The acronym CISM is well known in the emergency services industry. A critical incident is any event that evokes strong emotions and overwhelms a person’s ability to cope. These techniques provide timely, valuable intervention for “first responders” who have chosen to serve others.

What would be considered a Critical Incident?

Examples of critical incidents that may require intervention are:

• Officer involved shooting

• Multi-casualty incidents

• Extraordinary or Prolonged events

• Suicide of a colleague

• Line of duty death or serious injury

• Death or violence involving children

• Significant events capable of causing emotional distress for those who are exposed to them.

These few examples are not all-inclusive.

Agencies and professionals we serve.

About Critical Incident Stress Management (CISM)

Modern society is marked by continued change, uncertainty, and disruption. Natural disasters are occurring across the world with increasing frequency, while domestic violence, civil unrest, and other forms of social conflict remain serious concerns. Thousands of terrorist incidents are also reported globally each year. Research in the social sciences and psychiatry has consistently demonstrated that tragedy, trauma, and disaster can produce significant adverse psychological effects. From a public-health standpoint, disasters are also commonly followed by a substantial increase in the demand for mental-health services.

The field of disaster mental health began to take shape around 1991 and 1992, largely through the influential work of the American Red Cross and National Voluntary Organizations Active in Disaster, commonly known as NVOAD. This emerging field reflected a growing awareness that tragedy and disaster almost inevitably produce psychological consequences and that individuals affected by such events may require structured emotional and psychological support.

Over time, professionals also became increasingly aware that individuals working in helping occupations could experience compassion fatigue, secondary or vicarious trauma, and professional burnout following repeated exposure to suffering, injury, death, and human tragedy. During this period, however, relatively few standardized psychological crisis-intervention protocols were available. Formal training opportunities in psychotraumatology and disaster mental health were even more limited.

Definition of CISM

As used here, Critical Incident Stress Management refers to an established body of knowledge within psychological crisis intervention—sometimes described as early psychological intervention—and disaster mental health. The CISM model discussed in this context was developed during the 1980s by Dr. Jeffrey Mitchell while he was working at the University of Maryland, Baltimore County. It was designed to help identify and reduce acute psychological distress commonly experienced by emergency-services personnel, hospital and trauma-care professionals, disaster-response workers, and others exposed to critical incidents.

CISM has also been applied in military settings and throughout the workplace. It should not be viewed as a single procedure or isolated technique. Rather, CISM is an integrated, multicomponent continuum of psychological support that may be provided, when appropriate, following acute adversity, traumatic events, or disasters. Its individual components are selected according to the circumstances and the needs of the population receiving assistance.

CISM is not intended to serve as treatment for acute stress disorder, post-traumatic stress disorder, trauma-related depression, bereavement, or complicated grief. Instead, it represents one approach to stabilizing individuals and reducing immediate psychological distress following exposure to a critical event. The model has achieved a degree of international recognition and use, having been taught in more than 29 countries and adapted by the United Nations for use with its field personnel.

Treasure Coast CISM Board Members

Executive Director Fred Knaggs

Executive Director Fred Knaggs is a veteran law enforcement professional with extensive experience in public safety, criminal investigations, emergency response, communications, and community engagement. Throughout his career, he has remained committed to serving others, strengthening public-safety partnerships, and supporting professionals who respond to critical incidents and traumatic events.

As Executive Director of the Treasure Coast Critical Incident Stress Management Team, Fred provides leadership, strategic direction, and coordination for the team’s regional peer-support and crisis-intervention mission. He works closely with law enforcement officers, firefighters, emergency communications personnel, mental-health professionals, agency leaders, and community partners to help ensure first responders have access to appropriate support following critical incidents and other high-stress events.

His investigative and public-relations background has strengthened his ability to assess complex situations, communicate effectively, manage sensitive information, and build trust with diverse groups. His firsthand understanding of the cumulative stress and trauma faced by public-safety professionals guides his commitment to promoting resilience, reducing stigma, and reinforcing that seeking support is a professional strength.

Through his leadership with TCCISM, Fred advocates for education, peer support, early intervention, and coordinated crisis-response services to help build a stronger and more resilient public-safety community.

Clinical Director Anita Cocoves

Clinical Director Anita Cocoves is an accomplished licensed clinical professional, psychotherapist, and State-Certified Clinical Supervisor with extensive experience in government and nonprofit administration. Throughout her career, she has demonstrated a strong ability to develop innovative, practical solutions to complex societal, organizational, and behavioral-health challenges.

Dr. Cocoves holds both a Doctor of Philosophy (PhD) and a Doctor of Education (EdD), reflecting her advanced expertise in clinical practice, leadership, education, and program development. Her professional background includes clinical supervision, psychotherapy, organizational administration, community-based service delivery, and the development of programs designed to support individuals, families, professionals, and communities.

As Clinical Director, Dr. Cocoves provides experienced leadership, clinical guidance, and oversight while promoting ethical practice, professional development, resilience, and effective mental-health support. Her combined clinical, academic, governmental, and nonprofit experience enables her to approach difficult issues with insight, compassion, sound judgment, and a commitment to meaningful and sustainable outcomes.

Co-Secretary and Co-Coordinator Dicey Jones is a dynamic and dedicated healthcare leader with a distinguished 28-year career at HCA Healthcare. Throughout her career, she has demonstrated extensive expertise in emergency department operations, healthcare administration, organizational leadership, and performance improvement.

Dicey played an instrumental role in advancing regional trauma care as a foundational architect in the development and launch of the Treasure Coast’s first Level II Trauma Center. Her experience also includes large-scale Electronic Medical Record implementation, clinical process improvement, regulatory compliance, and the use of data-driven strategies to strengthen patient care, operational efficiency, and organizational outcomes.

In addition to her healthcare leadership, Dicey has maintained a longstanding commitment to Critical Incident Stress Management. Through decades of active CISM service, she has supported healthcare workers, first responders, and public-safety professionals following critical incidents and other high-stress events. Her clinical knowledge, administrative experience, and understanding of occupational stress provide valuable perspective in supporting resilience and coordinated peer-support services.

Dicey holds a Bachelor of Science in Nursing and a Master of Business Administration. In her leadership role with TCCISM, she contributes experience, professionalism, and a strong commitment to supporting the mental and emotional well-being of those who serve their communities.

Co-Secretary & Co- Coordinator Dicey Jones

Co-Treasurer Ariel Daily

Co-Treasurer Ariel Daily is a distinguished law enforcement professional whose career has been grounded in integrity, respect for the criminal justice system, and compassion for those who serve in public safety. Through her professional experience, she has developed a strong understanding of the responsibilities, operational pressures, and emotional challenges faced by law enforcement officers and other first responders.

Ariel brings professionalism, sound judgment, and a service-oriented perspective to her role with TCCISM. As Co-Treasurer, she supports the organization through responsible financial stewardship while remaining committed to its broader mission of peer support, resilience, and critical incident stress management.

Her dedication to first responder wellness reflects her belief that those who protect and serve their communities should have access to meaningful support during times of crisis, occupational stress, and recovery.

Co-Treasurer Don McDilda

Co-Treasurer Don McDilda is the former President of the TCCISM Executive Board and a respected public-safety professional with an honorable career as a Firefighter Engineer. His service has been defined by operational leadership, professionalism, and a steadfast commitment to protecting and supporting both the community and his fellow first responders.

Throughout his career, Don has developed a strong understanding of the demands, stressors, and critical incidents encountered by fire-rescue and public-safety personnel. He has remained actively involved in peer support and critical incident stress debriefings, providing guidance and assistance to those affected by traumatic or high-stress events.

In his current role as Co-Treasurer, Don continues to support TCCISM’s mission through responsible organizational stewardship, experienced leadership, and a longstanding dedication to first responder wellness, resilience, and recovery.

Co-Team Coordinator Jason Kipp

Co-Team Coordinator Jason Kipp is a dedicated EMS Captain and 25-year veteran first responder with extensive experience in emergency medical services, operational leadership, and public safety. Throughout his career, he has earned recognition for his professionalism, sound judgment, and steadfast commitment to serving the community.

Jason brings a practical understanding of the demands, pressures, and critical incidents encountered by emergency personnel. In his role with TCCISM, he helps coordinate team operations, support peer-response efforts, and ensure appropriate resources are available to first responders following traumatic and high-stress events.

His leadership, field experience, and commitment to first responder wellness make him a valued part of TCCISM’s mission to promote resilience, recovery, and support throughout the public-safety community.

Co-Secretary Marilyn Case

Co-Secretary Marilyn Case is an accomplished healthcare leader and registered nurse with more than two decades of experience in nursing education, administration, professional development, and clinical operations. A former Director of Education at HCA Florida Lawnwood Hospital in Fort Pierce, she has served on the hospital’s administration and education team since November 2000.

Her career has been defined by a commitment to strengthening healthcare teams, supporting workforce readiness, and promoting effective education in demanding clinical environments. Her experience has also provided valuable insight into the operational pressures, emotional demands, and critical incidents encountered by healthcare professionals and first responders.

Marilyn holds a Master of Science in Business and a Bachelor of Science in Nursing, combining a strong clinical foundation with advanced administrative and organizational expertise. As Co-Secretary of TCCISM, she supports the organization through effective communication, documentation, coordination, and administrative leadership while advancing its mission of peer support, resilience, education, and critical incident stress management.

Lyle Fried is an experienced behavioral-health professional, pastoral counselor, educator, ordained pastor, and law enforcement chaplain with more than 20 years of service supporting veterans, first responders, individuals in recovery, and vulnerable populations.

He holds doctoral degrees in pastoral counseling. His professional credentials include Florida Board-Certified Addictions Professional, Internationally Certified Alcohol and Drug Counselor, Certified Master’s Mental Health Coach, Certified Health Coach, ICISF Approved Instructor, and Approved Training Provider through the Florida Certification Board.

In addition to his clinical and administrative experience, Lyle has held leadership roles with recovery residences, addiction-service organizations, homeless coalitions, Rotary International, faith-based ministries, and community programs. As a member of the TCCISM Team and Board of Directors, he brings extensive experience in crisis support, addiction recovery, pastoral care, education, and first responder wellness.

Lyle R. Fried, Member At Large

Rob Newman is a Flight Medic and Firefighter with the St. Lucie County Fire District, bringing extensive experience in emergency medical response, fire service operations, and high-risk training environments. His professional background includes specialized involvement in live-fire training operations at the Treasure Coast International Airport, where preparation, coordination, and sound decision-making are essential.

Through his work in fire rescue and emergency medicine, Rob has developed a strong understanding of the physical, operational, and emotional demands placed on first responders. His experience responding to critical incidents allows him to provide practical insight into the challenges public-safety personnel may face during and after traumatic events.

Rob also serves as the handler of a Therapy K-9, providing an additional resource for comfort, connection, and emotional support. In his work with TCCISM, he contributes valuable field experience, compassion, and a commitment to promoting resilience, peer support, and recovery throughout the first responder community.

Rob Newman, Member At Large

Michael Gardner is an EMS Fire Captain and Fire-Medic with more than 23 years of experience in emergency medical services, fire-rescue operations, and public safety. Throughout his career, he has demonstrated strong leadership, sound judgment, and a steadfast commitment to serving both the community and his fellow first responders.

His extensive field experience has given him a firsthand understanding of the operational pressures, cumulative stress, and emotional impact associated with critical incidents. Michael is dedicated to supporting emergency personnel through Critical Incident Stress Management, peer support, and compassionate intervention following traumatic or high-stress events.

Through his involvement with TCCISM, Michael contributes valuable operational knowledge, leadership experience, and a sincere commitment to first responder wellness. His service helps advance the team’s mission of promoting resilience, recovery, and meaningful support throughout the public-safety community.

Michael Gardner, Member At Large

Member at Large Jorge Goz is a career law enforcement officer with extensive experience in school-based public safety, community engagement, and relationship building. He was recognized as St. Lucie Public Schools’ School Resource Officer of the Year for his leadership, dedication to student safety, and positive impact within the school community.

Throughout his career, Jorge has demonstrated a strong ability to build trust with students, families, educators, and fellow public-safety professionals. His approachable leadership style and commitment to prevention, education, and early intervention have helped foster safer and more supportive environments for those he serves.

Jorge also serves as the handler of a Therapy K-9, providing an additional source of comfort, connection, and emotional support during stressful or traumatic situations. As a Member at Large with TCCISM, he contributes valuable law enforcement experience, compassion, and a continued commitment to peer support, resilience, and the well-being of first responders and the communities they serve.

Jorge Goz, Member At Large

Member at Large Maeghan Richardson is a dedicated law enforcement officer with a strong commitment to public service and a passion for promoting mental health awareness within the first responder community. As the newest Member at Large of the TCCISM Board, she brings a valuable operational perspective and a sincere interest in supporting the emotional well-being of those who serve in high-stress professions.

Through her law enforcement experience, Maeghan has developed a firsthand understanding of the pressures, cumulative stress, and critical incidents encountered by public-safety personnel. She recognizes the importance of early intervention, peer support, education, and access to appropriate resources following traumatic or high-stress events.

In her role with TCCISM, Maeghan contributes compassion, professionalism, and a commitment to reducing the stigma associated with seeking help. Her involvement supports the team’s broader mission of strengthening resilience, promoting first responder wellness, and ensuring that public-safety professionals know they do not have to face difficult experiences alone.

Maeghan Richardson

Member at Large Cindy Krosky is the former Clinical Director of TCCISM and an accomplished keynote speaker, facilitator, trainer, author, and executive coach. She is a Certified Speaking Professional, a member of the National Speakers Association, and an ICISF Approved and Certified Instructor in Critical Incident Stress Management for Groups.

Cindy brings more than 15 years of experience serving as the Clinical Director of the TCCISM team, supporting first responders. Her clinical expertise includes group dynamics, mass-disaster response, workplace violence, domestic terrorism, compassion fatigue, suicide prevention, and individual and group crisis intervention.

She also serves as Clinical Director for GRAZE, a Critical Incident Stress Management Team supporting zoo and aquarium professionals. Through her work, Cindy helps individuals, teams, and organizations navigate critical events, strengthen communication, improve cohesion, and develop post-traumatic growth.

As a Member at Large with TCCISM, Cindy contributes extensive clinical experience, instructional leadership, and a longstanding commitment to resilience, recovery, and the well-being of first responders.

Cindy Krosky

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