The content includes general theory and models of Disaster Mental Health, CISM, crisis intervention techniques commonly used in these situations, supportive research, and practice of approaches used in responding to the victims, workers and communities affected by disasters, critical incidents and terrorism threats and events. What People are Saying About "Crisis Intervention Training for Disaster Workers" "Provides a breadth and depth of knowledge as well as practical tools for beginner to expert.
Should be required reading for all disaster responders, and, especially, mental health professionals considering disaster work. It provides a brief survey of disaster mental health and disaster mental health services. An Introduction George W. View online Borrow Buy Freely available Show 0 more links Related resource Table of contents only at http: Set up My libraries How do I set up "My libraries"? This single location in All: Not open to the public KZ This single location in Australian Capital Territory: None of your libraries hold this item.
Found at these bookshops Searching - please wait We were unable to find this edition in any bookshop we are able to search. These online bookshops told us they have this item: Tags What are tags? It is increasingly evident that the problems that have to be addressed require combined input from many disciplines and that disaster workers need to acquire the skills to work together in multidisciplinary teams. Although the methodologies of post-disaster assistance can be applied to different regions of a country, the procedures and approaches to the problems will not be the same because differences in cultural, social, economic, and political realities have an important influence on post-disaster programs.
In each country, the mental health component of disaster management programs will be integrated into overall government planning. This choice was made to add flexibility to the manual, so that it can used within the differing structures of disaster programs in various countries.
Moreover, the design and organization of the disaster response structure continues to evolve in the United States, and it may differ from that in other countries. In spite of the variation in organizational structures worldwide, human reactions to trauma have been found to be very similar, which makes it possible to devise a basic approach to alleviating the suffering of survivors of many types of trauma, provided the worker is trained to recognize the different cultural components of reactions to various types of stressors and their consequences.
The development of a manual to train workers in post-disaster crisis intervention responds to a clear need and addresses the reality that it is neither practical nor feasible to form an active, up-to-date professional force to react to random, occasional disasters in some part of a country. However, it is feasible to have a cadre of trainers who, with the assistance of this manual, can prepare workers, who, in turn, will become members of teams dispatched to work in affected areas. Crisis counseling intervention to mitigate post-traumatic responses of survivors following a disaster is designed as a service of planned procedures that assist the dynamic process of the survivors' coping and adapting to the new setting by improving their ability to deal with the many problems arising after a disaster.
There is an opportunity to help survivors by focusing on their psychological coping mechanisms. Through methods that complement the more traditional somatic interventions and the functions of the professionals to whom the crisis counselor may refer for further treatment, the counselor has the opportunity to prevent future psychopathological sequelae.
Crisis intervention in post-disaster programs can add a new dimension to the services provided by emergency agencies. Mental health personnel can enhance the emergency program for the population of survivors. They can provide a crisis approach that is appropriate for every at-risk survivor in a post-disaster setting.
Such crisis programs seek to help survivors relearn their coping methods in the setting in which they find themselves and diminish the potential for dysfunction and pathological outcomes. The training encourages the counselor to develop a systematic approach to strengthen survivors' coping methods.
For the disaster personnel, this approach can lead to: All of these skills help improve survivors' capability to move through the process of loss and mourning in a world destroyed by disaster.
Explore available attitudinal and behavioral alternatives through the phases of the disaster;. Get through the transition processes created by the disaster and come to a satisfactory resolution of their problems. Improving social coping and functioning within the rapidly changing agency system in the post-disaster environment;.
Fostering coping skills and adaptation to the changes in the community that will happen after the disaster. Supporting theories and hypotheses that will guide the intervention crisis, loss and mourning, stressor and stress response, coping ;. Approach - identification of crisis responses used by the survivor and development of appropriate coping plans;. Goals for assisting survivors by increasing knowledge, developing skills and attitudes to support survivors in dealing with the crisis in their lives after the disaster;.
Disaster survivors have experienced an unexpected and stressful event. Perhaps most survivors were functioning adequately before the catastrophe, but their ability to cope may have been impaired by the stress of the situation. Even though the survivors may exhibit symptoms of physical or psychological stress, they do not view themselves, nor should they be viewed, as experiencing psychopathology. They are reacting in a normal way to an abnormal situation. Disaster survivors may include persons of all ages, socioeconomic classes, and race or ethnicity because catastrophes affect the entire population in an impacted area.
It is assumed that individuals can resume their usual functions if aided and given emotional support and appropriate information and guidance. Some survivors may suffer more than others, depending on several interrelated factors. Those who may be particularly susceptible to prolonged physical and psychological reactions from a disaster include people who:. The elderly are a group that in general may find it difficult to cope with disasters and their consequences. It is not unusual to find older survivors who are isolated from their support systems and who live alone.
As a result, they are often afraid to seek help. Typical post-catastrophe outcomes in this group are depression and a sense of hopelessness. Unfortunately, a common response among some older people is a lack of interest in rebuilding their lives. Children are also a special group because they usually do not have the capacity to understand and rationalize what has happened.
Consequently, they may experience emotional or behavioral problems at home or school. Perhaps the most prominent disturbances reported in children after a disaster are phobias, sleep disturbances, loss of interest in school, and difficult behavior. Some individuals with a history of mental illness may also require special attention. Under the stress of a disaster situation, relapses can occur in this population due to the loss of support systems or inability to obtain their daily medication.
Finally, another at-risk group to be considered by the worker are individuals experiencing certain life crises. Members of this group might include, for example, recently widowed or divorced people or those who, at the time of the disaster, had recently lost their jobs or undergone major surgery.
These survivors may display a special vulnerability to the stress generated by a natural disaster. In summary, although specific at-risk groups merit close attention from the disaster worker, everyone can be considered a survivor in a disaster area and should be offered assistance. The subject matter of the training program presented in this guide is distributed in five modules.