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How should a CISM provider address a situation where an individual refuses to participate in a group defusing?



If an individual refuses to participate in a group defusing, the CISM provider should respect their decision without pressuring or coercing them. The first step is to acknowledge and validate their feelings, recognizing that participating in a group setting might be uncomfortable or triggering for some. The provider should then explore the reasons for their refusal, offering alternative options for support. This could include offering an individual defusing session, providing psychoeducation materials about stress reactions, or connecting them with other resources, such as a peer support program or a mental health professional. It's important to emphasize that participation is voluntary and that there are other avenues for receiving assistance. The provider should ensure the individual knows how to access these alternative supports and should reassure them that their decision will not negatively impact their access to future assistance. Creating a safe and non-judgmental environment is crucial, respecting individual preferences and needs. The provider can also briefly explain the potential benefits of defusing in a neutral and informative manner, but ultimately, the decision to participate rests with the individual.