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stress trauma assessment growth evaluation days

psychological risk assessment and management

The foundations for STAGE-28 were laid in fire and rescue work, post-9/11 New York and the work of Jeff Mitchell and George Everly, the originators of critical incident stress management (CISM). On those foundations came the sharpest of tools in Traumatic Incident Reduction (TIR) and the insights of PhD research into posttraumatic growth. That is captured by STAGE-28 in its risk assessment, evidence-gathering and real-world application

STAGE-28 or watch and wait?

 stage = a point, period or step in a process; a part of a journey; cause something notable to happen (Oxford English Dictionary, 7th edition)

 S = STRESS: Experience of seeing a threat, judging it and estimating the personal resources that might control it.

All thought, no action.             

T = TRAUMA: Experience of a compulsive, all-or-nothing reaction to survive.

No thought, all reaction.    

A = ASSESSMENT: Estimate of capacity to respond using standardised psychological measures.

Much thought, timely action.

G = GROWTH: Personal development because of, not despite, the stress or trauma.

Slow thought, novel action.           

E = EVALUATION: Formal calculation of resources, costs and capacity to respond.

Think-measure-act-test – repeat… repeat… repeat…

28 DAYS to get the job done…


Traumatic Incident Reduction (facilitator and trainer)

Critical incident Stress Management (leader and trainer)

Psychological Risk Assessment

Predicting PTSD using RAIDS

Data collection for organisational surveys and research

Mental health assessments

Research design and analysis


Instil skills, knowledge, and competence for immediate application through:

  • Practical techniques
  • Experiential learning
  • Post-training supervision


Three options available for each stage of risk assessment:

  • Identify
  • Intervene
  • Monitor

Mental Health Assess

Shared responsibility for mental health:

  • Individual assessment
  • Inform individuals and organisations
  • Target interventions
  • Evaluate outcomes

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