Traumatic Incident Reduction
The Traumatic Incident Reduction (TIR) Workshop:
Dr John Durkin ran his first Traumatic Incident Reduction (TIR) workshop in Melbourne in 2013. Since then trainees who were members of the State Emergency Services in New South Wales and Victoria have used TIR with staff who would normally have been referred to clinical services. Its ongoing success was the subject of a joint-presentation by CIMA members Gina Mammone and Peter Kueffer at the World Congress on Stress, Trauma and Coping in Baltimore in May 2015. TIR is now awaiting recommendation by the National Institute for Health and Care Excellence in England and Wales as additional evidence continues to build.
The TIR workshop offers a novel perspective on trauma and shows TIR to be theoretically-grounded, practical and testable by personal experience. The theoretical basis of TIR is a person-centred one and so avoids the use of psychiatric language, diagnostic labeling and unnecessary technical terminology. In common with crisis-intervention TIR is neither formal therapy nor counselling allowing lay people to bring relief, support and personal growth to those whose lives have become difficult. John’s involvement in seeing resolution in veterans, nurses, firefighters and other at-risk personnel convinces him of the potency of TIR in dealing with even complex PTSD. The workshop introduces the rules that ensure success in addressing trauma’s lingering after-effects. TIR comprises three techniques that each address different sources of distress:
- * Basic TIR for known traumatic incidents (meeting DSM criteria for PTSD);
- * Thematic TIR for unknown incidents that create unwanted automatic responses (e.g., panic, compulsion, dread);
- * Unblocking for resolving dilemmas, relationships, troubling thoughts and areas of life that lie beyond the event itself but are felt as its indirect consequences.
The techniques of TIR are amenable to those already trained in crisis intervention:
- * TIR can be learned and delivered by those already trained in peer support;
- * Competence in TIR, under supervision, can be achieved in a matter of days;
- * TIR is designed to reach a positive conclusion in a single session.
There are economic and organisational benefits to adopting TIR as a crisis response as it:
- * Reduces the need for referral to outside mental health professionals;
- * Raises the skill level and confidence within peer support teams;
- * Fosters independence and autonomy in managing occupational stressors;
- * Places an additional tool in the psychological resilience toolkit.
Trainees in Traumatic Incident Reduction (TIR) can expect an intensive and rewarding experience so participants will be expected to agree to the following:
- * As training is realistic so participants must be prepared to accept that some personal, and potentially distressing, memories may arise and if so, be prepared to engage with them. However, training is designed to facilitate resolution so a satisfactory conclusion and a positive experience can be anticipated. This should provide participants with their own experience of resolution using TIR and the confidence to know what is possible for others;
- * Participants must agree to abstain from alcohol, drugs and medication1 throughout the training. This is a practical matter as success can only be expected where recall and memory are not obscured or distorted by chemical interference;
- * Training is hard work so self-care is strongly encouraged. Participants should be well-fed and well-rested at the start of each day and should remain nourished throughout. Although some tiredness may be unavoidable weakness from lack of sleep or low-blood sugar levels is avoidable. As with the principles of peer-support and crisis intervention training, success in training is dependent upon the contribution that each makes to the other.
This workshop is the first of a series of three such that 100 hours of successful delivery (50 for TIR), phased supervision and satisfactory session-recordings will lead to certification in a comprehensive life stress reduction program
TIR Workshop Learning Objectives
Supervised activities and examination will enable participants to:
- * Explain the theory of the traumatic network;
- * Explain the theory and practice of TIR;
- * Explain the theory and practice of Unblocking;
- * Describe clients for whom TIR is not appropriate;
- * Predict how reactivation (triggering) affects clients’ everyday lives;
- * Describe unresolved traumatic incidents as incomplete activity cycles;
- * Apply TIR to a successful result;
- * Apply Unblocking to a successful result;
- * Use these structured, directive techniques in a person-centred way.
TIR Workshop Outcomes
At the end of training participants can expect to have:
- * Learned three techniques for resolving the unwanted symptoms of different sources of posttraumatic stress;
- * Identified “endpoints” as evidence of resolution of posttraumatic stress and other unpleasant psychological conditions;
- * Understood the theoretical framework and Rules of Facilitation that encourage psychological growth in survivors of traumatic experience.
This training will give you the knowledge, skills and experience to take people affected by symptoms of trauma to a positive outcome, often in a single session.
1 Seek approval from your doctor before reducing prescribed medication
CIMA will be providing TIR training workshops with Dr John Durkin in 2017:
TIR Training – four-day workshop
- – Theory of a new paradigm
– How the past affects the present– Intention and Activity– Communication Exercises– Rules of Facilitation– Unblocking – theory and practice– Basic and Thematic TIR– Course evaluation
- Successful completion of TIR Training can lead to certification.
Trainer Facilitator – Certification
- – Completion of TIR Training Four-day Workshop
- – 50 logged hours session-delivery
- – Approved supervisors
- – One video session
- – An additional fee may be applicable (approx. $100US) to achieve certification
Further training – after TIR workshop has been completed and competence shown as detailed above
Both the EA and the LSR workshops have similar certification process to TIR
- – 50 hours combined
- – Session log, one video session and certification fee
Dates for the TIR training in 2017:
- – 19 – 22 October (pre-conference) | TIR Workshop (Melbourne)
- – Dates to be announced (2018) | Expanded Applications (Melbourne)
- – Dates to be announced (2018) | Life Stress Reduction (Melbourne)
Cost: $2200 (CIMA members) | $2400 (non-members) – includes 4 day workshop, lunch, morning/afternoon tea, workshop manuals and course materials.
To book for any of these workshops please contact us.
Please note that we are unable to offer any discounts for these workshops, but we are happy to discuss a payment plan arrangement with individuals.
Minimum numbers are required for all workshops – each workshop has a maximum class size so early booking is recommended.