Disaster Mental Health Theory and Practice

ISBN-10: 0534534716

ISBN-13: 9780534534714

Edition: 2007

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Description:

Informative and practical, DISASTER MENTAL HEALTH: THEORY AND PRACTICE covers the psychology of disasters, and discusses how to assist those impacted by such dramatic, life-changing events. Its primary aim is to support and empower those mental health practitioners and students who will be working in the trenches of disaster's aftermath. An ancillary goal is to arm disaster responders who are not mental health specialists with sufficient knowledge to consider the role of mental health and how it might be helpful. The book is intended to be a tool in disaster preparedness and planning. A broader goal is to further legitimize the still-developing field of disaster mental health by offering a synthesis of trends, discoveries and related concepts. This book presents a theoretical integration and context for what disaster mental health is and what it is not. It also presents the range of mental health interventions in the wake of disaster. These interventions are discussed in a practical manner so that readers may obtain and develop additional skills.
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Book details

List price: $101.95
Copyright year: 2007
Publisher: Wadsworth
Publication date: 6/27/2006
Binding: Paperback
Pages: 352
Size: 6.25" wide x 9.25" long x 0.50" tall
Weight: 1.496
Language: English

Preface
Disaster Mental Health Theory
Introduction
The Purpose of This Book
Defining Disaster
Disasters and Mental Health
Describing Those Impacted
Who Is Most at Risk From Disasters?
The Mission of Disaster Mental Health
Practice Differences in Disaster Mental Health
So, What Is It That We Do?
Characteristics of a Disaster Mental Health Worker
Rewards of Disaster Work
The Structure of This Book: Theory and Practice
References
The Characteristics of Disaster
No Two Disasters Are Alike
Stages of Disaster
Scope, Intensity, and Duration
Natural Versus Human-Caused Disaster
Natural Disasters
Natural Disasters With and Without Warning
How Natural Are Natural Disasters?
Human-Caused Disasters
Toxic Waste and Nuclear Accidents
Terrorism and Weapons of Mass Destruction
Hoaxes, Rumors, and Panics
The Importance of Accurate Information
References
A History of Disaster Mental Health
Converging Trends in the Development of Disaster Mental Health
The Concept of Trauma
Railway Spine, Hysteria, and Dissociation
Freudian Concepts of Trauma
Trauma and War
The Legitimization of Trauma
The Diagnostic Nomenclature and Trauma
The Link Between Trauma and Disasters
Stress and Trauma
Wellness and Humanistic Psychology
Crisis Intervention in the Community
The Role of Emergency Management
Humanitarian Relief Groups
The American Red Cross and Disaster Mental Health
Supporting First Responders
Disaster Mental Health Today
References
Reactions and Risk Factors
Physiological Responses to Disaster
Normative Reactions to Disaster Exposure
Stages of Disaster Reactions
Before and During Impact
After Disaster: Emotional Changes Over Time
Proximity to Impact
The Impact of Loss and Grief
Specific Issues in Disaster Loss
Characteristics of Bereavement
A Double Blow: Bereaved Survivors
Loss, Guilt, and Shame
Collective Responses to Disaster
Individual Risk and Resilience
When Resilience Fails
Existential Reactions to Disaster
Rebuilding the Self After Disaster
References
Extreme Reactions
Trauma Studies and Disaster Mental Health
Posttraumatic Stress Disorder
Diagnosing Posttraumatic Stress Disorder
Physical Underpinnings of Posttraumatic Stress Disorder
Core and Related PTSD Symptoms
Memory and Trauma
Models of Memory and Trauma
Traumatic Memory Failures: Amnesia and Dissociation
Dissociation and Acute Stress Disorder
Complicated Grief
Diagnosing Complicated Grief
Complicated Grief and Posttraumatic Stress Disorder: A Comparison
Complicated Grief Risk Factors
Comorbid Disorders Following Disaster Exposure
A Final Word: Extreme Reactions and the Disaster Mental Health Practitioner
References
Vulnerable Populations
Defining Vulnerability
Traumatic Stress and Children and Adolescents
Diagnosing Posttraumatic Stress Disorder and Other Disorders in Children
Expression of Symptoms: A Developmental Perspective
Disaster Trauma and Development
Trauma in the Formative Years
Which Children Are Most at Risk?
Parental Psychology and the Recovery Environment
Key Principles in Helping Children
The Elderly in Disasters
Who Are the Elderly?
Logistical Issues Faced by the Elderly
Relocation Trauma
Psychological Issues Among the Elderly
Strengths of Older Disaster Survivors
Key Principles in Helping the Elderly
People With Serious Mental Illness
People With Physical Disabilities
Conclusions About Vulnerable Populations
References
Disaster Mental Health Practice
The Challenges of Counseling in Chaos
Is Disaster Mental Health Right for You Now?
Training to Respond
Training Drills
Responding to Disasters
Small or Local Disasters
Large or National Disasters
On-Scene Hierarchies
Spiritual Care in Disaster Response
Other Organizations Active in Disaster
Government Agencies
Volunteer Organizations
Settings for Disaster Mental Health Work
General Settings
Red Cross-Specific Response Settings
Some Practical Considerations
Disasters' Impact on Counselors
Self-Care During the Event
Transitioning Home From a Disaster Assignment
Afterthoughts
References
Psychological First Aid
A Visible Supportive Presence
Defining Psychological First Aid
History and Rationale
Theoretical Roots: Carl Rogers and Abraham Maslow
Goals and Components of Psychological First Aid
Psychological First Aid Attitudes
Psychological First Aid Actions
A Case Study: Psychological First Aid on the Phone
Who Can Provide Psychological First Aid?
Is Psychological First Aid Effective?
References
Early Interventions Beyond Psychological First Aid
Assessment
Triage
Screening
Psychoeducation
Psychoeducation on Normal Reactions to Stress
Providing Stress Management Skills
Providing Coping Skills Training
Psychoeducation on Loss and Grief
Educating Parents to Help Children
Helping Survivors Cope With the Media
Is Psychoeducation Effective?
Monitoring and Controlling Rumor
Conflict Mediation and Resolution
Preventing Conflict
Working With and Mediating Conflict
Correcting Distorted Self-Cognitions
Making Referrals for Follow-Up Treatment
Some Cautions About Early Intervention
References
Debriefing and the Impact of Disaster Trauma on First Responders
Background of the Debriefing Debate
A History of Debriefing
Critical Incident Stress Debriefing: The "Mitchell Model"
Components of Critical Incident Stress Management
Components of Critical Incident Stress Debriefing
Other Psychological Debriefing Models
Debriefing's Theoretical Context
Crisis Intervention
Psychoeducation
Critical Questions About Debriefing
Possible Drawbacks, Possible Benefits
First Responders and Disaster Trauma
Emergency Workers as Public Figures
Mourning in Public
Critical Incident Stress Management and First Responders
Disasters and Debriefing
References
Long-Term Treatment: Continuity of Care
Long-Term Needs of the Traumatized Patient
Psychodynamic Approaches
Cognitive-Behavioral Approaches
Family Systems Approaches
Family Therapy and Disaster
Assisting a Family With Loss
Group Therapy Approaches
Pharmacotherapy
Evidence-Based Practice for Long-Term Treatment of Disaster Survivors
The Impact on the Therapist and the Need for Self-Care
References
New Directions in Disaster Mental Health
Preparing Communities
Preparing Providers
Preparing the Public
New Challenges: Preparing an International Response
Responding When the Disaster Is Ongoing
Backlash Against Disaster Mental Health Services
Ethics
Competence
Competence Working With Human Differences
Personal Problems and Conflicts
Informed Consent
Maintaining Confidentiality and Discussing the Limits of Confidentiality
Multiple Relationships
Advocacy
Research and Informed Practice
A Final Note on New Directions
References
A Sample Common Reactions Document
Internet Resources for Helping Children Cope With Disaster
Treatment Goals for a Cognitive-Behavioral Group Therapy for Adults and Children Following an Air Disaster
Disaster Mental Health-Relevant Articles From the American Psychological Association Ethics Code
Resource List for Disaster Mental Health Helpers
Index
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