If left unaddressed, the stress generated by a single critical or non-critical stressful incident (or multiple incidents) can fester over time and lead to:
Not only can they immediately address and process a critical incident right after it occurs, they can also use Incident Debrief® to address previous critical incidents that were never properly debriefed going back weeks, months or even years.
This provides users a stigma-free safe space to self-administer their personalized debrief from the privacy of their own homes. They can do this 24/7 using any internet-connected device.
We can also embed existing peer supporters into the platform and recommend them when appropriate. If you do not currently have a peer support network or program, we can help you develop one. (For details, speak with an Incident Debrief® representative)
Users will have the option to share their debrief data into a global archive that will allow other users of the platform to see how their fellow first responders have addressed both critical and non-critical incidents. The purpose of the archive is to normalize the emotions they may be experiencing and help speed their recovery. Any information shared to the archive will be completely de-identified.
There is also an option to allow first responders who experienced the same incident to share their data into the archive for the benefit of only those who were also involved in the same incident response and recovery effort (For details, speak with an Incident Debrief® representative).
For these reasons, we believe a phone app for this case-use is contraindicated.
The number of personnel includes both full-time and part-time sworn and non-sworn employees and volunteer staff.
Radiant is a full stack web development firm established in 1999. We specialize in building interactive web platforms in the behavioral health and wellbeing sectors. We leverage internet technology to help people achieve improved life-management skills in the areas of mental/behavioral health, behavioral change, self-assessment, resilience, wellness, work-life balance, and day-to-day living. Radiant is a for-profit California corporation located in Laguna Beach, Ca. Radiant aligns to NIST Cybersecurity Framework 2.0.
Completion time: 5-10 minutes
The Life Satisfaction Survey measures life-satisfaction and wellbeing across 12 life-dimensions, as follows:
- Purpose
- Hope
- Confidence; Self-efficacy
- Gratitude; Appreciation
- Marriage/relationship satisfaction
- Family relationship
- Social relationships
- Community
- Personal finances
- Physical health
- Mental/emotional health
- Spiritual/religious
Our database renders a satisfaction score within each of the 12 life-dimensions listed above, as well as an overall wellbeing score, allowing you to get a snapshot of your current life-satisfaction and wellbeing levels. The Life Satisfaction survey can be repeated as frequently as desired, thereby allowing you to view a history of your results along with progress (or regression) over time.
Completion time: 5-10 minutes
The Work-Life Stressors Inventory consists of questions related to the 12 most common non-clinical issues that negatively impact wellbeing. These include the following:
- Bullying, harassment, or discrimination in the workplace
- Unsafe/dangerous work environment
- Eldercare issues/concerns
- Childcare/rearing/special needs
- Single parenting
- Marital/relationship issues/concerns
- Family dysfunction
- Financial stress/hardship
- Legal issues/concerns
- Health challenges
- Social isolation/loneliness
- COVID-related distress
The survey allows you to rate your level of distress for any of the stressors you are experiencing.
Completion time: 5-10 minutes
The Academic, Work, Life Stressors Inventory consists of questions related to the 12 most common non-clinical issues that negatively impact wellbeing. These include the following:
- Bullying, harassment, or discrimination
- Unsafe/dangerous campus or work environment
- Eldercare issues/concerns
- Childcare/rearing/special needs
- Single parenting
- Marital/relationship issues/concerns
- Family dysfunction
- Financial stress/hardship
- Legal issues/concerns
- Health challenges
- Social isolation/loneliness
- COVID-related distress
The survey allows you to rate your level of distress for any of the stressors you are experiencing.
Completion time: 3-5 minutes
The SQ-Org consists of 20 questions that measure stress levels attributable to organizational demands placed on individual first responders and public safety personnel.
The results provide personnel and command staff granular insights into organizational-induced stress and may offer opportunities to make organizational changes and enhancements to help mitigate relevant stressors.
Completion time: 3-5 minutes
The SQ-Op consists of 20 questions that allows first responders and public safety personnel to measure individual operational stress levels related to public safety work.
The results provide personnel and command staff granular insights into stressors associated with operational policing and may offer opportunities for operational changes to help mitigate these stressors.
Completion time: 10-20 minutes
The APR Financial Stress Scale consists of 3 scales containing a total of 24 statements regarding your view of, and attitude toward, your personal finances and your financial condition. The survey measures how your finances are affecting you personally, how they affect your interactions with others, and the degree to which you may be experiencing physiological effects related to your finances.
Completion time: 7-12 minutes
The Resilience Checkup consists of an 18-item screener that measures resiliency across 6 scales of resilience, as follows:
- Perseverance
- Self-efficacy
- Optimism
- Adaptability
- Alignment
- Self-care
Our database renders a score for each of the 6 scales listed above, as well as an overall resilience score, allowing you to get a snapshot of your current resilience levels. The Resilience Survey can be repeated as frequently as desired, thereby allowing you to view a history of your results along with progress (or regression) over time.
Completion time: 7-12 minutes
The Burnout Screener consists of 22 questions across 3 scales which assess the level of burnout, if any, you may be experiencing in your job.
The 3 scales measure the following:
- Exhaustion: Characterized by feelings of energy depletion, and being overwhelmed or over-extended
- Depersonalization: Characterized by mental distance or disengagement from one’s job, co-workers, or customers/clients, and/or feelings of negativity or general cynicism related to one’s job and employing organization
- Reduced Efficacy: Characterized by feelings of ineffectiveness on the job and questioning of one's job or career
“Burnout” is present when you score in the MODERATE to HIGH range on the Exhaustion and Depersonalization Scales, and in the LOW range for Personal Achievement/Efficacy. Scoring “at risk” within one or two of the 3 scales means you are experiencing some degree of work-related distress, and may also indicate you are headed toward burnout in the future.
Completion time: 3-5 minutes
The Relationship Assessment Scale (RAS) consists of 7 questions that measure your satisfaction with your relationship. The scores range from 7 to 35, with the following results:
- 7-14 - Low satisfaction
- 15-21 - Average satisfaction
- 22-35 - High satisfaction
Completion time: 7-12 minutes
The Maslach Burnout Inventory (MBI) is the most used tool to self-assess whether you might be at risk for occupational burnout.
The MBI consists of 22 questions that measure three components:
- Exhaustion: Characterized by feelings of energy depletion, and being overwhelmed or over-extended
- Depersonalization: Characterized by mental distance or disengagement from one's job, co-workers, or customers, or feelings of negativism related to one's job
- Reduced Efficacy: Characterized by feelings of ineffectiveness and questioning of one's job or career
“Burnout” is present when you score in the MODERATE to HIGH range on the Exhaustion and Depersonalization Scales, and in the LOW range for Personal Achievement/Efficacy. Scoring “at risk” within one or two of the 3 scales means you are experiencing some degree of work-related distress, and may also indicate you are headed toward burnout in the future.
Completion time: 7-12 minutes
The Maslach Burnout Inventory (MBI) is the most used tool to self-assess whether you might be at risk for occupational burnout.
The MBI consists of 22 questions that measure three components:
- Exhaustion: Characterized by feelings of energy depletion, and being overwhelmed or over-extended
- Depersonalization: Characterized by mental distance or disengagement from one's job, co-workers, or customers, or feelings of negativism related to one's job
- Reduced Efficacy: Characterized by feelings of ineffectiveness and questioning of one's job or career
“Burnout” is present when you score in the MODERATE to HIGH range on the Exhaustion and Depersonalization Scales, and in the LOW range for Personal Achievement/Efficacy. Scoring “at risk” within one or two of the 3 scales means you are experiencing some degree of work-related distress, and may also indicate you are headed toward burnout in the future.
Completion time: 7-12 minutes
The Maslach Burnout Inventory (MBI-GSS) is the most used tool to self-assess whether you might be at risk for academic burnout.
The MBI consists of 16 questions that measure three components:
- Exhaustion: Characterized by feelings of energy depletion, and being overwhelmed or over-extended
- Cynicism: Characterized by mental distance or disengagement from one's studies, fellow students and faculty, or feelings of negativism related to one's studies
- Reduced Efficacy: Characterized by feelings of ineffectiveness and questioning of one's academic pursuits
Completion time: 5 minutes
The Moral Distress Inventory consists of 13 questions that measure three scales:
- Bearing Witness: Characterized by witnessing events that contradict deeply held moral beliefs and expectations.
- Failing to Prevent: Characterized by failing to prevent events that contradict deeply held moral beliefs and expectations.
- Perpetrating: Characterized by perpetrating events that contradict deeply held moral beliefs and expectations.
“Moral Injury” is present when you score in the MODERATE to HIGH range on one or more of the three MI scales (Bearing witness; Failing to prevent; Perpetrating). The more scales scored at higher severity, the greater the presence of Moral Injury. The end state of prolonged Moral Injury is Occupational Burnout.
Click on the Learn More button to gain a better understanding of Moral Injury of Healthcare.
Learn More
Moral Injury
From Wikipedia:
Moral injury refers to an injury to an individual's moral conscience and values resulting from an act of perceived moral transgression, which produces profound emotional guilt and shame, and in some cases also a sense of betrayal, anger and profound "moral disorientation".
From the Veterans Administration:
Moral injury occurs when people perpetrate, fail to prevent, or witness events that contradict deeply held moral beliefs and expectations.
Moral Injury in Healthcare
From FixMoralInjury.org:
Moral injury occurs when clinicians are repeatedly expected, while providing care, to make choices that transgress their long standing, deeply held commitment to healing. It reframes the challenge of distress from "burnout", which suggests a lack of resilience on the part of clinicians, to one that more accurately locates the source of distress in a conflict-ridden healthcare system.
From Stat News:
In an increasingly business-oriented and profit-driven health care environment, clinicians must consider a multitude of factors other than their patients' best interests when deciding on treatment. Financial considerations — of hospitals, health care systems, insurers, patients, and sometimes of the physician himself or herself — lead to conflicts of interest. Electronic health records, which distract from patient encounters and fragment care, but which are extraordinarily effective at tracking productivity and other business metrics, overwhelm busy clinicians with tasks unrelated to providing outstanding face-to-face interactions. The constant specter of litigation drives physicians to over-test, over-read, and over-react to results — at times actively harming patients to avoid lawsuits.
Patient satisfaction scores and provider rating and review sites can give patients more information about choosing a physician, a hospital, or a health care system. But they can also silence physicians from providing necessary but unwelcome advice to patients and can lead to over-treatment to keep some patients satisfied. Business practices may drive providers to refer patients within their own systems, even knowing that doing so will delay care or that their equipment or staffing is sub-optimal.
Navigating an ethical path among such intensely competing drivers is emotionally and morally exhausting. Continually being caught between the Hippocratic oath, a decade of training, and the realities of making a profit from people at their sickest and most vulnerable is an untenable and unreasonable demand. Routinely experiencing the suffering, anguish, and loss of being unable to deliver the care that patients need is deeply painful. These routine, incessant betrayals of patient care and trust are examples of "death by a thousand cuts." Any one of them, delivered alone, might heal. But repeated daily, they coalesce into the moral injury of health care.
For more information on the efforts to mitigate Moral Injury in Healthcare, visit: FixMoralInjury.org
Completion time: 5 minutes
The Moral Distress Inventory-First Responders consists of 10 questions that measure 4 scales of Moral Injury in first responder populations. The 4 scales include:
- Bearing Witness: Characterized by witnessing events that contradict deeply held moral beliefs and expectations.
- Failing to Prevent: Characterized by failing to prevent events that contradict deeply held moral beliefs and expectations.
- Perpetrating: Characterized by perpetrating events that contradict deeply held moral beliefs and expectations.
- Global Sense of Moral Wellbeing
“Moral Injury” is present when you score in the MODERATE to HIGH range on one or more of the three MI scales (Bearing witness; Failing to prevent; Perpetrating), and when your sense of moral wellbeing is diminished or compromised. The more scales scored at higher severity, the greater the presence of Moral Injury. The end state of prolonged Moral Injury is Occupational Burnout.
Click on the Learn More button to gain a better understanding of Moral Injury of Healthcare.
Learn More
Moral Injury in First Responder Populations
From Wikipedia:
Moral injury refers to an injury to an individual's moral conscience and values resulting from an act of perceived moral transgression, which produces profound emotional guilt and shame, and in some cases also a sense of betrayal, anger and profound "moral disorientation".
From the Veterans Administration:
Moral injury occurs when people perpetrate, fail to prevent, or witness events that contradict deeply held moral beliefs and expectations.
Completion time: 5 minutes
The Moral Distress Inventory consists of 10 questions that measure 4 scales of Moral Injury. The 4 scales include:
- Bearing Witness: Characterized by witnessing events that contradict deeply held moral beliefs and expectations.
- Failing to Prevent: Characterized by failing to prevent events that contradict deeply held moral beliefs and expectations.
- Perpetrating: Characterized by perpetrating events that contradict deeply held moral beliefs and expectations.
- Global Sense of Moral Wellbeing
“Moral Injury” is present when you score in the MODERATE to HIGH range on one or more of the three MI scales (Bearing witness; Failing to prevent; Perpetrating), and when your sense of moral wellbeing is diminished or compromised. The more scales scored at higher severity, the greater the presence of Moral Injury. The end state of prolonged Moral Injury is Occupational Burnout.
Click on the Learn More button to gain a better understanding of Moral Injury.
Learn More
Moral Injury
From Wikipedia:
Moral injury refers to an injury to an individual's moral conscience and values resulting from an act of perceived moral transgression, which produces profound emotional guilt and shame, and in some cases also a sense of betrayal, anger and profound "moral disorientation".
From the Veterans Administration:
Moral injury occurs when people perpetrate, fail to prevent, or witness events that contradict deeply held moral beliefs and expectations.
From Dr. Jonathan Shay:
Doctor and clinical psychiatrist Jonathan Shay describes moral injury as perpetrating, failing to prevent, bearing witness to, or learning about acts that transgress deeply held moral beliefs and expectations.
Dr Shay distills Moral Injury down as follows:
- A betrayal of what's right
- by someone who holds legitimate authority (or by one's self)
- in a high stakes situation
In the 1980s University of Nebraska Medical Center ethicist Andrew Jameton observed that this kind of moral distress was not confined to the military realm. It often “arises when one knows the right thing to do,” he wrote, “but constraints make it nearly impossible to pursue the right course of action.”
Completion time: 5-10 minutes
Adverse childhood experiences, or ACEs, are potentially traumatic events that occur in childhood (0-17 years). For example:
- experiencing violence, abuse, or neglect
- witnessing violence in the home or community
- having a family member attempt or die by suicide
Also included are aspects of the child’s environment that can undermine their sense of safety, stability, and bonding, such as growing up in a household with:
- substance use problems
- mental health problems
- instability due to parental separation or household members being in jail or prison
Please note the examples above are not a complete list of adverse experiences. Many other traumatic experiences could impact health and wellbeing.
ACEs are linked to chronic health problems, mental illness, and substance use problems in adolescence and adulthood. ACEs can also negatively impact education, job opportunities, and earning potential. However, ACEs can be prevented.
ACEs are common. About 61% of adults surveyed across 25 states reported they had experienced at least one type of ACE before age 18, and nearly 1 in 6 reported they had experienced four or more types of ACEs.
Preventing ACEs could potentially reduce many health conditions. For example, by preventing ACEs, up to 1.9 million heart disease cases and 21 million depression cases could have been potentially avoided.
Some children are at greater risk than others. Women and several racial/ethnic minority groups were at greater risk for experiencing four or more types of ACEs.
ACEs are costly. The economic and social costs to families, communities, and society totals hundreds of billions of dollars each year. A 10% reduction in ACEs in North America could equate to an annual savings of $56 billion.
ACEs can have lasting, negative effects on health, well-being, as well as life opportunities such as education and job potential. These experiences can increase the risks of injury, sexually transmitted infections, maternal and child health problems (including teen pregnancy, pregnancy complications, and fetal death), involvement in sex trafficking, and a wide range of chronic diseases and leading causes of death such as cancer, diabetes, heart disease, and suicide.
ACEs and associated social determinants of health, such as living in under-resourced or racially segregated neighborhoods, frequently moving, and experiencing food insecurity, can cause toxic stress (extended or prolonged stress). Toxic stress from ACEs can negatively affect children’s brain development, immune systems, and stress-response systems. These changes can affect children’s attention, decision-making, and learning.
Children growing up with toxic stress may have difficulty forming healthy and stable relationships. They may also have unstable work histories as adults and struggle with finances, jobs, and depression throughout life. These effects can also be passed on to their own children. Some children may face further exposure to toxic stress from historical and ongoing traumas due to systemic racism or the impacts of poverty resulting from limited educational and economic opportunities.
The ACEs Questionnaire consists of 10 questions.
SOURCE: CDC.gov
Completion time: 8-15 minutes
Social determinants of health (SDoH) are the non-medical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. As defined by the World Health Organization, these forces (e.g., racism, climate) and systems include economic policies and systems, development agendas, social norms, social policies, and political systems.
SDoH are linked to a lack of opportunity and resources to protect, improve, and maintain health. Taken together, these factors create health inequities— types of health disparities that stem from unfair and unjust systems, policies, and practices, and limit access to the opportunities and resources needed to live the healthiest life possible.
SOURCE: CDC.gov
Our proprietary SDoH survey consists of 16 items that comprise the most common SDoH factors.
These factors include unemployment, income insecurity, food insecurity, housing insecurity, exposure to toxic air, contaminated drinking water, or environmental toxins, unhealthy living or working conditions, discrimination, workplace harassment, intimate partner violence, childhood trauma, and more.
Completion time: 5-30 minutes
The Behavioral Health Risk Assessment (BHRA) allows you to measure your behavioral and mental wellbeing across the 14 behavioral and mental health conditions listed below.
- Alcohol
- Tobacco
- Depression
- Anxiety
- Substance Use Disorder
- Sleep Disorder
- Gambling
- Anger Disorder
- Sexual Behavior
- Eating Disorder
- Intimate Partner Violence
- Panic
- Post-Traumatic Stress Disorder
- Bi-Polar Disorder
Note: You will be able to select which of the forgoing conditions you wish to screen for after clicking the "Continue" button below.