COMMANDANT
US COAST GUARD
2100 2ND ST SW STOP 7902
WASHINGTON DC 20593-7902
Staff Symbol: CG-1112
Phone: (202) 475-5161
Fax: (202) 475-5907
COMDTINST 1754.3A
18 JULY 2011
COMMANDANT INSTRUCTION 1754.3A
Subj: CRITICAL INCIDENT STRESS MANAGEMENT (CISM)
Ref: (a) Department of Homeland Security (DHS) Management Directive (MD) Number 254-03,
Traumatic Incident Management Program
(b) U. S. Coast Guard Competency Management System Manual, M5300.2 (series)
(c) U.S. Coast Guard Incident Management Handbook, COMDTPUB P3120.17 (series)
(d) Group Crisis Support: Why It Works; When & How to Provide It by Jeffrey T. Mitchell,
PhD (Chevron Publishing: Ellicott City, MD), 2007
1. PURPOSE. To update guidance, per reference (a), for providing services intended to minimize the
potential for psychological injury to employees, Coast Guard members, and their family members
who have been involved in or affected by a critical incident. CISM includes pre-incident training,
critical incident interventions, and post-incident follow-up.
2. ACTION. All Coast Guard unit commanders, commanding officers, officers-in-charge,
deputy/assistant commandants, and chiefs of headquarters staff elements shall comply with the
provisions of this Instruction. Internet release is authorized.
3. DIRECTIVES AFFECTED. Critical Incident Stress Management, COMDTINST 1754.3 dated 3
Feb 1999 is cancelled.
4.
APPLICATION. This Instruction applies to Coast Guard active duty and reserve members, civilian
appropriated and non-appropriated fund employees, and dependent family members. The Coast Guard
will also provide CISM services to other Uniformed Services members and dependents while the
member serves with the Coast Guard or is located at a Coast Guard facility.
5. DEFINITIONS. See enclosure (1) for definitions associated with the CISM Program.
6. DISCUSSION.
a. The goals of the CISM Program are to:
(1) Assist Coast Guard commands in maintaining readiness status after a critical incident.
DISTRIBUTION SDL No. 159
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E 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
F 1 1 1
G 1 1 1 1
H 1 1 1 1 1 1 1
NON-STANDARD DISTRIBUTION:
