operational stress
DESCRIPTION
psychological first-aidTRANSCRIPT
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 110
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155
DepartmB
2F ANST Buil
OPERATIONAL STRES
A Standard OSCA
BFP R5 Suppor
Enclosure 1 OSCAR P
2 OSCAR Psy3 What to Do
I Purpose To establishOperational Stress ControlBureau of Fire ProtectionCintervention
II BackgroundThe task ismental health for effective
deployment regardless of racover and provide supportapproach conscious of operat
III Scope The intent of thisof the OSCAR To ensure athe requirements necessardeployment operations
IV Program All BFP R5 subbasic requirement Fire ma
specifically the introduction of
a Fire Marshals Intethe following phased of coOfficersquos to support and prepa
(1) Phase I Pr
983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Republic of the Philippinesent of the Interior and Local GovernmentUREAU OF FIRE PROTECTION
REGIONAL OFFICE 5ing F Aquende Drive Old Albay District Legazpi City
PLAN OSCARCONTROL AND RECOVERY FOR RES
Guide for Deployment of Troops to Emergen
t amp Care Before During and After Deployment
in Disaster AffectedAreas
ychological First Aid Standard Guide for B
chosocial Team Compositionand What Not to Say When Providing PFA
guidance and set policy for the implemand lsquotransition-phasersquo Recovery(OSCAR)mmand and the public requiring psych
to organize a psychosocial team to provideployment from beginning to end R
ks are provided with innovative approachroughout the entire deployment cycleional stress control factors
instruction is to standardize process andcomprehensive OSCAR Program this inst
to prepare and support during the e
ordinate units shall provide the following dshals shall add to this program throug
subject matter experts
t and Concept of Operations All fire mcept of operations correlating with thee the transition of responders to and from
e-Deployment Preparations
ONDERS
ies
P R5
entation of thethroughout thesocial first aid
de and assesscovery during
es tailor- fit toith integrative
implementationruction outlinesntire range of
liverables as acreativeness
rshals will useBFP Regionaleployment
7182019 Operational Stress
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983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
a Goal To prepare equip and educate for effective personalreadiness in preparation for a prolonged deployment
b Operational Stress Course All Officers and key personnel (non-Officer) will receive instruction on operational stress in order to be
aware of the potential impact on personnel and become familiarwith warning signs and resources This course can be taught by theRegional Psychosocial Team who received training from theDepartment of Health (DOH-CHD 5)
(2) Phase II Resiliency Training
a Goal To provide responders with effective tools in personalreadiness and OSCAR
b Psychological First Aid This course is self-care and buddy-care will
be given to all responders prior to deployment Psychological FirstAid is a sanctioned program development via outside professionalresources (DOH)
(3) Phase III Integrated Phase
a Family Operational Orientation Family orientation shall beconducted by the respective personnel 30 days before deployment or by the fire marshal through a family get-together within 30 daysof deployment where update on the deployment or operational briefwill provide familiarization to the deployment or mission
b Pre-Deployment Health Assessment Health monitoring of allresponders shall be conducted 30 days before deployment date
(4) Phase IV Sustainment and Support
a Timing During Deployment
b Goal To provide ongoing support offer assistance and strengthenthe quality of care given to the responders
c Responders Support All deployed personnel health anddeployment stress level shall periodically be monitored by amedical personnel or medical station at the deployment site
d Family Support Fire marshals of the deployed units shall provideperiodic updates to ensure families are kept abreast ofdevelopments and are assured of continues BFP Support Family
7182019 Operational Stress
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983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Readiness Officer Team (FROT) is encouraged in every station tomonitor and provide update to the families of deployed personnel
(5) Phase V Re-deployment Preparations
a Timing Upon completion return of responders
b Goal Provide a smooth transition between deployment and return- to-unit by giving reasonable period of rest and relaxation time for
safety briefs and counseling referral in one convenientdecompressed environment
c Responders Rest and Relaxation At the RDs discretion aminimum three days (3) days will be set aside to be planned at theunit debarkation site (BFP Regional Office or OPFM) or otherdesignated area to facilitate mental and physical decompression
This period gives therespondersrsquo time to catch-on sleep assimilatethe change in environment and OPTEMPO and begin the reflectionprocess
d Responders Transition Briefs All responders are subject to thestandardized Responders Transition Briefs by the RegionalPsychosocial Team It is imperative that they get a day ofrelaxation prior to starting the briefs and that the process is notinfringed upon by outside requirements such as logistical andadministrative matters The briefs are designed for small interactivegroups so ample time must be dedicated to this purpose and
administered by the Regional Psychosocial Team trained at thedebarkation point Team leaders or commanders may receiveadditional mental and medical health support when required
e Safety Briefs Responders will receive appropriate briefings on thefollowing matters prior to redeployment from their debarkation site(relaxed environment) Drinking and Driving Return and ReunionDomestic Violence Suicide Prevention Motorcycle Safety andPersonal Safety
(6) Phase VI Immediate Post Deployment
a Timing First 30 days after return to unit or home
b Goal Give responders a tangible act of gratitude for their service byaffording them some personal time
c Liberty A liberty period of up to 96 hours upon return isrecommended not to conflict with existing regulations and limits on
7182019 Operational Stress
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liberty This allows responders to reintegrate with the localenvironment engage in social activities and decompress further ina short period of time Extreme behaviors often manifests uponreturn from this leave period
d Post Deployment Psychological First Aid (PFA) All respondersfresh from deployment after the debarkation at the BFP RegionalOffice will undergo post deployment psychological de-briefing to beconducted by the Regional Psychosocial Team
e Post Deployment Health Assessment (PDHA) Fire Marshals willensure all responders returning from a deployment complete aPDHA within the required 30 day period as per reference (e)
f Leave A period of block leave for the unit is recommendedimmediately following completion of administrative and logistical
requirements This is imperative for all units involved as it servesas crucial period for healthy transition and reintegration
(7) Phase VII Post Deployment After Care
a Timing Approximately 90 days upon return from deployment
b Goal To monitor reintegration of returning responders and providerefresher education on services and referral resources
c OSCAR Refresher All personnel should receive an OSCAR
refresher reviewing signs of Operational Stress resources andreferrals by EMS personnel who are professionally trained on PFA
b Coordination Per reference (c) all EMS Units and trained personnel willcoordinate all efforts to ensure reserve components (standby units) receive the samelevel of attention and follow through support as active duty components via anaggressive process of coordination and collaboration
V Responsibilities
Function Responsibility Comments
Operational Stress ControlampRecovery (OSCAR)
Regional Director through theRegional Operation Officer
Standardized PFAGuide
Fire MarshalsPsychosocial Interventionfor Disaster Managers Leaders (Marshals)
Regional Director through theRegional Operation Officer
Yearly conductofficiated byDOH-CHD V
7182019 Operational Stress
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983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Psychological First Aid Regional PFA Team DOH Certified
Family ReadinessEMS or any Family ReadinessOfficer or Team Designate
Provide periodic updatedeployment to familiesnot limited to family-orientation gathering
Responders TransitionBrief Regional PFA Team DOH and other relatedinstitution certified
Safety BriefsFire Marshal or OPFMOperation Officers
Drinking and drivingDomestic violencepersonal safetymotorcycle safety
Post Deployment HealthAssessment (PDHA)
EMS Medical Personnel
Medical personnel arerequired to collect databut fire marshals will beresponsible for meetingdeadlines per reference
(e Leave)Operational Stress ControlampRecovery for standbyresponders
Regional PFA TeamStandardized PFAGuide
VI ImplementationThe standards established above will be adhered to by alldeploying members and are recognized as the program standard Implementation maydiffer in situational circumstances
VII Effective Date These policies will be in effect upon approval of the Director or his
representative as the case maybe and will be in effect until revised superseded orterminated All matters pertaining to OSCT shall be directed to Regional EMDS at 481-5013
LORENZO D RELLOSA JR MPASUPT (DSC) BFP
OIC Regional Director
Date ______________________
7182019 Operational Stress
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Enclosure 1
OSCAR PSYCHOLOGICAL FIRST AID STANDARD GUIDEFOR BFP R5
Contact and Engagement
1 Introduce yourself with your name title and a description of your role2 Have participants in a circle or classroom type formation as appropriate3 Prayer invocation by a chaplain priest or religious program specialist (RPS)
Use the OratioImperata in the absence of an RPS4 Breathing technique from responding to crisis5 Self-connectivity exercises ( close eyes)
Safety and Comfort (What to do and What not to say)
1 Identify name and specific function2 Identify team mate whose performance he she admired3 Tailor discussion
bull Focus the discussion on problem-solving and applying coping strategies toimmediate issues
bull Do not let discussions about concerns lapse into speculation or complaints
bull Stabilizing Emotions PFA Core functions say do not interrupt conversationbut it is necessary to help himher focus Control the session use thefollowing question guides
1 Describe specific role or roles
2 What was the response feeling3 First thought after rescue or retrieval _______operation was over4 If we were your family what will you tell us5 What do you want others to know you did well on the scene site6 Reaction to conflict or conflicts
4 Think of things or word leading to funny episodes at sites5 Breathing technique from responding to crisis6 Self-connectivity exercises ( close eyes)7 Closing prayer
Practical Assistance
bull If an individual needs further support offer to meet with himher after the groupdiscussion
7182019 Operational Stress
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Delivering Psychological First Aid
Professional Behavior
bull Be visible and available
bull
Model healthy responses be calm courteous organized and helpfulbull Remain within the scope of your expertise and your designated role
bull Maintain confidentiality as appropriate
bull Make appropriate referrals when additional expertise is needed or requested
bull Be knowledgeable and sensitive to issues of culture and diversity
bull Pay attention to your own emotional and physical reactions and practice self-care
General Guidelines
bull Initiate contact only after you have observed the situation and have determined
that contact is not likely to be intrusive or disruptivebull Politely observe first -- donrsquot intrude Then ask simple respectful questions to
determine how you may help
bull Often the best way to make contact is to provide practical assistance (eg foodwater blankets)
bull Keep in mind that your main goals are to provide a caring presence and help toconnect individuals to resources
bull Be prepared for the possibility that individuals who have experienced a traumaticevent or crisis may either avoid you or flood you with concerns or requests forassistance
bull Speak calmly Be patient responsive and sensitive
bull Speak slowly in simple terms do not use acronyms or jargonbull If an individual wants to talk be prepared to listen When you listen focus on
hearing what it is he or she wants you to understand
bull Acknowledge the positive steps that the individual has taken to keep safe
bull Provide information that directly addresses the individualrsquos immediate goals andclarify your message as needed
bull Provide information that is accurate and appropriate for your audience
bull When communicating through an interpreter look at and talk to the person youare addressing not the interpreter
bull Remember that the purpose of Psychological First Aid is to reduce distress assistwith needs and promote adaptive functioning It is not to elicit details of traumaticexperiences and losses
Behaviors to Avoid
bull Do not make assumptions about what individuals have experienced or are feeling
bull Do not assume that everyone exposed to a traumatic event will display signs oftrauma people experience trauma in different ways
7182019 Operational Stress
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983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
bull Do not pathologize Most reactions to traumatic events are expectable andunderstandable
bull Do not label reactions as ldquosymptomsrdquo or speak in terms of diagnoses conditionspathologies or disorders
bull Do not assume that all individuals who have experienced a crisis or traumatic
event want to talk or need to talk Often the fact that you are present in asupportive and calm way helps affected people feel safer and more able to cope
bull Do not talk down or patronize Do not focus on helplessness weakness mistakesor disability Focus instead on what the person has done that is effective or mayhave contributed to helping others in need both during and after the traumaticevent
bull Do not attempt to conduct group or individual therapy activities that may beparticularly tempting for responders who are mental health professionals
bull Do not ask for details of what happened
bull Do not speculate or offer possibly inaccurate information If you cannot answer aquestion do your best to learn the facts
7182019 Operational Stress
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983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 2
OSCAR PSYCHOSOCIAL TEAM COMPOSITION
Regional Office - CINSP REYLITO S ESPIRITU DPCOM
Officer-In-Charge ARDOConcurrent Regional Operation Officer
bull Community Family Medicine amp Counseling
bull Sub-Public Health Emergency In Asia amp the Pacific
SFO3 Aramis Aristhedes A BaldeChief Regional Intelligence amp Investigation Branch
bull Psychological First Aid
bull Assuring Cultural Competence in Disaster Response
bull Disaster Behavioral First Aid Specialist Training
bull Understanding Compassion Fatigue
bull Sub-Public Health Emergency In Asia amp the Pacificbull Overview of Public Health Implications
SFO2 Emma Theresa R Velarde RNChief Regional Emergency Medical Services (EMS)
bull Psychological First Aid
SFO2 Jannette A Alcantara RNDeputy Chief Regional Internal Affairs Service (RIAS)
bull Psychological First Aid
FO1 Michelle O Rojas DMDChief Regional Dental Section (RDS)
bull Psychological First Aid
Albay - FO1 Ramon S QuiaponChief Municipal Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Sur - INSP JOSEPHINE JEANETTE C BARANDON
C Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Norte - FO1 Reynan M SumalabeChief Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Sorsogon - INSP FRANZ DOMINIQUE F BADONG
Deputy Fire Marshal Sorsogon City
bull Psychological First Aid
7182019 Operational Stress
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983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 3
What to Do and What Not to Say When Providing Psychological First Aid
Individuals or groups who have experienced a traumatic event or large-scale
crisis will benefit from your support when you do and say the right things
Do these things
Reassure grieving individuals that what they are experiencing is expectable andunderstandable
Use the deceased personrsquos name rather than saying the lsquodeceasedrsquo
Let them know that they may continue to experience periods of sadnessloneliness or anger and that these reactions are normal
Tell them if they continue to experience feelings of grief or depression afterseveral weeks they may find it helpful to talk about it
Tell them that their Admin Office can refer them to counseling services like theDOH
Donrsquot Say these things
bull I know how you feel
bull It was probably for the best
bull He is better off now
bull It was her time to gobull At least he went quickly
bull Letrsquos talk about something else
bull You should try to get over this
bull You should be glad he passed quickly
bull That which doesnrsquot kill makes us stronger
bull Yoursquoll feel better soon
bull If could be worse you still have a brother sistermotherfather
bull Everything happens for the best according to a higher plan
bull We are not given more than we can bear
bull Someday you will have an answer
bull You did everything you could
bull You need to grieve
bull You need to relax
bull Itrsquos good that you are alive
bull Itrsquos good that no one else died
7182019 Operational Stress
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983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
a Goal To prepare equip and educate for effective personalreadiness in preparation for a prolonged deployment
b Operational Stress Course All Officers and key personnel (non-Officer) will receive instruction on operational stress in order to be
aware of the potential impact on personnel and become familiarwith warning signs and resources This course can be taught by theRegional Psychosocial Team who received training from theDepartment of Health (DOH-CHD 5)
(2) Phase II Resiliency Training
a Goal To provide responders with effective tools in personalreadiness and OSCAR
b Psychological First Aid This course is self-care and buddy-care will
be given to all responders prior to deployment Psychological FirstAid is a sanctioned program development via outside professionalresources (DOH)
(3) Phase III Integrated Phase
a Family Operational Orientation Family orientation shall beconducted by the respective personnel 30 days before deployment or by the fire marshal through a family get-together within 30 daysof deployment where update on the deployment or operational briefwill provide familiarization to the deployment or mission
b Pre-Deployment Health Assessment Health monitoring of allresponders shall be conducted 30 days before deployment date
(4) Phase IV Sustainment and Support
a Timing During Deployment
b Goal To provide ongoing support offer assistance and strengthenthe quality of care given to the responders
c Responders Support All deployed personnel health anddeployment stress level shall periodically be monitored by amedical personnel or medical station at the deployment site
d Family Support Fire marshals of the deployed units shall provideperiodic updates to ensure families are kept abreast ofdevelopments and are assured of continues BFP Support Family
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 310
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Readiness Officer Team (FROT) is encouraged in every station tomonitor and provide update to the families of deployed personnel
(5) Phase V Re-deployment Preparations
a Timing Upon completion return of responders
b Goal Provide a smooth transition between deployment and return- to-unit by giving reasonable period of rest and relaxation time for
safety briefs and counseling referral in one convenientdecompressed environment
c Responders Rest and Relaxation At the RDs discretion aminimum three days (3) days will be set aside to be planned at theunit debarkation site (BFP Regional Office or OPFM) or otherdesignated area to facilitate mental and physical decompression
This period gives therespondersrsquo time to catch-on sleep assimilatethe change in environment and OPTEMPO and begin the reflectionprocess
d Responders Transition Briefs All responders are subject to thestandardized Responders Transition Briefs by the RegionalPsychosocial Team It is imperative that they get a day ofrelaxation prior to starting the briefs and that the process is notinfringed upon by outside requirements such as logistical andadministrative matters The briefs are designed for small interactivegroups so ample time must be dedicated to this purpose and
administered by the Regional Psychosocial Team trained at thedebarkation point Team leaders or commanders may receiveadditional mental and medical health support when required
e Safety Briefs Responders will receive appropriate briefings on thefollowing matters prior to redeployment from their debarkation site(relaxed environment) Drinking and Driving Return and ReunionDomestic Violence Suicide Prevention Motorcycle Safety andPersonal Safety
(6) Phase VI Immediate Post Deployment
a Timing First 30 days after return to unit or home
b Goal Give responders a tangible act of gratitude for their service byaffording them some personal time
c Liberty A liberty period of up to 96 hours upon return isrecommended not to conflict with existing regulations and limits on
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 410
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
liberty This allows responders to reintegrate with the localenvironment engage in social activities and decompress further ina short period of time Extreme behaviors often manifests uponreturn from this leave period
d Post Deployment Psychological First Aid (PFA) All respondersfresh from deployment after the debarkation at the BFP RegionalOffice will undergo post deployment psychological de-briefing to beconducted by the Regional Psychosocial Team
e Post Deployment Health Assessment (PDHA) Fire Marshals willensure all responders returning from a deployment complete aPDHA within the required 30 day period as per reference (e)
f Leave A period of block leave for the unit is recommendedimmediately following completion of administrative and logistical
requirements This is imperative for all units involved as it servesas crucial period for healthy transition and reintegration
(7) Phase VII Post Deployment After Care
a Timing Approximately 90 days upon return from deployment
b Goal To monitor reintegration of returning responders and providerefresher education on services and referral resources
c OSCAR Refresher All personnel should receive an OSCAR
refresher reviewing signs of Operational Stress resources andreferrals by EMS personnel who are professionally trained on PFA
b Coordination Per reference (c) all EMS Units and trained personnel willcoordinate all efforts to ensure reserve components (standby units) receive the samelevel of attention and follow through support as active duty components via anaggressive process of coordination and collaboration
V Responsibilities
Function Responsibility Comments
Operational Stress ControlampRecovery (OSCAR)
Regional Director through theRegional Operation Officer
Standardized PFAGuide
Fire MarshalsPsychosocial Interventionfor Disaster Managers Leaders (Marshals)
Regional Director through theRegional Operation Officer
Yearly conductofficiated byDOH-CHD V
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 510
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Psychological First Aid Regional PFA Team DOH Certified
Family ReadinessEMS or any Family ReadinessOfficer or Team Designate
Provide periodic updatedeployment to familiesnot limited to family-orientation gathering
Responders TransitionBrief Regional PFA Team DOH and other relatedinstitution certified
Safety BriefsFire Marshal or OPFMOperation Officers
Drinking and drivingDomestic violencepersonal safetymotorcycle safety
Post Deployment HealthAssessment (PDHA)
EMS Medical Personnel
Medical personnel arerequired to collect databut fire marshals will beresponsible for meetingdeadlines per reference
(e Leave)Operational Stress ControlampRecovery for standbyresponders
Regional PFA TeamStandardized PFAGuide
VI ImplementationThe standards established above will be adhered to by alldeploying members and are recognized as the program standard Implementation maydiffer in situational circumstances
VII Effective Date These policies will be in effect upon approval of the Director or his
representative as the case maybe and will be in effect until revised superseded orterminated All matters pertaining to OSCT shall be directed to Regional EMDS at 481-5013
LORENZO D RELLOSA JR MPASUPT (DSC) BFP
OIC Regional Director
Date ______________________
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 610
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 1
OSCAR PSYCHOLOGICAL FIRST AID STANDARD GUIDEFOR BFP R5
Contact and Engagement
1 Introduce yourself with your name title and a description of your role2 Have participants in a circle or classroom type formation as appropriate3 Prayer invocation by a chaplain priest or religious program specialist (RPS)
Use the OratioImperata in the absence of an RPS4 Breathing technique from responding to crisis5 Self-connectivity exercises ( close eyes)
Safety and Comfort (What to do and What not to say)
1 Identify name and specific function2 Identify team mate whose performance he she admired3 Tailor discussion
bull Focus the discussion on problem-solving and applying coping strategies toimmediate issues
bull Do not let discussions about concerns lapse into speculation or complaints
bull Stabilizing Emotions PFA Core functions say do not interrupt conversationbut it is necessary to help himher focus Control the session use thefollowing question guides
1 Describe specific role or roles
2 What was the response feeling3 First thought after rescue or retrieval _______operation was over4 If we were your family what will you tell us5 What do you want others to know you did well on the scene site6 Reaction to conflict or conflicts
4 Think of things or word leading to funny episodes at sites5 Breathing technique from responding to crisis6 Self-connectivity exercises ( close eyes)7 Closing prayer
Practical Assistance
bull If an individual needs further support offer to meet with himher after the groupdiscussion
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 710
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Delivering Psychological First Aid
Professional Behavior
bull Be visible and available
bull
Model healthy responses be calm courteous organized and helpfulbull Remain within the scope of your expertise and your designated role
bull Maintain confidentiality as appropriate
bull Make appropriate referrals when additional expertise is needed or requested
bull Be knowledgeable and sensitive to issues of culture and diversity
bull Pay attention to your own emotional and physical reactions and practice self-care
General Guidelines
bull Initiate contact only after you have observed the situation and have determined
that contact is not likely to be intrusive or disruptivebull Politely observe first -- donrsquot intrude Then ask simple respectful questions to
determine how you may help
bull Often the best way to make contact is to provide practical assistance (eg foodwater blankets)
bull Keep in mind that your main goals are to provide a caring presence and help toconnect individuals to resources
bull Be prepared for the possibility that individuals who have experienced a traumaticevent or crisis may either avoid you or flood you with concerns or requests forassistance
bull Speak calmly Be patient responsive and sensitive
bull Speak slowly in simple terms do not use acronyms or jargonbull If an individual wants to talk be prepared to listen When you listen focus on
hearing what it is he or she wants you to understand
bull Acknowledge the positive steps that the individual has taken to keep safe
bull Provide information that directly addresses the individualrsquos immediate goals andclarify your message as needed
bull Provide information that is accurate and appropriate for your audience
bull When communicating through an interpreter look at and talk to the person youare addressing not the interpreter
bull Remember that the purpose of Psychological First Aid is to reduce distress assistwith needs and promote adaptive functioning It is not to elicit details of traumaticexperiences and losses
Behaviors to Avoid
bull Do not make assumptions about what individuals have experienced or are feeling
bull Do not assume that everyone exposed to a traumatic event will display signs oftrauma people experience trauma in different ways
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 810
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
bull Do not pathologize Most reactions to traumatic events are expectable andunderstandable
bull Do not label reactions as ldquosymptomsrdquo or speak in terms of diagnoses conditionspathologies or disorders
bull Do not assume that all individuals who have experienced a crisis or traumatic
event want to talk or need to talk Often the fact that you are present in asupportive and calm way helps affected people feel safer and more able to cope
bull Do not talk down or patronize Do not focus on helplessness weakness mistakesor disability Focus instead on what the person has done that is effective or mayhave contributed to helping others in need both during and after the traumaticevent
bull Do not attempt to conduct group or individual therapy activities that may beparticularly tempting for responders who are mental health professionals
bull Do not ask for details of what happened
bull Do not speculate or offer possibly inaccurate information If you cannot answer aquestion do your best to learn the facts
7182019 Operational Stress
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983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 2
OSCAR PSYCHOSOCIAL TEAM COMPOSITION
Regional Office - CINSP REYLITO S ESPIRITU DPCOM
Officer-In-Charge ARDOConcurrent Regional Operation Officer
bull Community Family Medicine amp Counseling
bull Sub-Public Health Emergency In Asia amp the Pacific
SFO3 Aramis Aristhedes A BaldeChief Regional Intelligence amp Investigation Branch
bull Psychological First Aid
bull Assuring Cultural Competence in Disaster Response
bull Disaster Behavioral First Aid Specialist Training
bull Understanding Compassion Fatigue
bull Sub-Public Health Emergency In Asia amp the Pacificbull Overview of Public Health Implications
SFO2 Emma Theresa R Velarde RNChief Regional Emergency Medical Services (EMS)
bull Psychological First Aid
SFO2 Jannette A Alcantara RNDeputy Chief Regional Internal Affairs Service (RIAS)
bull Psychological First Aid
FO1 Michelle O Rojas DMDChief Regional Dental Section (RDS)
bull Psychological First Aid
Albay - FO1 Ramon S QuiaponChief Municipal Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Sur - INSP JOSEPHINE JEANETTE C BARANDON
C Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Norte - FO1 Reynan M SumalabeChief Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Sorsogon - INSP FRANZ DOMINIQUE F BADONG
Deputy Fire Marshal Sorsogon City
bull Psychological First Aid
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 1010
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 3
What to Do and What Not to Say When Providing Psychological First Aid
Individuals or groups who have experienced a traumatic event or large-scale
crisis will benefit from your support when you do and say the right things
Do these things
Reassure grieving individuals that what they are experiencing is expectable andunderstandable
Use the deceased personrsquos name rather than saying the lsquodeceasedrsquo
Let them know that they may continue to experience periods of sadnessloneliness or anger and that these reactions are normal
Tell them if they continue to experience feelings of grief or depression afterseveral weeks they may find it helpful to talk about it
Tell them that their Admin Office can refer them to counseling services like theDOH
Donrsquot Say these things
bull I know how you feel
bull It was probably for the best
bull He is better off now
bull It was her time to gobull At least he went quickly
bull Letrsquos talk about something else
bull You should try to get over this
bull You should be glad he passed quickly
bull That which doesnrsquot kill makes us stronger
bull Yoursquoll feel better soon
bull If could be worse you still have a brother sistermotherfather
bull Everything happens for the best according to a higher plan
bull We are not given more than we can bear
bull Someday you will have an answer
bull You did everything you could
bull You need to grieve
bull You need to relax
bull Itrsquos good that you are alive
bull Itrsquos good that no one else died
7182019 Operational Stress
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983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Readiness Officer Team (FROT) is encouraged in every station tomonitor and provide update to the families of deployed personnel
(5) Phase V Re-deployment Preparations
a Timing Upon completion return of responders
b Goal Provide a smooth transition between deployment and return- to-unit by giving reasonable period of rest and relaxation time for
safety briefs and counseling referral in one convenientdecompressed environment
c Responders Rest and Relaxation At the RDs discretion aminimum three days (3) days will be set aside to be planned at theunit debarkation site (BFP Regional Office or OPFM) or otherdesignated area to facilitate mental and physical decompression
This period gives therespondersrsquo time to catch-on sleep assimilatethe change in environment and OPTEMPO and begin the reflectionprocess
d Responders Transition Briefs All responders are subject to thestandardized Responders Transition Briefs by the RegionalPsychosocial Team It is imperative that they get a day ofrelaxation prior to starting the briefs and that the process is notinfringed upon by outside requirements such as logistical andadministrative matters The briefs are designed for small interactivegroups so ample time must be dedicated to this purpose and
administered by the Regional Psychosocial Team trained at thedebarkation point Team leaders or commanders may receiveadditional mental and medical health support when required
e Safety Briefs Responders will receive appropriate briefings on thefollowing matters prior to redeployment from their debarkation site(relaxed environment) Drinking and Driving Return and ReunionDomestic Violence Suicide Prevention Motorcycle Safety andPersonal Safety
(6) Phase VI Immediate Post Deployment
a Timing First 30 days after return to unit or home
b Goal Give responders a tangible act of gratitude for their service byaffording them some personal time
c Liberty A liberty period of up to 96 hours upon return isrecommended not to conflict with existing regulations and limits on
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 410
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
liberty This allows responders to reintegrate with the localenvironment engage in social activities and decompress further ina short period of time Extreme behaviors often manifests uponreturn from this leave period
d Post Deployment Psychological First Aid (PFA) All respondersfresh from deployment after the debarkation at the BFP RegionalOffice will undergo post deployment psychological de-briefing to beconducted by the Regional Psychosocial Team
e Post Deployment Health Assessment (PDHA) Fire Marshals willensure all responders returning from a deployment complete aPDHA within the required 30 day period as per reference (e)
f Leave A period of block leave for the unit is recommendedimmediately following completion of administrative and logistical
requirements This is imperative for all units involved as it servesas crucial period for healthy transition and reintegration
(7) Phase VII Post Deployment After Care
a Timing Approximately 90 days upon return from deployment
b Goal To monitor reintegration of returning responders and providerefresher education on services and referral resources
c OSCAR Refresher All personnel should receive an OSCAR
refresher reviewing signs of Operational Stress resources andreferrals by EMS personnel who are professionally trained on PFA
b Coordination Per reference (c) all EMS Units and trained personnel willcoordinate all efforts to ensure reserve components (standby units) receive the samelevel of attention and follow through support as active duty components via anaggressive process of coordination and collaboration
V Responsibilities
Function Responsibility Comments
Operational Stress ControlampRecovery (OSCAR)
Regional Director through theRegional Operation Officer
Standardized PFAGuide
Fire MarshalsPsychosocial Interventionfor Disaster Managers Leaders (Marshals)
Regional Director through theRegional Operation Officer
Yearly conductofficiated byDOH-CHD V
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 510
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Psychological First Aid Regional PFA Team DOH Certified
Family ReadinessEMS or any Family ReadinessOfficer or Team Designate
Provide periodic updatedeployment to familiesnot limited to family-orientation gathering
Responders TransitionBrief Regional PFA Team DOH and other relatedinstitution certified
Safety BriefsFire Marshal or OPFMOperation Officers
Drinking and drivingDomestic violencepersonal safetymotorcycle safety
Post Deployment HealthAssessment (PDHA)
EMS Medical Personnel
Medical personnel arerequired to collect databut fire marshals will beresponsible for meetingdeadlines per reference
(e Leave)Operational Stress ControlampRecovery for standbyresponders
Regional PFA TeamStandardized PFAGuide
VI ImplementationThe standards established above will be adhered to by alldeploying members and are recognized as the program standard Implementation maydiffer in situational circumstances
VII Effective Date These policies will be in effect upon approval of the Director or his
representative as the case maybe and will be in effect until revised superseded orterminated All matters pertaining to OSCT shall be directed to Regional EMDS at 481-5013
LORENZO D RELLOSA JR MPASUPT (DSC) BFP
OIC Regional Director
Date ______________________
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 610
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 1
OSCAR PSYCHOLOGICAL FIRST AID STANDARD GUIDEFOR BFP R5
Contact and Engagement
1 Introduce yourself with your name title and a description of your role2 Have participants in a circle or classroom type formation as appropriate3 Prayer invocation by a chaplain priest or religious program specialist (RPS)
Use the OratioImperata in the absence of an RPS4 Breathing technique from responding to crisis5 Self-connectivity exercises ( close eyes)
Safety and Comfort (What to do and What not to say)
1 Identify name and specific function2 Identify team mate whose performance he she admired3 Tailor discussion
bull Focus the discussion on problem-solving and applying coping strategies toimmediate issues
bull Do not let discussions about concerns lapse into speculation or complaints
bull Stabilizing Emotions PFA Core functions say do not interrupt conversationbut it is necessary to help himher focus Control the session use thefollowing question guides
1 Describe specific role or roles
2 What was the response feeling3 First thought after rescue or retrieval _______operation was over4 If we were your family what will you tell us5 What do you want others to know you did well on the scene site6 Reaction to conflict or conflicts
4 Think of things or word leading to funny episodes at sites5 Breathing technique from responding to crisis6 Self-connectivity exercises ( close eyes)7 Closing prayer
Practical Assistance
bull If an individual needs further support offer to meet with himher after the groupdiscussion
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 710
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Delivering Psychological First Aid
Professional Behavior
bull Be visible and available
bull
Model healthy responses be calm courteous organized and helpfulbull Remain within the scope of your expertise and your designated role
bull Maintain confidentiality as appropriate
bull Make appropriate referrals when additional expertise is needed or requested
bull Be knowledgeable and sensitive to issues of culture and diversity
bull Pay attention to your own emotional and physical reactions and practice self-care
General Guidelines
bull Initiate contact only after you have observed the situation and have determined
that contact is not likely to be intrusive or disruptivebull Politely observe first -- donrsquot intrude Then ask simple respectful questions to
determine how you may help
bull Often the best way to make contact is to provide practical assistance (eg foodwater blankets)
bull Keep in mind that your main goals are to provide a caring presence and help toconnect individuals to resources
bull Be prepared for the possibility that individuals who have experienced a traumaticevent or crisis may either avoid you or flood you with concerns or requests forassistance
bull Speak calmly Be patient responsive and sensitive
bull Speak slowly in simple terms do not use acronyms or jargonbull If an individual wants to talk be prepared to listen When you listen focus on
hearing what it is he or she wants you to understand
bull Acknowledge the positive steps that the individual has taken to keep safe
bull Provide information that directly addresses the individualrsquos immediate goals andclarify your message as needed
bull Provide information that is accurate and appropriate for your audience
bull When communicating through an interpreter look at and talk to the person youare addressing not the interpreter
bull Remember that the purpose of Psychological First Aid is to reduce distress assistwith needs and promote adaptive functioning It is not to elicit details of traumaticexperiences and losses
Behaviors to Avoid
bull Do not make assumptions about what individuals have experienced or are feeling
bull Do not assume that everyone exposed to a traumatic event will display signs oftrauma people experience trauma in different ways
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 810
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
bull Do not pathologize Most reactions to traumatic events are expectable andunderstandable
bull Do not label reactions as ldquosymptomsrdquo or speak in terms of diagnoses conditionspathologies or disorders
bull Do not assume that all individuals who have experienced a crisis or traumatic
event want to talk or need to talk Often the fact that you are present in asupportive and calm way helps affected people feel safer and more able to cope
bull Do not talk down or patronize Do not focus on helplessness weakness mistakesor disability Focus instead on what the person has done that is effective or mayhave contributed to helping others in need both during and after the traumaticevent
bull Do not attempt to conduct group or individual therapy activities that may beparticularly tempting for responders who are mental health professionals
bull Do not ask for details of what happened
bull Do not speculate or offer possibly inaccurate information If you cannot answer aquestion do your best to learn the facts
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 910
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 2
OSCAR PSYCHOSOCIAL TEAM COMPOSITION
Regional Office - CINSP REYLITO S ESPIRITU DPCOM
Officer-In-Charge ARDOConcurrent Regional Operation Officer
bull Community Family Medicine amp Counseling
bull Sub-Public Health Emergency In Asia amp the Pacific
SFO3 Aramis Aristhedes A BaldeChief Regional Intelligence amp Investigation Branch
bull Psychological First Aid
bull Assuring Cultural Competence in Disaster Response
bull Disaster Behavioral First Aid Specialist Training
bull Understanding Compassion Fatigue
bull Sub-Public Health Emergency In Asia amp the Pacificbull Overview of Public Health Implications
SFO2 Emma Theresa R Velarde RNChief Regional Emergency Medical Services (EMS)
bull Psychological First Aid
SFO2 Jannette A Alcantara RNDeputy Chief Regional Internal Affairs Service (RIAS)
bull Psychological First Aid
FO1 Michelle O Rojas DMDChief Regional Dental Section (RDS)
bull Psychological First Aid
Albay - FO1 Ramon S QuiaponChief Municipal Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Sur - INSP JOSEPHINE JEANETTE C BARANDON
C Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Norte - FO1 Reynan M SumalabeChief Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Sorsogon - INSP FRANZ DOMINIQUE F BADONG
Deputy Fire Marshal Sorsogon City
bull Psychological First Aid
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 1010
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 3
What to Do and What Not to Say When Providing Psychological First Aid
Individuals or groups who have experienced a traumatic event or large-scale
crisis will benefit from your support when you do and say the right things
Do these things
Reassure grieving individuals that what they are experiencing is expectable andunderstandable
Use the deceased personrsquos name rather than saying the lsquodeceasedrsquo
Let them know that they may continue to experience periods of sadnessloneliness or anger and that these reactions are normal
Tell them if they continue to experience feelings of grief or depression afterseveral weeks they may find it helpful to talk about it
Tell them that their Admin Office can refer them to counseling services like theDOH
Donrsquot Say these things
bull I know how you feel
bull It was probably for the best
bull He is better off now
bull It was her time to gobull At least he went quickly
bull Letrsquos talk about something else
bull You should try to get over this
bull You should be glad he passed quickly
bull That which doesnrsquot kill makes us stronger
bull Yoursquoll feel better soon
bull If could be worse you still have a brother sistermotherfather
bull Everything happens for the best according to a higher plan
bull We are not given more than we can bear
bull Someday you will have an answer
bull You did everything you could
bull You need to grieve
bull You need to relax
bull Itrsquos good that you are alive
bull Itrsquos good that no one else died
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 410
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
liberty This allows responders to reintegrate with the localenvironment engage in social activities and decompress further ina short period of time Extreme behaviors often manifests uponreturn from this leave period
d Post Deployment Psychological First Aid (PFA) All respondersfresh from deployment after the debarkation at the BFP RegionalOffice will undergo post deployment psychological de-briefing to beconducted by the Regional Psychosocial Team
e Post Deployment Health Assessment (PDHA) Fire Marshals willensure all responders returning from a deployment complete aPDHA within the required 30 day period as per reference (e)
f Leave A period of block leave for the unit is recommendedimmediately following completion of administrative and logistical
requirements This is imperative for all units involved as it servesas crucial period for healthy transition and reintegration
(7) Phase VII Post Deployment After Care
a Timing Approximately 90 days upon return from deployment
b Goal To monitor reintegration of returning responders and providerefresher education on services and referral resources
c OSCAR Refresher All personnel should receive an OSCAR
refresher reviewing signs of Operational Stress resources andreferrals by EMS personnel who are professionally trained on PFA
b Coordination Per reference (c) all EMS Units and trained personnel willcoordinate all efforts to ensure reserve components (standby units) receive the samelevel of attention and follow through support as active duty components via anaggressive process of coordination and collaboration
V Responsibilities
Function Responsibility Comments
Operational Stress ControlampRecovery (OSCAR)
Regional Director through theRegional Operation Officer
Standardized PFAGuide
Fire MarshalsPsychosocial Interventionfor Disaster Managers Leaders (Marshals)
Regional Director through theRegional Operation Officer
Yearly conductofficiated byDOH-CHD V
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 510
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Psychological First Aid Regional PFA Team DOH Certified
Family ReadinessEMS or any Family ReadinessOfficer or Team Designate
Provide periodic updatedeployment to familiesnot limited to family-orientation gathering
Responders TransitionBrief Regional PFA Team DOH and other relatedinstitution certified
Safety BriefsFire Marshal or OPFMOperation Officers
Drinking and drivingDomestic violencepersonal safetymotorcycle safety
Post Deployment HealthAssessment (PDHA)
EMS Medical Personnel
Medical personnel arerequired to collect databut fire marshals will beresponsible for meetingdeadlines per reference
(e Leave)Operational Stress ControlampRecovery for standbyresponders
Regional PFA TeamStandardized PFAGuide
VI ImplementationThe standards established above will be adhered to by alldeploying members and are recognized as the program standard Implementation maydiffer in situational circumstances
VII Effective Date These policies will be in effect upon approval of the Director or his
representative as the case maybe and will be in effect until revised superseded orterminated All matters pertaining to OSCT shall be directed to Regional EMDS at 481-5013
LORENZO D RELLOSA JR MPASUPT (DSC) BFP
OIC Regional Director
Date ______________________
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 610
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 1
OSCAR PSYCHOLOGICAL FIRST AID STANDARD GUIDEFOR BFP R5
Contact and Engagement
1 Introduce yourself with your name title and a description of your role2 Have participants in a circle or classroom type formation as appropriate3 Prayer invocation by a chaplain priest or religious program specialist (RPS)
Use the OratioImperata in the absence of an RPS4 Breathing technique from responding to crisis5 Self-connectivity exercises ( close eyes)
Safety and Comfort (What to do and What not to say)
1 Identify name and specific function2 Identify team mate whose performance he she admired3 Tailor discussion
bull Focus the discussion on problem-solving and applying coping strategies toimmediate issues
bull Do not let discussions about concerns lapse into speculation or complaints
bull Stabilizing Emotions PFA Core functions say do not interrupt conversationbut it is necessary to help himher focus Control the session use thefollowing question guides
1 Describe specific role or roles
2 What was the response feeling3 First thought after rescue or retrieval _______operation was over4 If we were your family what will you tell us5 What do you want others to know you did well on the scene site6 Reaction to conflict or conflicts
4 Think of things or word leading to funny episodes at sites5 Breathing technique from responding to crisis6 Self-connectivity exercises ( close eyes)7 Closing prayer
Practical Assistance
bull If an individual needs further support offer to meet with himher after the groupdiscussion
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 710
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Delivering Psychological First Aid
Professional Behavior
bull Be visible and available
bull
Model healthy responses be calm courteous organized and helpfulbull Remain within the scope of your expertise and your designated role
bull Maintain confidentiality as appropriate
bull Make appropriate referrals when additional expertise is needed or requested
bull Be knowledgeable and sensitive to issues of culture and diversity
bull Pay attention to your own emotional and physical reactions and practice self-care
General Guidelines
bull Initiate contact only after you have observed the situation and have determined
that contact is not likely to be intrusive or disruptivebull Politely observe first -- donrsquot intrude Then ask simple respectful questions to
determine how you may help
bull Often the best way to make contact is to provide practical assistance (eg foodwater blankets)
bull Keep in mind that your main goals are to provide a caring presence and help toconnect individuals to resources
bull Be prepared for the possibility that individuals who have experienced a traumaticevent or crisis may either avoid you or flood you with concerns or requests forassistance
bull Speak calmly Be patient responsive and sensitive
bull Speak slowly in simple terms do not use acronyms or jargonbull If an individual wants to talk be prepared to listen When you listen focus on
hearing what it is he or she wants you to understand
bull Acknowledge the positive steps that the individual has taken to keep safe
bull Provide information that directly addresses the individualrsquos immediate goals andclarify your message as needed
bull Provide information that is accurate and appropriate for your audience
bull When communicating through an interpreter look at and talk to the person youare addressing not the interpreter
bull Remember that the purpose of Psychological First Aid is to reduce distress assistwith needs and promote adaptive functioning It is not to elicit details of traumaticexperiences and losses
Behaviors to Avoid
bull Do not make assumptions about what individuals have experienced or are feeling
bull Do not assume that everyone exposed to a traumatic event will display signs oftrauma people experience trauma in different ways
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 810
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
bull Do not pathologize Most reactions to traumatic events are expectable andunderstandable
bull Do not label reactions as ldquosymptomsrdquo or speak in terms of diagnoses conditionspathologies or disorders
bull Do not assume that all individuals who have experienced a crisis or traumatic
event want to talk or need to talk Often the fact that you are present in asupportive and calm way helps affected people feel safer and more able to cope
bull Do not talk down or patronize Do not focus on helplessness weakness mistakesor disability Focus instead on what the person has done that is effective or mayhave contributed to helping others in need both during and after the traumaticevent
bull Do not attempt to conduct group or individual therapy activities that may beparticularly tempting for responders who are mental health professionals
bull Do not ask for details of what happened
bull Do not speculate or offer possibly inaccurate information If you cannot answer aquestion do your best to learn the facts
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 910
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 2
OSCAR PSYCHOSOCIAL TEAM COMPOSITION
Regional Office - CINSP REYLITO S ESPIRITU DPCOM
Officer-In-Charge ARDOConcurrent Regional Operation Officer
bull Community Family Medicine amp Counseling
bull Sub-Public Health Emergency In Asia amp the Pacific
SFO3 Aramis Aristhedes A BaldeChief Regional Intelligence amp Investigation Branch
bull Psychological First Aid
bull Assuring Cultural Competence in Disaster Response
bull Disaster Behavioral First Aid Specialist Training
bull Understanding Compassion Fatigue
bull Sub-Public Health Emergency In Asia amp the Pacificbull Overview of Public Health Implications
SFO2 Emma Theresa R Velarde RNChief Regional Emergency Medical Services (EMS)
bull Psychological First Aid
SFO2 Jannette A Alcantara RNDeputy Chief Regional Internal Affairs Service (RIAS)
bull Psychological First Aid
FO1 Michelle O Rojas DMDChief Regional Dental Section (RDS)
bull Psychological First Aid
Albay - FO1 Ramon S QuiaponChief Municipal Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Sur - INSP JOSEPHINE JEANETTE C BARANDON
C Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Norte - FO1 Reynan M SumalabeChief Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Sorsogon - INSP FRANZ DOMINIQUE F BADONG
Deputy Fire Marshal Sorsogon City
bull Psychological First Aid
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 1010
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 3
What to Do and What Not to Say When Providing Psychological First Aid
Individuals or groups who have experienced a traumatic event or large-scale
crisis will benefit from your support when you do and say the right things
Do these things
Reassure grieving individuals that what they are experiencing is expectable andunderstandable
Use the deceased personrsquos name rather than saying the lsquodeceasedrsquo
Let them know that they may continue to experience periods of sadnessloneliness or anger and that these reactions are normal
Tell them if they continue to experience feelings of grief or depression afterseveral weeks they may find it helpful to talk about it
Tell them that their Admin Office can refer them to counseling services like theDOH
Donrsquot Say these things
bull I know how you feel
bull It was probably for the best
bull He is better off now
bull It was her time to gobull At least he went quickly
bull Letrsquos talk about something else
bull You should try to get over this
bull You should be glad he passed quickly
bull That which doesnrsquot kill makes us stronger
bull Yoursquoll feel better soon
bull If could be worse you still have a brother sistermotherfather
bull Everything happens for the best according to a higher plan
bull We are not given more than we can bear
bull Someday you will have an answer
bull You did everything you could
bull You need to grieve
bull You need to relax
bull Itrsquos good that you are alive
bull Itrsquos good that no one else died
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 510
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Psychological First Aid Regional PFA Team DOH Certified
Family ReadinessEMS or any Family ReadinessOfficer or Team Designate
Provide periodic updatedeployment to familiesnot limited to family-orientation gathering
Responders TransitionBrief Regional PFA Team DOH and other relatedinstitution certified
Safety BriefsFire Marshal or OPFMOperation Officers
Drinking and drivingDomestic violencepersonal safetymotorcycle safety
Post Deployment HealthAssessment (PDHA)
EMS Medical Personnel
Medical personnel arerequired to collect databut fire marshals will beresponsible for meetingdeadlines per reference
(e Leave)Operational Stress ControlampRecovery for standbyresponders
Regional PFA TeamStandardized PFAGuide
VI ImplementationThe standards established above will be adhered to by alldeploying members and are recognized as the program standard Implementation maydiffer in situational circumstances
VII Effective Date These policies will be in effect upon approval of the Director or his
representative as the case maybe and will be in effect until revised superseded orterminated All matters pertaining to OSCT shall be directed to Regional EMDS at 481-5013
LORENZO D RELLOSA JR MPASUPT (DSC) BFP
OIC Regional Director
Date ______________________
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 610
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 1
OSCAR PSYCHOLOGICAL FIRST AID STANDARD GUIDEFOR BFP R5
Contact and Engagement
1 Introduce yourself with your name title and a description of your role2 Have participants in a circle or classroom type formation as appropriate3 Prayer invocation by a chaplain priest or religious program specialist (RPS)
Use the OratioImperata in the absence of an RPS4 Breathing technique from responding to crisis5 Self-connectivity exercises ( close eyes)
Safety and Comfort (What to do and What not to say)
1 Identify name and specific function2 Identify team mate whose performance he she admired3 Tailor discussion
bull Focus the discussion on problem-solving and applying coping strategies toimmediate issues
bull Do not let discussions about concerns lapse into speculation or complaints
bull Stabilizing Emotions PFA Core functions say do not interrupt conversationbut it is necessary to help himher focus Control the session use thefollowing question guides
1 Describe specific role or roles
2 What was the response feeling3 First thought after rescue or retrieval _______operation was over4 If we were your family what will you tell us5 What do you want others to know you did well on the scene site6 Reaction to conflict or conflicts
4 Think of things or word leading to funny episodes at sites5 Breathing technique from responding to crisis6 Self-connectivity exercises ( close eyes)7 Closing prayer
Practical Assistance
bull If an individual needs further support offer to meet with himher after the groupdiscussion
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 710
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Delivering Psychological First Aid
Professional Behavior
bull Be visible and available
bull
Model healthy responses be calm courteous organized and helpfulbull Remain within the scope of your expertise and your designated role
bull Maintain confidentiality as appropriate
bull Make appropriate referrals when additional expertise is needed or requested
bull Be knowledgeable and sensitive to issues of culture and diversity
bull Pay attention to your own emotional and physical reactions and practice self-care
General Guidelines
bull Initiate contact only after you have observed the situation and have determined
that contact is not likely to be intrusive or disruptivebull Politely observe first -- donrsquot intrude Then ask simple respectful questions to
determine how you may help
bull Often the best way to make contact is to provide practical assistance (eg foodwater blankets)
bull Keep in mind that your main goals are to provide a caring presence and help toconnect individuals to resources
bull Be prepared for the possibility that individuals who have experienced a traumaticevent or crisis may either avoid you or flood you with concerns or requests forassistance
bull Speak calmly Be patient responsive and sensitive
bull Speak slowly in simple terms do not use acronyms or jargonbull If an individual wants to talk be prepared to listen When you listen focus on
hearing what it is he or she wants you to understand
bull Acknowledge the positive steps that the individual has taken to keep safe
bull Provide information that directly addresses the individualrsquos immediate goals andclarify your message as needed
bull Provide information that is accurate and appropriate for your audience
bull When communicating through an interpreter look at and talk to the person youare addressing not the interpreter
bull Remember that the purpose of Psychological First Aid is to reduce distress assistwith needs and promote adaptive functioning It is not to elicit details of traumaticexperiences and losses
Behaviors to Avoid
bull Do not make assumptions about what individuals have experienced or are feeling
bull Do not assume that everyone exposed to a traumatic event will display signs oftrauma people experience trauma in different ways
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 810
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
bull Do not pathologize Most reactions to traumatic events are expectable andunderstandable
bull Do not label reactions as ldquosymptomsrdquo or speak in terms of diagnoses conditionspathologies or disorders
bull Do not assume that all individuals who have experienced a crisis or traumatic
event want to talk or need to talk Often the fact that you are present in asupportive and calm way helps affected people feel safer and more able to cope
bull Do not talk down or patronize Do not focus on helplessness weakness mistakesor disability Focus instead on what the person has done that is effective or mayhave contributed to helping others in need both during and after the traumaticevent
bull Do not attempt to conduct group or individual therapy activities that may beparticularly tempting for responders who are mental health professionals
bull Do not ask for details of what happened
bull Do not speculate or offer possibly inaccurate information If you cannot answer aquestion do your best to learn the facts
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 910
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 2
OSCAR PSYCHOSOCIAL TEAM COMPOSITION
Regional Office - CINSP REYLITO S ESPIRITU DPCOM
Officer-In-Charge ARDOConcurrent Regional Operation Officer
bull Community Family Medicine amp Counseling
bull Sub-Public Health Emergency In Asia amp the Pacific
SFO3 Aramis Aristhedes A BaldeChief Regional Intelligence amp Investigation Branch
bull Psychological First Aid
bull Assuring Cultural Competence in Disaster Response
bull Disaster Behavioral First Aid Specialist Training
bull Understanding Compassion Fatigue
bull Sub-Public Health Emergency In Asia amp the Pacificbull Overview of Public Health Implications
SFO2 Emma Theresa R Velarde RNChief Regional Emergency Medical Services (EMS)
bull Psychological First Aid
SFO2 Jannette A Alcantara RNDeputy Chief Regional Internal Affairs Service (RIAS)
bull Psychological First Aid
FO1 Michelle O Rojas DMDChief Regional Dental Section (RDS)
bull Psychological First Aid
Albay - FO1 Ramon S QuiaponChief Municipal Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Sur - INSP JOSEPHINE JEANETTE C BARANDON
C Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Norte - FO1 Reynan M SumalabeChief Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Sorsogon - INSP FRANZ DOMINIQUE F BADONG
Deputy Fire Marshal Sorsogon City
bull Psychological First Aid
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 1010
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 3
What to Do and What Not to Say When Providing Psychological First Aid
Individuals or groups who have experienced a traumatic event or large-scale
crisis will benefit from your support when you do and say the right things
Do these things
Reassure grieving individuals that what they are experiencing is expectable andunderstandable
Use the deceased personrsquos name rather than saying the lsquodeceasedrsquo
Let them know that they may continue to experience periods of sadnessloneliness or anger and that these reactions are normal
Tell them if they continue to experience feelings of grief or depression afterseveral weeks they may find it helpful to talk about it
Tell them that their Admin Office can refer them to counseling services like theDOH
Donrsquot Say these things
bull I know how you feel
bull It was probably for the best
bull He is better off now
bull It was her time to gobull At least he went quickly
bull Letrsquos talk about something else
bull You should try to get over this
bull You should be glad he passed quickly
bull That which doesnrsquot kill makes us stronger
bull Yoursquoll feel better soon
bull If could be worse you still have a brother sistermotherfather
bull Everything happens for the best according to a higher plan
bull We are not given more than we can bear
bull Someday you will have an answer
bull You did everything you could
bull You need to grieve
bull You need to relax
bull Itrsquos good that you are alive
bull Itrsquos good that no one else died
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 610
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 1
OSCAR PSYCHOLOGICAL FIRST AID STANDARD GUIDEFOR BFP R5
Contact and Engagement
1 Introduce yourself with your name title and a description of your role2 Have participants in a circle or classroom type formation as appropriate3 Prayer invocation by a chaplain priest or religious program specialist (RPS)
Use the OratioImperata in the absence of an RPS4 Breathing technique from responding to crisis5 Self-connectivity exercises ( close eyes)
Safety and Comfort (What to do and What not to say)
1 Identify name and specific function2 Identify team mate whose performance he she admired3 Tailor discussion
bull Focus the discussion on problem-solving and applying coping strategies toimmediate issues
bull Do not let discussions about concerns lapse into speculation or complaints
bull Stabilizing Emotions PFA Core functions say do not interrupt conversationbut it is necessary to help himher focus Control the session use thefollowing question guides
1 Describe specific role or roles
2 What was the response feeling3 First thought after rescue or retrieval _______operation was over4 If we were your family what will you tell us5 What do you want others to know you did well on the scene site6 Reaction to conflict or conflicts
4 Think of things or word leading to funny episodes at sites5 Breathing technique from responding to crisis6 Self-connectivity exercises ( close eyes)7 Closing prayer
Practical Assistance
bull If an individual needs further support offer to meet with himher after the groupdiscussion
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 710
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Delivering Psychological First Aid
Professional Behavior
bull Be visible and available
bull
Model healthy responses be calm courteous organized and helpfulbull Remain within the scope of your expertise and your designated role
bull Maintain confidentiality as appropriate
bull Make appropriate referrals when additional expertise is needed or requested
bull Be knowledgeable and sensitive to issues of culture and diversity
bull Pay attention to your own emotional and physical reactions and practice self-care
General Guidelines
bull Initiate contact only after you have observed the situation and have determined
that contact is not likely to be intrusive or disruptivebull Politely observe first -- donrsquot intrude Then ask simple respectful questions to
determine how you may help
bull Often the best way to make contact is to provide practical assistance (eg foodwater blankets)
bull Keep in mind that your main goals are to provide a caring presence and help toconnect individuals to resources
bull Be prepared for the possibility that individuals who have experienced a traumaticevent or crisis may either avoid you or flood you with concerns or requests forassistance
bull Speak calmly Be patient responsive and sensitive
bull Speak slowly in simple terms do not use acronyms or jargonbull If an individual wants to talk be prepared to listen When you listen focus on
hearing what it is he or she wants you to understand
bull Acknowledge the positive steps that the individual has taken to keep safe
bull Provide information that directly addresses the individualrsquos immediate goals andclarify your message as needed
bull Provide information that is accurate and appropriate for your audience
bull When communicating through an interpreter look at and talk to the person youare addressing not the interpreter
bull Remember that the purpose of Psychological First Aid is to reduce distress assistwith needs and promote adaptive functioning It is not to elicit details of traumaticexperiences and losses
Behaviors to Avoid
bull Do not make assumptions about what individuals have experienced or are feeling
bull Do not assume that everyone exposed to a traumatic event will display signs oftrauma people experience trauma in different ways
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 810
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
bull Do not pathologize Most reactions to traumatic events are expectable andunderstandable
bull Do not label reactions as ldquosymptomsrdquo or speak in terms of diagnoses conditionspathologies or disorders
bull Do not assume that all individuals who have experienced a crisis or traumatic
event want to talk or need to talk Often the fact that you are present in asupportive and calm way helps affected people feel safer and more able to cope
bull Do not talk down or patronize Do not focus on helplessness weakness mistakesor disability Focus instead on what the person has done that is effective or mayhave contributed to helping others in need both during and after the traumaticevent
bull Do not attempt to conduct group or individual therapy activities that may beparticularly tempting for responders who are mental health professionals
bull Do not ask for details of what happened
bull Do not speculate or offer possibly inaccurate information If you cannot answer aquestion do your best to learn the facts
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 910
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 2
OSCAR PSYCHOSOCIAL TEAM COMPOSITION
Regional Office - CINSP REYLITO S ESPIRITU DPCOM
Officer-In-Charge ARDOConcurrent Regional Operation Officer
bull Community Family Medicine amp Counseling
bull Sub-Public Health Emergency In Asia amp the Pacific
SFO3 Aramis Aristhedes A BaldeChief Regional Intelligence amp Investigation Branch
bull Psychological First Aid
bull Assuring Cultural Competence in Disaster Response
bull Disaster Behavioral First Aid Specialist Training
bull Understanding Compassion Fatigue
bull Sub-Public Health Emergency In Asia amp the Pacificbull Overview of Public Health Implications
SFO2 Emma Theresa R Velarde RNChief Regional Emergency Medical Services (EMS)
bull Psychological First Aid
SFO2 Jannette A Alcantara RNDeputy Chief Regional Internal Affairs Service (RIAS)
bull Psychological First Aid
FO1 Michelle O Rojas DMDChief Regional Dental Section (RDS)
bull Psychological First Aid
Albay - FO1 Ramon S QuiaponChief Municipal Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Sur - INSP JOSEPHINE JEANETTE C BARANDON
C Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Norte - FO1 Reynan M SumalabeChief Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Sorsogon - INSP FRANZ DOMINIQUE F BADONG
Deputy Fire Marshal Sorsogon City
bull Psychological First Aid
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 1010
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 3
What to Do and What Not to Say When Providing Psychological First Aid
Individuals or groups who have experienced a traumatic event or large-scale
crisis will benefit from your support when you do and say the right things
Do these things
Reassure grieving individuals that what they are experiencing is expectable andunderstandable
Use the deceased personrsquos name rather than saying the lsquodeceasedrsquo
Let them know that they may continue to experience periods of sadnessloneliness or anger and that these reactions are normal
Tell them if they continue to experience feelings of grief or depression afterseveral weeks they may find it helpful to talk about it
Tell them that their Admin Office can refer them to counseling services like theDOH
Donrsquot Say these things
bull I know how you feel
bull It was probably for the best
bull He is better off now
bull It was her time to gobull At least he went quickly
bull Letrsquos talk about something else
bull You should try to get over this
bull You should be glad he passed quickly
bull That which doesnrsquot kill makes us stronger
bull Yoursquoll feel better soon
bull If could be worse you still have a brother sistermotherfather
bull Everything happens for the best according to a higher plan
bull We are not given more than we can bear
bull Someday you will have an answer
bull You did everything you could
bull You need to grieve
bull You need to relax
bull Itrsquos good that you are alive
bull Itrsquos good that no one else died
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 710
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Delivering Psychological First Aid
Professional Behavior
bull Be visible and available
bull
Model healthy responses be calm courteous organized and helpfulbull Remain within the scope of your expertise and your designated role
bull Maintain confidentiality as appropriate
bull Make appropriate referrals when additional expertise is needed or requested
bull Be knowledgeable and sensitive to issues of culture and diversity
bull Pay attention to your own emotional and physical reactions and practice self-care
General Guidelines
bull Initiate contact only after you have observed the situation and have determined
that contact is not likely to be intrusive or disruptivebull Politely observe first -- donrsquot intrude Then ask simple respectful questions to
determine how you may help
bull Often the best way to make contact is to provide practical assistance (eg foodwater blankets)
bull Keep in mind that your main goals are to provide a caring presence and help toconnect individuals to resources
bull Be prepared for the possibility that individuals who have experienced a traumaticevent or crisis may either avoid you or flood you with concerns or requests forassistance
bull Speak calmly Be patient responsive and sensitive
bull Speak slowly in simple terms do not use acronyms or jargonbull If an individual wants to talk be prepared to listen When you listen focus on
hearing what it is he or she wants you to understand
bull Acknowledge the positive steps that the individual has taken to keep safe
bull Provide information that directly addresses the individualrsquos immediate goals andclarify your message as needed
bull Provide information that is accurate and appropriate for your audience
bull When communicating through an interpreter look at and talk to the person youare addressing not the interpreter
bull Remember that the purpose of Psychological First Aid is to reduce distress assistwith needs and promote adaptive functioning It is not to elicit details of traumaticexperiences and losses
Behaviors to Avoid
bull Do not make assumptions about what individuals have experienced or are feeling
bull Do not assume that everyone exposed to a traumatic event will display signs oftrauma people experience trauma in different ways
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 810
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
bull Do not pathologize Most reactions to traumatic events are expectable andunderstandable
bull Do not label reactions as ldquosymptomsrdquo or speak in terms of diagnoses conditionspathologies or disorders
bull Do not assume that all individuals who have experienced a crisis or traumatic
event want to talk or need to talk Often the fact that you are present in asupportive and calm way helps affected people feel safer and more able to cope
bull Do not talk down or patronize Do not focus on helplessness weakness mistakesor disability Focus instead on what the person has done that is effective or mayhave contributed to helping others in need both during and after the traumaticevent
bull Do not attempt to conduct group or individual therapy activities that may beparticularly tempting for responders who are mental health professionals
bull Do not ask for details of what happened
bull Do not speculate or offer possibly inaccurate information If you cannot answer aquestion do your best to learn the facts
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 910
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 2
OSCAR PSYCHOSOCIAL TEAM COMPOSITION
Regional Office - CINSP REYLITO S ESPIRITU DPCOM
Officer-In-Charge ARDOConcurrent Regional Operation Officer
bull Community Family Medicine amp Counseling
bull Sub-Public Health Emergency In Asia amp the Pacific
SFO3 Aramis Aristhedes A BaldeChief Regional Intelligence amp Investigation Branch
bull Psychological First Aid
bull Assuring Cultural Competence in Disaster Response
bull Disaster Behavioral First Aid Specialist Training
bull Understanding Compassion Fatigue
bull Sub-Public Health Emergency In Asia amp the Pacificbull Overview of Public Health Implications
SFO2 Emma Theresa R Velarde RNChief Regional Emergency Medical Services (EMS)
bull Psychological First Aid
SFO2 Jannette A Alcantara RNDeputy Chief Regional Internal Affairs Service (RIAS)
bull Psychological First Aid
FO1 Michelle O Rojas DMDChief Regional Dental Section (RDS)
bull Psychological First Aid
Albay - FO1 Ramon S QuiaponChief Municipal Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Sur - INSP JOSEPHINE JEANETTE C BARANDON
C Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Norte - FO1 Reynan M SumalabeChief Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Sorsogon - INSP FRANZ DOMINIQUE F BADONG
Deputy Fire Marshal Sorsogon City
bull Psychological First Aid
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 1010
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 3
What to Do and What Not to Say When Providing Psychological First Aid
Individuals or groups who have experienced a traumatic event or large-scale
crisis will benefit from your support when you do and say the right things
Do these things
Reassure grieving individuals that what they are experiencing is expectable andunderstandable
Use the deceased personrsquos name rather than saying the lsquodeceasedrsquo
Let them know that they may continue to experience periods of sadnessloneliness or anger and that these reactions are normal
Tell them if they continue to experience feelings of grief or depression afterseveral weeks they may find it helpful to talk about it
Tell them that their Admin Office can refer them to counseling services like theDOH
Donrsquot Say these things
bull I know how you feel
bull It was probably for the best
bull He is better off now
bull It was her time to gobull At least he went quickly
bull Letrsquos talk about something else
bull You should try to get over this
bull You should be glad he passed quickly
bull That which doesnrsquot kill makes us stronger
bull Yoursquoll feel better soon
bull If could be worse you still have a brother sistermotherfather
bull Everything happens for the best according to a higher plan
bull We are not given more than we can bear
bull Someday you will have an answer
bull You did everything you could
bull You need to grieve
bull You need to relax
bull Itrsquos good that you are alive
bull Itrsquos good that no one else died
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 810
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
bull Do not pathologize Most reactions to traumatic events are expectable andunderstandable
bull Do not label reactions as ldquosymptomsrdquo or speak in terms of diagnoses conditionspathologies or disorders
bull Do not assume that all individuals who have experienced a crisis or traumatic
event want to talk or need to talk Often the fact that you are present in asupportive and calm way helps affected people feel safer and more able to cope
bull Do not talk down or patronize Do not focus on helplessness weakness mistakesor disability Focus instead on what the person has done that is effective or mayhave contributed to helping others in need both during and after the traumaticevent
bull Do not attempt to conduct group or individual therapy activities that may beparticularly tempting for responders who are mental health professionals
bull Do not ask for details of what happened
bull Do not speculate or offer possibly inaccurate information If you cannot answer aquestion do your best to learn the facts
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 910
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 2
OSCAR PSYCHOSOCIAL TEAM COMPOSITION
Regional Office - CINSP REYLITO S ESPIRITU DPCOM
Officer-In-Charge ARDOConcurrent Regional Operation Officer
bull Community Family Medicine amp Counseling
bull Sub-Public Health Emergency In Asia amp the Pacific
SFO3 Aramis Aristhedes A BaldeChief Regional Intelligence amp Investigation Branch
bull Psychological First Aid
bull Assuring Cultural Competence in Disaster Response
bull Disaster Behavioral First Aid Specialist Training
bull Understanding Compassion Fatigue
bull Sub-Public Health Emergency In Asia amp the Pacificbull Overview of Public Health Implications
SFO2 Emma Theresa R Velarde RNChief Regional Emergency Medical Services (EMS)
bull Psychological First Aid
SFO2 Jannette A Alcantara RNDeputy Chief Regional Internal Affairs Service (RIAS)
bull Psychological First Aid
FO1 Michelle O Rojas DMDChief Regional Dental Section (RDS)
bull Psychological First Aid
Albay - FO1 Ramon S QuiaponChief Municipal Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Sur - INSP JOSEPHINE JEANETTE C BARANDON
C Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Norte - FO1 Reynan M SumalabeChief Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Sorsogon - INSP FRANZ DOMINIQUE F BADONG
Deputy Fire Marshal Sorsogon City
bull Psychological First Aid
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 1010
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 3
What to Do and What Not to Say When Providing Psychological First Aid
Individuals or groups who have experienced a traumatic event or large-scale
crisis will benefit from your support when you do and say the right things
Do these things
Reassure grieving individuals that what they are experiencing is expectable andunderstandable
Use the deceased personrsquos name rather than saying the lsquodeceasedrsquo
Let them know that they may continue to experience periods of sadnessloneliness or anger and that these reactions are normal
Tell them if they continue to experience feelings of grief or depression afterseveral weeks they may find it helpful to talk about it
Tell them that their Admin Office can refer them to counseling services like theDOH
Donrsquot Say these things
bull I know how you feel
bull It was probably for the best
bull He is better off now
bull It was her time to gobull At least he went quickly
bull Letrsquos talk about something else
bull You should try to get over this
bull You should be glad he passed quickly
bull That which doesnrsquot kill makes us stronger
bull Yoursquoll feel better soon
bull If could be worse you still have a brother sistermotherfather
bull Everything happens for the best according to a higher plan
bull We are not given more than we can bear
bull Someday you will have an answer
bull You did everything you could
bull You need to grieve
bull You need to relax
bull Itrsquos good that you are alive
bull Itrsquos good that no one else died
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 910
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 2
OSCAR PSYCHOSOCIAL TEAM COMPOSITION
Regional Office - CINSP REYLITO S ESPIRITU DPCOM
Officer-In-Charge ARDOConcurrent Regional Operation Officer
bull Community Family Medicine amp Counseling
bull Sub-Public Health Emergency In Asia amp the Pacific
SFO3 Aramis Aristhedes A BaldeChief Regional Intelligence amp Investigation Branch
bull Psychological First Aid
bull Assuring Cultural Competence in Disaster Response
bull Disaster Behavioral First Aid Specialist Training
bull Understanding Compassion Fatigue
bull Sub-Public Health Emergency In Asia amp the Pacificbull Overview of Public Health Implications
SFO2 Emma Theresa R Velarde RNChief Regional Emergency Medical Services (EMS)
bull Psychological First Aid
SFO2 Jannette A Alcantara RNDeputy Chief Regional Internal Affairs Service (RIAS)
bull Psychological First Aid
FO1 Michelle O Rojas DMDChief Regional Dental Section (RDS)
bull Psychological First Aid
Albay - FO1 Ramon S QuiaponChief Municipal Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Sur - INSP JOSEPHINE JEANETTE C BARANDON
C Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Camarines Norte - FO1 Reynan M SumalabeChief Provincial Emergency Medical Services (EMS)
bull Psychological First Aid
Sorsogon - INSP FRANZ DOMINIQUE F BADONG
Deputy Fire Marshal Sorsogon City
bull Psychological First Aid
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 1010
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 3
What to Do and What Not to Say When Providing Psychological First Aid
Individuals or groups who have experienced a traumatic event or large-scale
crisis will benefit from your support when you do and say the right things
Do these things
Reassure grieving individuals that what they are experiencing is expectable andunderstandable
Use the deceased personrsquos name rather than saying the lsquodeceasedrsquo
Let them know that they may continue to experience periods of sadnessloneliness or anger and that these reactions are normal
Tell them if they continue to experience feelings of grief or depression afterseveral weeks they may find it helpful to talk about it
Tell them that their Admin Office can refer them to counseling services like theDOH
Donrsquot Say these things
bull I know how you feel
bull It was probably for the best
bull He is better off now
bull It was her time to gobull At least he went quickly
bull Letrsquos talk about something else
bull You should try to get over this
bull You should be glad he passed quickly
bull That which doesnrsquot kill makes us stronger
bull Yoursquoll feel better soon
bull If could be worse you still have a brother sistermotherfather
bull Everything happens for the best according to a higher plan
bull We are not given more than we can bear
bull Someday you will have an answer
bull You did everything you could
bull You need to grieve
bull You need to relax
bull Itrsquos good that you are alive
bull Itrsquos good that no one else died
7182019 Operational Stress
httpslidepdfcomreaderfulloperational-stress-56d500a7af10a 1010
983120983154983141983152983137983154983141983140 983138983161983098983110983119983089 983114983151983150983137983149983109983155983154983151983150 983108 983106983137983148983157983161983151amp983123983110983119983091 983105983154983137983149983145983155983105983154983145983155983156983144983141983140983141983155 983105 983106983137983148983140983141 983107983144983145983141983142 983122983141983143983145983151983150983137983148 983113983113983106 983108983141983139983141983149983138983141983154 983093 983090983088983089983091 983119983120983116983105983118 983119983123983107983105983122983164983092
Enclosure 3
What to Do and What Not to Say When Providing Psychological First Aid
Individuals or groups who have experienced a traumatic event or large-scale
crisis will benefit from your support when you do and say the right things
Do these things
Reassure grieving individuals that what they are experiencing is expectable andunderstandable
Use the deceased personrsquos name rather than saying the lsquodeceasedrsquo
Let them know that they may continue to experience periods of sadnessloneliness or anger and that these reactions are normal
Tell them if they continue to experience feelings of grief or depression afterseveral weeks they may find it helpful to talk about it
Tell them that their Admin Office can refer them to counseling services like theDOH
Donrsquot Say these things
bull I know how you feel
bull It was probably for the best
bull He is better off now
bull It was her time to gobull At least he went quickly
bull Letrsquos talk about something else
bull You should try to get over this
bull You should be glad he passed quickly
bull That which doesnrsquot kill makes us stronger
bull Yoursquoll feel better soon
bull If could be worse you still have a brother sistermotherfather
bull Everything happens for the best according to a higher plan
bull We are not given more than we can bear
bull Someday you will have an answer
bull You did everything you could
bull You need to grieve
bull You need to relax
bull Itrsquos good that you are alive
bull Itrsquos good that no one else died