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Provider; Leader

The Creating a Safe Space Toolkit is intended to support healthcare leaders and policy makers to develop, implement or improve a workplace peer support program for healthcare providers.  It includes tools, resources and templates from organizations across the globe who have successfully implemented their own peer support programs for healthcare providers.  This toolkit was developed in partnership with the Mental Health Commission of Canada.  

To learn more about the importance of peer support for healthcare providers, review the full Creating a Safe Space manuscript.

The Creating a Safe Space Toolkit focus and components

The Creating a Safe Space Toolkit focuses on documents and examples from existing peer support programs for healthcare providers.  Resources are sorted in drop-down menus by category.  Each resource is listed with its source organization, title and a short description. 

The categories include: 

  • Background Provides background context on the importance of psychological health and safety in healthcare and the value of peer support
  • Program description - Overviews of existing peer support programs to be used as examples. 
  • Program development tool – These tools will be helpful during the development of a peer support program including checklists and templates to get started. 
  • Policy document – Sample policy documents from various peer support programs.  
  • Recruitment Role descriptions, documents and templates that will be helpful in recruiting peer supporters for a program. 
  • Training Resources – Documentation from training programs and links to established external training on mental health and peer support for healthcare providers. 
  • Documentation template Templates on documenting interactions between peer supporters and their peer. 
  • Promotional material Examples of brochures and flyers used to promote peer support programs.  
  • Evaluation toolTools to evaluate satisfaction and impact of a peer support program.
  • Testimonial – Videos and podcasts from healthcare providers and patients about the importance of psychological health and safety and peer support. 

CPSI's Creating a Safe Space Toolkit resources are practical tools for developing a peer support program, compiled with input from experts and contributing organizations.  Please use your discretion in selecting which tools are most appropriate for your context.  This toolkit is not a complete inventory of every peer support program/resource available.  It will be updated annually to ensure relevance. We welcome feedback on what is helpful, what can be improved, and content enhancements at info@cpsi-icsp.ca.

  
  
Description
  
collapse Category : Background ‎(9)
Leadership Response to a Sentinel Event: Respectful, Effective Crisis ManagementIHI - Institute for healthcare improvement
IHI's website of resources to support individuals and organizations after an adverse event
Webpage
Why Is Psychological Safety So Important in Health Care?IHI - Institute for healthcare improvement
Short video on the importance of psychological health and safety in healthcare.
Video
Advancing Psychological Health and Safety within Healthcare SettingsMental Health Commission of Canada
Homepage highlighting the MHCC's work in psychological health and safety in the healthcare sector.
Webpage
Guidelines for the Practice and Training of Peer SupportMental Health Commission of Canada
National guidelines on the practice and training of peer supporters.
PDF
Implementing the National Standard in the Canadian Health Sector: A Cross Case AnalysisMental Health Commission of Canada
This report shows the findings from 19 healthcare organizations who implemented the National Standard for Psychological Health and Safety in the Workplace over three years - their facilitators and barriers to creating a mentally healthy workplace.
PDF
Issue Brief: Workplace Mental HealthMental Health Commission of Canada
Background brief on the issue and importance of psychological health and safety in the healthcare sector.
PDF
Join the Movement VideoMental Health Commission of Canada
Short video on the importance of psychological health and safety in healthcare.
Video
Making the Case for Peer SupportMental Health Commission of Canada
Comprehensive report evaluating the state of peer support in Canada.
PDF
Webinar - Taking care of those providing care: Psychological health and safety in Canadian healthcare settingsMental Health Commission of Canada
Webinar on the importance of psychological health and safety in the healthcare sector.
Video
collapse Category : Documentation template ‎(2)
Peer Trauma Response Team Incident Report FormAlberta Health Services
Incident report form to log peer support interactions.
PDF
forYOU Interaction trackingforYOU - University of Missouri Health Care
Tracking template for interactions between the peer supporter and the program participant.
PDF
collapse Category : Evaluation tool ‎(2)
Second Victim Experience and Support Tool (SVEST)Burlison et al.
Journal article that introduces and evaluates the "SVEST" assessment tool - a staff survey on experience and supports available for the second victim.  The article includes a download link to the SVEST tool.
Webpage
MITSS Staff Support Assessment ToolMedically Induced Trauma Support Services (MITSS)
Staff survey on organizational supports available to them following a serious adverse patient event.
PDF
collapse Category : Policy document ‎(6)
Critical Incident Stress Program PolicyBC Emergency Health Services
BC EHS's policy document on their Critical Incident Stress Program
PDF
Developing a peer support policyBC First Responders
Document on how to create a peer support policy and an associated policy template.
PDF
Critical Incident Stress Management: Peer Support GroupChatham-Kent Health Alliance
Policy document on the provision of Critical Incident Stress Management for staff, physicians, volunteers and students
PDF
Critical Incident Stress ManagementChatham-Kent Health Alliance
Policy document on the provision of Critical Incident Stress Management services to support the recovery of health care workers experiencing normal distress following exposure to abnormal events.
PDF
Leadership - forYOU team activation policyforYOU - University of Missouri Health Care
forYOU policy document.
PDF
Trauma Response and Peer Support policySickKids
SickKids policy statement on trauma response and peer support.
PDF
collapse Category : Program description ‎(19)
Peer Trauma Response Team Logic ModelAlberta Health Services
Logic model for expanding AHS's peer trauma response team.
PDF
BC EHS CIS Program Logic ModelBC Emergency Health Services
Logic model for BC EHS's Critical Incident Stress program.
PDF
FAQ - Psychological Supports for EmployeesBC Emergency Health Services
FAQ document on BC EHS's psychological supports available to employees
PDF
Slidedeck - Tackling occupational stress injuries - The BC EHS ExperienceBC Emergency Health Services
Slide deck providing a background on occupational stress injuries and an overview of BC EHS's response program.
PDF
Peer SupportBrigham and Women's Hospital - Centre for professionalism and peer support
Homepage of Brigham and Women's Hospital's peer support program
Webpage
Peer Support FAQBrigham and Women's Hospital - Centre for professionalism and peer support
Overview of Brigham and Women's Hospital's peer support program including FAQ's
PDF
Critical Incident Stress Management: Peer Support GroupChatham-Kent Health Alliance
Brochure describing the Critical Incident Stress Management program.
PDF
forYOU elevator speechforYOU - University of Missouri Health Care
Elevator speech providing an overview of the forYOU program.
PDF
forYOU Team HomepageforYOU - University of Missouri Health Care
Homepage of the University of Missouri Health Care's forYou Program.  Provides overview of the second victim phenomenon and program resources.
Webpage
The Scott Three-Tiered Interventional Model of Second Victim SupportforYOU - University of Missouri Health Care
One-pager on the 3 tiers of support available in the forYOU program
PDF
MITSS HomepageMedically Induced Trauma Support Services (MITSS)
Homepage of Medically Induced Trauma Support Services Program.
Webpage
Webinar - Proactive Peer Support: Protecting and promoting the wellbeing of first respondersMental Health Commission of Canada
Webinar on the York Region Paramedic Services peer support program.
Video
Analysis of the Effectiveness of Employee Assistance Programs: The Case of the QPHPQuebec Physician's Health Program
Report on the effectiveness of the Quebec EAP program in supporting physicians.
PDF
Program HomepageQuebec Physician's Health Program
Homepage of the Quebec Physician's Health Program
Webpage
Rapport Annuel 2017-2018Quebec Physician's Health Program
Annual report of the PAMQ program.
PDF
Caring for the Caregiver - IntroductionRISE: Resilience in Stressful Events - Johns Hopkins
Video on overview of the Caring for the Caregiver program.
Video
Caring for the Caregiver: Peer Support for Caregivers in DistressRISE: Resilience in Stressful Events - Johns Hopkins
One-pager overview of the Caring for the Caregiver program.
PDF
Hospital peer-to-peer supportRISE: Resilience in Stressful Events - Johns Hopkins
Homepage of the Caring for the Caregiver: Implementing RISE (Resilience in Stressful Events) Program.  Provides an overview of the issue and their program.
Webpage
WEBINAR - Care for the Colleague: Bringing Encouragement and Support in Difficult EventsWashington Patient Safety Coalition
Recording of webinar presented by Kit Hoffman on the experience setting up a Care for the Colleague program at Confluence Health.
Video
collapse Category : Program development tool ‎(10)
Terms of Reference for the Peer Trauma Response Team Network Committee.Alberta Health Services
Terms of Reference for the Peer Trauma Response Team Network Committee.
PDF
BC First Responders Mental Health WebsiteBC First Responders
Homepage of BC First Responder's mental health resource library which includes many tools, documents and templates to promote first responder mental health.
Webpage
Overview of Peer Support ProgramsBC First Responders
Overview of what a peer support program is, components and recommended training.
PDF
Building a Second Victim Support Program ChecklistforYOU - University of Missouri Health Care
forYOU's concise checklist on key actions to develop and implement your own second victim peer support program.
PDF
Designing a Second Victim Support Program: Assessment Worksheet/PlannerforYOU - University of Missouri Health Care
forYOU's planning template to help organizations to develop and implement their own second victim peer support program.
PDF
Clinician Support Tool Kit for HealthcareMedically Induced Trauma Support Services (MITSS)
Toolkit of resources and templates collated by the MITSS team to support other organizations to develop their own support programs.
PDF
Disclosure and Apology: What's Missing? Advancing Programs that Support CliniciansMedically Induced Trauma Support Services (MITSS)
Report from a full day forum entitled "Disclosure and Apology - What's Missing", which discussed best practices in developing support programs for healthcare professionals.
PDF
MITSS Organizational Assessment Tool for Clinician SupportMedically Induced Trauma Support Services (MITSS)
Organizational self-assessment on key actions required to develop a peer support program.
PDF
The Safety Toolkit – Supporting the Second VictimThe Royal College of Emergency Medicine
Toolkit of document and resources collated by the Royal College of Emergency Medicine to support the second victim.
PDF
Peer support ProgramsWorkplace Strategies for mental health
Overview of setting up a workplace peer support program.
Webpage
collapse Category : Promotional material ‎(14)
Coping and Recovery after a Medical ErrorBrigham and Women's Hospital - Centre for professionalism and peer support
One-pager on reactions and coping strategies for clinicians following a medical error.
PDF
Coping and Recovery after a Medical ErrorBrigham and Women's Hospital - Centre for professionalism and peer support
One-pager on reactions and coping strategies for clinicians following an adverse event.
PDF
forYOU Brochure for EmployeesforYOU - University of Missouri Health Care
Promotional brochure that describes the forYOU program and signs and symptoms of the second victim phenomenon.  Includes a survey for program users to provide feedback on the support they received.
PDF
forYOU Brochure for Family MembersforYOU - University of Missouri Health Care
Promotional brochure directed at family members, describing the support the forYOU program provides.
PDF
Second Victim TrajectoryforYOU - University of Missouri Health Care
One-pager on the 6 stages of recovery after adverse event and associated supports.
PDF
OCISM Tips for coping for individuals directly involved in a traumatic event.Health Canada - Occupational & Critical Incident Stress Management (OCISM)
Coping tips for an individual involved in a traumatic event.
PDF
OCISM Tips for coping for individuals directly involved in a traumatic event.Health Canada - Occupational & Critical Incident Stress Management (OCISM)
Coping tips for individuals exposed to ongoing trauma as a part of their work.
PDF
OCISM Tips for Family, Friends and Co-workers of individuals involved in a traumatic event.Health Canada - Occupational & Critical Incident Stress Management (OCISM)
Tips for family members on how to support their loved one who has experienced a trauma at work.
PDF
OCISM Tips on Coping following a traumatic EventHealth Canada - Occupational & Critical Incident Stress Management (OCISM)
Tips for managers to support an employee who has been through a traumatic event.
PDF
OCISM Tips on Coping following a traumatic EventHealth Canada - Occupational & Critical Incident Stress Management (OCISM)
Lists signs and symptoms following a traumatic event.
PDF
OCISM BrochureHealth Canada - Occupational & Critical Incident Stress Management (OCISM)
Brochure on the background, purpose and actions of the OCISM Program.
PDF
Providing Care and Support for our Staff - BrochureMichael Garron Hospital
This brochure describes Michael Garron Hospital's Emergency Department care and support team program that is available for staff.
PDF
During a workplace crisis - is it possible not to reactQuebec Physician's Health Program
Two-pager on responding to difficult situations at work.
PDF
Supporting the Second Victim - RecommendationsThe Royal College of Emergency Medicine
One-pager of recommended actions for individuals and leadership teams to support the second victim.
PDF
collapse Category : Recruitment ‎(4)
Peer Trauma Response Team - Applicant PackageAlberta Health Services
AHS's peer supporter applicant package including background information and application templates.
PDF
Critical Incident Stress Program - Volunteer Peer Team Orientation ManualBC Emergency Health Services
Orientation manual for new peer team members.
PDF
forYOU team membership application formforYOU - University of Missouri Health Care
Application form to join the forYOU peer support team.
PDF
Scope of Manager, Peer Support Program RoleSickKids
Document explaining the scope, roles and responsibilities of the Manager, peer supporter program role.
PDF
collapse Category : Testimonial ‎(8)
Healthcare Provider Video - Patient and providerCanadian Patient Safety Institute
Patient and provider come together in wake of patient safety incident.
Video
Healthcare Provider Video - Peer supportCanadian Patient Safety Institute
Dr. Julia Trahey calls for peer support networks to assist providers following patient safety incidents.
Video
Healthcare Provider Video - Physician storyCanadian Patient Safety Institute
Dr. Francois deWet turns “physician’s worst nightmare” into opportunity for improvement
Video
The Impact of Disclosure: Second Victim of HarmCanadian Patient Safety Institute
Nurse Nadine Glenn, shares her story of the impact of a patient safety incident on her life and career.
Video
Failing up after Medical ErrorEmergency Medicine Cases
Short podcast on a physician's experience following a medical error.
Other
Mental Health FIrst AidMental Health Commission of Canada
Philippe (Paramedic Instructor, Manitoba) shares his experience of living in recovery with mental illness incited by a particularly difficult call.
Video
Ted Talk - Dr. Brian Goldman - Doctors make mistakes. Can we talk about that?TedTalks
Canadian physician, Dr. Brian Goldman, shares his experience following a medical error.
Video
PODCAST: The New Wave of Healthcare - Episode 2: How can large hospital systems offer care to its caregivers after an adverse event?Washington Patient Safety Coalition
Podcast of healthcare professionals discussing their experiences following an adverse event.
Other
collapse Category : Training resources ‎(7)
Onling Training - Responding to Adverse EventsIHI - Institute for healthcare improvement
Online training on responding to an adverse event.  One module focuses specifically on the second victim.  Note - The training is free, however you must create an account to access it
Webpage
ICISF Academy of Crisis InterventionInternational Critical Incident Stress Foundation Inc.
ICISF offers a variety of online and in-person training courses on crisis intervention.
Webpage
Applied Suicide Intervention Skills Training (ASIST)Living Works
Applied Suicide Intervention Skills Training (ASIST) is a two-day interactive session on how to intervene and help prevent the immediate risk of suicide
Webpage
SafeTALKLiving Works
safeTALK is a half-day alertness training course that helps people recognize signs of a potential suicide and how to intervene
Webpage
Mental Health FIrst AidMental Health Commission of Canada
Mental Health First Aid is a training course designed to give members of the public the skills to help someone who is developing a mental health problem or experiencing a mental health crisis.
Webpage
The Working Mind - First RespondersMental Health Commission of Canada
The Working Mind First Responders (TWMFR), formerly known as Road to Mental Readiness, is an education-based program designed to address and promote mental health and reduce the stigma of mental illness in a first-responder setting.
Webpage
Training Slidedeck - Learning to Care for our OwnMichael Garron Hospital
Training slide deck on the background of second victim, survey results from staff about available supports and the program design at Michael Garron Hospital
PDF