Critical Incident Stress Management Team (CISM)

The Lancaster County Critical Incident Stress Management Team (CISM) is a resource in the community for First Responders. This group is comprised of Licensed Mental Health Providers and Emergency Service Worker/First Responder Peers who share a common goal of providing support to first responders after difficult experiences. CISM protocol allows first responders who have been involved in a critical incident to share their experiences, vent their emotions, learn about stress reactions and symptoms, and obtain a referral for further help if required. 

 Below, you can find the CISM Team Application. 

Before applying, please review the criteria listed below: 

All emergency service workers, first responders or mental health professionals who satisfy the following criteria may apply for membership: 

  1. Emergency Services Workers/First Responders (Peer) – has served as a first responder for at least 1 year with substantial experience. 
  2. Mental Health Responders must have advanced academic training and substantial experience in providing mental health services. 
  3. All applicants will have their references checked prior to membership acceptance. 

Submitting this application does not guarantee membership. As well, membership does not guarantee deployment. 




For more questions regarding CISM Team membership, contact Kenneth Ralph (, CISM Team Clinical Director.