Level 1: Level 1 is considered the US normal, and as a standard of practice, should not apply to individuals and teams serving internationally.
Level 2: International normal readiness level. Standard overseas threat level. Level 2 situations are taken care of locally by the field team.
Level 3: Local Field Team manages the situation, but the team informs Reliant's International Crisis Manager by reporting the international incident 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: Local Field Team still mostly manages the situation. As soon as possible, the team informs Reliant's International Crisis Manager by reporting the international incident and Reliant's ICMT 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 independently. Reliant's International Crisis Management Team or its pre-approved delegate is now managing the situation until the Local Field Team returns to a position to do so themselves. This is a major crisis resulting in ongoing disruption to field operations or the threat now inhibits the ability of the team to safely continue.
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 (see Contingency Planning: Accidental Death or Suicide.) 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 or more) Significant effect on “job performance”. Isolated psychotic episode, suicidal plan, self-harm. | Minor mental health symptoms above the normal stress reactions. Ongoing impact 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 episodes that are resolved quickly, allowing the team member to return to a healthy state of readiness. |
Steps to Reduce Probability and Consequences
- Review Stewardship of Health and Healthcare Resources
- Inform all team members that Reliant is committed to proactively supporting wellness among our staff and therefore we offer an employee 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
- Employee Reporting and Employee Reporting Flow Chart
- Medical Information Confidentiality
- Evacuations may be authorized and mandated at either the local, Self-Evacuation or Reliant level.
- Confidentiality During Crisis Events
Crisis Resolution Protocol
- Provide immediate medical assistance as able
- Follow the predetermined Evaluation of Local Hospitals and Health Facilities for the team member
- If team member is placed in a mental health facility without Reliant's consent, follow the Contingency Planning: Imprisonment or Detention of Personnel
- As soon as you are able, begin documenting and gathering information
- Contact Reliant to report the incident: Crisis Reporting for International Incident
- Reliant will reach out to receive more details for their internal crisis report. Eventually, Reliant will share a communication tracking log that will serve as a way for team leaders and Shared Crisis Authority and Responsibility in Reliant Partnerships to all view communication updates between Reliant and the field team member
- 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
- Follow proper reporting protocols found above
- Reliant will work with local leaders to 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
- The Team Leader should make contact with, notify, and provide continuing care for affected team members
- Follow all ICMT directions and recommendations
