Resilience and Coping for the Healthcare Community: A Post-disaster Group Work Intervention for Healthcare and Social Service Providers

Healthcare and social service providers play a critical role in supporting children, families and communities immediately after a disaster and throughout the recovery process. These providers, who may have also experienced the disaster and related losses, are among the least likely to receive mental health or psychological support which can result in burnout, secondary traumatic stress, depression and anxiety. Accessible psychosocial interventions designed for healthcare and social service providers in the aftermath of a disaster are therefore critical to recovery and to ensure providers are available to support families after future disasters. The purpose of this article is to describe Resilience and Coping for the Healthcare Community (RCHC), a manualized group work intervention for social service and health care providers who have provided care to children, families, and communities after a natural disaster. RCHC is currently being delivered in response to Hurricanes Harvey and Maria, storms that struck the gulf coast of the United States and the island of Puerto Rico in 2017. RCHC has also been used in the areas affected by Hurricane Sandy (New York and New Jersey), in Shreveport, Louisiana following severe flooding and in Saipan after a Typhoon devastated the island. Healthcare and social service providers who have received RCHC include the staff of Federally Qualified Health Centers and other community clinics, Disaster Case Managers, Child Care Providers, Mental Health Providers and First Responders. The health and wellbeing of these providers directly impacts their ability to provide quality care to families in their communities. This article presents the theoretical foundations of the RCHC intervention, describes the intervention in detail, provides a description of early and ongoing evaluation studies, and discusses the conditions for both implementation of RCHC and training of RCHC providers. The RCHC psychoeducational intervention provides education on, and strategies for, acute, chronic and post-traumatic stress, coping, and resilience, tailored for the needs of the helping professions. Through the use of individual and collective processing, healthcare and social service providers participating in RCHC develop both individual and collective coping plans. Considering the short and long-term impacts of disasters on communities’ essential healthcare and social service workforce, interventions like RCHC stand to provide essential benefits, including retention and wellbeing of providers of family services

Using Technology to Enhance Rural Resilience in Pre-hospital Emergencies

The research presented in this paper is supported by RCUK dot.rural Digital Economy Research Hub, University of Aberdeen [grant number EP/G066051/1].Peer reviewedPublisher PD

The Role of Somatic Psychotherapy in Treating First Responders: Providers’ Perspectives

As part of their occupational responsibilities, first responders such as firefighters, law enforcement, paramedics, military medics and disaster relief workers are exposed to critical incidents and traumatic events on a routine basis. The dearth of literature on somatic-based interventions shows promise as a tool for addressing trauma, yet few, if any, studies address trauma among first responders specifically. This qualitative study explores somatic psychotherapy as a treatment of trauma within the first responder community. Participants for the study (n=6) were recruited through snowball sampling and online recruitment. Semi-structured, in-person interviews were completed with six mental health providers who practice somatic, or body-based methods to explore their perspectives on its effects with first responder clients. Thematic analysis was used to code the qualitative data. Results showed that all providers who have engaged first responders in somatic-based interventions saw positive results in treating trauma. This supports previous studies researching somatic therapy as an intervention tool for trauma and implies that further research is needed with greater sample sizes and reliability models to bring broader recognition to this specialization of mental health

The Role of Somatic Psychotherapy in Treating First Responders: Providers’ Perspectives

As part of their occupational responsibilities, first responders such as firefighters, law enforcement, paramedics, military medics and disaster relief workers are exposed to critical incidents and traumatic events on a routine basis. The dearth of literature on somatic-based interventions shows promise as a tool for addressing trauma, yet few, if any, studies address trauma among first responders specifically. This qualitative study explores somatic psychotherapy as a treatment of trauma within the first responder community. Participants for the study (n=6) were recruited through snowball sampling and online recruitment. Semi-structured, in-person interviews were completed with six mental health providers who practice somatic, or body-based methods to explore their perspectives on its effects with first responder clients. Thematic analysis was used to code the qualitative data. Results showed that all providers who have engaged first responders in somatic-based interventions saw positive results in treating trauma. This supports previous studies researching somatic therapy as an intervention tool for trauma and implies that further research is needed with greater sample sizes and reliability models to bring broader recognition to this specialization of mental health

A History of Trauma is Associated with Aggression, Depression, Non-Suicidal Self-Injury Behavior, and Suicide Ideation in First-Episode Psychosis.

The association between trauma and psychosis outcomes is well-established, and yet the impact of trauma on comorbid clinical symptoms-such as aggression, non-suicidal self-injury behavior (NSSIB), suicide ideation, and suicide behavior-for those with psychosis is unclear. To effectively treat those with first-episode psychosis (FEP) and a history of trauma, we need to understand the impact of trauma on their whole presentation. FEP participants were recruited from an Early Psychosis Program (N = 187, ages 12-35, 72.2% male). Clinicians gathered history of trauma, aggression, and suicide data, and rated current symptom severity and functioning. Data was coded using clinician rated measures, self-report measures, and retrospective clinical chart review. Regression analyses examined whether trauma was associated with a history of aggression, suicidal ideation, suicide behavior, NSSIB, symptoms, and functioning. Trauma was associated with aggression, aggression severity and type of aggression (aggression towards others). Trauma was also associated with depression severity, suicide ideation, most severe suicide ideation, and NSSIB. Trauma was not associated with suicide behavior, severity of suicide behavior or psychosocial functioning. Integrating trauma treatment into FEP care could reduce rates of depression, aggression, suicide ideation, and NSSIB for those with a history of trauma. To reduce suicide attempt occurrence and improve functioning, more research is needed

Recommendations for changes in UK National Recovery Guidance (NRG) and associated guidance from the perspective of Lancaster University's Hull Flood Studies

This report was commissioned by the Civil Contingencies Secretariat (CCS) following the publication of Lancaster University‟s Hull Flood Project and Hull Children‟s Flood Project. Its principal purpose is to identify how findings made as a result of the two research projects could be integrated into the Cabinet Office‟s National Recovery Guidance (NRG), as a means to improve affected communities‟ ability to recover from emergency events. The report, in effect, details a desktop analysis of UK Civil Protection (CP) guidance, from a bottom-up perspective (i.e. using as its critical lens, the lived experiences of members of the public who were tested by the Hull flooding of 2007 and its aftermath)

Developing an eBook for First Responders: Exploring Arts-Based Interventions to Counter Burnout and Build Resilience

The researchers in this project studied the prevalence and impact of burnout among first responders, after which they produced CRISP (Creative Resilience Initiatives for Service Providers), a groundbreaking art therapy-based program published in an electronic book format aimed at addressing burnout and fostering resilience among first responders. Our program aims to foster resilience by integrating art therapy\u27s Expressive Therapies Continuum (ETC) model with Diversity, Equity, and Inclusion and anti-racism strategies. The ETC model aligns with inclusive and diverse practices as it emphasizes a system-focused approach in using creativity, self-reflection, and cultivation of effective body-mind empathy. The CRISP eBook features 18 arts-based activities, each accompanied by relevant psychoeducation and self-reflective questions. These activities engage first responders in kinesthetic, sensorial, perceptual, affective, cognitive, and symbolic components of information processing in the ETC, utilizing multifaceted creativity as a powerful tool for building resilience and countering burnout signs that can lead to depersonalized and biased practices in their work. Future studies are warranted to assess the efficacy of art interventions, such as those explored in the CRISP eBook, in addressing the unique stressors faced by first responders

Early in-session predictors of response to trauma-focused cognitive therapy

Volume 1 of this thesis examines the predictors of response to trauma-focused treatment for posttraumatic stress disorder (PTSD). It is presented in three parts. Part 1 is a literature review of research evaluating the impact of trauma-focused therapy for PTSD on comorbid symptoms of depression. The Downs and Black (1998) checklist was used to assess study quality. Results indicated that both trauma-focused CBT and EMDR treatments were effective in reducing comorbid depression symptoms. However, as interventions varied widely and some studies were affected by significant methodological problems, the generalisability of these results may be limited, and thus areas for further research are also suggested. Part 2 is an empirical study exploring early in-session client and therapist factors that predict later response to treatment. Audio and video recordings of the first or second therapy session of 54 known treatment responders or non-responders were blind-rated for client perseverative thinking, therapist adherence and therapeutic alliance. Results revealed that more perseverative thinking was observed for non-responders than responders to treatment. No group differences were found in regards to therapist adherence or therapeutic alliance. Exploratory analyses revealed that across the sample as a whole, perseverative thinking was associated with reduced therapist adherence to the treatment manual and poorer therapeutic alliance. As this study is one of the first of its kind in this area, recommendations were made for future research opportunities to explore these findings further. Part 3 is a critical appraisal of the empirical study. This elaborates on the main findings of this project and discusses the methodological challenges involved in undertaking this type of research, particularly developing and applying a novel coding frame

A Qualitative Investigation into the Trauma Exhibited by First Responders Tackling the Opioid Epidemic in Tennessee

Recent increases in opioid overdose rates have changed the role of first responders on the front lines of this national crisis. The present study used a semi-structured qualitative interview to investigate how the increase in opioids, opioid-related harm, and opioid-related death within Tennessee has affected the first responder population. Law enforcement officers, firefighters, and paramedics (N = 30) from rural-serving counties in Tennessee completed a semi-structured interview. Eight themes emerged from the interviews: (1) mental health symptoms, including posttraumatic stress disorder and secondary traumatic stress symptoms; (2) coping behaviors; (3) available resources; (4) barriers to accessing resources; (5) recommendations for what is needed; (6) hardest circumstances; (7) discrepant thoughts and feelings; (8) perception of role in reducing the impact of the epidemic. This study provides novel insights into the impact of the opioid epidemic on Tennessee first responders, and can inform future efforts to reduce adverse outcomes in these care providers

Occurrence and Effects Of Repeated Trauma Exposure In Emergency Medical Personnel

This study focuses on the prevalence and severity of post-traumatic stress symptoms in Emergency Medical Services (EMS) personnel. Summative PTSD Checklist (PCL-C) scores were collected and analyzed from 102 active, adult EMS professionals working in Pennsylvania. Data analysis shows EMS professionals are experiencing severe post-traumatic stress symptoms at a higher rate than the general public. The severity and prevalence of EMS post-traumatic stress symptoms are comparable to those of American veterans returning from active combat zones in Iraq. Based on the results, several suggestions are proposed regarding how to effectively minimize the experience of post-traumatic stress symptoms in EMS professionals