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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 (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.

Isolated explosion of anger with multiple expressions
Abnormal panic attacks
Suicidal thoughts

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