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ROCKY MOUNTAIN REGION DISASTER MENTAL HEALTH INSTITUTE

ROCKY MOUNTAIN REGION DISASTER MENTAL HEALTH INSTITUTE

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Learning From The Past and Planning For The Future

CRISIS INTERVENTION TRAINING FOR DISASTER WORKERS



TABLE OF CONTENTS

CONTENTS

COURSE OBJECTIVES

INTRODUCTION

DEFINITIONS

FUNDAMENTALS OF VICTIMS' RESPONSES TO DISASTERS

STAGES OF GRIEF

Returning to Equilibrium

STAGES OF DISASTER RECOVERY

Heroic

Honeymoon

Disillusionment

Reconstruction

SYMPTOMS OF PSYCHOLOGICAL TRAUMA

BASIC ID

Children's Reactions

Preschool Children

Ages 6-12

Fears and Anxieties

Sleep Disturbances

School Avoidance and School Phobias

Loss, Death and Mourning

Suicidal Ideation

Confusion

Antisocial Behavior

CHILDREN WITH SPECIAL NEEDS

The Exceptional Children

The Injured or Ill Children

Adolescents

PROVIDING HELP FOR CHILDREN AND FAMILIES FOLLOWING DISASTERS

General Steps In The Helping Process

The Use of Play

Individual Counseling

Group Sessions

Telephone Crisis Service

Role of The Family

OTHER SPECIAL RISK GROUPS IN DISASTERS

Common Needs and Reactions

Middle Age

Elderly

Older Adults

Socioeconomic Classes

Cultural and Racial Differences

Institutionalized Persons

People In Emotional Crises

People Requiring Emergency Medical Care

Human Service And Disaster Relief Workers

Cultural And Ethnic Minorities

SOME EXAMPLES OF DISASTER RELATED EMOTIONAL PROBLEMS

Depression

Grief

Anger

Guilt

Apathy

Fears

The "Burn-out" Syndrome

Bizarre Behavior

Suicide

INTERVENTION STRATEGIES

Basic Guidelines

Interventions

PSYCHOLOGICAL IMPLICATIONS FOR DISASTER WORKERS

Factors Affecting Responders

Effects of Long Exposure to Stressors by Disaster Workers

STRESS MANAGEMENT

Stress Responses

Coping With Stress - Guidelines for Workers

INTERVENTIONS DURING A DISASTER

Team Managers

Workers

INTERVENTIONS FOLLOWING A DISASTER

Team Leaders

Survivors

Debriefings

Incident Debriefing

Information Sessions

Verbalization Sessions

Follow-up, Referral to Mental Health Resources/Counseling

Post-disaster Counseling for Individuals or Groups

Short Term Intervention

Medium and Long Term Intervention

Collaborative Relationship Between Emergency and Mental Health Services

SELECTED REFERENCES

WEB SITES WITH INFORMATION AND LINKS ABOUT DISASTER MENTAL HEALTH, TRAUMA, PTSD, AND DEBRIEFING

SCENARIO

ASSESSMENT QUESTIONNAIRE OF THE DISASTER VICTIMS' NEEDS

TEST DIRECTIONS, FEES, CERTIFICATES

COURSE TEST