Help for different interveners

Various actors play a part in the prevention of negative effects following critical incidents, and in supporting and caring for crew members. These interventions can have a profound positive or negative influence on the recovery process, the ability to return to work in good conditions and the long term consequences.

Below, we summarise the principal elements that different individuals and organizations should be aware of when intervening in the context of a railway critical incident.

Actor(s)	Section specifically relevant in the website	Key messages
Local manager or company officer	Work relations as a risk factor Understanding critical incidents and their impacts	Treat crew members as victims of the incident Empathy has a major positive long term helpful effect
Claims department	Work relations as a risk factor Understanding critical incidents and their impact	A person may not put in a claim after a major incident, but still suffer from delayed onset of traumatic reactions after another less important incident.
Medical department	Obstacles to access and use of support and care interventions Delayed onset of traumatic reactions Relations with employer	A person may not put in a claim after a major incident, but still suffer from delayed onset of traumatic reactions, after another less important incident.
Company management	Obstacles to access and use of support and care interventions Relations with employer Framework for intervention Risk and protective factors for the impact of critical incidents	Local managers should be supported too, to be able to properly help crew members.
Emergency services - Railway police - Local police - Ambulance workers	Risk and protective factors for the impact of critical incidents	People may be in shock and not know it Feeling responsible has a long term negative impact on recovery Treat crew members as victims of the incident Empathy has a major positive long term effect A single point of reference for the incident management alleviates stress
Coroner	Risk and protective factors for the impact of critical incidents	The longer the crew members are held at the scene, the more difficult it becomes for them to return to normal
Employee assistant programme - Representative - Clinician
Health professional - Psychiatrist - Medical Doctor - Psychologist - Social Worker	Diagnoses and their impact Obstacles to access and use of support and care Interventions	Negative previous experiences will inhibit crew members from seeking needed help An offer of long term proactive help is necessary to improve access to and use of resources
Union - National office - Legislative representative - Local representative	Potential effects of critical incidents Effects on Canadian crew members Framework for intervention	Information and prevention are keys to recovery
Workers Compensation Board - Claims officer - Legislator	Cumulative effects Risk and protective factors Diagnoses and their effects	Delayed onset of traumatic reactions should be considered. A claim cannot be analysed out of the context of the person’s overall work life
Peer (from peer support programme)
Railway Association of Canada - Medical handbook		The medical rules should be clarified as to the process and consequences associated with PTSD and other stress related diagnoses The medical rulse should include a specific section on the consequences of work related traumatic events
Transport Canada
Transportation Safety Board

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