The Southwest Virginia Critical Incident Management Team will strive to support the efforts of our region’s emergency responders (including fire, rescue, law enforcement, emergency room personnel, and other members of the public safety community) by providing critical incident stress management services and training. The team's service area includes the Lenowisco, Cumberland Plateau, and Mount Rogers Planning districts.


Team services are confidential and free to the emergency services community. The team provides stress defusings, debriefings, one-on-one sessions, demobilizations, family support, community briefings and educational programs based on the models and methods developed by the International Critical Incident Stress Foundation. Any fire, EMS, law enforcement, dispatcher, ED staff member or any other public safety responder in the Tidewater EMS region can call for the CISM team. An on-call team member will respond back to the caller, discuss the situation and determine if and which type of CISM service is needed.

Are you experiencing stress reactions?

Find out more from the Virginia Office of EMS Website CISM page.


The Southwest Virginia CISM Team can be contacted 24/7 by contacting Washington County Dispatch Center:

CALL: 276-676-6277

Interested in Joining Our Team?

We invite anyone interested in serving as Mental Health Team members and Peer Team members to submit an application. Clinicians must have advanced training in the assessment and management of emotional problems. Peer Team Members include public safety personnel who are familiar with the circumstances and stresses common in emergency work.

Team members must meet specific membership criteria and undergo a criminal background check. Membership criteria include the following:

  • Members must be in good standing with their respective departments
  • Must be age 21 or older
  • Applicants must provide a copy of criminal background check completed within the previous 90 days showing that they do not meet any criteria listed under 12VAC5-31-910 of the Virginia EMS Rules and Regulations Section A (General Denial) or Section B (Presumptive Denial) that would prohibit them from being certified by the Virginia Office of EMS OR submit to a criminal background check process determined by the Southwest Virginia EMS Council.
  • Have at least two years experience in their respective discipline
  • Provide proof of completion of an appropriate CISM training for review by the Clinical Coordinator
  • Must be willing to abide by the Operating and Administrative Policies
  • Submit three references 

CISM Team Member Information