Disaster Mental Health Counseling :A Guide to Preparing and Responding

Publication subTitle :A Guide to Preparing and Responding

Author: Jane M. Webber   J. Barry Mascari  

Publisher: John Wiley & Sons Inc‎

Publication year: 2017

E-ISBN: 9781119457442

P-ISBN(Paperback): 9781556203619

Subject: G40 pedagogy

Language: ENG

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Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.

Chapter

Phase Variability

DISASTER AND TRAUMA COUNSELING: INTERMEDIATE AND LONG-TERM PHASES

NATIONAL DISASTER RESPONSE STRUCTURE

American Red Cross

Service Delivery Centers

POST-9/11 DISASTER RESPONSE LESSONS LEARNED

Response-Ready DMH Counselors

Resilience

PTSD and Long-Term Problems

DMH COUNSELOR PREPARATION AND THE CACREP STANDARDS

CONCLUSION

CASE STUDY: SEPTEMBER 11, 2001

QUESTIONS FOR DISCUSSION

In Our Own Words: Ground Hero: A Story of Compassion Fatigue After September 11

EIGHT YEARS LATER, 2010

POSTSCRIPT

Chapter 2: Disaster Mental Health Counseling: Skills and Strategies

PFA: A PARADIGM SHIFT

1. Contact and Engagement

2. Safety and Comfort

3. Stabilization

4. Information Gathering on Current Needs and Concerns

5. Practical Assistance

6. Connection With Social Supports

7. Information on Coping

8. Linkage With Collaborative Services

Vulnerable Populations

Older Adults

Children

FEMA CRISIS COUNSELING AND TRAINING PROGRAM (CCP)

Strength-Based

Anonymous

Outreach-Oriented

Conducted in Nontraditional Settings

Designed to Strengthen Existing Community Support Systems

PSYCHOLOGICAL DEBRIEFING

CONCLUSION

CASE STUDY: FRANK’S SEARCH

QUESTIONS FOR DISCUSSION

In Our Own Words: Interventions With Children After the Earthquake in China

THE TENT SCHOOL

THERAPEUTIC GAMES

THERAPEUTIC GROUP PROJECTS

THE STORY: THE SNOW GLOBE

AFTERSHOCKS

POSTSCRIPT 2010

EPILOGUE 2016

Chapter 3: How the Brain and Body Change After a Disaster

LORRAINE’S EXPERIENCE

THE PHYSIOLOGY OF TRAUMATIC STRESS

TRIUNE BRAIN MODEL

Brain Stem: Fight–Flight–Freeze–Faint

Limbic System: Siege Mentality

Neocortex: The Motherboard

Maslow’s Hierarchy of Needs

The Fight–Flight Response to Disasters

The Freeze–Faint Response to Disasters

THE NEUROLOGY OF DISASTER TRAUMA

Sympathetic Nervous System (SNS) and Parasympathetic Nervous System (PSNS)

SNS

PSNS

HEMISPHERICITY

LONG-TERM BIOLOGICAL EFFECTS OF DISASTERS

Big T and Little t Trauma

Potential Long-Term Effects for Lorraine

HOW TRAUMATIC MEMORY DIFFERS FROM NARRATIVE MEMORY

THE TRAUMATIC IMPACT OF DISASTERS AND MASS VIOLENCE

CONCLUSION

QUESTIONS FOR DISCUSSION

In Our Own Words: Inadvertently Studying Traumafor 35 Years

In Our Own Words: Evergreen Got Slammed

Chapter 4: Assessing the Needs of Disaster-Affected Persons

UNIFORM DISASTER MENTAL HEALTH (DMH) TRAINING STANDARDS

PSYCHOLOGICAL FIRST AID (PFA): INFORMAL ASSESSMENT AND RESPONSE

ASSESSING EMOTIONAL REACTIONS TO DISASTER

PsySTART ASSESSMENT SYSTEM

PsySTART Color System

Benefits of PsySTART

Effectiveness

QUESTIONS FOR DISCUSSION

PROBLEMATIC REACTIONS

ASD

PTSD

Children

MIND–BODY INTERVENTIONS TO PROMOTE RECOVERY

EMDR

WENDY’S STORY

QUESTIONS FOR DISCUSSION

CONCLUSION

CASE STUDY

QUESTIONS FOR DISCUSSION

In Our Own Words: A Strange Beginning

In Our Own Words: The Emotional Roller Coaster of Surviving Superstorm Sandy

Chapter 5: Compassion Fatigue: Our Achilles’ Heel

TRAUMA IMPACT ON DMH RESPONDERS

Burnout

Vicarious Traumatization

Secondary Traumatic Stress

Shared Trauma

Compassion Fatigue

Compassion Satisfaction

TREATMENT AND PREVENTION: ACTIVE INGREDIENTS

Certified Compassion Fatigue Specialist Training (CCFST)

Accelerated Recovery Program (ARP)

Compassion Fatigue Prevention and Resiliency Workshop

Forward Focused Trauma Therapy (FFTT)

THE CRUCIBLE OF TRANSFORMATION

POSTTRAUMATIC GROWTH

CONCLUSION

CASE STUDY

QUESTIONS FOR DISCUSSION

In Our Own Words: Two Decades of Compassion Fatigue Treatment, Prevention, and Resilience

In Our Own Words: Confessions of a Trauma Responder

Chapter 6: Ethics Narratives From Lived Experiences of Disaster and Trauma Counselors

ETHICS AND THE NATURE OF DISASTER AND TRAUMA RESPONSE

THE IMPORTANCE OF CONTEXT IN ASSESSING DISASTER SITUATIONS

The Disaster Site

Survivor and Counselor Self-Care

QUESTIONS FOR PERSONAL REFLECTION BEFORE RESPONDING TO TRAUMA OR DISASTER

The Need for an Ethical Framework in Trauma and Disaster Work

Ethical Decision Making

An Ecological Perspective

LIVED EXPERIENCES OF TRAUMA AND DISASTER SITUATIONS

Counseling Scenario 1: Professional Competence

Counseling Scenario 2: Advocacy

Counseling Scenario 3: Multicultural Competence

CONCLUSION

QUESTIONS FOR DISCUSSION

In Our Own Words: Evolving

Section 2: Disaster and Trauma Response in the Community

Chapter 7: Responding to Mass Violence and the Pulse Nightclub Massacre

MASS VIOLENCE

Terrorism

Mass Shootings

Impact of Exposure

DMH COUNSELOR RESPONSE AFTER MASS VIOLENCE

Avoiding Media Exposure

Managing Anger and Emotion Dysregulation

Intermediate Response

THE PULSE NIGHTCLUB MASSACRE

The Immediate Aftermath

Orlando Counselor Crisis Response

Long-Term Response

LESSONS LEARNED

CONCLUSION

CASE STUDY

QUESTIONS FOR DISCUSSION

In Our Own Words: Self-Care and Guilt in the Wake of the Orlando Shooting

COUNSELOR SELF-CARE

RECOGNIZING AND ADDRESSING GUILT

CONCLUSION

Chapter 8: Counseling Veterans and Their Families

CIVILIAN COUNSELORS AND MILITARY CULTURE

COUNSELING IN THE DEPLOYMENT CYCLE

Preparation for Separation

Separation

Reunion

Postdeployment and Reintegration

NATIONAL GUARD/RESERVE COUNSELING NEEDS

Civilian Counselors and NG/R Reintegration

Shauna’s Story

Questions for Discussion

COUPLE AND FAMILY PROBLEMS

Social Media and Military Family Connections

Assessment and Referral

POSTDEPLOYMENT PTSD AND CO-OCCURRING CONDITIONS

Suicide

Substance Abuse

TBI

SECONDARY TRAUMATIZATION

CONCLUSION

CASE STUDY

QUESTIONS FOR DISCUSSION

In Our Own Words: Wounds You Cannot See

Chapter 9: Children and Adolescents in Disasters: Promoting Recovery and Resilience

IMPACT OF DISASTERS ON CHILDREN AND ADOLESCENTS

Developmental Vulnerability

Neurophysiology of Children

Typical Responses

Clinical Symptoms

GUIDING PRINCIPLES FOR INTERVENING WITH CHILDREN

INTERVENTIONS BY PHASES OF DISASTERS

Preparedness Phase: Primary Prevention (Steps 1–3)

Short Term: Secondary Intervention (Steps 4–5)

Intermediate (Weeks–Months): Tertiary Intervention (Steps 6–8)

Long Term (Steps 9–12)

DISASTER RESPONSE CHILD-CENTERED PLAY THERAPY

Rationale for Play Therapy

Procedures of Disaster Response Child-Centered Play Therapy

Play Therapy Procedures to Establish Safety

Play Therapy Procedures to Reconstruct the Trauma Story

Play Therapy Procedures to Restore Connections With Community

CONCLUSION

CASE STUDY

QUESTIONS FOR DISCUSSION

In Our Own Words: Helping Children Heal

Chapter 10: Counseling Survivors of Hurricane Katrina

THE COUNSELING NEEDS OF SURVIVORS OF HURRICANE KATRINA AND OTHER MULTISYSTEMIC DISASTERS

Ernesto, an African American Jazz Musician

Joann, a White Corporate Executive

Rodney, an African American Unemployed Military Veteran

William, an African American First Responder

LESSONS LEARNED AND RECOMMENDATIONS FOR COUNSELORS

CONCLUSION

QUESTIONS FOR DISCUSSION

In Our Own Words: Weren’t You Scared?

In Our Own Words: When Are We Going Home?

Chapter 11: Counseling Refugees

SOCIAL AND POLITICAL CONTEXTS OF DISPLACEMENT AND RESETTLEMENT

Bisrat’s Story: Separation and Struggle

Rahila’s Story: Pain and Persistence

Policy Impact on Refugees’ Experiences

Nafy’s Story

Refugee Resettlement: Supports, Stressors, and Hostility

Emira’s Story

Resources and the Resource Cliff

COUNSELING REFUGEES WITH AN ECOSYSTEMIC UNDERSTANDING OF TRAUMATIC EVENTS

Microlevel Situatedness: Cumulative Daily Stressors

Laleh’s Story

Macrolevel Situatedness of Refugees

Resilience, Coping, and Growth Among Refugees

Vicarious Trauma and Counseling Refugees

Working With Interpreters

Working With Refugees in School Settings

Advocacy

CONCLUSION

QUESTIONS FOR DISCUSSION

In Our Own Words: Trauma Counseling as Social Justice

Chapter 12: International Deployment and Disaster Mental Health Counselors

ECOSYSTEMIC PERSPECTIVE

PHASES OF INTERNATIONAL DMH COUNSELOR DEPLOYMENT

Example

Predeployment Phase

Peri-Deployment Phase

PSYCHOSOCIAL ASSESSMENT AND CRISIS COUNSELING

Psychosocial Assessment

Crisis Counseling

Postdeployment Phase

LESSONS LEARNED FROM RECENT EVENTS

CONCLUSION

QUESTIONS FOR DISCUSSION

In Our Own Words: A Day in the Life of a Relief Worker: Expect the Unexpected

Section 3: Disasters and Mass Violence at Schools and Universities

Chapter 13: School Disaster Mental Health

STANDARDIZING SCHOOL EMERGENCY OPERATION PLANS

SCHOOL INCIDENT COMMAND SYSTEM

RESPONDING TO MULTIPLE TYPES OF SCHOOL CRISES

Scalable Response

All-Hazards Approach

Threat Assessment

Vulnerabilities

PFA for Schools

REMS AND SCHOOL EMERGENCY OPERATIONS PLANNING

Steps in the Planning Process

Counselor Self-Care

THE WORST CASE: WHEN A CATASTROPHIC TORNADO DESTROYED A SCHOOL

QUESTIONS FOR DISCUSSION

COMPREHENSIVE SCHOOL DISASTER RESPONSE: BEFORE, DURING, AFTER

Before

During

After

CONCLUSION

CASE STUDY

QUESTIONS FOR DISCUSSION

In Our Own Words: I Never Thought I Would Become So Focused on Disaster and Trauma

In Our Own Words: From Clifton High School: Fifteen Years After September 11

Chapter 14: Disaster Recovery in Newtown: The Intermediate Phase

CREATING A RECOVERY AND RESILIENCY TEAM (RRT)

CREATING A TRAUMA-INFORMED LOCATION

INTERMEDIATE RECOVERY PHASE

DEFINING THE COMMUNITY AND THOSE IMPACTED

CARE COORDINATION AND ITS USE IN THE TRAUMATIZED COMMUNITY OF NEWTOWN, CONNECTICUT

Developing a Care Coordination Team

Fostering Community Connections

Resource Collection

Trauma-Informed Assessment

Community Communication

CULTURE OF A COMMUNITY IN THE AFTERMATH OF A SCHOOL SHOOTING

Education

Financing Concerns

Conspiracy Theories and Truthers

COMMUNAL SHARED TRAUMA

Counselor Self-Care

Trauma Stewardship

TREATMENT OF THOSE WITH TRAUMA

Treatment of Traumatized Children

Work With Specialized Populations

SHS Staff

Fracturing

CONCLUSION

CASE STUDY

QUESTIONS FOR DISCUSSION

In Our Own Words: Reflecting on the Sandy Hook School Shooting

In Our Own Words: Focus on Faith Not Fear

Chapter 15: School Shootings in Perspective

A HISTORICAL LOOK AT SCHOOL SHOOTINGS

SCHOOL SHOOTING CONTROVERSIES

Carrying Guns in School

Violent Video Games

ACTIVE SHOOTER: A NEW TERM

Inside Threats

Outside Threats

WHO ARE SCHOOL SHOOTERS?

Factor 1: Marginality

Factor 2: Individual Vulnerabilities

Factor 3: Cultural Scripts

Factor 4: Under the Radar

Factor 5: Access to Guns

SCHOOL PREPAREDNESS

WORKPLACE VIOLENCE IN SCHOOLS

COMPREHENSIVE ACTIVE-SHOOTER MANAGEMENT

SROs

Lockdown and Evacuation

WHAT SCHOOLS CAN DO TO PREVENT SCHOOL SHOOTING

RECOMMENDATIONS

CONCLUSION

CASE STUDY

DISCUSSION QUESTIONS

In Our Own Words: Recognizing the Importance of Crisis Intervention

Chapter 16: University Disaster Mental Health Response

CAMPUS PREPARATION AND PREVENTION

Threat Assessment and Management (TAM)

Campus Preparedness

Planning Ahead

THE VIRGINIA TECH STORY AND LESSONS LEARNED

Practicing and Preparation

Lessons Learned

Crisis Intervention, Response, and Recovery

CONCLUSION

CASE STUDY

QUESTIONS FOR DISCUSSION

In Our Own Words: Prepare for the Worst,Then Do Your Best

Chapter 17: Disaster Mental Health and Trauma Counseling: The Next Decade

TRAUMA AND DISASTER TRAINING

WHAT SHOULD COUNSELORS KNOW ABOUT DISASTER AND TRAUMA RESPONSE?

Trauma-Informed Counseling

Continuing Preparedness

WHAT ARE THE IMPLICATIONS FOR COUNSELOR PREPARATION?

WHO SHOULD ADVOCATE FOR DISASTER-AND TRAUMA-INFORMED COUNSELING?

CONCLUSION

In Our Own Words: “I Discovered Within Me an Invincible Summer”

Appendix A: Disaster, Trauma, and Crisis Competencies in the 2016 CACREP Standards

Appendix B: DSM-5 Diagnostic Criteria for Acute Stress Disorder and Posttraumatic Stress Disorder

Appendix C: Mass Trauma Counseling Ethical Guidelines

References

Index

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