Disaster Post Impact

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POST IMPACT

Recovery , Reconstruction,
Rehabilitation
Rehabilitation, Reconstruction and sustainable
Recovery refer to
-measures that help restore the livelihoods, assets
and production levels of emergency-affected
communities.

-These measures rebuild essential infrastructure,


institutions, services and restore the means of
production destroyed or made non-operational by a
disaster.
ROLE????
3 weeks

3days to
week

24 hours
Definition
• Psychological First Aid – is simply a “first-aid”
response aimed to *stabilize, *reduce symptoms
and *return the survivor to functional capacity in
the aftermath of a critical incident.
• Practical assistance for basic human comfort and
compassion

It refers to any effort that reduces the victims’ feeling of


helplessness and promotes their sense of control
What is Emotional First Aid (EFA)?

"Emotional First Aid is the initial response given


to a person experiencing emotional distress
before specific professional help is sought and
obtained."
critical incidents such as :

 Mass disasters : natural & human-induced


 Multiple injuries/fatalities
 Death or injury to a child
 Serious injury or line of duty death
 Excessive media attention
 Outsiders or family members interfering with
operations
 Any incident grotesque by sight, smell or other
circumstance likely to produce an emotional
(memory) input
WHO is PFA for?

PFA is intended for PEOPLE EXPOSED


TO DISASTER (children, adults, first
responders, disaster relief workers)
WHO delivers PFA?

•Mental Health Workers

•Other disaster response workers


WHEN should PFA be used?

IMMEDIATE
aftermath of the disaster/ critical
event
WHERE should PFA be used?

Shelters, hospitals, medical triage areas,


acute care facilities, feeding locations,
family reception & assistance centers,
home, business & community settings,
crisis hotlines
• PFA aims to help persons to mobilize their
own abilities and resources to RECOVER &
REBUILD by responding to basic needs,
showing concern & care, and respecting the
wishes & capabilities of the person.

• PFA aims to offer both safe & effective help for


persons after a critical event.
3 Goals of Providing PFA
1. Relieve both emotional & physical suffering
2. Improve people’s short term functioning
3. Accelerate the individual’s course of
recovery
ELEMENTS OF PFA
• Feeling safe, calm & hopeful and connected to
others
• Having access to social, physical & emotional
support
• Being ABLE TO HELP THEMSELVES as
individuals & communities
HOW PFA IS OFFERED?
• By your presence
• Your willingness to listen
• Providing practical things & information the
person may need right in that moment
• Connecting them with services & people that
can assist them as they recover in the long
term
How to Approach PFA responsibly?
• YOU CAN BEST HELP IF YOU ARE:
– CALM
– FOCUSED
– PREPARED
DO NO HARM;
- respect the person
- Protect the person from harm
- Act only in the BEST INTEREST of the person
Considerations in
PROVIDING PFA
• Do no HARM

• SAFETY of yourself & others

• ETHICAL principles
ATTRIBUTES OF A
GOOD HELPER
• Personal readiness to help in crisis
• Ability to stay CALM & FOCUSED
• Ability to learn the basic principles & DO’S &
DON’Ts
• Warmth & empathy with others
Roles of a Psychological First Aider
• Provide social support
• Educate about normal & abnormal stress
reactions
• Teach stress management techniques
• Mobilize community resources
• PROMOTE positive emotional health
• Provide SUPPORT & REASSURANCE
Roles of a Psychological First Aider

• AID in ACCESSING appropriate services


• Undertake RISK ASSESSMENT to help PREVENT
HARM to SELF or TO/FROM
OTHERS
• Create a PARTNERSHIP and help find
SOLUTIONS,
(getting through this together)

• Assist in EARLY DETECTION & INTERVENTION


Basic Needs What needs do they request?
Don’t over look the need of vulnerable/marginalized people
Follow up if you promise to do sot
Cope with Help the prioritize URGENT needs
Problems Help them identify supports in their life
Give practical suggestions, how they can meet their needs
Give Find accurate information before helping
information Say ONLY what you know, don’t make up information
Keep message short and simple
Keep updated
Social Keep families together, bring them together
support Make sure people know about how to access services
Religious support
WHEN IS PFA EFFECTIVE?
• It is COMFORTING to someone in distress
• It is PRACTICAL SUPPORT – helping people w/
basic needs
• It is TAILORED to the NEEDS & CONCERNS of
the affected persons & the situation
WHEN IS PFA EFFECTIVE?
• It is IMMEDIATE & Intended to help those who
recently experienced a very distressing event
• It is CONNECTED to other supports (services &
people) who can help in the long term
Delivering PFA
• Professional Behavior:
– Operate only within the framework of an
authorized disaster response system.
– Model healthy responses: calm, courteous, organized, helpful
– Be visible & available
– Maintain confidentiality
– Remain within the scope of your expertise &
designated role
Delivering PFA
• Professional Behavior:

– Make appropriate REFERRALS


– Be knowledgeable & sensitive (Culture & diversity)
– Pay attention to your own emotional & physical
reactions.
– Practice SELF-CARE
Delivering PFA

• Do not make assumptions (about what the survivors are


experiencing or what they have gone through)
• Do not assume that everyone exposed to a disaster
will be traumatized.
• Do not pathologize (do not label “reactions” as “symptoms”
• Do not talk down to or patronize the survivor, or
focus on his helplessness/weaknesses, mistakes,
disability. FOCUS on what he has done EFFECTIVELY
to help others
Delivering PFA

• Do not assume that all survivors want to talk


or need to talk to you. (Being physically present in a
supportive, calm way helps survivors feel safer & more able to cope)

• Do not “debrief” by asking details of what


happened.
• Do not speculate or offer possibly inaccurate
information. Know the facts before answering their questions.
PFA Core Actions
1. Contact & Engagement – initiate non-intrusive,
compassionate & helpful manner
2. Safety & Comfort – enhance ongoing safety, provide
physical & emotional comfort
3. Stabilization – calm & orient emotionally overwhelmed
/ disoriented survivors
4. Information Gathering – identify immediate needs
& concerns – tailor PFA interventions
PFA Core Actions
5. Practical Assistance - identify/ clarify the need,
discuss action plan, act to address the need
6. Connection w/ social supports – enhance access,
encourage use, discuss support-seeking & giving, modeling
support
7. Information of Coping – give basic info about stress
rxns, teach relaxation techniques, address (-) emotions
8. Linkage w/ collaborative Services – provide link
to add’l. services, promote continuity of care
ANOTHER PRESENTATION OF
PFA ACTION PRINCIPLES

A = ASSESS
B = BE
C = COMFORT/COPING
D = DO
E = END/ EXIT STRATEGY
Basic Action Explanation
Principles
A = Assess Know the situation so you will know what to do!
Assess for: Safety, obvious urgent physical needs, persons w/
serious reactions,
Ask for: Person’s NEEDS & CONCERNS
B = Be Know yourself well, so you can…
BE attentive, BE respectful, BE aware

C = Comfort/ Coping Give COMFORT & help people begin using their own COPING resources
COMFORT thru your presence, thru good COMMUNICATION & helping
people to COPE

D = Do Act to help persons with their basic practical needs.


Do address practical needs, Do help problem solve, Do link people w/
loved ones & other supports
E = End/ Exit Leave persons w/ connections to supports, & take time for your own
Strategy self-care
End your assistance – refer to other supports
End for yourself – take time for self-care.
When To Refer?
WHEN TO REFER?
• REFERRAL - the act of recommending that a
person speak to a professional who is more
competent to handle the difficulties and
complexities of his/her needs.

• Referral may be necessary when the stress


reactions of individuals affected by disasters
are causing impairments (inability to take care of self
or inability to work)
WHEN TO REFER?
• When a person hints or talks openly of suicide
• If there is a possibility of child abuse or any
criminal activity
• The problem is beyond your capability.
• The problem does not fit the purpose of the
responder/aider program
WHEN TO REFER?
• The person seems to be socially isolated.,
• You have difficulty maintaining real contact
with the person
• You become aware of dependency on alcohol
and drugs
• When the person is engaging in risky or
threatening behavior.
WHEN TO REFER?
• When you yourself become:

– Restless
– Confused
– Have negative recurring thoughts
– Dream about the case
– Feel you are the only one who can help
When, Where & How
to REFER
INTERVENTION/ REFERRAL FLOWCHART
CHILD
• Talk
• Play IMPROVED FOLLOW-UP
- Support
- Educate
FAMILY
• Talk
NOT
a. Support REFER
IMPROVED
Select b. educate
Activity -Child rearing Practices
- communication styles
For
Help COMMUNITY
• Talk COUNSELING
• Suggest Activities SERVICE
SOCIAL
a. Day care SERVICE
b. sportfest MEDICAL
c. disaster preparedness SERVICE
SCHOOL
• Talk
• Suggest Activities
• Contact people
a. Sportfest
• Agency and Address (DSWD, WCPU)
b. Disaster preparedness
c. Family day
d. Art contest
T.Y.

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