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

Intervention framework

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