The SAFER-R Model


Book Description

Psychological Crisis Intervention: The SAFER-R Model is designed to provide the reader with a simple set of guidelines for the provision of psychological first aid (PFA). The model of psychological first aid (PFA) for individuals presented in this volume is the SAFER-R model developed by the authors. Arguably it is the most widely used tactical model of crisis intervention in the world with roughly 1 million individuals trained in its operational and derivative guidelines. This model of PFA is not a therapy model nor a substitute for therapy. Rather it is designed to help crisis interventionists stabile and mitigate acute crisis reactions in individuals, as opposed to groups. Guidelines for triage and referrals are also provided. Before plunging into the step-by-step guidelines, a brief history and terminological framework is provided. Lastly, recommendations for addressing specific psychological challenges (suicidal ideation, resistance to seeking professional psychological support, and depression) are provided.




Mental Health: Intervention Skills for the Emergency Services


Book Description

This book addresses the practical management of mental health scenarios in the emergency setting and offers first-hand reflections on how emergency nurses, practitioners and allied mental health professionals handle these situations. Responding to mental health needs in emergency situations can be profoundly complex. Frequently emergency nurses and other personnel express their feelings of powerlessness, as they do not know what to say or do in order to achieve the best outcome, and have concerns that their intervention may make the situation worse for those in their care. How a practitioner confronts the mental health encounter and takes the essential steps in managing the event can have a critical impact on how that person copes in the future. This book helps readers understand what is involved in mental health work in emergency situations, and the practical, psychosocial and spiritual tensions that arise from managing the event and the sequelae. Moreover, it shows that it may be possible to provide a more effective emergency mental health service. This unique edited book presents critical reflections on aspects of mental health work gathered from the ‘hands-on’ experiences of the personnel. Mental health encounters in the emergency context are described in detail, illustrating not only what emergency nurses and mental health workers ‘do’ when mental health crises occur, but also what they feel about what they ‘do’. Written by a diverse team of emergency and mental health nurses and allied professionals currently engaged in emergency care both in hospital and pre-hospital settings, this book will appeal to emergency nurses and allied health professionals alike.




Disaster Mental Health Interventions


Book Description

Disaster Mental Health Interventions uses DSM-5 diagnostic criteria and the latest research to help build disaster mental health intervention skills that will last a lifetime. Students and emerging professionals across the fields of mental health counseling, social work, school counseling, spiritual care, and emergency management will appreciate the accessible tone, level of detail, and emphasis on practice. Case studies and anecdotes from experienced professionals add an additional level of depth and interest for readers.




Assessing Mental Health and Psychosocial Needs and Resources


Book Description

Mental health and psychosocial support (MHPSS) is a term used to describe a wide range of actions that address social, psychological and psychiatric problems that are either pre-existing or emergency-induced. These actions are carried out in highly different contexts by organizations and people with different professional backgrounds, in different sectors and with different types of resources. All these different actors--and their donors--need practical assessments leading to recommendations that can be used immediately to improve people's mental health and well-being. Although a range of assessment tools exist, what has been missing is an overall approach that clarifies when to use which tool for what purpose. This document offers an approach to assessment that should help you review information that is already available and only collect new data that will be of practical use, depending on your capacity and the phase of the humanitarian crisis. This document is rooted in two policy documents, the IASC Reference Group s (2010) "Mental Health and Psychosocial Support in Humanitarian Emergencies: What Should Humanitarian Health Actors Know?" and the "Sphere Handbook's Standard on Mental Health" (Sphere Project, 2011). It is written primarily for public health actors. As the social determinants of mental health and psychosocial problems occur across sectors, half of the tools in the accompanying toolkit cover MHPSS assessment issues relevant to other sectors as well as the health sector.




Healthy, Resilient, and Sustainable Communities After Disasters


Book Description

In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.










Mental Health Emergencies


Book Description

Drawn from the best in psychiatry, psychology, and mental health counseling, here are simple and effective strategies for coping during times of great mental and emotional distress Mental Health Emergencies provides overviews and expert guidance on serious mental health problems. It is an ideal resource for first-responders, teachers, counselors, and human resource professionals looking to help those struggling with mental and emotional health crises and concerns. Developed from best practices of psychiatry, psychology, and mental health counseling, Mental Health Emergencies is a guide to providing much-needed care and support to the people in distress who most need help including self-injury, eating disorders, substance abuse, psychosis, and suicidal thoughts. Mental Health Emergencies will help you provide exactly the right kind of support—where and when it's needed most.




Sudden Death: Intervention Skills for the Emergency Services


Book Description

This book considers the practical management of sudden death and offers first-hand reflections of how emergency physicians, nurses, and allied health professionals cope. Sudden death is one of the most difficult aspects of emergency care, and the traumatic nature of some deaths can be devastating for the family and the emergency team. This book shows how practitioners confront the sudden death and the essential steps taken to manage the event that may have a critical impact on the grieving relative. The book explores the unique interactions between emergency and allied health practitioners and nurses, those who grieve and, the body itself. By understanding what is involved in sudden death work, and the practical, psychosocial and spiritual tensions that arise from managing the event and sequel, it may be possible to provide a more responsive service. The book addresses sudden death from the multi-professional emergency and allied services perspective to guide either the seasoned practitioners or the new and apprehensive recruit. National emergency response systems have been strengthened to cope with the increasing trauma and disease burden which, for many unfortunate individuals, results in an immediate or swift death trajectory. This multidisciplinary teaching text uses first-hand detailed stories of sudden death encounters. By reflecting on these ‘happenings’ and illuminating on how specific events were handled, it is possible to build a picture not only of what sudden death workers ‘do’ when sudden death occurs but also how they feel about what they ‘do’. At the end of each chapter a series of activities will be posed to encourage the reader to make sense of their own practices when handling the legal and practical aspects and when supporting families and colleagues.




Community-Based Psychological First Aid


Book Description

Community-Based Psychological First Aid: A Practical Guide to Helping Individuals and Communities during Difficult Times presents a practical method for helping those in need in difficult times. No advanced training in psychology is needed to use it. Injuries from disasters, terrorist events, and civil unrest are not just physical. These events also cause psychological trauma that can do lasting damage. Psychological First Aid (PFA) draws on human resilience and aims to reduce stress systems and help those affected recover. It is not professional psychotherapy, and those providing this kind of aid do not need a degree to help. Gerard Jacobs has developed this community-based method of delivering PFA over 20 years and has taught it in over 30 countries. Along with the easy-to-follow method, Jacobs includes examples of how this works in action in different situations, and presents scenarios to practice. Unique in its approach of community engagement to train community members to help each other, this guide is an excellent resource for local emergency managers to engage in whole community emergency management. - Presents a proven method for helping to alleviate the mental health effects of disasters, terrorist attacks, civil unrest, and other community stressors - Offers a community-based model developed and taught by an international expert for over 20 years, requiring no advanced training or education in psychology to use - Provides techniques that are adaptable to individual communities or cultures - Outlines practices for self-care while helping others to prevent burnout - Includes case studies, scenarios, and key terms to help facilitate community training