Critical Incident Stress Management (CISM) is one of the key tools and tactics for helping groups and individuals debrief disruptive events and critical incidents. 

ELBOW TREE CO-OP clinicians are committed to strengthening awareness and competence in working with first responders. Our evolving team of clinicians are actively pursuing certifications and exposure to local first responder community.

ELBOW TREE CO-OP clinicians are being trained by ICISF Approved Instructors in CISM for groups and individuals in order to be deployed locally. ICISF is the leading international provider for peer support, psychological, and emotional first aid necessary to transform lives and help revitalize communities in the aftermath of catastrophe.