About START

"Your coordination and willingness to assist fellow peers in the aftermath of the crash aided the Kentucky Community Crisis Response Team (KCCRT) in the provision of timely support services. On behalf of KCCRT I wish to express our gratitude to you for assisting us in supporting the aeromedical community through the provision of personnel, willing to give of themselves to support their peers during a time of great loss and grief."

Renelle Grubs
Executive Director, KCCRT

The START team is a nationwide response team dedicated to providing Critical Incident Stress Management (CISM) interventions to those associated with specialized transport teams and airborne law enforcement.

The team is made up of trained peers and mental health professionals. The peers are comprised of flight nurses, flight paramedics, pilots, airborne law enforcement officers, communication specialists and mechanics. In addition to our peer team members, all our mental health professionals have participated in air medical training and experiences.

START for CISM is registered with the International Critical Incident Stress Foundation (ICISF). There are currently over 350 CISM teams worldwide registered with ICISF. In addition to training thousands of individuals both nationally and internationally, ICISF has trained CISM teams for the U.S. Coast Guard, U.S. Navy, U.S. Air Force, the FBI and the Bureau of Alcohol, Tobacco and Firearms. ICISF has also trained CISM teams for the following commercial airlines: Delta, TWA, Aloha, Southwest, Northwest and American. Both the FAA’s Air Traffic Controllers and the Association of Flight Attendants have trained CISM teams registered with ICISF. In August, 1997 ICISF was granted full consultive status with the United Nations Economic and Social Council.

START for CISM requires all of its members to complete the minimum training standards outlined under section V of the ICISF team registry packet. In addition, START for CISM and its members adhere to the “ICISF Model” (formerly “Mitchell Model”) for interventions and team management structure as outlined in Critical Incident Stress Debriefing: An Operations Manual for the Prevention of Traumatic Stress Among Emergency Services and Disaster Workers” (Everly/Mitchell) and the “Critical Incident Stress Management: The Basic Course Workbook” (Everly/Mitchell).

"As [a member] of the Air & Surface Transport Nurses Association (ASTNA)... I would like to offer our full support to the START for CISM team. A CISM response team, dedicated to the unique needs of the transport industry is long overdue."

Sandy Kinkade, RN, MSN, CFRN
Air & Surface Transport Nurses Association