{"title":"Relationship between posttraumatic stress disorder, resilience, and religious orientation and practices among university student earthquake survivors in Haiti.","authors":"Harvey J Burnett, Herbert W Helm","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This study examined the prevalence of PTSD symptoms; the relationship between PTSD and resilience, religious orientation and religious practices; and how gender is associated with these variables among a volunteer sample of 140 students attending a Christian university in Haiti approximately four months after the January 2010 earthquake. Using the PTSD Checklist-Civilian (PCL-C), the Resilience Scale (RS), and the Religious Orientation Scale (ROS) found no significant relationship between PTSD, resilience, religious orientation and religious practices. Results did indicate that 34% of the sample had PCL-C scores indicative of PTSD; female participants had higher PTSD symptoms than males; higher levels of intrinsic religious orientation were associated with more religious practices than extrinsic religious orientation; and males with higher PTSD symptoms were associated with lower levels of attending church-sponsored social events, while females with higher levels of resilience were more associated with church attendance and attending church social events. Mental health providers should develop more comprehensive disaster mental health services that build trust and are culturally sensitive to the post-trauma needs of the Haitian people.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"15 2","pages":"97-104"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32143874","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":"EAP-based critical incident stress management: utilization of a practice-based assessment of incident severity level in responding to workplace trauma.","authors":"Gary S DeFraia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Central to the field of trauma psychology is assessment of the impact of critical incidents on individuals, as measured by individual symptoms of stress. Accordingly, the trauma literature reflects a proliferation of clinical impact of event scales. Workplace incidents however, affect not only individual employees, but also work organizations, requiring a multi-level response. Critical incident stress management (CISM) is the most prevalent multi-level incident response strategy utilized by organizations, often through specialized CISM units operating within their employee assistance programs (EAPs). While EAP-based CISM units seeks to support both individuals and organizations, studies focused on individual stress dominate the literature, mirroring assessment scales that tend to emphasize clinical as opposed to organizational practice. This research contributes to less-prevalent studies exploring incident characteristics as disruptive to organizations, rather than clinical symptoms as disruptive to individuals. To measure incident disruption, an EAP-based CISM unit developed a critical incident severity scale. By analyzing this unit's extensive practice database, this exploratory study examines how critical incident severity level varies among various types of incidents. Employing the methodology of clinical data mining, this practice-based research generates evidence-informed practice recommendations in the areas of EAP-based CISM intake assessment, organizational consultation and incident response planning.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"15 2","pages":"105-22"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32143876","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":"Resilient leadership and the organizational culture of resilience: construct validation.","authors":"George S Everly, Kenneth J Smith, Rachel Lobo","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Political, economic, and social unrest and uncertainty seem replete throughout the world. Within the United States, political vitriol and economic volatility have led to severe economic restrictions. Both government and private sector organizations are being asked to do more with less. The specter of dramatic changes in healthcare creates a condition of uncertainty affecting budget allocations and hiring practices. If ever there was a time when a \"resilient culture\" was needed, it is now. In this paper we shall discuss the application of \"tipping point\" theory (Gladwell, 2000) operationalized through a special form of leadership: \"resilient leadership\" (Everly, Strouse, Everly, 2010). Resilient leadership is consistent with Gladwells \"Law of the Few\" and strives to create an organizational culture of resilience by implementing an initial change within no more than 20% of an organization's workforce. It is expected that such a minority, if chosen correctly, will \"tip\" the rest of the organization toward enhanced resilience, ideally creating a self-sustaining culture of resilience. This paper reports on the empirical foundations and construct validation of \"resilient leadership\".</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"15 2","pages":"123-8"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32143877","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}
Linda Semlitz, Kaori Ogiwara, Inka Weissbecker, Elizabeth Gilbert, Maiko Sato, Machi Taniguchi, Chikako Ishii, Chie Sawa
{"title":"Psychological first aid training after Japan's triple disaster: changes in perceived self competency.","authors":"Linda Semlitz, Kaori Ogiwara, Inka Weissbecker, Elizabeth Gilbert, Maiko Sato, Machi Taniguchi, Chikako Ishii, Chie Sawa","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>International Medical Corps and TELL, a local mental health non-profit organization in Japan, collaborated to develop localized Psychological First Aid (PFA) training of welfare and volunteer organizations supporting survivors of the Japan March 11, 2011 triple disaster The trainings significantly increased participants 'perceived competency in applying PFA principles and in interacting with the disaster affected populations in a safe manner The collaboration between International Medical Corps and TELL in developing, implementing and evaluating the training has potential to inform PFA activities in other disaster affected settings.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"15 3","pages":"181-96"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32146672","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":"Hopeless, burned out, and questioning: achieving personal resilience in the midst of organizational turmoil.","authors":"Abbey-Robin Tillery","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>There are not many personal reflection pieces about professional resilience published as health care professionals are still among the least likely to raise their own personal problems--especially in the field of emergency health care. Writing afirst person piece about the journey to finally finding professional resilience, I describe factors faced by many new and mid-level professionals that are not written about in academic journals yet contribute to: premature career termination, poor customer service/patient care, and lack of motivation. I conclude with a way forward that could be a map for others currently struggling with their career choice. As a mid level psychologist, I can now look back on the past 8 years of my development and see the obstacles I was faced with. The irony is that at the time I knew they were challenging times, but I lacked a context for them, and did not know what normal was. Now that I am a relatively safe distance away from those hard years, I can appreciate more fully what resilience means to me, and respect the years I spent secretly in crisis. This article is a blend of academic information about professional resilience and compassion fatigue, contrasted by those very concepts playing out in my own life. The recommendations I provide for leaders and those in the thick of a professional burn out are concepts I know would have made a difference to me, even in survival mode.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"15 3","pages":"197-201"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32146673","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":"Introduction to special issue police stress and trauma: recent perspectives.","authors":"John M Violanti","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"15 4","pages":"213-5"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32240757","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}
Tara A Hartley, John M Violanti, Khachatur Sarkisian, Michael E Andrew, Cecil M Burchfiel
{"title":"PTSD symptoms among police officers: associations with frequency, recency, and types of traumatic events.","authors":"Tara A Hartley, John M Violanti, Khachatur Sarkisian, Michael E Andrew, Cecil M Burchfiel","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Policing necessitates exposure to traumatic, violent and horrific events, which can lead to an increased risk for developing post-traumatic stress disorder (PTSD). The purpose of this study was to determine whether the frequency, recency, and type of police-specific traumatic events were associated with PTSD symptoms. Participants were 359 police officers from the Buffalo Cardio-Metabolic Occupational Police Stress (BCOPS) Study (2004-2009). Traumatic police events were measured using the Police Incident Survey (PIS); PTSD was measured using the PTSD Checklist-Civilian Version (PCL-C). Associations between PIS and PTSD symptoms were evaluated using ANCOVA. Contrast statements were used to test for linear trends. Increased frequency of specific types of events were associated with an increase in the PCL-C score in women, particularly women with no history of prior trauma and those who reported having a high workload (p < 0.05). More recent exposure to seeing severely assaulted victims was associated with higher PCL-C scores in men (p < 0.02). In summary, the frequency of several traumatic events was associated with higher PTSD scores in women, while the recency of seeing victims of assault was associated with higher PTSD scores in men. These results may be helpful in developing intervention strategies to reduce the psychological effects following exposure and these strategies may be different for men and women.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"15 4","pages":"241-53"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4734407/pdf/nihms742452.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32240766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"What's really in a name?","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"15 1","pages":"1-2"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31830930","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}
Richard E Adams, Danielle Laraque, Claude M Chemtob, Peter S Jensen, Joseph A Boscarino
{"title":"Does a one-day educational training session influence primary care pediatricians' mental health practice procedures in response to a community disaster? Results from the reaching children initiative (RCI).","authors":"Richard E Adams, Danielle Laraque, Claude M Chemtob, Peter S Jensen, Joseph A Boscarino","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although many children and adolescents need assessment and treatment for psychological problems, few get such treatment from mental health specialists after a community disaster Research suggests that a very large proportion of children are seen in pediatric primary care settings and that pediatricians can provide appropriate care for many social and emotional problems in children. However few pediatricians have received training in providing this help. The focus of this study was to assess whether brief training to increase the capacity of primary care pediatricians (PCPs) to respond to the social or emotional problems of children after the World Trade Center terrorist attacks improved the quality of services to disaster-affected children. Pediatricians (N = 137) attended a one-day training workshop covering best practice treatments for mental health problems with an emphasis on trauma, bereavement, and medication use. We surveyed attendees prior to training, immediately post-intervention, and 1- and 6-months later. At 6-months post-intervention, 64% of the primary care clinicians reported instituting practice changes recommended during training. Reported use of formal mental health screening instruments increased, but greater use of medications was more limited. Although participants in the immediate post-intervention survey indicated strong agreement with the desirability to implement specific practice changes, the perceived desirability of such changes declined substantially at the 6-month follow-up. Changes in PCPs 'mental health related practice procedures can be facilitated by brief educational interventions, but continued training and support may be needed. We discuss these results relative to preparedness for community disasters.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"15 1","pages":"3-14"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31830931","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":"Professional support requirements and grief interventions for parents bereaved by an unexplained death at different time periods in the grief process.","authors":"Rebecca A Rudd, Livia M D'Andrea","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The purpose of this qualitative phenomenological study examines the support needs and grief interventions professional and bereaved parents believed were helpful during different time periods in the grief process: the first 72 hours, first three to 14 days, and two weeks and beyond. Ten professionals from the following disciplines were interviewed: emergency communications, emergency medical technician, police, fireman, detective, social worker funeral director chaplain, peer support leader, and bereavement organization. Five parents and one grandparent bereaved by Sudden Infant Death Syndrome (SIDS) or Sudden Unexplained Death in Childhood (SUDC) were interviewed. This study identified 13 support need and grief interventions: contact support people, emotional and cognitive regulation, preliminary information on cause of death, time with deceased child, accommodate and advocate, human compassion and support, describe timeline and process, referrals and resources, affordable and easy access to services, communication and follow-up, community experience, professional mental health support, and memorialize. Recommendations are provided on ways to improve services to newly bereaved parents.</p>","PeriodicalId":81544,"journal":{"name":"International journal of emergency mental health","volume":"15 1","pages":"51-68"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31831531","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}