cert ig unit7 jan20112

7/23/2019 Cert Ig Unit7 Jan20112

http://slidepdf.com/reader/full/cert-ig-unit7-jan20112 1/26

UNIT 7: DISASTER PSYCHOLOGY

In this unit you will learn about:

Disaster Psychology: The psychological impac o! a "isase# o$ #esc%e#s a$"

&icims a$" ho' o p#o&i"e (psychological !i#s ai")*

Caring for Yourself, Your Buddy, and Victims: Seps o$e ca$ a+e i$"i&i"%ally

a$" as pa# o! a CERT ,e!o#e- imme"iaely !ollo'i$g- a$" a!e# a "isase#)



.This page i$e$io$ally le! ,la$+/



OBJC!IV" A he co$cl%sio$ o! his %$i- he pa#icipa$s sho%l" ,e a,le o:

Desc#i,e he "isase# a$" pos0"isase# emoio$al

e$&i#o$me$ !o# &icims a$" #esc%e#s)

Desc#i,e he seps ha #esc%e#s ca$ a+e o #elie&e hei# o'$

s#ess a$" ha o! ohe# "isase# s%#&i&o#s)

"COP The opics ha 'ill ,e "isc%sse" i$ his %$i a#e:

I$#o"%cio$ a$" U$i O&e#&ie'

Disase# T#a%ma

Team 1ell02ei$g

1o#+i$g 'ih S%#&i&o#s3 T#a%ma

U$i S%mma#y

"!I#$!D

CO#P%!IO& !I#

45 mi$%es 6This ime "oes $o i$cl%"e he &i"eo)

Please $oe ha he esimae" ime "epe$"s o$ ho' m%ch o! he&i"eo yo% choose o sho' he pa#icipa$s) Yo% may sho' aslile o# as m%ch o! he &i"eo as yo% hi$+ is app#op#iae) I! yo%%se he &i"eo i$ is e$i#ey- he lesso$ 'ill #%$ app#o8imaely 9ho%# a$" 95 mi$%es) Please note that the 'ideo should notbe used in (lace of teaching the unit)

!*$I&I&+ #!OD" The lea" i$s#%co# 'ill ,egi$ his %$i ,y 'elcomi$g hepa#icipa$s o U$i 7: Disase# Psychology- a$" 'ill i$#o"%cehe i$s#%co#s !o# he sessio$) The i$s#%co# 'ill he$ p#ese$ a,#ie! o&e#&ie' o! his sessio$)

Ne8- he i$s#%co# 'ill e8plai$ he impo#a$ce o! ha&i$g a$%$"e#sa$"i$g o! he "isase# a$" pos0"isase# emoio$ale$&i#o$me$ a$" he impac ha he emoio$al c#isis may ha&eo$ CERT mem,e#s as 'ell as &icims) The i$s#%co# 'ill p#ese$he psychological a$" physiological sympoms ha &icims a$"#esc%e pe#so$$el may e8hi,i a$" p#o&i"e some s%ggesio$s !o#ho' CERT mem,e#s ca$ help s%#&i&o#s cope 'ih "isase##a%ma a$" co$#ol hei# o'$ s#ess)

*"O-*C" *.-I*D

Community Emergency Response Team Instructor Guide

Community Emergency Response Team Participant Manual

is%als 70; h#o%gh 70<9

O!* *"O-*C" I! ime pe#mis- all o# po#io$s o! he 4=0mi$%e &i"eo CERTTraining: Disaster Psychology a#e #ecomme$"e" !o# his %$i)The &i"eo "esc#i,es he physical- emoio$al- a$" psychological#eacio$s o a "isase# a$" ech$i>%es !o# CERT mem,e#s oa+e ca#e o! hemsel&es a$" assis ohe#s i$ copi$g 'ih hes#ess) The &i"eo is a&aila,le !o# "o'$loa" a he $aio$al CERT



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1e, sie: ''')cii?e$co#ps)go&@ce#@)

.-IP#&! The !ollo'i$g e>%ipme$ is #e>%i#e" !o# his %$i:

A comp%e# 'ih Po'e#Poi$ so!'a#e

Comp%e# p#oeco# a$" sc#ee$

P*P$*$!IO& 1o#+i$g 'ih a #ep#ese$ai&e o! he comm%$iy i$ 'hich yo% 'ill,e eachi$g- i"e$i!y a$y poe$ially c%l%#ally se$sii&e opics i$his mo"%le) De&elop s#aegies !o# p#ese$i$g a$y s%ch opics i$'ays ha 'ill ,e e$gagi$g a$" app#op#iae !o# pa#icipa$s)

I is pa#ic%la#ly impo#a$ i$ his %$i o ,e a'a#e o! ho' yo%#a#ge a%"ie$ce may !eel a,o% opics s%ch as #a%ma o# copi$g

'ih s#esso#s) E$co%#age pa#icipa$s o "isc%ss 'ays hapeople 'ihi$ hei# comm%$iy may cope 'ih psychological#a%ma) A&oi" !o#ci$g yo%# o'$ copi$g mecha$isms o$o ohe#s)

I$ pa#ic%la#- loo+ closely a he opic o$ What Not to Say ) Ba+especi!ic $oe o! ph#ases ha migh ,e c%l%#ally i$app#op#iae ohe a#ge a%"ie$ce) I$ he opic- Managing a Death Scene e$s%#e ha yo% %$"e#sa$" c%l%#ally app#op#iae 'ays o!"eali$g 'ih "eah) T#ea his opic 'ih #e&e#e$ce a$" #especpa#icipa$s3 c%l%#al ,ac+g#o%$"s)

&O!" A s%ggese" ime pla$ !o# his %$i is as !ollo's:

I$#o"%cio$ a$" U$i O&e#&ie')))))))))))))))))))))))))))))))))))))5 mi$%es

Disase# T#a%ma))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))5 mi$%es

Team 1ell02ei$g)))))))))))))))))))))))))))))))))))))))))))))))))))))))))9; mi$%es

1o#+i$g 'ih S%#&i&o#s3 T#a%ma))))))))))))))))))))))))))))))))))<; mi$%es

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http://www.citizencorps.gov/cert/

http://www.citizencorps.gov/cert/



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U$i S%mma#y))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))5 mi$%es

Toal Time: 45 mi$%es

$C4&O5%D+#&! The i$!o#maio$ !#om his %$i has ,ee$ p#o&i"e" ,y ico#1el?a$- Psy)D) a$" Geo#ge E&e#ly- #)- Ph)D) o! heI$e#$aio$al C#iical I$ci"e$ S#ess o%$"aio$ a$" oa$$eTo#o#ici L%$a- Ph)D)- Cali!o#$ia Sae U$i&e#siy- Lo$g 2each-a$" C%l&e# Ciy- Cali!o#$ia- CERT) The e"e#al Eme#ge$cyBa$ageme$ Age$cy 'ishes o ha$+ hem !o# hei# assisa$ce)

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-nit /: Disaster Psychology

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Introductions and Unit Overview

5elcome

I$#o"%ce he i$s#%co#s !o# his %$i)

As+ a$y $e' i$s#%co#s o ,#ie!ly "esc#i,e hei#e8pe#ie$ce 'ih "isase# psychology)

2#ie!ly #e&ie' U$i F: CERT O#ga$i?aio$)

Co##ec #espo$se:

The I$ci"e$ Comma$"Sysem 6ICS

!he C*! organi7ation is based on a (ro'enmanagement system used by emergencyres(onders) 5hat is it called8

Co##ec #espo$se:

9) The !i#s pe#so$ o a##i&e o$he sce$e

<) Esa,lishes he ,asic ICSs#%c%#e !o# he i$ci"e$

5ho becomes the C*! Incident Commander9!eam%eader IC9!%;8

5hat does that (erson do8

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Co##ec #espo$se:

The Comma$" Pos

5hat is the (lace called where the IC9!% stays8

Co##ec #espo$se:

!Is it sa"e "or CERT mem#ersto attempt the rescue$%

5hat is the =ey >uestion that C*! IncidentCommanders9!eam %eaders must always as=8

Co##ec #espo$se:

Damage assessme$

Sa%s o! pe#so$$el#eso%#ces

Comm%$icaio$s ,e'ee$

comma$" le&els a$"g#o%ps

I$ci"e$ sa%s

icim #eame$ p#o&i"e"

Documentation is an essential (art of the C*!?s @ob) 5hat =inds of information should a C*!document8

Co##ec #espo$se:

The IC@TL

5ho handles media in>uiries8

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E8plai$ ha CERT mem,e#s migh see a$" hea# hi$gs"%#i$g a "isase# ha a#e %$pleasa$ a$" %$com!o#a,le)

Disc%ss he pa#icipa$s3#espo$ses) P#o,e !o# ,ohphysical a$" emoio$alsi%aio$s)

as anyone e'er been in'ol'ed in a large0scaleemergency or disaster8

ow were you im(acted8

S#ess he $ee" !o# CERT mem,e#s o p#epa#ehemsel&es !o# hei# #ole "%#i$g a$" !ollo'i$g a "isase#,y lea#$i$g a,o% he possi,le impac o! "isase#s o$hem a$" ohe#s- emoio$ally a$" physically) This+$o'le"ge 'ill help CERT mem,e#s %$"e#sa$" a$"ma$age hei# #eacio$s o he e&e$ a$" o 'o#+ ,ee#'ih ohe#s)

Remi$" he g#o%p ha hey #ece$ly lea#$e" a,o% eamo#ga$i?aio$) Poi$ o% ha eam o#ga$i?aio$ co$ceps

ca$ help hem ,oh ope#aio$ally a$" psychologically)1o#+i$g ogehe# a$" loo+i$g o% !o# each ohe# a#eimpo#a$ aspecs o! s%ccess!%l eams)

Tell he g#o%p ha his %$i 'ill a""#ess ,asic ech$i>%es!o# p#o&i"i$g psychological !i#s ai" a$" (!iel" e8pe"ie$*#a%ma i$e#&e$io$)

S#ess ha psychological !i#s ai" is $o he#apy #ahe#- iis a se o! ech$i>%es o p#o&i"e emoio$al i$e#&e$io$"%#i$g !iel" ope#aio$s) The ech$i>%es o ,e co&e#e" i$his %$i 'ill help ma$age o$e3s pe#so$al si%aio$ so ha

he $ee"s o! all s%#&i&o#s- i$cl%"i$g &icims a$" CERTmem,e#s- ca$ ,e me)

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-nit Ob@ecti'es

Tell he pa#icipa$s ha a he e$" o! his %$i- heysho%l" ,e a,le o:

Desc#i,e he "isase# a$" pos0"isase# emoio$al

e$&i#o$me$ !o# &icims a$" #esc%e#s)

Desc#i,e he seps ha #esc%e#s ca$ a+e o #elie&e

hei# o'$ s#ess a$" ha o! ohe# "isase# s%#&i&o#s)

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-nit !o(ics

P#e&ie' he %$i opics ,y elli$g he g#o%p ha he %$i'ill p#o&i"e hem 'ih a$ %$"e#sa$"i$g o! he !ollo'i$gcompo$e$s o! psychological !i#s ai":

Disase# T#a%ma

Team 1ell0,ei$g

1o#+i$g 'ih S%#&i&o#s3 T#a%ma

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Disaster Trauma

I$#o"%ce his secio$ ,y elli$g he pa#icipa$s ha-"%#i$g a "isase#- hey may see a$" hea# hi$gs ha 'ill,e e8#emely %$pleasa$)

Di#ec psychological #a%ma co%l" #es%l !#om:

Yo%# o'$ pe#so$al losses

1o#+i$g i$ yo%# $eigh,o#hoo"

Assisi$g $eigh,o#s- !#ie$"s- co'o#+e#s 'ho ha&e

,ee$ i$%#e"

No !eeli$g sa!e a$" sec%#e

E8plai$ ha &ica#io%s #a%ma- 'hich is also #e!e##e" o ascompassio$ !aig%e o# seco$"a#y &icimi?aio$- is a$a%#al #eacio$ o e8pos%#e o a s%#&i&o#3s #a%ma) Ape#so$ 'ho i"e$i!ies oo s#o$gly 'ih a s%#&i&o# maya+e o$ ha s%#&i&o#3s !eeli$gs) E8plai$ ha &ica#io%s#a%ma is a$ (occ%paio$al ha?a#"* !o# helpe#s)

1a#$ he pa#icipa$s agai$s o&e#0i"e$i!yi$g 'ih he

s%#&i&o#s) Ca%io$ hem agai$s a+i$g o$ he s%#&i&o#s3!eeli$gs as hei# o'$ as i ca$ a!!ec hei# a,iliy o "ohei# o, as #esc%e#s a$" ca$ also ha&e lo$ge# e#mimpac) A"&ise he g#o%p mem,e#s ha a+i$go'$e#ship o! ohe#s3 p#o,lems 'ill compo%$" hei# o'$s#ess a$" impac he CERT3s o&e#all e!!eci&e$ess)

E8plai$ ha CERT mem,e#s $ee" o ,e ale# o sig$s o!"isase# #a%ma i$ hemsel&es- as 'ell as i$ "isase#&icims a$" ohe# s%#&i&o#s- so ha hey ca$ a+e sepso alle&iae s#ess)

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Possible Psychological "ym(toms

Gi&e e8amples o! he ypes o! "isase#0#elae"psychological a$" physiological #espo$ses ha yo% maye8pe#ie$ce o# o,se#&e ohe#s e8pe#ie$ci$g)

I##ia,iliy o# a$ge#

Sel!0,lame o# he ,lami$g o! ohe#s

Isolaio$ a$" 'ih"#a'al

ea# o! #ec%##e$ce

eeli$g s%$$e"- $%m,- o# o&e#'helme"

eeli$g helpless

Boo" s'i$gs

Sa"$ess- "ep#essio$- a$" g#ie!

De$ial

Co$ce$#aio$ a$" memo#y p#o,lems

Relaio$ship co$!lics@ma#ial "isco#"

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Possible Physical "ym(toms

Loss o! appeie

Hea"aches o# ches pai$

Dia##hea- somach pai$- o# $a%sea

Hype#aci&iy

I$c#ease i$ alcohol o# "#%g co$s%mpio$

Nighma#es

The i$a,iliy o sleep

aig%e o# lo' e$e#gy

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Team Well-Being

I$#o"%ce eam 'ell0,ei$g ,y e8plai$i$g ha he#e is a#a$ge o! acio$s ha ca$ ,e a+e$ ,e!o#e- "%#i$g- a$"a!e# a$ i$ci"e$ o help ma$age he emoio$al impac o!"isase# #espo$se 'o#+)

E8plai$ ha +$o'i$g i$ a"&a$ce he possi,lepsychological a$" physiological sympoms o! "isase##a%ma ha 'e#e %s co&e#e" i$ his %$i is o$e sep i$ma$agi$g he impac)

Some ohe# aspecs o! s#ess ma$ageme$ !o# CERT#espo$"e#s i$cl%"e acio$s ha CERT mem,e#s ca$ a+e!o# hemsel&es a$" acio$s ha CERT lea"e#s ca$ a+e"%#i$g a #espo$se)

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ow You *educe "tress

Remi$" he pa#icipa$ ha hey sho%l" spe$" some imehi$+i$g a,o% ohe# 'ays o #e"%ce s#ess pe#so$ally)

Emphasi?e ha o$ly hey +$o' 'ha ma+es hem a,le o#e"%ce s#ess 'ihi$ hemsel&es a$" ha e8pe$"i$g he

e!!o# #e>%i#e" o !i$" pe#so$al s#ess #e"%ce#s is'o#h'hile ,e!o#e a$ i$ci"e$ occ%#s)

Remi$" he pa#icipa$s ha hey ca$ a+e he !ollo'i$gp#e&e$i&e seps i$ hei# e&e#y"ay li&es:

Ge e$o%gh sleep)

E8e#cise #eg%la#ly)

Ea a ,ala$ce" "ie)

2ala$ce 'o#+- play- a$" #es)

Allo' hemsel&es o #ecei&e as 'ell as gi&e heysho%l" #emem,e# ha hei# i"e$iy is ,#oa"e# ha$ha o! a helpe#)

Co$$ec 'ih ohe#s)

Use spi#i%al #eso%#ces)

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E8plai$ ha- i$ a""iio$ o p#e&e$i&e seps- pa#icipa$ssho%l" also ,e a'a#e o! #a%ma ha ca$ !ollo' a"isase#) They sho%l" e8plai$ o hei# !amily mem,e#sa$" !#ie$"s ho' o s%ppo# hem 'he$ hey #e%#$ !#om a"isase# a#ea) amily a$" !#ie$"s sho%l":

Lise$ 'he$ yo% 'a$ o al+)

Do$3 !o#ce yo% o al+ i! yo% "o$3 'a$ o)

Pa#icipa$s migh also 'a$ o sha#e 'ih hei# lo&e"

o$es a$" !#ie$"s he i$!o#maio$ o$ possi,le "isase#0#elae" psychological a$" physiological sympoms ha'e#e "isc%sse" ea#lie# i$ he %$i)

Poi$ o% ha e8pe#ie$ce" #esc%e 'o#+e#s !i$" heseseps help!%l i$ co$#olli$g hei# s#ess le&els- ,% ha- i$some cases- i migh ,e $ecessa#y o see+ help !#omme$al healh p#o!essio$als)

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ow !eam %eaders *educe "tress During theIncident

E8plai$ ha he#e a#e seps ha CERT lea"e#s ca$ a+eo #e"%ce he s#ess o$ #esc%e 'o#+e#s ,e!o#e- "%#i$g-a$" a!e# a$ i$ci"e$:

2#ie! CERT pe#so$$el ,e!o#e he e!!o# ,egi$s o$

'ha hey ca$ e8pec o see a$" 'ha hey ca$e8pec i$ e#ms o! emoio$al #espo$se i$ hes%#&i&o#s a$" hemsel&es)

Emphasi?e ha he CERT is a eam) Sha#i$g he

'o#+loa" a$" emoio$al loa" ca$ help "e!%se pe$0%pemoio$s)

E$co%#age #esc%e#s o #es a$" #eg#o%p so ha hey

ca$ a&oi" ,ecomi$g o&e#i#e")

Di#ec #esc%e#s o a+e ,#ea+s a'ay !#om he i$ci"e$

a#ea- o ge #elie! !#om he s#esso#s o! he e!!o#)

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E$co%#age #esc%e#s o ea p#ope#ly a$" mai$ai$ !l%i"i$a+e h#o%gho% he ope#aio$) E8plai$ ha heysho%l" "#i$+ 'ae# o# ohe# elec#olye0#eplaci$g !l%i"sa$" a&oi" "#i$+s 'ih ca!!ei$e o# #e!i$e" s%ga#)

This 'ill ,e "isc%sse" i$ mo#e"eail lae# i$ he %$i)

A##a$ge !o# a "e,#ie!i$g 9 o = "ays a!e# he e&e$ i$

'hich 'o#+e#s "esc#i,e 'ha hey e$co%$e#e" a$"e8p#ess hei# !eeli$gs a,o% i i$ a mo#e i$"eph 'ay)

Roae eams !o# ,#ea+s o# $e' "%ies 6i)e)- !#om

high0s#ess o lo'0s#ess o,s) E$co%#age eam

mem,e#s o al+ 'ih each ohe# a,o% hei#e8pe#ie$ces) This is &e#y impo#a$ !o# hei#psychological healh)

Phase o% 'o#+e#s g#a"%ally) G#a"%ally phase hem

!#om high0 o lo'0s#ess a#eas o! he i$ci"e$) o#e8ample- "o $o sa$" "o'$ a$" se$" home a eammem,e# ha has %s complee" a high0s#essope#aio$ i$sea"- assig$ hem a lo'0s#ess#espo$si,iliy so hey ca$ "ecomp#ess g#a"%ally)

Co$"%c a ,#ie! "isc%ssio$ 6"e!%si$g 'ih #esc%e'o#+e#s a!e# hei# shi! "%#i$g 'hich hey ca$"esc#i,e 'ha hey e$co%$e#e" a$" e8p#ess hei#!eeli$gs a,o% i)

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Critical Incident "tress Debriefing CI"D;

Poi$ o% ha a c#iical i$ci"e$ s#ess "e,#ie!i$g o# CISDis o$e ype o! i$e#&e$io$ ha may ,e help!%l !o# aCERT) CISD is o$e o! se&e#al compo$e$s o! c#iicali$ci"e$ s#ess ma$ageme$ 6CISB)

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CERT lea"e#s may i$&ie a me$al healh p#o!essio$al#ai$e" i$ c#iical i$ci"e$ s#ess ma$ageme$ 6CISB oco$"%c a c#iical i$ci"e$ s#ess "e,#ie!i$g 6CISD) CISBis a sho# e#m heali$g p#ocess ha !oc%ses o$ helpi$gpeople "eal 'ih hei# #a%ma o$e i$ci"e$ a a ime) I isi$e$"e" o lesse$ he cha$ce o! someo$e e8pe#ie$ci$gpos0#a%maic s#ess "iso#"e# a$" ge hem ,ac+ o hei#"aily li&es as >%ic+ly as possi,le)

E8plai$ ha a CISD is a !o#mal g#o%p p#ocess hel",e'ee$ 9 o = "ays a!e# he e&e$) I is "esig$e" ohelp eme#ge$cy se#&ices pe#so$$el a$" &ol%$ee#s cope'ih a #a%maic e&e$)

E8plai$ ha CISD 'o%l" $o ,e %se" as a sa$"0alo$ei$e#&e$io$ ,% 'o%l" ,e %se" i$ co$%$cio$ 'ih ohe#ypes o! i$e#&e$io$- s%ch as "e!%si$g- "e,#ie!i$g- a$"!ollo'i$g %p 'ih he i$"i&i"%al)

E8plai$ ha a CISD has se&e$ phases:

9) I$#o"%cio$s a$" a "esc#ipio$ o! he p#ocess-i$cl%"i$g ass%#a$ce o! co$!i"e$ialiy

<) Re&ie' o! he !ac%al mae#ial a,o% he i$ci"e$=) Sha#i$g o! i$iial ho%ghs a$" !eeli$gs a,o% he

i$ci"e$

4) Sha#i$g o! emoio$al #eacio$s o he i$ci"e$

5) Re&ie' o! he sympoms o! s#ess e8pe#ie$ce" ,y hepa#icipa$s

F) I$s#%cio$ a,o% $o#mal s#ess #eacio$s

7) Closi$g a$" !%#he# $ee"s assessme$

Emphasi?e ha pa#icipaio$ i$ a CISD sho%l" ,e&ol%$a#y)

Say ha- as he CERT p#og#am spo$so#- a$ age$cy mayassis i$ a##a$gi$g CISD se#&ices !o# he CERTs) I! so-e8plai$ ho' pa#icipa$s sho%l" access hose se#&ices)

I! a CISD is %$a&aila,le i$ he age$cy- s%gges ha

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pa#icipa$s co$ac he Re" C#oss o# a comm%$iyme$al healh age$cy o sche"%le a CISD)

Emphasi?e ha- 'hile i may ,e ,e$e!icial- paso#alco%$seli$g is $o a s%,si%e !o# "isase# co%$seli$g!#om a p#o!essio$al)

E8plai$ ha he $e8 secio$ 'ill "eal 'ih ho' o ha$"les%#&i&o#s3 #a%ma)

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Working with Survivors’ Trauma

I"e$i!y he emoio$al phases o! a c#isis s%#&i&o#s goh#o%gh a$" 'hom a$" 'ha #esc%e#s migh e$co%$e# aeach phase)

I$ he impac phase- s%#&i&o#s ge$e#ally "o $o pa$ic

a$" may- i$ !ac- sho' $o emoio$)

I$ he i$&e$o#y phase- 'hich imme"iaely !ollo's he

e&e$- s%#&i&o#s assess "amage a$" #y o locaeohe# s%#&i&o#s) D%#i$g his phase- #o%i$e social ies

e$" o ,e "isca#"e" i$ !a&o# o! he mo#e !%$cio$al#elaio$ships #e>%i#e" !o# i$iial #espo$se aci&iies6e)g)- sea#ch a$" #esc%e)

I$ he #esc%e phase- as eme#ge$cy se#&ices

pe#so$$el 6i$cl%"i$g CERTs #espo$"- s%#&i&o#s a#e'illi$g o a+e "i#ecio$ !#om hese g#o%ps 'iho%p#oes) This is 'hy CERT i"e$i!icaio$ 6helmes-&ess- ec) is impo#a$)

S%#&i&o#s a#e li+ely o ,e &e#y help!%l a$" complia$"%#i$g he #esc%e phase)

I$ he #eco&e#y phase- he s%#&i&o#s appea# o p%ll

ogehe# agai$s hei# #esc%e#s- he eme#ge$cy

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se#&ices pe#so$$el)

• S%#&i&o#s may e8p#ess a$ge# o# ,lame o he

#esc%e#s as hey #a$siio$ o he #eco&e#y phase)

Tell he pa#icipa$s ha hey sho%l" e8pec ha s%#&i&o#s'ill sho' psychological e!!ecs !#om he "isase# a$"ha hey sho%l" e8pec ha some o! he #eacio$ 'ill ,e"i#ece" o'a#" hem)

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!raumatic CrisisI$#o"%ce his secio$ ,y "e!i$i$g a c#isis as a$ e&e$ hais e8pe#ie$ce" o# 'i$esse" i$ 'hich people3s a,iliy ocope is o&e#'helme":

Ac%al o# poe$ial "eah o# i$%#y o sel! o# ohe#s

Se#io%s i$%#y

Des#%cio$ o! hei# homes- $eigh,o#hoo"- o# &al%e"

possessio$s

Loss o! co$ac 'ih !amily mem,e#s o# close !#ie$"s

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T#a%maic s#ess may a!!ec:

Cog$ii&e !%$cio$i$g) Those 'ho ha&e s%!!e#e"

#a%maic s#ess may ac i##aio$ally- i$ 'ays ha a#eo% o! cha#ace# !o# hem- a$" ha&e "i!!ic%ly ma+i$g"ecisio$s) They may ha&e "i!!ic%ly sha#i$g o##e#ie&i$g memo#ies)

Physical healh) T#a%maic s#ess ca$ ca%se a #a$ge

o! physical sympoms !#om e8ha%sio$ o healhp#o,lems)

I$e#pe#so$al #elaio$ships) Those 'ho s%#&i&e

#a%maic s#ess may %$"e#go empo#a#y o# lo$g0e#mpe#so$aliy cha$ges ha ma+e i$e#pe#so$al#elaio$ships "i!!ic%l)

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#ediating Eactors

E8plai$ ha he s#e$gh a$" ype o! pe#so$al #eacio$ o#a%ma &a#y "epe$"i$g o$:

The pe#so$3s p#io# e8pe#ie$ce 'ih he same o# a

simila# e&e$ he emoio$al e!!ec o! m%liple e&e$sca$ ,e c%m%lai&e- lea"i$g o g#eae# s#ess#eacio$s)

The i$e$siy o! he "is#%pio$ i$ he s%#&i&o#s3 li&es

he mo#e he s%#&i&o#s3 li&es a#e "is#%pe"- he g#eae#

hei# psychological a$" physiological #eacio$s may,ecome)

The mea$i$g o! he e&e$ o he i$"i&i"%al he mo#e

caas#ophic he &icim pe#cei&es he e&e$ o ,e ohim o# he# pe#so$ally- he mo#e i$e$se his o# he#s#ess #eacio$ 'ill ,e)

The emoio$al 'ell0,ei$g o! he i$"i&i"%al a$" he

#eso%#ces 6especially social ha he o# she has ocope people 'ho ha&e ha" ohe# #ece$ #a%masmay $o cope 'ih a""iio$al s#esses)

The le$gh o! ime ha has elapse" ,e'ee$ hee&e$3s occ%##e$ce a$" he p#ese$ he #ealiy o! hee&e$ a+es ime o (si$+ i$)*

CERT mem,e#s ca$3 +$o' a$" sho%l" $e&e# ass%meo +$o' 'ha someo$e is hi$+i$g o# !eeli$g) eephe phases i$ mi$")

Ca%io$ he g#o%p- ho'e&e#- ha hey sho%l" $o a+e hes%#&i&o#s3 s%#!ace ai%"es pe#so$ally) Resc%e#s maye8pec o see a #a$ge o! #espo$ses ha 'ill &a#y !#ompe#so$ o pe#so$- ,% he #espo$ses hey see 'ill ,e pa#

o! he psychological impac o! he e&e$ a$" p#o,a,ly'ill $o #elae o a$yhi$g ha he CERTs ha&e o# ha&e$o "o$e)

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"tabili7ing Victims

E8plai$ ha he goal o! o$sce$e psychologicali$e#&e$io$ o$ he pa# o! CERT mem,e#s sho%l" ,e osa,ili?e he i$ci"e$ sce$e ,y sa,ili?i$g i$"i&i"%als)1hile a$y me"ical $ee"s m%s ,e a""#esse" !i#s- yo%ca$ p#o&i"e psychological i$e#&e$io$) S%gges hahey "o his i$ he !ollo'i$g 'ays:

O,se#&e i$"i&i"%als o "ee#mi$e hei# le&el o!

#espo$si&e$ess a$" 'hehe# hey pose a "a$ge# ohemsel&es o# o ohe#s)

Ge %$i$%#e" people i$&ol&e" i$ helpi$g) E$gagi$g

s%#&i&o#s i$ !oc%se" aci&iy helps hem cope- so gi&ehem co$s#%ci&e o,s o "o s%ch as o#ga$i?i$gs%pplies) This s#aegy is especially e!!eci&e !o#s%#&i&o#s 'ho a#e ,ei$g "is#%pi&e)

Help s%#&i&o#s co$$ec o $a%#al s%ppo# sysems-

s%ch as !amily- !#ie$"s- o# cle#gy)

P#o&i"e s%ppo# ,y:

• Lise$i$g o hem al+ a,o% hei# !eeli$gs a$" hei#

physical $ee"s) icims o!e$ $ee" o al+ a,o%'ha hey3&e ,ee$ h#o%gh a$" hey 'a$someo$e o lise$ o hem)

• Empahi?i$g) Ca#i$g #espo$ses sho' &icims ha

someo$e else sha#es hei# !eeli$gs o! pai$ a$"g#ie!)

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&eing an Empathetic 'istener

E8plai$ ha ,ei$g a$ empaheic lise$e# #e>%i#es helise$e# o lise$ a$" le he &icim al+) Goo" lise$e#s'ill:

P% him0 o# he#sel! i$ he spea+e#3s shoes i$ o#"e# o

,ee# %$"e#sa$" he spea+e#3s poi$ o! &ie') D#a'%po$ pas e8pe#ie$ces- o# #y o imagi$e ho' hespea+e# is !eeli$g) I$ o#"e# o limi he e!!ecs o!&ica#io%s #a%ma- ,e ca#e!%l $o o compleely a+e o$he spea+e#3s !eeli$gs)

Lise$ !o# mea$i$g- $o %s 'o#"s- a$" pay close

ae$io$ o he spea+e#3s $o$&e#,al comm%$icaio$-s%ch as ,o"y la$g%age- !acial e8p#essio$s- a$" o$eo! &oice)

Pa#aph#ase he spea+e# pe#io"ically o ma+e s%#e

ha he o# she has !%lly %$"e#soo" 'ha he spea+e#has sai" a$" o i$"icae o he spea+e# ha he o# sheis lise$i$g) This #ei$!o#ces he comm%$icaio$p#ocess)

S#ess ha s%#&i&o#s ha sho' e&i"e$ce o! ,ei$gs%ici"al- psychoic- o# %$a,le o ca#e !o# hemsel&essho%l" ,e #e!e##e" o me$al healh p#o!essio$als !o#s%ppo#) 6This 'ill ,e i$!#e>%e$ i$ mos g#o%ps o!s%#&i&o#s)

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What Not to Say

Tell he pa#icipa$s ha- 'he$ p#o&i"i$g s%ppo#- heysho%l" a&oi" sayi$g he !ollo'i$g ph#ases) O$ hes%#!ace- hese ph#ases a#e mea$ o com!o# hes%#&i&o#s- ,% hey ca$ ,e misi$e#p#ee")

(I %$"e#sa$")* I$ mos si%aio$s 'e ca$$o

%$"e#sa$" %$less 'e ha&e ha" he samee8pe#ie$ce)

(Do$3 !eel ,a")* The s%#&i&o# has a #igh o !eel ,a"

a$" 'ill $ee" ime o !eel "i!!e#e$ly)

(Yo%3#e s#o$g* o# (Yo%3ll ge h#o%gh his)* Ba$y

s%#&i&o#s "o $o !eel s#o$g a$" >%esio$ i! hey 'ill#eco&e# !#om he loss)

(Do$3 c#y)* I is o+ay o c#y)

(I3s Go"3s 'ill)* 1ih a pe#so$ yo% "o $o +$o'-

gi&i$g #eligio%s mea$i$g o a$ e&e$ may i$s%l o#a$ge# he pe#so$)

( I co%l" ,e 'o#se-* (A leas yo% sill ha&e *- o#

(E&e#yhi$g 'ill ,e o+ay)* I is %p o he i$"i&i"%al o"eci"e 'hehe# hi$gs co%l" ,e 'o#se o# i! e&e#yhi$gca$ ,e o+ay)

Emphasi?e ha hese ypes o! #espo$ses- #ahe# ha$p#o&i"e com!o#- co%l" elici a s#o$g $egai&e #espo$seo# "isa$ce he s%#&i&o# !#om he lise$e#)

Poi$ o% ha i is o+ay o apologi?e i! he s%#&i&o# #eacs$egai&ely o somehi$g ha 'as sai")

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#anaging the Death "cene

E8plai$ ha o$e %$pleasa$ as+ ha CERT mem,e#smay !ace is "eali$g 'ih a &icim 'ho "ies 'hile %$"e#he eam3s ca#e) The g%i"eli$es ,elo' 6T)1) Die?- <;;9)B) To#o#ici L%$a- <;;< a#e !o# "eali$g 'ih hissi%aio$:

Co&e# he ,o"y #ea i 'ih #espec) 1#ap m%ilae"

,o"ies ighly)

I! he pe#so$ has "ie" 'hile a he #eame$ a#ea-

mo&e he ,o"y o yo%# eam3s empo#a#y mo#g%e) 6I!he pe#so$ 'as agge" as ("ea"* "%#i$g #iage- "o $o#emo&e !#om he i$ci"e$ a#ea)

ollo' local la's a$" p#oocols !o# ha$"li$g he

"ecease")

Tal+ 'ih local a%ho#iies o "ee#mi$e he pla$)

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Informing the Eamily and Eriends of a Death

I$ some cases- !amily mem,e#s o# !#ie$"s may $o +$o'o! he "eah o! hei# lo&e" o$e- a$" CERT mem,e#s mayha&e o ell hem) S%gges ha- i$ his si%aio$- CERTmem,e#s sho%l":

Sepa#ae he !amily mem,e#s a$" !#ie$"s !#om ohe#s

i$ a >%ie- p#i&ae place)

Ha&e he pe#so$6s si "o'$- i! possi,le)

Ba+e eye co$ac a$" %se a calm- +i$" &oice)

Use he !ollo'i$g 'o#"s o ell he !amily mem,e#s

a$" !#ie$"s a,o% he "eah: (I3m so##y- ,% yo%#!amily mem,e# has "ie") I am so so##y)* I is o+ay o#e!e#e$ce he "ecease" pe#so$3s $ame o# hei##elaio$ o he s%#&i&o# i! yo% +$o' i)

Le he !amily a$" !#ie$"s g#ie&e)

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Does anyone ha'e any >uestions about the ty(es ofemotional and (hysiological res(onses that they caneF(ect to see during and following a disaster8

A!e# a$s'e#i$g all o! hepa#icipa$s3 >%esio$s- posesome (1ha 'o%l" yo% "o i!* >%esio$s o e$s%#e hahey %$"e#sa$" he co$ceps

o! his secio$)

o# e8ample- as+ hepa#icipa$s- (1ha 'o%l" yo%"o i! yo% 'e#e aempi$g o#esc%e a &icim a$" he &icim,ecame hyse#icalJ*

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Unit Summary

D%#i$g a "isase#- #esc%e#s may ,e e8pose" o hi$gs

ha a#e e8#emely %$pleasa$ o# %$com!o#a,le)These e8pe#ie$ces 'ill ,e s#ess!%l a$" may ,e#a%maic)

• O&e#0i"e$i!yi$g 'ih s%#&i&o#s may s%,ec

#esc%e#s o &ica#io%s #a%ma)

• The#e a#e ,oh psychological a$" physiological

sympoms o! #a%ma ha may ,e o,se#&e" i$&icims a$" #esc%e#s a!e# a "isase#)

• CERT lea"e#s ca$ a+e seps o #e"%ce s#ess

o$ #esc%e 'o#+e#s ,e!o#e- "%#i$g- a$" a!e# a$i$ci"e$)

• CERT mem,e#s ca$ a+e seps o pe#so$ally

#e"%ce s#ess)

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The c#iical i$ci"e$ s#ess "e,#ie!i$g 6CISD is o$ecompo$e$ o! c#iical i$ci"e$ s#ess ma$ageme$)CISD has se&e$ phases a$" is a$ i$e#&e$io$ !o#"eali$g 'ih #a%ma)

Resea#ch sho's ha s%#&i&o#s go h#o%gh "isi$c

emoio$al phases !ollo'i$g a "isase#)

• Impac phase

• I$&e$o#y phase

• Resc%e phase

• Reco&e#y phase

T#a%maic s#ess may a!!ec cog$ii&e !%$cio$i$g-

physical healh- a$" i$e#pe#so$al #eacio$s)

• Di!!e#e$ people #eac "i!!e#e$ly o #a%maic

s#ess ,ase" o$ a &a#iey o! me"iai$g !aco#s)

• A #a%maic c#isis occ%#s 'he$ a pe#so$3s a,iliy o

cope is o&e#'helme")

The goal o! o$sce$e psychological i$e#&e$io$ is osa,ili?e he i$ci"e$ ,y sa,ili?i$g i$"i&i"%als)

P#o&i"e s%ppo# !o# s%#&i&o#s ,y ,ei$g a$ empaheic

lise$e#)

Does anyone ha'e any >uestions about anythingco'ered in this unit8

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omewor= $ssignment

As+ he g#o%p o #ea" a$" ,ecome !amilia# 'ih he %$iha 'ill ,e co&e#e" i$ he $e8 sessio$)

Tha$+ he pa#icipa$s !o# ae$"i$g he sessio$) Remi$"hem o! he ime a$" locaio$ o! he $e8 sessio$- i!$ecessa#y)

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