Post Traumatic Stress Management (PTSM) is based on the foundation of Critical Incident Stress Management (CISM), which was developed by Jeff Mitchell originally used to support Police, Fire, EMS and other first responders. Peers who are listed on this site have completed the Trauma Informed PTSM training which includes interventions that are carefully, mindfully structured to help in the reduction of threat detection behaviors and to help trauma survivors externalize traumatic events, and identify resources to cope with such loss. Human exposure to sudden death from illness, suicide, homicide, accident or other sudden tragedy can have a devastating long-lasting impact on the quality of life. This is especially true for our first responder population, where research continually affirms potential long-term detrimental impact to police, fire and EMS staff of repeated exposure to traumatic stress. Individuals trained in Post Traumatic Stress Management can appropriately address and support the individual and collective reactions to traumatic events.