First responders and psychological first aid
Keywords:first responders, psychological first aid, mental health
Emergencies and disasters are common and occur on a daily basis. Although most survivors will not experience any long-term negative mental health effects, some will. First responders tend to have first contact with the survivors and, therefore, are in a position to provide needed mental health assistance to survivors. Psychological first aid (PFA) is an evidence-informed approach to providing support to survivors following a serious crisis event, and it aims to reduce the initial distress of the traumatic event and to promote adaptive functioning and coping. PFA has gained a great deal of attention lately, likely due to the fact that it is easy to provide. This article discusses the potential negative effects of emergencies and disasters on mental health, provides a description of PFA and discusses its application, and provides an overview of the research base of PFA and a discussion on the need for future research.
Federal Emergency Managment Agency: Declared disasters by year or state. Available at http://www.fema.gov/news/disaster_totals_annual.fema. Accessed March 18, 2012.
Sylves R: Disaster Policy and Politics: Emergency Management and Homeland Security.Washington, DC: CQ Press, 2008.
Norris FH, Friedman MJ, Watson PJ, et al.: 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry. 2002; 65(3): 207-239.
Joseph S: What Doesn’t Kill Us: The New Psychology of Posttraumatic Growth. New York, NY: Basic Books, 2011.
Norris FH, Friedman MJ, Watson PJ: 60,000 disaster victims speak: Part II. Summary and implications of the disaster mental health research. Psychiatry. 2002; 65(3): 240-260.
Kessler RC, Galea S, Jones RT, et al.: Mental illness and suicidality after Hurricane Katrina. Bull World Health Organ. 2006; 84(12): 930-939.
Kessler RC, Galea S, Gruber MJ, et al.: Trends in mental illness and suicidality after Hurricane Katrina. Mol Psychiatry. 2008; 13(4): 374-384.
Green BL: Identifying survivors at risk: Trauma and stressors across events. In: Wilson JP, Raphael B (eds.): International Handbook of Traumatic Stress Syndromes. New York, NY: Plenum Press, 1993: 135-144.
Brewin CR, Andrews B, Valentine JD: Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. J Consult Clin Psychol. 2000; 68(5): 748-766.
Brymer M, Jacobs A, Layne C, et al.: Psychological First Aid: Field Operations Guide, 2nd ed. Washington, DC: National Centre for PTSD, 2006.
World Health Organization: Psychological First Aid: Guide for Field Workers. Geneva: WHO, 2011.
Jacobs GA, Meyer DL: Psychological first aid: Clarifying the concept. In Barbanel L, Sternberg RJ (eds.): Psychological Interventions in Times of Crisis. New York, NY: Springer Publishing Co., 2006: 57-71.
Jacobs GA: The development and maturation of humanitarian psychology. Am Psychol. 2007; 62(8): 932-941.
Pender DA, Prichard KK: ASGW best practice guidelines as a research tool: A comprehensive examination of the Critical Incident Stress Debriefing. J Specialists Group Work. 2009; 34(2): 175-192.
McNally RJ, Bryant RA, Ehlers A: Does early psychological intervention promote recovery from posttraumatic stress? Psychol Sci Publ Interest. 2003; 4(2): 45-79.
Litz BT, Gray MJ, Bryant RA, et al.: Early intervention for trauma: Current status and future directions. Clin Psychol Sci Pract. 2002; 9(2): 112-134.
Schmideberg W: The treatment of panic in casualty area and clearing station. Life Lett Today. 1939; 23: 27.
Blain D, Hoch P, Ryan VG: A course in psychological first aid and prevention. Am J Psychiatry. 1945; 101: 629-634.
Mental Health Materials Center: Psychological first aid in disasters. Am J Nurs. 1955; 55: 437-438.
Meerloo JAM: Danger, panic and first aid. Military Rev. 1953; 33(2): 40-45.
Von Greyerz W: Psychology of Survival: Human Reactions to the Catastrophes of War. Oxford, England: Elsevier, 1962.
Walker G: Crisis-care in critical incident debriefing. Death Studies. 1990; 14(2): 121-133.
Raphael B: When Disaster Strikes: How Individuals and Communities Cope with Catastrophe. New York: Basic Books, 1986.
Pynoos RS, Nader K: Psychological first aid and treatment approach to children exposed to community violence: Research implications. J Trauma Stress. 1988; 1(4): 445-473.
Ruzek JI, Brymer MJ, Jacobs AK, et al.: Psychological first aid. J Mental Health Counseling. 2007; 29(1): 17-49.
Hobfoll SE,Watson P, Bell CC, et al.: Five essential elements of immediate and mid-term mass trauma intervention: Empirical evidence. Psychiatry. 2007; 70(4): 283-315.
Vernberg EM, Steinberg AM, Jacobs AK, et al.: Innovations in disaster mental health: Psychological first aid. Prof Psychol Res Pr. 2008; 39(4): 381-388.
Forbes D, Lewis V, Varker T, et al.: Psychological first aid following trauma: Implementation and evaluation framework for high-risk organizations. Psychiatry. 2011; 74(3): 224-239.
Allen B, Brymer MJ, Steinberg AM, et al.: Perceptions of psychological first aid among providers responding to Hurricanes Gustav and Ike. J Trauma Stress. 2010; 23(4): 509-513.
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