{"title":"Collateral damage in disaster workers.","authors":"Jeffrey T Mitchell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Disaster workers are not immune to the negative personal and professional effects of their services at a disaster. For the purposes of this article, the intra and interpersonal disturbances that arise from disaster work are called \"collateral damage. \" The harmful effects may range from, among other reactions, feelings of disappointment, confusion, resentment, anger; and lack of appreciation to the more serious reactions such as anxiety attacks, severe social withdrawal, substance abuse, and Post Traumatic Stress Disorder This article reviews some of the causative factors of personal distress and disruptions to teamwork in disaster relief operations. It suggests a variety of practical methods to reduce the potential of collateral damage among disaster response personnel.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"13 2","pages":"121-5"},"PeriodicalIF":0.0,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30031023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Raymond B Flannery, Georgina J Flannery, Andrew P Walker
{"title":"Time of psychiatric patient assaults: twenty-year analysis of the Assaulted Staff Action Program (ASAP).","authors":"Raymond B Flannery, Georgina J Flannery, Andrew P Walker","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Apparent random acts of violence viewed in the aggregate appear to occur in fairly exacting temporal patterns. This is true of rape, street assaults, and domestic violence, among other acts of violence. Patient assaults on staff as acts of violence should also follow a temporal pattern. This twenty-year retrospective study of assaultive psychiatric patients in one public sector examined the temporal pattern of such assaults. Inpatient assaults were more likely to occur in the summer in the middle ten days of the month, during the first shift at mealtimes. In community settings, assaults were more likely in winter during the first ten days of the month, and on the first shift at noon time. The possible reasons for these time patterns, their possible biological roots, and their implications for emergency services personnel and health care providers were discussed.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"12 4","pages":"267-73"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30102737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mental health considerations for military humanitarian aid personnel.","authors":"Julie Holloway, George S Everly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Mental health services for veterans of humanitarian assistance (HA) missions is a critical and growing need within the United States military. The mental health impacts of such missions are both similar to and different from those experienced on combat missions, and may have an equally significant impact on the health and wellness of our troops. As the US military increasingly deploys humanitarian teams on both peacetime and contingency missions, this need can be expected to grow and must be addressed with more research and more attention to prevention, screening, and treatment. In this paper we will present a brief summary of the possible mental health effects of military HA missions, and propose remedies to address the adverse conditions that may arise in the pre-deployment, deployment, and redeployment settings.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"12 3","pages":"193-8"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29799731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Crisis intervention and mental health services in the military.","authors":"Daniel Clark","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"12 3","pages":"149"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29799817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Use of interpreters with crisis intervention teams, behavioral health units, and medical strike teams: responding appropriately and effectively.","authors":"James L Greenstone","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The methods of using an interpreter during crisis intervention, medical, and psychological procedures with a non-English speaking patient are often compromised by lack of proper training for both primary healthcare personnel and potential interpreters, and by misunderstandings about effective procedural guidelines. Training is paramount and not everyone can do this important job. Being a fluent speaker of several languages does not in itself make one an effective interpreter The purpose of this paper is to offer specific guidelines on what may be required in order to do successful interpretation.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"12 2","pages":"79-82"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29518941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Helping military children cope with parental deployment: role of attachment theory and recommendations for mental health clinicians and counselors.","authors":"Laurence Miller, Halle B Miller, David Bjorklund","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Military deployment of a parent carries with it a number of stresses for children, all centering around uncertainty, instability and unpredictability. This article conceptualizes military deployment and relocation stress in the context of attachment theory, and describes the types of adverse outcomes that can occur as the result of impaired attachment. It then presents a set of practical recommendations for mental health clinicians and counselors for helping children and families cope productively and negotiate the developmental hurdles associated with maintaining healthy attachment and family stability in the face of military deployment.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"12 4","pages":"231-5"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30102733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"America's sons and daughters.","authors":"Hilary L Valdez","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"12 3","pages":"213-5"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29799734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychotherapy with military personnel: lessons learned, challenges ahead.","authors":"Laurence Miller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Increasingly, civilian mental health clinicians will be enlisted to evaluate and treat active duty and post-deployment military service members of the OIF/OEF theaters, as well as veterans of previous wars. This article provides a summary of some of the effective psychological treatment modalities for military service members that can be adapted to outpatient psychotherapeutic practice, including structured psychological interventions and specialized techniques of individual psychotherapy, with special applications for dealing with combat stress, depression, suicidality, conflicts over killing, brain injury effects, family issues, post-deployment readjustment, and long-term problems. By adapting and integrating psychotherapeutic lessons learned from treating related populations of law enforcement and emergency services personnel, clinicians who treat military service members and vets can become more flexible, well-rounded, and effective clinicians for a wide variety of high-need service members.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"12 3","pages":"179-92"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29799730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Critical incident stress management (CISM) in support of special agents and other first responders responding to the Fort Hood shooting: summary and recommendations.","authors":"Russell Strand, Karina Felices, Kenneth Williams","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>On November 5, 2009, an individual entered the Fort Hood Soldier Readiness Processing (SRP) site and opened fire with a handgun. The result of the shooting was a total of 13 people killed and 31 wounded. A two-person critical incident peer support (CIPS) team from the United States Army Military Police School (USAMPS) provided critical incident stress management (CISM) in the forms of critical incident stress debriefings (CISD) and one-on-one crisis intervention for investigators and their spouses. This article provides a summary and discussion of the results of the interventions that were conducted. Key results for successful CISM were accessibility of CIPS team, the credibility of trained peers and the development of supportive relationships, the reduction of stigma by requiring attendance at interventions, and the commitment of the CIPS team to the principles of CISM (e.g., homogenous groups, utilizing a multicomponent approach, and facilitating the normalization of emotional reactions to the crisis). Recommendations include mandating critical incident peer support cells for Criminal Investigation Division (CID) units, Director of Emergency Services (DES) on military installations, and Military Police units; providing a pool of trained peers in the above-mentioned organizations; providing permanent funding for USAMPS' CIPS Course; and recognition of CIPS/CISMas an essential element of Comprehensive Soldier Fitness and Army Human Capital in promoting Soldier Family, and Civilian well-being and resiliency. This article would benefit leaders, chaplains, mental health professionals, and emergency services personnel in investigative, operational, and U.S. Army Garrison units.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"12 3","pages":"151-60"},"PeriodicalIF":0.0,"publicationDate":"2010-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29799818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}