The model

The SIX Cs Model - Effective Resilience for First Responders

The SIX Cs model was created to provide PFA skills to first responders as well as the general nonprofessional community in emergency situations.

In this perspective, each member of society can become a first responder, providing PFA to those in need, and as an outcome, the community’s resilience increases dramatically. This also increases the community’s independence and ability take care of itself during crises and emergencies, by gaining  control of chaotic situations that involve panicked individuals or crowds.

Subsequently, these PFA skills provide the ability to help the helpers by enabling them to return to full effective functioning within seconds and reduce the risk of secondary traumatization for first responders to a minimum.



The SIX Cs model contains six principles:▪  Cognitive verbal Communication –When cognitive verbal communication exists it reduces amygdala hyperactivity (emotions) and increases activation of the prefrontal cortex (cognition & logic). When this occurs an individual is able to think more clearly, set priorities, and make more effective decisions.

Challenge –The ability to activate a person through simple and relevant achievable tasks or challenges.

Control – Providing a person with a sense of control and
empowerment over the situation by giving them the choice between
two to three simple tasks to perform.

Commitment –Verbal commitment to one’s safety alleviates the feeling of loneliness that is characteristic of the initial stages of acute stress reaction.

Continuity – Restructuring one’s memory into a logical and chronological sequence reduces time and geographic disorientation as well as intrusive flashbacks.






Summary of the Six Cs model advantages:

✓ Scientifically-based model based on wide biopsychosocial aspects.

✓ User friendly; relatively simple to train and simple to use.

✓ Proved to be effective in actual emergency events.

✓ Can be implemented by nonprofessionals as well as professionals.

✓ Training increases not only one’s psychological first aid skills but general self-efficacy.

✓ One round of training is sufficient and increases the general resiliency as well as the professional ability to
provide psychological first aid.

✓ Can be implemented on almost any type of community.

✓ Increases personal and community functional independency.


This approach has been adopted by the Ministries of Education, Health, and Internal Security in Israel as well as by the Israel Defense Forces (IDF) and Israel’s traffic police as the main model for immediate assistance in stressful and emergency situations.

The SIX Cs Model MOH Approval>>

Management Circular>> 





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