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Page History
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Specific Readiness Level To Determine Next Steps
| Level 5 | Level 4 | Level 3 | Level 2 |
|---|---|---|---|
Individual with major mental health symptoms or a major mental health incident involving an individual. Repeated psychotic episodes, suicide attempt. Mental health moves to other major incidents such as a Moral Failure, institutionalization, separation from family, Imprisonment or Detention of Personnel | Individual with significant mental health symptoms. Normal function has not returned after 72 hours or treatment is not readily available. (Example – sleeplessness for 72 hours) Significant effect on “job performance”. Isolated psychotic episode, suicidal plan, self-harm. | Minor mental health symptoms above the normal stress reactions. Ongoing effect on daily life and team activities. Impeding sleep (for example sleeplessness for 48 hours) and normal function is resolvable in up to 72 hours and treatment is readily available. Unmanaged incidents.
| Standard stress of living internationally and overseas travel. Manageable panic attacks or mental health stress |
Steps to Reduce Probability and Consequences
- Inform all team members that Reliant is committed to proactively supporting wellness among our staff therefore we offer an employe assistance program through Reliant's Aetna insurance: Aetna's Employee Assistance Program (EAP) - For AETNA Members
- Have a prepared list of possible transfer facilities including the nearest mental health institution (only used as a last resort) and the best, most practical US-based facility depending on the general injury/illness.
- Have an accessible record for all overseas personnel of relevant medical history or conditions, including mental health history and evaluations.
Applicable Corporate Policies
| Note |
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Level 1: As a standard of practice, no international missionary should be living in a readiness level state of Level 1 (relaxed, unaware of surroundings, not prepared to react). Level 1 is considered US normal. Level 2: Overseas normal readiness level. Standard overseas threat level. Situations are taken care of locally by the field team. Level 3: Local Field Team manages the situation, but the team informs Reliant crisis manager so that Reliant can evaluate the situation. Typically at this level, the incident is localized and on a smaller scale. Reliant would not know of the incident without the field team informing us. Reliant would like to hear that "we are fine" and be available to help evaluate the situation and provide assistance if needed. Level 4: Field team is mostly managing the situation, but Reliant crisis manager is now actively involved in the decision-making and helping the field team directly. Level 5: Management of the crisis is now beyond the capacity of the local field team to manage. Reliant's Crisis Management Team or its pre-approved delegate is stepping in to now manage the situation. This is a major crisis resulting in ongoing disruption to operations or the threat now inhibits the ability of the team to safely continue. |
Specific Readiness Level To Determine Next Steps
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Steps to Reduce Probability and Consequences
- Practice situational awareness and communicate routinely with the Global Security Advisor
- Be prepared to activate other contingency plans if situations arise
- If additional contingencies occur, strongly consider immediate evacuation
Applicable Corporate Policies
- Evacuations may be authorized and mandated at either the local, Self-Evacuation or corporate Reliant level.Know your Places of Refuge
Crisis Resolution Protocol
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- Provide immediate medical assistance as able
- If team member is placed in a mental health facility without Reliant's consent, follow the Contingency Plan: Imprisonment or Detention of Personnel
- As soon as you are able, begin documenting all events. Eventually, move all documentation to the Tracking Log created by Reliant and shared with you for this incident.
- Contact Reliant to report the incident: Crisis Reporting for International Incident
- Reliant will reach out to receive more details and complete an Initial Crisis Report.
- Reliant will share a Tracking Log with you to continue to document details that will also serve as a way to communicate new updates with all parties involved.When you have time, start the Tracking Log and begin documenting all events
- Determine the location and status of all other personnel. Be alert to and able to advise them to Shelter in Place if needed unless the situation demands immediate Evacuation or Orderly Relocation
- Prepare affected individuals for potential medical evacuation if needed, strongly preferred over utilizing local mental facilities
- Contact other staff for emergency assistance if needed
- Determine the location and status of all personnel that might be affected.
- Follow proper reporting protocols found above.
- Reliant will work with local leaders to assign Assign personnel to investigate the incident, establish a time frame for when the reported offense occurred, and confirm their activities leading up to the incident and locations they might have visited recently. This personnel should locate and contact any witnesses that might have observed the incident and complete an Initial Crisis Report for each.
- Establish initial contact with the Reliant Crisis Manager using the Emergency Number
- Record any injuries using the Victim Information Form
- Contact the nearest U.S. Embassy or Consulate
- If there are any missing persons, simultaneously follow the missing persons contingency plan
- Activate Shelter-in-Place Protocols starting with a lockdown of field team facilities with a mandated curfew for all personnel until further notice
- The Team Leader should make contact with, notify, and provide continuing care for affected team members.
- Follow all CMT directions and recommendations.If possible attempt to evacuate or relocate to places of refuge
- Close the incident with a detailed report of all events and steps taken (especially if the individual was removed prior to completion of the team)Share a copy of your report with Reliant.
