scholarly journals Psychological First Aid: Experience of International Organizations

2021 ◽  
Vol 3 ◽  
pp. 36-41
Author(s):  
Yaryna Kaplunenko
Keyword(s):  
Acute Stress ◽  
Psychosocial Support ◽  
Traumatic Event ◽  
Recovery Process ◽  
First Aid ◽  
International Medical ◽  
World Health ◽  
Stressful Event ◽  
Psychological First Aid ◽  
The Impact

The turbulent shocks of recent decades—man-made and natural disasters, political instability, pandemics, and military conflicts—highlight the need for psychosocial support for victims. To plan and train those who can provide it, a number of guidelines have been developed at the global and national levels, within international medical organizations that can minimize the impact of the crisis and start the recovery process. The article presents the definition of the concept of Psychological First Aid (PFA), describes the key aspects, structure, time limits, and principles of activity; a description of three leading models of first psychological assistance in the context of international medical organizations: the World Health Organization (WHO), Doctors Without Borders (Médecins Sans Frontières, MSF), and the Johns Hopkins Center for Public Health Preparedness, USA. The RAPID model of first aid and key competencies for psychosocial workers involved in helping victims are described. The principles and techniques of PFA meet four basic standards: they are based on the results of research of risks and resilience after injury; they are practical and suitable for use in the “field”; they meet the age characteristics of development; they take into account cultural differences. The chronogram of mental reactions to a stressful event and the provision of PFA to victims within international medical organizations is divided into four phases which should be taken into account in the organization of psychosocial support. The RAPID model is based on five aspects designed to alleviate acute stress: Rapport and Reflective listening; Assessment of needs; Prioritization; Intervention; Disposition. If control over bodily reactions, emotions, and thoughts in the victims are restored, the narrative of the event is completed and accompanied by appropriate reactions, emotions are accepted, self-esteem and self-confidence are restored, and a sense of the future appears, we can say that the person has successfully adapted to the traumatic event and is ready to move on.

Effectiveness of Psychological First Aid Training for social work students, practitioners and human service professionals in Alberta, Canada

2020 ◽  
Vol 17 (1) ◽  
pp. 7-21
Author(s):  
Nasreen Lalani ◽  
Julie Drolet
Keyword(s):  
Social Work ◽  
Training Program ◽  
Human Service ◽  
Disaster Preparedness ◽  
Psychosocial Support ◽  
Social Work Students ◽  
First Aid ◽  
Human Service Professionals ◽  
Psychological First Aid ◽  
First Aid Training

Psychological First Aid (PFA) is becoming a universally accepted intervention in providing psychosocial support to individuals and families affected by trauma or disaster.  Our study aimed to measure the effectiveness of a didactic and simulation based Psychological First Aid (PFA) training program in Alberta, Canada.  Social work students, practitioners, and human service professionals from Calgary, Edmonton, and Lethbridge were invited to attend the training.  A total of 90 participants attended the training at three different sites. A pre and post survey questionnaire was administered to all the participants before and after the training.  Findings showed that the training has significantly improved participants’ PFA knowledge and perceived competence in PFA skill.  PFA training enhanced their confidence, disaster preparedness, and self-care strategies needed to provide psychosocial support to individuals and families in disaster situations. Our study provides preliminary evidence supporting the effectiveness of the PFA training program among social work students, practitioners and human service professionals for future disaster preparedness in Alberta, Canada.Keywords: Psychological first aid, social work, disaster preparedness, training, competency, effectiveness, Canada

Evaluation of community-based psychological first aid in oncology

2019 ◽  
Vol 18 (4) ◽  
pp. 248-255
Author(s):  
Brandon L. Gray ◽  
Samuel Gaster ◽  
Christina Early ◽  
Amanda Reed
Keyword(s):  
Self Efficacy ◽  
Longitudinal Design ◽  
High Stress ◽  
First Aid ◽  
Care Staff ◽  
Control Group ◽  
Community Based ◽  
Content Type ◽  
Psychological First Aid ◽  
The Impact

Purpose Healthcare professionals work in high stress environments and may benefit from organizational efforts that enhance coping abilities. Community-based psychological first aid (CBPFA) is an evidence-informed program designed for building these skills and promoting resilience during stressful times. However, few studies have examined the effectiveness of CBPFA. The paper aims to discuss these issues. Design/methodology/approach This study examined the effectiveness of CBPFA training in promoting occupational self-efficacy and intentions to use CBPFA among oncology care staff over time using a longitudinal design. Findings Participants reported increased occupational self-efficacy and intentions to use CBPFA skills after completing training. These factors remained stable at one-month follow-up. Research limitations/implications The implications of these results are limited by the lack of a control group in the study’s design, relatively homogenous sample and participant dropout. Originality/value Despite the study’s limitations, these results represent an initial step in empirically examining the impact of CBPFA trainings and providing evidence that CBPFA may be an effective preparedness and development program in high-stress healthcare settings.

The Effectiveness of Psychological First Aid as a Disaster Intervention Tool: Research Analysis of Peer-Reviewed Literature From 1990-2010

2012 ◽  
Vol 6 (3) ◽  
pp. 247-252 ◽  
Author(s):  
Jeffrey H. Fox ◽  
Frederick M. Burkle ◽  
Judith Bass ◽  
Francesco A. Pia ◽  
Jonathan L. Epstein ◽  
...  
Keyword(s):  
Mental Health ◽  
Expert Opinion ◽  
Traumatic Event ◽  
First Aid ◽  
Advisory Council ◽  
Sufficient Evidence ◽  
Mental Health Training ◽  
Health Training ◽  
Psychological First Aid ◽  
Professional Mental Health

ABSTRACTObjective: The Advisory Council of the American Red Cross Disaster Services requested that an independent study determine whether first-aid providers without professional mental health training, when confronted with people who have experienced a traumatic event, offer a “safe, effective and feasible intervention.”Methods: Standard databases were searched by an expert panel from 1990 to September 2010 using the keyword phrase “psychological first aid.” Documents were included if the process was referred to as care provided to victims, first responders, or volunteers and excluded if it was not associated with a disaster or mass casualty event, or was used after individual nondisaster traumas such as rape and murder. This search yielded 58 citations.Results: It was determined that adequate scientific evidence for psychological first aid is lacking but widely supported by expert opinion and rational conjecture. No controlled studies were found. There is insufficient evidence supporting a treatment standard or a treatment guideline.Conclusion: Sufficient evidence for psychological first aid is widely supported by available objective observations and expert opinion and best fits the category of “evidence informed” but without proof of effectiveness. An intervention provided by volunteers without professional mental health training for people who have experienced a traumatic event offers an acceptable option. Further outcome research is recommended.(Disaster Med Public Health Preparedness. 2012;6:247–252)

scholarly journals Repercussions of The COVID-19 Pandemic on the Well-Being and Training of Medical Clerks: A Pan-Canadian Survey

2020 ◽  
Author(s):  
Myriam Abbas ◽  
Malek Dhane ◽  
Michèle Beniey ◽  
Léamarie Meloche-Dumas ◽  
Mohamed Eissa ◽  
...  
Keyword(s):  
Medical Training ◽  
Medical Curriculum ◽  
Well Being ◽  
Training System ◽  
World Health ◽  
Considerable Proportion ◽  
Stressful Event ◽  
Protected Time ◽  
The Impact ◽  
Residency Match

Abstract Background: The COVID-19 pandemic has been an unprecedented and potentially stressful event that inserted itself into the 2019-2020 Canadian medical curriculum. However, its impact on stress and subsequent professional pathways is not well understood. This study aims to assess the impact the COVID-19 pandemic on the mental well-being, training, and career choices of Canadian medical clerks within the first three months of the pandemic. It also aims to assess their use of university support systems and their appreciation of potential solutions to common academic stressors.Methods: An electronic survey composed of four sections: demographics, stressors experienced during the pandemic, World Health Organization (WHO) well-being index, and stress management and resources was distributed to Canadian clerks. Results: Clerks from 10 of the 17 Canadian medical faculties participated in this study (n=627). Forty-five percent of clerks reported higher levels of stress than usual; 22% reconsidered their residency choice; and 19% reconsidered medicine as a career. The factors that were most stressful among clerks were: the means of return to rotations; decreased opportunities to be productive in view of residency match; and taking the national licensing exam after the beginning of residency. The mean WHO well-being index was 14.8/25  4.5, indicating a poor level of well-being among a considerable proportion of students. Clerks who reconsidered their residency choice or medicine as a career had lower mean WHO well-being indices. Most clerks agreed with the following suggested solutions: training sessions on the clinical management of COVID-19 cases; being allowed to submit fewer reference letters when applying to residency; and having protected time to study for their licensing exam during residency. Overall, clerks were less concerned with being infected during their rotations than with the impact of the pandemic on their future career and residency match. Conclusion: The COVID-19 pandemic had a considerable impact on the medical curriculum and well-being of clerks. A number of student-identified solutions were proposed to reduce stress. The implementation of these solutions throughout the Canadian medical training system should be considered.

scholarly journals Repercussions of the COVID-19 Pandemic on the Well-being and Training of Medical Clerks: A Pan-Canadian Survey

2020 ◽  
Author(s):  
Myriam Abbas ◽  
Malek Dhane ◽  
Michèle Beniey ◽  
Léamarie Meloche-Dumas ◽  
Mohamed Eissa ◽  
...  
Keyword(s):  
Medical Training ◽  
Medical Curriculum ◽  
Well Being ◽  
Training System ◽  
World Health ◽  
Considerable Proportion ◽  
Stressful Event ◽  
Protected Time ◽  
The Impact ◽  
Residency Match

Abstract Background: The COVID-19 pandemic has been an unprecedented and potentially stressful event that inserted itself into the 2019-2020 Canadian medical curriculum. However, its impact on stress and subsequent professional pathways is not well understood. This study aims to assess the impact of the COVID-19 pandemic on the mental well-being, training, and career choices of Canadian medical clerks within the first three months of the pandemic. It also aims to assess their use of university support systems and their appreciation of potential solutions to common academic stressors.Methods: An electronic survey composed of four sections: demographics, stressors experienced during the pandemic, World Health Organization (WHO) well-being index, and stress management and resources was distributed to Canadian clerks. Results: Clerks from 10 of the 17 Canadian medical faculties participated in this study (n=627). Forty-five percent of clerks reported higher levels of stress than usual; 22% reconsidered their residency choice; and 19% reconsidered medicine as a career. The factors that were most stressful among clerks were: the means of return to rotations; decreased opportunities to be productive in view of residency match; and taking the national licensing exam after the beginning of residency. The mean WHO well-being index was 14.8/25 ± 4.5, indicating a poor level of well-being among a considerable proportion of students. Clerks who reconsidered their residency choice or medicine as a career had lower mean WHO well-being indices. Most clerks agreed with the following suggested solutions: training sessions on the clinical management of COVID-19 cases; being allowed to submit fewer reference letters when applying to residency; and having protected time to study for their licensing exam during residency. Overall, clerks were less concerned with being infected during their rotations than with the impact of the pandemic on their future career and residency match. Conclusion: The COVID-19 pandemic had a considerable impact on the medical curriculum and well-being of clerks. A number of student-identified solutions were proposed to reduce stress. The implementation of these solutions throughout the Canadian medical training system should be considered.

scholarly journals EMDR intervention after a disaster: The Morandi Bridge collapse

2019 ◽  
Vol 15 (3) ◽  
Author(s):  
Isabel Fernandez ◽  
Chiara Callerame
Keyword(s):  
Traumatic Event ◽  
Poor Quality ◽  
World Health ◽  
Traumatic Experience ◽  
Post Traumatic Stress ◽  
Impact Of Event Scale ◽  
Event Scale ◽  
Pre Treatment ◽  
Health Organization ◽  
The Impact

Survivors involved in natural or man-made disasters can develop a range of psychological problems including Post-Traumatic Stress Disorder (PTSD), depression, other forms of psychological distress, and a poor quality of life. Therefore, the principal focus of early psychological interventions, according to World Health Organization, is to provide a rapid and effective therapeutical approach like EMDR therapy. The EMDR approach enables the assimilation and integration of the various aspects of a traumatic experience at a somatic, sensorial, cognitive, behavioral and emotional level. In this article will be presented data of 47 patients collected after the partial collapse of Morandi bridge, in Genoa, in August 2018. Survivors were treated applying the Recent Traumatic Episode Protocol (R-TEP); in order to evaluate the effect of the traumatic event and to monitor the intervention outcome, the Impact of Event Scale- Revised (IES-R) was administered to each person pre and after EMDR treatment. Results show that regardless the number of sessions and the time elapsed after the disaster in which they were performed, EMDR significantly reduced participants’ IES-R scores from pre-treatment to posttreatment. Clinical implications and limits of the study will be discussed.

scholarly journals Repercussions of the COVID-19 pandemic on the well-being and training of medical clerks: a pan-Canadian survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Myriam Abbas ◽  
Malek Dhane ◽  
Michèle Beniey ◽  
Léamarie Meloche-Dumas ◽  
Mohamed Eissa ◽  
...  
Keyword(s):  
Medical Training ◽  
Medical Curriculum ◽  
Well Being ◽  
Training System ◽  
World Health ◽  
Considerable Proportion ◽  
Stressful Event ◽  
Protected Time ◽  
The Impact ◽  
Residency Match

Abstract Background The COVID-19 pandemic has been an unprecedented and potentially stressful event that inserted itself into the 2019–2020 Canadian medical curriculum. However, its impact on stress and subsequent professional pathways is not well understood. This study aims to assess the impact of the COVID-19 pandemic on the mental well-being, training, and career choices of Canadian medical clerks within the first three months of the pandemic. It also aims to assess their use of university support systems and their appreciation of potential solutions to common academic stressors. Methods An electronic survey composed of four sections: demographics, stressors experienced during the pandemic, World Health Organization (WHO) well-being index, and stress management and resources was distributed to Canadian clerks. Results Clerks from 10 of the 17 Canadian medical faculties participated in this study (n = 627). Forty-five percent of clerks reported higher levels of stress than usual; 22% reconsidered their residency choice; and 19% reconsidered medicine as a career. The factors that were most stressful among clerks were: the means of return to rotations; decreased opportunities to be productive in view of residency match; and taking the national licensing exam after the beginning of residency. The mean WHO well-being index was 14.8/25 ± 4.5, indicating a poor level of well-being among a considerable proportion of students. Clerks who reconsidered their residency choice or medicine as a career had lower mean WHO well-being indices. Most clerks agreed with the following suggested solutions: training sessions on the clinical management of COVID-19 cases; being allowed to submit fewer reference letters when applying to residency; and having protected time to study for their licensing exam during residency. Overall, clerks were less concerned with being infected during their rotations than with the impact of the pandemic on their future career and residency match. Conclusion The COVID-19 pandemic had a considerable impact on the medical curriculum and well-being of clerks. A number of student-identified solutions were proposed to reduce stress. The implementation of these solutions throughout the Canadian medical training system should be considered.

scholarly journals COVID-19, mental health and psychological first aid

2020 ◽  
Vol 37 (4) ◽  
pp. 259-263 ◽  
Author(s):  
E. Minihan ◽  
B. Gavin ◽  
B. D. Kelly ◽  
F. McNicholas
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Well Being ◽  
First Aid ◽  
World Health ◽  
Psychological First Aid ◽  
Global Pandemic ◽  
The World ◽  
Health Organization ◽  
Health And Well Being

Crises such as the global pandemic of COVID-19 (coronavirus) elicit a range of responses from individuals and societies adversely affecting physical and emotional well-being. This article provides an overview of factors elicited in response to COVID-19 and their impact on immunity, physical health, mental health and well-being. Certain groups, such as individuals with mental illness, are especially vulnerable, so it is important to maximise the supports available to this population and their families during the pandemic. More broadly, the World Health Organization recommends ‘Psychological First Aid’ as a useful technique that can help many people in a time of crisis.

Central System of Psychosocial Support to the Czech Victims Affected by the Tsunami in Southeast Asia

2006 ◽  
Vol 21 (S1) ◽  
pp. S27-S31 ◽  
Author(s):  
Stepan Vymetal
Keyword(s):  
Czech Republic ◽  
Southeast Asia ◽  
Psychosocial Support ◽  
Relevant Information ◽  
First Aid ◽  
Foreign Affairs ◽  
Specific Information ◽  
The Czech Republic ◽  
Psychological First Aid ◽  
Tsunami Disaster

AbstractThe Tsunami disaster affected several countries in Southeast Asia in December 2004 and killed or affected many tourists, most of them from Europe. Eight Czech citizens died, and about 500 Czechs were seriously mentally traumatized. The psychosocial needs of tourists included: (1) protection; (2) treatment; (3) safety; (4) relief; (5) psychological first aid; (6) connecting with family members; (7) transportation home; (8) information about possible mental reactions to trauma; (9) information about the normality of their reaction; (10) procedural and environmental orientation; (11) reinforcement of personal competencies; and (12) psycho-trauma therapy.The Ministry of Foreign Affairs of the Czech Republic was in charge of general emergency management. General coordination of psychosocial support was coordinated under the Ministry of Interior of the Czech Republic, which is connected to the Central Crisis Staff of the Czech Government. The major cooperative partners were: the Ministry of Foreign Affairs, the Ministry of Defence, the Ministry of Health, Czech Airlines, psychosocial intervention teams of the Czech Republic, and the Czech Association of Clinical Psychologists.The main goals of relief workers were: (1) to bring back home the maximum number of Czech citizens; (2) to provide relevant information to the maximum number of affected Czech citizens; (3) to provide relevant information to rescue workers and professionals; and (4) to prepare working psychosocial support regional network.Major activities of the Ministry of Interior (psychology section) included: (1) establishing a psychological helpline; (2) running a team of psychological assistance (assistance in the Czech airports, psychological monitoring of tourists, crisis intervention, psychological first aid, assistance in the collection of DNA material from relatives); (3) drafting and distributing specific information materials (brochures, leaflets, address lists, printed and electronic instructions); (4) communicating via the media and advertising; and (5) providing analysis and research studies.Central coordination of psychosocial support has been found as successful in the first phase after the disaster. The plans must be built for preferable cooperation in the psychosocial field in the Czech Republic. Better collaborates with journalists must exist in order to reduce secondary psycho-trauma.There is a need for intensive international cooperation in the psychosocial field and to build the network at the global level.

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