may range in age from 18 to 60. (Please re to Exhibits 1, 2 E 9.) Traininq: consecutive days. The volunteers receive 36 hours of training over a period of ! The lectures cover the following topics: Families After Death Domestic V io I e nce Suicide Prevention Rape Dealing with the Elderly Crisis Intervention Skills Additionally, they attend team building meetings on a monthly basis. refer to Exhibit #2.) Backqround Investiqations: A background check is done on each volunt It is the saliie type of check that is done for Reserve Police Officers in Oceanside and includes a review of their driving record and a review fot incidents involving substance abuse. However, no psychological examination is provided. According to the co the basis for that decision was strictly cost related. (P 0 0 August 7, 1987 REVIEW OF TRAUMA INTERVENTION PROGRAM (T.I.P.) Page 2 1. Potential Risk Exposure The liability exposure to user agencies of the T.I.P. program would to generate substantially from three (3) sources: the victims, the i and third parties. (A) Victims: During a period of emotional and/or physical traum victim is more vulnerable to injury, whether emotional, physi financial in nature. Any misconduct or negligence on the pi the volunteer could seriously injure a primary or secondary That victim would then be entitled to take recourse against . offending party and the agencies that that party representec For example, a volunteer could cause aggravated emotional h by improperly or negligently handling a situation. their greater vulnerability, the volunteer could also take ph. or financial advantage of the victim( 5) . One very prominent weakness in the volunteer training and program is the failure to provide psychological examinations. sole reason given was the cost involved. Based upon the pc for harm, that reason would not appear to be legally sufficie from a defense standpoint. Volunteers: The volunteers are also a potential source of r exposure to user agencies. They are advised, during train that they are not going to be placed into dangerous situatio such as those involving weapons or drugs. However, if pol officers failed to properly or reasonably search for such itei the volunteer was injured as a direct result, then litigation surely follow. The county has the volunteer sign a Hold Hi Agreement before commencing work. However, if the volunl injured as the result of the type of incident which he could anticipated, there may be some recourse available to him. 1 the additional problem of police/fire officials failing to prope the volunteer or failing to await his arrival. The volunteer: supposed to get into physical confrontations. They are sup leave that problem to properly trained police officers. Howt T. I .P. Policies & Procedures Manual tells the volunteer to is disputants and to prevent them from fighting with each othc (Please refer to Exhibit #2, Page 3 E 4.) Those instructior have the potential for placing a volunteer into a situation w not properly trained to handle. Injury could easily result. sation from the county for accidental injury is very, very n (Please refer to Exhibit #lo.) Third Parties: Third party injuries may result from the vo actions. The volunteer could be involved in an automobile while en route to a Cali. Any one of a number of potential parties could be injured as a result of a volynteer's misr;onc negligence. Because (B) (C) 0 0 , August 7, 1987 REVIEW OF TRAUMA INTERVENTION PROGRAM (T.I.P.) Page 3 (D) Additional Exposure: The T.I.P. Program Summary states t agencies are equal partners and not simply user agencies an the burden of liability as well as operational expenses." (PI refer to Exhibit #l.) That statement could be interpreted tc that all user agencies share all losses. That could expose u agencies to liability for events or incidents which did not in either their own volunteers or victims within their own juris1 It would appear to be a type of "pooled" exposure. I I. Solutions (1) Indemnification by the County: SInce the T.I.P. Program i! created and ccunty sponsored, it v<ould be very easy for th organization to simply agree to indemnify user agencies for i or defense expenses. The county does not do so because it to transfer a portion of its liability exposure to the user agc Unfortunately, most of the potential user agencies do not ha financial ability to sustain major losses because of the lack c insurance or the lack of funds. Another potential source of exposure is the county itself. I litigated situation, the county could, and probably would, fi complaints against selected user agencies for contribution/inc cation in order to minimize its potential losses. The indemnification agreement signed by the volunteers has because there is no insurance requirement attached to it. I effect, strictly superficial. (2) Legal Immunity: Certain immunities exist for public agencie! assistance in emergency response situations. The T. I. P. Pr not fall withir; the current definitions. However, if the law changed, a T.I.P. type program could be included in the dc of an emergency response service and an immunity created. Supervisor MacDonald's letter of 7/22/87 states that a liability risk involved "yet, to deny the citizens of Carlsbad of this asset of a p because of the 'what if's' surrounding it, would be a sad loss to tt- tudes standing to benefit." Unfortunately, that statement can also be directed to the county it? simply indemnifying the user agencies, all the citizens of the count be permitted to avail themselves of the program. The county, how chosen not to do so. Additionally, the term I\nultitudeSs is not really reflective of the curl of usage (30 calls per month). (Please refer to Exhibit #12.) e 0 r August 7, 1987 REVIEW OF TRAUMA INTERVENTION PROGRAM (T.I.P.) Page 4 I I I. Recommendation It is recommended that the City of Carlsbad refrain from utilizing th T.I.P. Program until: 1. The county agrees to indemnify it for all losses and defense exp resulting from the program; State law is changed and immunity provided for use of this typc program; or An adequate amount of insurance protection is found for the cit 2. 3. Thank you, ROBER~ Risk w& Manager E MAN RJG:jgj cc: City Manager City Attorney Fire Chief Enclosures - 13 Exhibits 0 m I LIST OF EXdIBITS 1. T.I.P. Program Outline 2. T.I.P. Policies E Procedures 3. T.I.P. Contract 4. T.I.P. Feedback Form 5. T. I. P. Hold Harmless Agreement 6. Letter to Editor (Blade-Tribune) 1 /7/87 7. Oceanside P.D. Letter 10/15/85 8. N.A.C. Letter 5/21/86 9. T.I.P. Flyer 10. County Policy #B-41 11. Oceanside P. D. Article 1 /23/86 12. Supervisor MacDonald Letter 7/22 /87 ' 13. Newspaper Article 1 /23/86 0' 1 The Trauma Intervention Program 0 The Trauma Intervention Program (TIP) is a program which utilizes vo assist victims of crime and other traumatic events at the scene on a 2 Volunteers are called to the scene of the incident by police officers, f- or paramedics through their dispatch center. The TIP program is joint1 and operated by two police agencies, two fire departments, and San D Mental Health. While existing programs at the local level provide crisis services to spc populations (rape victims, for example) and to victims a day or two after i (victim / witness program) this program provides immediate personal 1 victims of traumatic events. The TIP program is comprehens*tve and encoui officers and firefighters to call a volunteer no matter how "little" the CI and to call a volunteer to assist "secondary victims" i.e. family members bystanders etc. The program therefore serves victims who are suffer but who are not usually identified by emergency first responders or o services as potential clients. The TIP program is also unique in its of volunteers to provide emotional support and practical help to victim families. These volunteers are not restricted by a professional role and I cate to victims that "your neighbors care for you" much more effectively sional helpers. Also by training citizens to help others in crisis, is providing the community an ongoing pool of "natural helpers" who ut skills beyond the limits of the TIP program. The TIP program is a special partnership between, police, fire, and me organizations and between two city governments and a county government. i are equal partners and not simply user agencies and share the burdengc as well as operational costs. The TIP program is unusual in its inciu2 departments into the program and can serve as a model in that regard. has a well defined feedback system which insures that emergency perso feedback from volunteers on how the volunteer was able to provide as the scene. This feedback process enables emergency personnel to get I calls which might otherwise be difficult for them to "shake." The TIP program has gotten wide recognition from the local print medie the L.A. Times) and has been featured on the local television news. 1 1987 issue of Emergency Magazine will contain an article in the progra 1986 the program received a County Achievement Award from the National of Counties. The TIP program caR indeed serve as a model program in that it brings tc ments of volunteer involvement, immediacy, agency cooperation, and comprl for the purpose of helplng victims. 0 -I -L m HERE'S A HELPFUL TIP THE TRAUMA INTERVENTION PROGRAM What is TIP? 0 28 trained OFD citizen volunteers available 24 hours a day to help you help citizens in crisis. Volunteers can be called to the scene, to the station, or to Tri City Hospital. Yhy call TIP? The recovery of a person from a crisis event is largely dependent on thc support he/she gets immediately after a crisis. Often this support is not immediately available from family or friends - that is where the TI1 Volunteer comes in. When to Call In any situation in which you judge that a person could benefit from emotional reassurance or practical support (telephone cal Is, clean up, etc.) Examples of situation in which officers have called for a voluntee i ncl ude : domestic violence house fire completed suicide residential burglary threatening suicide confused elderly sudden death problem with adolescents SlDS death auto accidents Remember: involved. Don't wait for "the big call" to call a TIP Volunteer. TIP Volunteers are particularly helpful with "secondary victims" i.e. those who were not directly victimized but who are nevertheless on the scene and suffering because of their association with the victim. A routine call for you may be a big crisis for a citizen How to call Acknowledge the citizens crisis ("this is a tough time for you") and offer to send "one of our volunteers to help you ..." request a TIP Volunteer. minutes of the time called) volunteer will seek your initial direction and then will stay with the victim as long as necessary. Call dispatch and When the TIP Volunteer arrives (within 20 brief him/her on the situation. The Who are the TIP Volunteers Men and Women from.al1 walks of life between the ages o 30-6 who are commi tted to he1 ping others. They are extensively scree G receive extensive classroom and hands-on training. They attend mandatory continuing education classes and have 24 hour professional backup available to- them. a 0 rrauma Intervention Proqram R, i Progress Report - Oceanside Fire Dept. July 17,1986 TO Plovember 17,1986 Total Number of Calls 18 Location of Intervention: Client Home 8 Tri City E.R. 10 Number of Calls per DFD shift: Shift A 4 Shift B 5 Shift C 9 Average Time Spent per Call ~wrt Family - Death 2 hrs. 5 5 2) 5) Support Fire Victims Support Family - Sickness / Injury 3) Support injured or ill citizen 4 4) Support anxious / depressed citizen 3 1 -- Type of In terven t i on 1) Emotional Support and Practical Help until other support available 18 12 2) Follow up calls 3) Other Follow Up Referrals 6 -- * Tri City Social Horkers * Red Cross * Senior Services Team * County Mental Health . ‘L 0 m 7 TRAUMA INTERVENTION PROGRAM POLICIES AND PROCEDURES 1. Signing up for Shifts A. Volunteer will indicate preferred time of day and days of the wee be on shift. (See sign-up shift). B. The sign-up sheets will be completed at each toain bl;ilding meetin C. Schedule will be completed based on the infcrmation 3cCmillater~ f D. Volunteer is to be available a minimum of two shifts a month. E. It is the volunteers responsibility to contact coordinator A.;.!',,. sheets. if not attending the team building meeting to schedule for shift avai labi 1 i ty. 2. Shift Hours A. Seven days per week: Two shifts per day. 7am - 7pn and 7p"i - 7a 3. To Begin Shift A. It is the responsibility of the holder of the beeper to conract 'i next person on the schedule for the exchange. of the beeper will call the next volunteer in line who wants tt-,? Make the necessary arrangments to exchange the beeper. C. The time and place.of the "exchange" is determined at the discret volunteers. D. It is not mandatory that the oncoming volunteer receive the beep Although, without the beeper the volunteer agrees to remain by th for the entire shift. Do not tie-up the line unnecessarily dnles have call waiting. the "charger" when'you are home. You can be r;ure it is on by pre down on the bar across the toff of the beeper. It will transmit r transmissions or a squelch sound. B. If oncoming volunteer does not need the beeper, the person in pos E. When counselor receives the beeper it will be "on" and should be 4. Accessing the €ounselor A. Dispatcher will have the volunteer's names and numbers. When an requests a counselor on the scene dispatch will contact the volun on duty by phone. If there is no response, djspatch will contact unteer via the beeper. 0 < -iRAUm ImRvmTm %mM POLICIES AND PROCEDURES 4. Accessing the Counselor B. When the beeper sounds listen for any instructions and tP,en csl; C. Dispatcher is concise. Usually will say: "We need a cohnselor a directly. (439-7180). an nay give you ______ address. Meet officer description of the situation. Dispatcher will ask you for your E (estimated time of arrival). 5. Responding to a Call from Dispatch A. Stay calm. B. Keep a pad and pen by the phone. C. Counselor a1Z.o needs to be concise. are necessary for you to know: Location of WHERE THEY WANT YOU TO GO (may not be same as locatio original crisis). Ask for Directions. Nature of Call, (be patient--dispatcher may tend to oversimplify, codes, be hurried, etc. ) WHEN do they want you? WHO wants you? NAME of the Victim. SPECIFIC directions if you need them. Do ask aispatcher any questi .-- - _-_ (right now, or lag time). (name of officer). D. Respond to ETA in the following manner: "in 5, ... in 20". E. For evening shifts, have clothes ready. Dress down and wear low Carry your identification tag so that you can show it if shoes. necessary. F. Be sure you know where you are going before you leave. Map out r necessary on street map. 6. Arriving at the Scene A. Meet officer: he may be outdoors waiting for you, or inside the You may need to go to the house and knock on the door. introuduc yourself. B. Listen to his assessment of the situation and to what he thinks n be done. a TRAUMA INTERVENTION %RAM POLICIES AND PROCEDURES C. Ask the officer any questions vou have aDoiit 7,he ~-t~bti~~, -n:lL but not limited to: Nature of Call History of Address and/or parties involved: -- been here before? Weapons? Force? Drugs or Alcohol? Threat Assessment (verbal): -- verbal only? -- ability to carry out? Has victim requested specific assistance (from friend, clergy, re etc.)? Who suggested we come out? Describe' symptoms, behavior of victim. Who is inside? WHAT DO - YOU recommend, Officer? D. Enter the house, conduct a 30 second scan, check for: - a phone - the exits - the number of people - drugs, alcohol, weapons - your gut feelings regarding your safety E. When you feel safe and under control, notify the officer. if he agreement then he will make the decision to go. Stay in a safe place of the house. F. DO NOT wander around. 7. Interacting with the Person in Crisis A. Introduce yourself. B. Get Person's name and use it. C. Begin to establish rapport through active listening, allowing per vent and by connecting their feelings to the situation. D. Provide emotional support, not your adivse or judgements. E. Don't let peopl Keep them focus€ ?age m TRAUMA INTwnum dh,,wM POLICIES AND PROCEDURES F. Use good judgment when offered anything from client. RememDer sht coffee with a client puts your interaction on a social level anc f may not be conducive to your role there. 1) 2) Never receive liquour or consume liquor or drugs on call. You are taking a risk receiving anything to eat or drink. not be safe. You may need to isolate disputants, or yo~i ky need to act as mediator and facilitate open communication between them. You may be working with a family. Don't take sides. Treat children with as much consideration as dd~lts. Be sure the children's names or find out what they like to be called. It G. Remember you may have more than one client. 1) 2) 3) H. Counselor stays with the family or individual as long as necessarj defuse or until counseling service is deemed FO longer appropriate However, leave if you become concerned for your safety. Don't he? to call an officer if you need him/her. 8. Leaving a Scene A. Leave them with the referrals they want and ask permission to fol B. Call Dispatch 1) Let them know you have left the scene. 2) Provide them with any information about The situation they shi C. Call Coordinator within 24 hours to report you've been out on a ct 9. FOllOW-Up A. It may not always be necessary. B. Ask client if they would like you to contact them the next day. C. If they say yes, be sure you follow-through! D. Use common sense when you call. Try to make it brief. See if thc followed through on the plan you two agreed to. Mostly, communict you care. E. Only one follow-up per episode. This is very important so client! become dependent on you. If further follow-up is necessary, call TIP professional consultants. Don't take on the person's crisis ( own. Do not give out your personal/home telephone number. F. TRAUMA INTERVENTION? .RAM 0 r POLICIES AND PROCEDU ES G. Volunteers respect the rules of confidential?:y tcr caip :r7sis c Do not divulge the client's name or ndture of in,: incider; taken. anyone. 10. Write Up Report: Remember this is a legal doLment. A. Always use ink. B. Only include: 1) 2) 3) Plan: What you did. 4) Follow-up plan: Did client say you could call back? When? What the client said, written as client states. What you saw, written as it appeared. C. Aalways get officers' name to give them feedback. D. Reports shouldbe placed inside the brief case in the folder rnarke forms. If you don't have the brief case then it nay be mailed to Coastal Mental Health Center, 1701 Mission Averlhe, Suite A, Ocean California 92054. Attn.: TIP Coordinators. Also you vay persoi deliver the report. E. Coordinators must receive reports within 48 hours of the incident wise the report will be in the brief case. 11. Back-ug: See TIP Volunteer Support System in resource book. A. The Crisis Team - 1-800-351-0757, CMH 24 hour hotline. Call wher, on the spot and would like to consul t with an experieced crisis 11 coun se 1 or. B. Professional Consultants- - Police Department when new circumstances arise and you need irrtrc - TIP Coordinators during call when you have a procedural questior assistance. problem of any kind. Also call for consultation after call. C. Other TIP Volunteer - (See Volunteer Roster). - Call for peer support. You may accompany a police officer in their cur when transporting to Casa de Amparo or Hillcrest Receiving Home if requested to. You may follow or lead family or victim to hospital or referral ag Always take your own car. 12. 00 NOT transport anyone. NO Exceptions! A. B. e TRAUMA INTERVENTION sh OGRAM POLICIES AND PROCEDURES 13. Replacing Yourself for Shift Cover.acjo A, If you have an emergency and can’t cover your shift, i: i; jc:i? responsibility to replace yourself with a counselor from the wrt schedule. B. The responsibility lies with the volunteer who has gotten 3 rep12 to notify the holder of the beeper who your replacement is. C. Replacement counselor must call dispatcher and notify them that 1 call. D. If you try to replace yourself and can’t, call coordinator and 170 of your situation. Coordinator wifl find your replacement, 2nd i out of your hands. 14. Second Volunteer Needed on a Shift A. Dispatch may be called by a second police officer requestirig a co B. Dispatch will have the monthly calendar which she will ~lse to cal second counselor. The next person on shift will be called. If t available they will be dispatched to the location. If not the di will go down the schedule until she reaches a counseior that is a when counselor on duty is already on a call. 15. Another Counselor Needed at the Scene I A. It is the responsibility of the TIP counselor on duty to call for counselor(s) to the scene in cases of mult:’pie victims or’ wher; t+c on duty thinks it advisable. It is also the responsibility of the counselor on dtity to replace herself with another TIP volunteer when the counselor on duty fee- not be effective in a particular situation. These situations migf but not be limited to, cases where a counselor of a different sex more appropriate, when the counselor on duty is familiar with the or when the incident occurs in the counselor’s neighborhood. C. Call another volunteer through dispatch. Disptach will call next D. B. in line. A TIP counselor will only utilize the assistance of other TIP cour in providing crisis intervention services and will not call on fan friends for assistance. 9, 0 0 * TRAUMA INTERVENTION PROGRAM POLICIES AND PROCEDURES 16. Other Volunteer Responsi bi 1 i ties A. Attendance at monthly team building meetings is mandatary. to attend, ca7 1 the Program Coordinator before meeting. situation that would affect your ability to function as a TIP cour if un( B. Report any change of address, phone number, availability, ijr any e 0 Victim Volunteers Mobilize tsM BY STEVE SCARANO n the last decade, the media and health record which migh ciire services have devoted an immense priate for memberst amount of attention to the impact that TIP members US, each month as we1 hunim-made and natural disaster has upon quired to work a I‘ iiidividuals and groups of people. We’ve observed the r:>pid growth of crime-victim training meeting. As advocacy organizations, victim sensitivity the duties are divide, quidelines in the operating procedures of 7 a.m. to 7 p.m., and heiping agencies, and batteries of mental According to Fort, health professionals who can mobilize lo little that would not t imnister to survivors of high-drama events by either the victim like aviation accrdents, earthquakes and the volunteer does it inass murders. takes the burden off We all applaud those efforts and, indeed, time.” People in cris, this article describes a very unique, grass- and the TIP counsel( roots approach to crisis response, called any stage. “What 0 the Trauma Intervention Program (TIP). emphasize,” he said, I‘ that stage and be fl~ My experience a:$ an emergency services worker, however, prompts me to offer a accordingly with the quick aside: Is it possible that we are losing tion techniques that sight of the primary responder’s personal rescuer, needs.” needs? That is, what machinery or organi- Volunteers are insu zation is in place to rescue the rescuer, 10 and from, and duri help the helper? activity. The Hold t My point is twmfold. First, 1 am keenly signed by volunteers aware of the issues involving bearing the them from seeking cor burden of occupational stress in the caring city on account of inju professions. Secondly, 1 believe that models pation in the program. like the Trauma Intervention Program can TIP counselors are significantly mitigate the helper’s stress by not only with the in prwiding an effective and expeditious crisis,. but also with ‘ means of servicing the needy people he or who are often ignored, shc is committed to. gency services profes So this is no! just another trade-journal the people who are pe discourse about victims’ needs and rights. by the stress of the cr My viewpoint includes the people who boyfriend of the rapc scoop them up, suck blood and vomit opt friend of a family whicl of their throats and package in evidence out of their home, or ar bags the crime-stiiined bedding and under- husband has been ass iuear of emotionally traumatized people. victims can even inc The public safety industry’s broad motive crew - police officers to “save life and protect property” has paramedics. been brought into sharper focus in recent Department policy prc years. In their own particular and collective ma.king referrals to TIP “search for excellence,” police, fire and cases which are likely t pre-hospital care personnel are redefining side bar). During the six-week training tion and follow-up in th their roles in working for the common these instances, counst good. This communityservice ethic is what organization, Victim I we’re here-for. In fact. the way in which an called. The counselors emergency services organization responds emotional, technical an( to people ia crisis #;an be held as a yardstick to victims of family vic against which the technical skill, leadership assault. Whereas TIP vol and humanness of the agency and its to a single follow-up cal members can be measured. client’s welfare, VAP sta The Trauma Irttervention Program is a ne1 and literally accoir tested, reliable system which enables a person through hospital. police officer, firefighter or paramedic to access a competent lay counselor through the emergency services dispatcher with a guaranteed 20-minute response time at the scene of the crisis. County Mental Health’s co-organizer of TIP acknowledges that often those who are first on the scene to help in an emer- gency aren’t “equipped to handle the emo- tional needs of some involved.” Wayne Fortin cites the lack of time and sense of urgency that emergency workers feel be- cause they have to be available for other calls or patients; the inability to keep current with changing community resources; and competitive, practical, situational require- ments like traffic control, triage and treat- ment or documentation. Directly after the crisis, the victim is very sensitive, vulnerable and feeling helpless. “What is needed,” said Fortin, “is reassur- ance, direction from others (this is NOT the time for crisis responders to mind their own business) and help with concrete tasks like making phone calls to family members and clearing up the mess.” Like emergency medicine’s “golden hour” of physical trauma care, prompt and effi- cient care of the victim’s emotional needs can be critical to recovery. “If we’re going to help them, we need to get to them early on,” Fortin emphasized. “After the neces- sary practical help is rendered by EMS, police or firefighters, a gap exists until the victim is connected to his or her natural support system-relatives or friends.” Absent that, other nurturing help is vital. That’s where TIP‘comes in. TIP volunteers are area residents who can provide their own transportation to crisis scenes at any hour and who are motivated to help people. No formal experi- ence is required, but they must survive a rigorous basic training program and parti- cipate actively in continuing education (see program, staff trainers verify that volunteers possess qualities such as a non-judgmental attitude, common sense and an ability to listen, particularly in evaluating roleq~laying performance. Not every applicant completes the train- ing. Since the program is officially endorsed by the police department, a background check is made to determine if participants have any criminal history or unsafe driving 1 EMERGEN< the accurate situational analysis of the on- site officers and medics, have kept these kind of incidents from occurring. Like the mission of other emergency responders, the first requirement for the TIP volunteer is the safe and expeditious delivery of competent talent. Violation of the rules of the road are intolerable- trainees learn that if they’re stopped for a viol?tion en route to a call, it will be futile for them to tell the officer tha! they are “on a police emergency.” They’re cautioned about the effects of some prescription drugs and the consumption of alcohol while on the duty roster. A curbside look-and-listen assessment is encouraged, and the problem of parking too close to emergency vehicles is ex- plained. The advantages Of a threshold evaluation, listening at the door for a moment before knocking, are described by a police trainer. Upon entering, the TIP counselor is urged to act upon what his or her senses suggest, and to leave at any time danger is felt. Trainees learn about some of the risks peculiar to certain areas of a residence- to tactfully arrange disputants or despon- dent persons to gain a tactical safety advantage. The hazards of underestimating females’ fighting ability, is a lesson the police trJiner speaks of from personat experience. When both the requesting officer and the TiP volunteer are in agree- ment that the situation is safe, the latter releases the officer. Since its inception in January, 1985, volunteers have responded to 180 incidents. The average cdll-out lasts about two hours, and evenings and Sundays seem to be the busiest periods. About half of the calls involve supporting survivors of family death by suicide, accident or natural causes. Roughly 15 percent have to do with some kind of personal assault. and 30 percent of the call-outs deal with despondent people who have called the police, ‘ and family bedroom, bathroom and kitchen, and how 48 EMERGENCY/MARCH 1987 In this citation, NAC Director John so much for the ef Thomas informed the unit that a file would shown to us on the “Size Up” officers see and Upon arrival at the ckis scene, the crisis. The shou volunteer interventionist is likely to posure of the TI debrief the investigating police officer or officers elevate tl paramedic before actually being intro- police to the avail? duced to the person(s) being called to of the program, sc assist. Typical elements of this dialogue tunity is double-ed involve obtaining essential information academy topics ir regarding the following: the helping reli THE NATURE OF THE CALL the experienc How was the call dispatched to the officer? Was it dispatched differently working in the to the volunteer? room officer or medic actually found it? (It victim will always be different to emergency services.) tion mat is the situation now? THE HISTORY OF INCIDENTS AT THAT ADDRESS OR WITH THOSE INVOLVED (“Have you been called here before?”) What is the threat assessment? Are there verbal threats, weapons or force being used? Does the victim have the ability to carry out threats of violence? Has the victim requested specific assistance (from friends, clergy or relatives, etc.)? Describe the symptoms or behavior of the victim. problems. Who is inside? Has anyone left? Is there an expectation that anyone will be coming back? “What do you recommend be done here, officer?” A TIP volunteer’s six-week “boot camp” consists of about 40 hours of didactic and role-playing experience, coupled with three ride-alongs in the field with the police department’s beat trainee a practical perspective on what matized 0 What is the nature of the call as the helping the fa * suicide assessr helping the sun working with thi personal safety family dispute rr spousal assault getting peer sup! working with th departments Continuing educatio TIP counselor general. types of call-outs being given training period, include dealing with d vention at disasters, either drugs Of alcohol involved7 Are Instructors who pa the “rookie” and in-sen ment have included police departmen 0 hospital social WOI emergency servicc coroner’s office d< Red Cross disaste emergency rooin : 0 police counselor 0 funeral director , officers. The ride-alongs give the TIP 0 psychiatrist came into the TIP from considerable ex- The Trauma Intervention Program is perience as a volunteer rape/domestic mentally healthy not only for victims in violence counselor with the local Women’s crisis but for victims of crisis-police, fire Resource Center. “The single, most needed and pre-hospital ;are workers who respond quality by far is to be non-judgmental,” to troubled people and drive away wearing Bowie remarked in profiling the potential some of their trouble. Public safety officers volunteer, and “the quality that must want to help and volunteer programs like accompany this is being a good listener this one allow that. Consequently, they and adjusting to the people and situation.” serve as effective instruments in mitigating Emergency services professionals know the burden of occupational stress. that helping people comes with its own. TIP coordinators forecast good things rewards, but there are frustrations. One for this successful program. Expansion has TIP counselor complained that “the short- already occurred in the adjacent city at the term relationship with the client doesn’t request of the fire department’s paramedics. permit the volunteer to watch the helped Future users may be another bordering person grow as a professional might.” An- community and nearby state-operated other remarked, “We only see the tragedy.” campgrounds, where rangers often deal Some volunteers get discouraged when with homeless transients. they spend their shift “waiting for the big one’’ and aren’t called out. Steve Scarano is a sergeant and training Remarkably, helper stress is dealt with manager at the Oceanside Police Depart- purposefully at the monthly team-building ment in California. ipr EVAL U AT1 0 1 DEALER INQW BROCHURES1 CO M PATI I MILITARY ST BASHAW I IN1 MFGR’S OF Eh MEDICAL EQ 4909-8 MOB1 PENSACOLA, 904-455 U.S. PATENT’ e PA 0 aolmig of Ban piqo JOHN MACDONALD BOARD OF SUPERVISORS SUPERVISOR FIFTH DISTRICT (6191 724-6656 325 s MELROSE DRIVE VISTA. CALIFORNIA 92083-6677 '. July 22, 1987 :J"' 15 ; ...- "Is J ---. .. '? Claude Lewis, Mayor City of Carlsbad 1200 Elm Avenue Carlsbad, CA 92008 Dear Ma w wis: I am writing to register my support for the Trauma Intervention Program now being reviewed by the City of Carlsbad. which has been in effect for two years now, is not only a benefit to the victims contacted but also to the city as a whole. I know of no better way to assist our emergency rescue personnel in doing that "little extra" to help these people who have been violated in some way. available to its citizens in a most great time of need can be nothii but positive. I also realize that there is a liability risk involved, as is in mo: services provided by cities. Yet, to deny the citizens of Carlsbad this asset of a program because of the "what if's'' surrounding it, would be a sad loss to the multitudes standing to benefit. I sincerely hope you take the time to discuss the proposal in its entirety with the ?eo?le who adninister the program. The ievel of human kindness afforded by the volunteers is a rare yet beautiful sight in our society today. I am comforted to know that these peopl are waiting and available to come to my aid, at any time of the day, should I need them. I am sure you will agree, after you become more familiar with the Trauma Intervention Program. Should you need further information or clarification with regard to the program, please contact either Gloria Cothran of my office at 236-2293, or Wayne Fortin, Coordinator, at 433-6141. Thank you for taking the time to look into the service offered. Sincerely, This program, The reflection on the City for having loving support kE4 Supervisor, Fifth District 0 0 -, PROCEDURES FOR WORKING XITX VISTA ?i !'L L:?. __ - - ._ -. - ._.__ - . .. I. You will be dispatcrie,.: ic, r?!~ SCCT;.~ tjy: (: I( :I. 11. For the fbllowing typ of l:'.ftjl-ndLl*.jr1 c -1 '3 1. c .- ./ __. the scene or at c!:c :) J.3 I <I 1 1 :<<i!-.,:t. ' '' a. Phone number of rcsider;c.. in!:ere yr::i ;,ry. ti. Thomas Brothers COO^:^ ip.3 res. c. need for Vista Fire UL !.>lize ~:ersor d. need to communicate with Vista Fire. IIX. Vista Firefighters will routinely notify Rancho S;~~:EI ?e : that you are being called to the scene so t.:iat t.t~t.y wii:. tw IV. Continue to call Oceanside Dispatch for TTP Vnliintcer i-,,.ick , to advise you are back from a scene. Be sure to put the Rancho Santa Fe Dispatch nwhc-r Li: <i ;,i.~ce w: you have access to it on a call or en rout.e +.o r3. <:ai 1. V. 0 TRAUMA INTERVENTION PROGRAM CONTRACT 0 > TLTLE: VOLUNTEER CRISIS COUNSELOR SUPERVISORS: Julie Djordjevski 013JECTIVE: To assist police and firefighters with individuals and families in crisis. BAS IC QUAL1 FICATI ONS : 1. 2. Successfully complete 25 hour classroom CRISIS INTERVENTION TRAININ( 3. 4. 5. Resident of Tri City area. 6. Reliable automobile transportation. Must be 18 years of age or older. PROGRAM. Complete 4 hours of ride along time. Cornplete 4 hours with a veteran volunteer. REQUIREMENTS : 1. A six-mcth camitment (to be extended in six-mcnth increments). 2. Volunteer to be available minimum of two 12 hour shifts. 3. ResLlar attendance at monthly tear building (Excused absences with approval of Team Coordinator). Volunteer agrees not to disclose any information about clients serw wtile a TIP Volunteer or to use info. obtained as a TIP Volunteer for any purpose outside of the TIP program. Volunteer agrees to notify the TIP cccrdinator within 24 hcurs of every call and to notify the police immediately in the case of sus- pected child abuse or when the volunteer suspects that a citizer: (s is in danger of harm. The volunteer .agrees not to transport. 4. 5. 6. I hereby authorize Oceanside Pol ice Department and Trauma Intervention Progr, ClDordinators to release to each other any and/or all information considered pertinent to the.successfu1 operation of the Team. _- -_ COORDINATOR DATE CRISIS COUNSELOR i - '. .- Y 0 0 p COUNTY QF SAN DIIEGQ DEPARTMENT OF HEALTH SERVICES 1700 Pacific Highway, San Diego, CA 92101 E 4 NORTH COASTAL COUNTY MENTAL HEALTH CENTER 1701 MISSION AVENUE, SUITE A OCEANSIDE, CALIFORNIA 92054 (619) 433-6141 TIP FEEDBACK FORM Recently you called a TIP Volunteer to assist you in the field. Following is a brief summary of the action taken by the volunteer TYPE OF CALL ACTION TAKEN BY VOLUNTEER VOLUNTEER COMMENTS -----__------_--------------------------------------------------------. YOUR COMMENTS ON VOLUNTEER PERFORMANCE Your Name: Type of Call: Comments : Mail to Wayne Fortin at above address or call 433-6141. 0 p HOLD iARYLESS AGREEMENT a This agreement is made apd entered into this da 9 19 , by and between 9 of hereinafter referred to as "Participant" and the City of Oceanside corporation, hereinafter referred to as "City", and the County of S hereinafter referred to as "County". 1. For and in consideration of allowing the Participant to en The Oceanside Police Trauma Intervention Program and its r and participate in the following activity: activities said Participant by this instrument covenants with said County to forever refrain from requesting, demanding, instituting, or in any way aiding any claim, demand, action or cause of action f damages, costs, loss of service, expenses or compensation for, on a or in any way growing out of or hereafter to grow out of any accide incident which may occur while participating in said activity and f above consideration Participant agrees to indemnify and hold harmle City of Oceanside and the County of San Diego, their agents or empl any danages of whatsoever nature to himself, his children, heirs, e or administrators which may result therefrom. 2. For the above Consideration, Participant shall indemnify a the City and County harmless for all damages to person or property occur as a result of the participant's fault or negligence in conne with participation in the above activity. Participant County of San Diego, By: City of Oceanside, By : 8/85 0 0 1 %. Wednesday, January 7, 1987 Blade-Tribune - 21 Letters Trauma program great EDITOR : My family and I would like to give special thanks to the trauma intervention program and their very special volunteers who are Bnvaluble in a time of crisis. Mary, a volunteer, arrived just moments after the police and the paramedics. A sympathetic and caring ear wa8 an Ln- valuable service during the first few hours after our son’s tragic death. Not only was Mary able to help us deal with the anguish and sorrow, but helped us cope with the complicated police pro- cedures, present but our future well being by giving us names and numbers of others who have been in a similar situation. It’s nice to how that there are programs like the trauma intervention program and people like Mary who are out there to help families like mine. ELIZABETH MICHEL Oceanside She was not only concerned with the . 18 S-IIEFARTMEfuT LAbREhCE R VI&.P>.i, October 15, 198 Wayne Fortin North Coastal Mental Health renter 1701 Hission Ave., Suite i;.l Oceanside, Ca. 92054 Dear Wayne: We the members of the Eight Watch PLatoon at OPD wish to take this occasion to praise the work done by the Trauma Intervention Personnel. We've availed ourselves of your staff innumerable times and their expertise and professionalism have been outstanding. Our special kudos to Sue Love and Bev Bowie who have been on duty formost of our calls, their compassion and understanding in some very delicate situations is to be commended. The citizens of Oceanside are very fortunate to have such a program. Thank you again. $2. z & Lt. T.S.Stephens Sgt. Korbacher Sgt. Ritz Sgt. Gallardi Officers: Roane, Ocampo, Brohamer, Sullivan, Ahrens, Johnston, Torres, Shapiro, Wood, Laser, Hnncock, Bradshaw, Poorman, Carver, Derohan, Costantino, Riehm, Alderson, Allington, Cramer - and Dispatchers: Paurazas, Boatman, Giese, Riehm and Navarro. CllY OF OCEANSIDE 161 7 MISSION AVENUE OCEANSIDE. CA 92054 TELEPHONE 61 0 .$ ._ ,. I z ,. e , it , ... . . 5 y 1 %. Mr. Wayne k'.>t: ; ?I Mental titcl i : ii ,_tl. Oceanside, I*?, 1701 HI s'; i :-;ri '**it' Dear Mr. f !I t i i. t" -1 5 i " I Wrl. cA 1 r ;,, &J,.<: , .,.( ! :,, . , .. . i . : j ,,? !'\lqr IC.' 47.t' announce r 1, -3 i i~ r),,,..; I . :,C-<'',. I: 1' ,, !\jt!,t, I, t:.<'.'ia,?',; We take t;,, . /_..I ', i,,. .I 6' i ,.. I I n<It-r~i; I j ' in establ isn,iri:j it ii'::'~ :i p;(,<Ir '.ro i4)r I OIIT~I.~ q(;vr-rr~m~~~.t . (;; the naturr' ( : he r I vIc*', I I I s .*.<,~t*:, I ,I I : y inipor ! ,+rt! : i) (it>\/? i Winner ?or : !, . ,, . i I ,., :,. , 'a,, i f 1; . k:/j i ti'!';. ,>' . I' , ,?I :at:\' i nnova r I ve ! i:! 1 on5 : :: !, \.,:x p~ '..!,i p:~t-; i t:,jl ,fr~ 4p :5t ':"r ~'.,I(I,,. .. ,:,.,:t-r :i.i~t.r\t 2; j ,I {,p,,p* , , ! r;.rr,. programs 1 i kt- >Y.s, vt- ~tdta!; 1 r . ? : :(bc, <jy, .i rt-:;.,~;~., i- I:): ,::~ inquiries UP ~rfy re(*+,: ut,. ij < '.',I ! '1) !lehr vflii RI-I~ ;. ; (:<>I other ~~urttie:; iritf+t~r~,~.r~i ?.: 18: ;;c-m~:r*-'; .:I<] il proq! 4:~) xi yours. . ,.. .. ,..>,, i, :,.3., ,;,.,.. i:: ./ 'n I hOj>e YOLI w \ 1 1 !,) \ !I .: ., I' County) ~ Nev-1,1.~ i Ti! 1 I,#, I .; .: G' ,:.Ic,:,,. "(;',. c,,, ',: .\,'.8< ,..!,; :,.*.: Certificat?. hi t?,ii: k i I' l I 1 It,\, web<*,<$; j/!\\l Lr'f [ I ; 6., '- I .: .' !% informat 1 i)f> or, {*(jr>tt?r t.'i::.e .. , , ,.' I: ,' 1 I?.{:<! .! 1 " , ' ( 7 ! . ~, ' I.. year ' s pro{;r..3+i> v 3 rirjet ,, we *ili<l t Ii l,o;',>jt 01 ii 1 ..: " ,I L t:'l.,k yr,\r :*;' !.I, I ':,<I the 19Hb t~.hi,~v*.ir:r~nt .4L!+r + ': . :,I, r$** io(,k IS), ,.:..:'i , ,; t:.. $t about. othf'r PT >?~<:ty< I:<.).. ', ! '>'<,:ai , ! ' -) i Ilk* ttj! 1 : > I ! t, t' ! i' . I: I ' ., I>--(' 6 d. 9 ?j.,C.U ,/' , >.. 8 'it Y , , ., 11.1rn;rr; p--- ''ii.\ ' i "'(' !:;If': i<,r' $&.'*. ". i, .. _. . . . . . 0 111 e WANTED... * ,I , Citizen Volunteer for the 1 €4 Trauma Intervention Pros assaulted; family . violence; disorien - YOLUNTEER TRAINIIG: Volu professionals from parti * ,I , f * COUNTY OF SAN DIEGO, CALIFORNIA BOARD OF SUPERVISORS POLICY I) / Subject Polic , Numt Accident and Liabil i ty Coverage for Vol unteers B-41 Purpose To establ i sh and clarify County pol icy concerning accident and 1 iabil i tj which is dfforded to County Volunteers while participating in volunteer ties sponsored by and under the direct supervisdon of the County. - Background Recognizing the valuable services performed by volunteers for the Count3 desire of the Board to compensate these volunteers for injury suffered v ming these Val ued services. With the exception of Volunteer Firemen and Reserve Sheriff Deputies, v( excluded from collecting Workers' Compensation by State Legi sl ative act1 Pol icy It is the policy of the Board of Supervisors that: Accidental Injury There is established, within the Risk Division of the Office of Eniployec fund for the coinpensatlon of County Volunteers who suffer accidental in, direct result of their duties ds d voluntcer. The 1 iiits of this coverage are as follows: 1. Accidental Death $5,000 .OO 2. Accidental Di smembermen t 5,000 .OO 3. Accident Mica1 Expense 5,000 .OO 4. Accident Dental Expense 250.00 If as the result of any one accident, coverage is afforded under both Bt Benefit 2, the total 9 imit of the County 1 iabil ity with respect to both Benefits shall be the County's 1 iabil ity under one such Benefit. The word ''injury" as used means accidental bodily injury, from which lo directly and independently of all other causes, sustained by the voluntt such injury is sustained while participating in volunteer work activi tic by the County and such participation is under the direct supervision of Benefits as indicated abover are not available to Volunteer Firemen as ' covered under the County sel f-furcw Workers' Compensdtion Prugrdin. Trauma Workers Help by Reaching Out to Someol ByKARENKENYON . ‘ Gutierrez was sittfng by tm -- phone that day when it rang.& wa$ the Oceanside pohce dispatcher. who tdd - her she was needed at sAIy , r -* e 2’t c L * - ). .” ‘. 1 1. -..._ 4 4‘- - &-- - --* .- an you?’ ’ Police and victims both Forth’s fmt call came just recent- have beer-, mpomive to her role. ly. she addec!. Volunteers carry identi- He realized right away that one fication (-iids in case they are can‘t equate clinical work with qu,estionc.: I going into an unknown situation. Continued irom:&e B “E’mple don‘t know fww t0 make I I(runglt.vich Ad the (&i& “It was challengng, and reinfotced arrangements l*n - af a daW* * propanl 15 the only one of iu w my respect for what the VO~WIUWU ‘rhey aren~t sure aht burial ar- in the cui!nty, although wonah are doing,” he said. ‘11 found rnyseu rangements.” she said. junter, which aim de& wanting a role to Play. and. realiz- m me ti ma it is fwtrating. you roblems, served BS a , ing there Were no IWkS. . .I really see domstic violence with a 20- ccanside’s TIP. A fm had to tali back on myself. It is other pri,~rams a in opratlon across thk [;nlted States, including an exc~il~.~,~ one in Phoenix, he added. For:in ,::\d Cutierrez are sched- uIed to : I. on call twice a month (“How c .*: \+.e train unless we have she exp,.: :t.nce?” asked Fortin.). T]MUMA year history* and you rea1ige IheJ*’s ma*ly noth- you can do* As volunteers we can’t See -le change and grow as the cour~?lors do. We only see the tragedy. But I :earned one person can make a .iiffarmce.” ousrwife and volunteer. s~~~~~’t*~ been asked, ‘Who wh Just being there. And this h a challenge which I believe has gone UnrWO@iZed. What needs b3 be done in the crisis situatlon emerges, if you are there. “In this program we are just creating a system in which one human belng can touch another human being,lt ..*. -. -- ... -- .. /-’ * \.