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In the Line of Fire Trauma in the Emergency Services

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ISBN-10: 0195165020

ISBN-13: 9780195165029

Edition: 2005

Authors: Cheryl Regehr, Ted Bober

List price: $49.95
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In the wake of disaster emergency responders are first on the scene and last to leave. They put concern for the lives of others over concern for their own lives, and work tirelessly to recover the bodies of the missing. Their heroic actions save lives, provide comfort and care for the wounded and inspire onlookers, but at what cost to themselves? We now know that rescue workers who are exposed to mutilated bodies, mass destruction, multiple casualties, and life-threatening situations may become the hidden victims of disaster. The traumatic consequences of exposure can profoundly impact emergency responders, radiate to their families, and permeate the emergency organization. This book, based on the authors' original research and clinical experience, describes the consequences of trauma exposure on police officers, fire fighters, and paramedics. Weaving data collected in large-scale quantitative studies with the personal stories of responders shared in qualitative interviews, this much-needed account explores the personal, organizational, and societal factors that can ameliorate or exacerbate traumatic response. Stress theory, organizational theory, crisis theory, and trauma theory provide a framework for understanding trauma responses and guiding intervention strategies. Using an ecological perspective, the authors explore interventions spanning prevention, disaster response, and follow-up, on individual, family, group, organizational, and community levels. They provide specific suggestions for planning intervention programmes, developing trauma response teams, training emergency service responders and mental health professionals, and evaluating the effectiveness of services provided. Disaster, whether large-scale or small, underscores our ongoing vulnerability and the crucial need for response plans that address the health and well being of those who confront disaster on a daily basis. In the Line of Fire speaks directly to these emergency response workers as well as to the mental health professionals who provide them with services, the administrators who support their effort, and the family members who wonder if their loved one will return home safely from work tonight.
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Book details

List price: $49.95
Copyright year: 2005
Publisher: Oxford University Press, Incorporated
Publication date: 1/6/2005
Binding: Hardcover
Pages: 288
Size: 9.29" wide x 6.30" long x 0.79" tall
Weight: 1.298
Language: English

Cheryl Regehr is the Vice-Provost of Academic Programs for the University of Toronto as well as a Professor in the Factor-Inwentash Faculty of Social Work and the Faculty of Law at the University of Toronto. Previously she was Dean of the Factor-Inwentash Faculty of Social Work and Director ofthe Centre for Applied Social Research and the Research Institute for Evidence-Based Social Work. In addition, she has been a member of several editorial boards for international scholarly journals and of committees adjudicating grants for national granting councils. Her practice background includes20 years of direct service in forensic social work and emergency mental health and in the administration of mental health programs. As a forensic social worker, she specialized in workplace trauma interventions and civil litigation and criminal court assessments of trauma victims and violentoffenders. Her current research focuses on the impact of workplace trauma exposure on performance and decision-making of emergency service and child welfare professionals. Karima Kanani is a lawyer and partner in the Health Industry Group of Miller Thomson LLP. She routinely provides legal advice to healthcare and social service organizations and professionals. She is a member of the Bar in Ontario, Canada, and in Massachusetts, US. She holds a Juris Doctor and Masterof Social Work from the University of Toronto and a Bachelor of Arts in Psychology and Women's Studies from McGill University. Her past experience in social work includes the Intensive Care Unit of the Toronto Western Hospital, the Mediation Unit of the Ontario Human Rights Commission, and theHealth Services Appeal and Review Board of the Ontario Health Boards Secretariat. In addition, Karima is presently a member of the Research Ethics Board at the Centre for Addiction and Mental Health in Toronto. Her research efforts to date have focused primarily on examining the intersectionsbetween law and social work, and she has published in this area both nationally and internationally. In 2003, she was recognized for the quality of her research and writing, receiving first place in a national competition sponsored by Canadian Lawyers for Social Responsibility.

Setting the stage
All in a day's work : traumatic events in the line of duty
Building a framework : health, stress, crisis, and trauma
Disastrous events : mass emergencies and the emergency responder
The right stuff : trauma and coping
Help or hindrance? : stress and the emergency service organization
Heroes or villains? : public inquiries
Are you coming home tonight? : the impact of emergency service work on families
The continuum of interventions I : doing the right job at the right time
The continuum of interventions II : interventions for extreme stress
Laying the foundation : developing trauma response teams
Keeping it going : team maintenance
Does it work? : evaluating the efficacy of interventions