This article describes the debates in the research literature surrounding the provision of critical incident stress management (CISM) and outlines the implications for social work. The literature reviewed suggests that critical incident stress debriefing (CISD) as an intervention needs to be offered as part of a comprehensive programme of critical incident stress management that is integrated and sensitive to the organizational context. Strengths-based principles need to underpin an integrated critical incident stress management policy that is sensitive to differences in individual responses, organizational contexts and diverse fields of social work practice. Adaptations of Mitchell’s original model of critical incident stress management which aim at mitigating the potential negative impact of critical incidents encountered in the workplace whilst enhancing personal resilience are discussed with reference to recent critiques of this model.