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Indian River County <br />Board of County Commissioners <br />Department of Emergency Services <br />4225 43d Avenue. Vero Beach, Florida 32967 <br />March 2, 2018 <br />Robert J. Brugnoli, Ph.D. <br />Executive Director <br />Mental Health Association in Indian River County <br />82037 1h Place <br />Vero Beach, Florida 32960 <br />Re: Letter of Agreement for Critical Incident -Stress Management Consultation (CISM) <br />Services <br />Dear Dr. Brugnoli: <br />Thank you for your response to our request for CISM Services for our Emergency <br />Services District (District) first responder personnel. The purpose of this letter is to <br />memorialize the agreement for providing CISM services and payment of CISM fees and <br />costs. From time to time, our first responders encounter tragic and stressful events. It is <br />hoped that by making CISM services available to first responders, it will enable them to <br />recover from these events in a health), manner. <br />As we discussed, we will request your services on an as needed basis. There will be three <br />main instances when the District will call upon you for your assistance. <br />A staff member will call you by telephone to discuss an event in order to advise <br />you of the situation and ask for your recommendation as how best to handle the <br />event. <br />The staff member will ask you to come into the station immediately (if possible) <br />or at the next shift of those responders involved in the event for a counseling <br />session. <br />You will be asked to conduct follow-up CISM sessions with the responders <br />involved in the event. <br />You have agreed to charge the District for your services as follows: <br />Dr. Brugnoli <br />Jeanne Shepher <br />Dave 'Thomas <br />$100.00/hour <br />$ l 00.00/hour <br />$100.00/hour <br />