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Disasters and Mental Health World Psychiatric Association Introduction, Chapter 1 What is a disaster? Editors Juan José López-Ibor George Christodoulou Mario Maj Norman Sartorius Ahmed Okasha

Overcoming a trauma. Treatment of violent events victims Enrique Echeburúa, Spain contents, spanish version

back

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The loss of a loved one Marcos Gómez Sancho, Spain

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Mental Health and Mass Violence Evidence-Based Psychological Intervention for Victims/Survivors of Mass Violence A Workshop to Reach Consensus on Best Practices Table of Contents

Table of Contents Acknowledgements...............................................i Executive Summary..............................................1 Introduction...................................................5 Implications...................................................5 Core Questions.................................................6 Areas of Consensus...............................................6 Key Operating Principles of Early Intervention.............................6 Guidance on Best Practices Based on Current Research Evidence................7 Key Considerations for Timing of Early Interventions.........................8 Screening for Survivors............................................8 Follow-Up (For Whom and Over What Period of Time?).......................9 Expertise, Skills and Training for Providers of Early Intervention Services...........9 Research and Evaluation..........................................10 Ethical Issues..................................................11 Key Questions to Address Within the Field of Early Intervention................11 Appendix A: Key Components of Early Intervention.........................13 Appendix B: Guidance for Timing of Early Interventions......................15 Appendix C: Resource Organizations...................................17 Appendix D: Glossary of Terms......................................22 Appendix E: Training of the Early Intervention Workforce.....................28 Appendix F: Additions and Dissenting Opinions............................34 Appendix G: Intervention Literature Review Tables.........................37 Appendix H: Measures............................................98 Appendix I: References..........................................100 back

Mental Health All Hazards Disaster Planing Guidance U.S. Departament of Health and Human Services Table of Contents

TABLE OF CONTENTS FOREWORD............................................................1 INTRODUCTION.........................................................2 PART ONE: THE STATE OF THE STATES..........................................4 Plan Revisions Currently in Process............................................5 PART TWO: THE PLANNING PROCESS...........................................6 Benefits of the Planning Process.............................................7 Limitations, Barriers, and Challenges in Developing and Implementing Plans................7 Getting the Planning Process Started..........................................8 Recommendations from the Focus Group........................................9 PART THREE: PLAN CONTEN...............................................18 Basic Plan Elements.....................................................19 Integrating with the State Plan.............................................23 Functional Annex Content.................................................24 Hazard-Specific Planning..................................................28 Special Planning Concerns for Mental Health.....................................30 Standard Operating Procedures and Checklists...................................32 Glossary of Terms......................................................32 PART FOUR: RESOURCES..................................................34 Organizations.........................................................34 Publications..........................................................35 References...........................................................37 APPENDICES Appendix A: Elements of an All-Hazards State Disaster Mental Health Plan................A-1 Appendix B: Listing of Focus Group Members....................................B-1 Appendix C: Common Acronyms and Definitions..................................C-1 FIGURE Figure 1: Population Exposure Model..........................................12 TABLE Table 1: Sample Comparison of Eligibility and Services..............................10 Table 2: Examples of State Legislation Geared Toward Disaster Response Planning............14 Table 3: Recommended Planning Participants....................................15 Table 4: Texas Department of Mental Health and Mental Retardation Disaster Matrix..........20 Table 5: CMHS Needs Assessment Formula......................................23 back

An ambulance of the wrong colour Health professionals, human rights and ethics in South Africa Laurel Baldwin-Regaven, Jeanelle de Gruchy, Leslie London

Ethics in Plain English An Illustrative Casebook for Psychologists Thomas F. Nagy

Ética y Cine La singularidad en situación Vol. I Juan Jorge Michel Fariña, Carlos Gutiérrez (comp.) Eudeba, JVC ediciones 2000/2001

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Mental Health Response to Mass Violence and Terrorism U.S. Departament of Health and Human Services U.S. Departament of Justice Table of Contents

TABLE OF CONTENTS Preface Chapter I. Background and Overview 2 Purpose of the Manual 4 Overview of the Manual 5 Overview of Resources 7 Glossary of Acronyms 7 Chapter II. Human Responses to Mass Violence and Terrorism 8 Population Exposure Model 11 Population Exposure Checklist 11 Traumatic Event and Stressor Characteristics 12 Survivor Characteristics 14 Immediate Adult Reactions to Trauma, Victimization, and Sudden Bereavement 16 Physical Reactions 16 Behavioral Reactions 16 Emotional Reactions 17 Cognitive Reactions 17 Long-Term Responses of Adults. 17 Traumatic Bereavement 18 Screening and Assessment Checklist 18 Model of Human Responses to Trauma and Bereavement 19 Children and Adolescents: Priority Considerations and Reactions 21 Traumatic Event and Stressor Characteristics 23 Post-Trauma and Grief Reactions 23 Screening and Assessment Checklist 24 Older Adults: Priority Considerations and Reactions 24 Screening and Assessment Checklist 25 Cultural and Ethnic Groups: Priority Considerations and Reactions 26 Cultural Response Checklist 27 Recommended Reading 28 Chapter III. Mental Health Intervention 30 Key Principles for Mental Health Intervention 31 Mental Health Assistance Coordination 33 Mental Health Service Provider Groups 33 Immediate Mental Health Intervention 34 Goals and Priorities 34 Immediate Mental Health Interventions with Adults 35 Psychological First-Aid 35 Crisis Intervention 36 Informational Briefings 38 Crime Victim Assistance 38 Brief Counseling 46 vii Support Groups 47 Immediate Mental Health Interventions for Children and Adolescents 48 Goals and Priorities 48 Psychological First-Aid 49 Play Areas 49 Participation in Disaster Relief 49 School Interventions 50 lassroom Interventions 50 Long-Term Mental Health Interventions for Children and Adolescents 50 Goals and Priorities 50 Brief Counseling 51 Support Groups 52 Considerations for Immediate and Long-Term Mental Health Intervention With Cultural and Ethnic Groups 52 Tips for Working with Interpreters 53 Basic Cultural Sensitivity Checklist. 53 Key Events with Mental Health Implications 54 Death Notification 55 Ending Rescue and Recovery Operations 56 Applying for Death Certificates When No Identified Remains Have Been Found 56 Events Involved in Criminal Justice Proceedings 57 Returning to the Crime Scene and Disaster-Impacted Areas 58 Memorials and Funerals 59 Determination of Formulas and Methods for Distributing Federal, State, Employer, and Charity Funds to Victims and Families 60 Interventions with the Community 60 Memorials, Rituals, and Commemorations 60 Usual Community Gatherings 61 Symbolic Gestures. 62 Recommended Reading 66 Chapter IV. Organizational Preparation and Response to Mass Violence and Terrorism and the Mental Health Role 68 Emergency Operations 69 Crisis Mental Health Response 71 Key Considerations for Mental Health Providers Responding to Criminal Mass Violence 73 Crisis Mental Health Response: Future Directions 75 Long-Term Mental Health and Crime Victim Assistance Services 76 Recommended Reading 77 Chapter V. Stress Prevention, Management, and Intervention 78 Sources of Stress 79 Stress Prevention, Management, and Intervention 80 Environmental Context. 80

Individual Context 83 Compassion Fatigue and Secondary Traumatization..83 Signs and Symptoms of Worker Stress 86 Mental Health Provider Stress Reactions 86 Rewards and Joys of Disaster Work 88 Recommended Reading 88 Chapter VI. Setting Up Training 90 Rapid Response Training 91 Comprehensive Training 92 Selection of Qualified Trainers 92 Setting Up Training. 93 Who Should Attend? 93 Chapter VII. Comprehensive Training Course Outline 94 Course Overview.95 Course Objectives. 95 Overview of Comprehensive Training Course 96 Module 1: Introduction 97 Module 2: Criminal Mass Victimization 99 Module 3: Adult Responses to Mass Violence and Terrorism 101 Module 4: Organizational Response and Mental Health Roles 104 Module 5: Community Crisis Response and Mental Health Interventions 106 Module 6. Children s and Adolescents Reactions and Interventions 110 Module 7: Cultural and Ethnic Groups: Considerations and Interventions 113 Module 8: Planning Workgroups 115 Module 9: Stress Prevention, Management, and Intervention 117 Training Overheads 121 Handouts. 166 Videotapes 169 References and Additional Reading 175 Internet Sites 184 Figures and Tables Figure 1: Population Exposure Model 11 Figure 2: Model of Responses to Trauma and Bereavement 20 Figure 3: ICS Organizational Components 70 Figure 4: ICS Unified Command 71 Table 1: Comparison of Mass Violent Victimization and Natural Disasters 9 Table 2: Survivor Characteristics 15 Table 3: Reactions to Trauma and Suggestions for Intervention 63 Table 4: Environmental and Organizational Approaches for Stress Prevention and Management 81 Table 5: Individual Approaches for Stress Prevention and Management 84 Chapter VIII. Additional Training Needs and Options 170 Training for Paraprofessional Staff 171 Counseling Skill Development 171 Counseling Interventions 171 Self-Awareness 172 Assessment of Mental Health and Other Problems 172 Legal, Ethical, and Program Considerations 172 Training for Human Service Workers 172 Topics and Considerations for In-Service Training 173 back