Evaluation of a Group-Based Resilience Intervention for Typhoon Haiyan Survivors

This study evaluated the impact of Katatagan, a culturally adapted, group-based, and mindfulness-informed resilience intervention developed for disaster survivors in the Philippines. The intervention aimed to teach six adaptive coping skills: harnessing strengths, managing physical reactions, managing thoughts and emotions, seeking solutions and support, identifying positive activities, and planning for the future. Pre- and post-intervention assessments were conducted with 163 Typhoon Haiyan survivors. Six-month follow-up assessments were obtained for 37 participants. Pre- and post-results showed improvements in participants’ self-efficacy on all six coping skills. The 6-month follow-up revealed significant improvements in four of the six coping skills. Focus group discussions conducted at follow-up revealed that mindfulness, self-care, strengths, and reframing were some of the topics that were most memorable to participants. Among these, participants identified mindfulness as a skill that they continued to use. Participants also shared that they felt stronger because of the intervention and have shared what they learned with others in their communities

The Development and Initial Evaluation of Katatagan: A Resilience Intervention for Filipino Disaster Survivors

This paper documents the development, pilot, and initial evaluation of Katatagan, a group-based resilience program designed to hone coping skills of Filipino disaster survivors. The paper describes vulnerabilities and protective factors of Filipino survivors based on previous research and key informant interviews. It also explains how Luthar and Cicchetti’s (2000) resilience framework and guidelines for the development of interventions were incorporated in the objectives and the design of the resilience intervention. The intervention consists of six modules that aim to improve self-ecacy, adaptive coping skills, and well-being of Filipino survivors. The paper presents an initial evaluation of Katatagan among college students in Tacloban. Results revealed signicant improvements in adaptive coping behaviors and a decrease in anxiety and depressive symptoms. Although more robust evaluations are necessary, the results provide encouraging evidence for the value of group-based and culturally-nuanced interventions. Moreover, the paper describes a collaborative and systematic process of designing a needs- based resilience interventions for Filipino disaster survivors

The influence of culture on disaster mental health and psychosocial support interventions in Southeast Asia

Southeast Asia (SEA), which has borne the brunt of some of the most severe natural disasters in the past decade, has unfortunately, been largely under-represented in the world literature on disaster mental health. This article describes cultural factors that may inform the design and conduct of disaster-related mental health psychosocial support (MHPSS) interventions. Specifically, it discusses cultural nuances in emotional expression, shame, power distance, collectivism, and spiritual beliefs and their implications on providing post-disaster psychosocial interventions. It describes the MHPSS interventions implemented in the region using the Johns Hopkins Perspectives Model of Disaster Mental Health categories of resistance, resilience and recovery. Given the challenges on the delivery of MHPSS, there is a need for evidence-based interventions and to ensure that disaster responders in SEA understand the cultural factors that impact the delivery of MHPSS interventions

Resistance, Resilience, and Recovery from Disasters: Perspectives from Southeast Asia:

The book fills a void by bringing together literature in an under-represented but disaster-prone region, Southeast Asia. It discusses the cultural considerations of those providing mental health and psychosocial support in the region. It highlights the role of education in reducing disaster vulnerability. It presents ways in which workplace organization have sought to enhance employee and organizational resilience in the face of disasters. It discusses how the disaster planning process; including prevention; mitigation; and preparedness efforts; can be integrated with mental health efforts. It features how mental health interventions including psychological first aid; resilience interventions; mindfulness; and art therapy have been carried out. It also discusses the issues of those caring for survivors and describes MHPSS interventions for disaster responders themselves. The book also addresses post-traumatic growth as an outcomes of disaster exposure; concluding by summarizing the challenges and prospects for promoting resistance; resilience; and recovery in SEA

Cultural Implications for the Provision of Disaster Mental Health and Psychosocial Support in Southeast Asia

Southeast Asia (SEA) is a region highly susceptible to earthquakes, volcanic eruptions, and tsunamis, though the region has been underrepresented in disaster mental health research. This chapter addresses risk factors for SEA, including its disaster-prone location, the psychological toll of frequent disasters, and stigma and shame and lack of psychoeducation about psychological help-seeking. Collectivism, strong family ties, and religious faith are among SEA’s resilience factors. Culture should be heavily accounted for in mental health and psychosocial support (MHPSS), considering the wide array of cultural differences in spirituality, affect and expression, power distance, and gender and masculinity in SEA. Because culture affects treatment satisfaction, treatment engagement, and treatment outcomes, future research should explore how aspects of SEA culture impact accessibility and engagement in MHPSS

Group-based mindfulness-informed psychological first aid after Typhoon Haiyan

Purpose The purpose of this paper is to develop and evaluate a culturally sensitive and mindfulness informed psychological first aid (PFA) intervention for use with disaster workers in the Philippines intended to increase disaster knowledge and disaster coping self-efficacy. Design/methodology/approach The study used a non-experimental, pre-test, post-test design. Measures of disaster knowledge and disaster coping self-efficacy were measured before and after the PFA intervention. Findings Paired sample t-tests revealed significant pre/post-increases in knowledge about disaster reactions and disaster coping self-efficacy. Workshop evaluations indicated that the following proportions of participants rated these workshop components as the most useful: mindfulness, information about disaster reactions, small group sharing, information about coping, and the open space activity. Research limitations/implications As in many disaster studies, it was not possible to include a randomized control group in the design. Another limitation was that only pre- and post-intervention data were collected. Future research should include longer-term follow-ups with participants to assess whether the benefits of the intervention are maintained over time. Future research may wish to address the limitations of the study including the lack of a control group and obtaining follow-up data to enable more robust conclusions. Practical implications These results indicate how the use of a group-based intervention may be helpful especially in a collectivist culture. At the same time, acknowledging cultural values such as spirituality is an important component to providing psychosocial support for survivors. Mindfulness was found useful both as an initial calming activity as well as a means for helping survivors manage their stress reactions. Finally, the utilization of an open space activity can also be a helpful problem-solving mechanism when done in intact groups, as it enhances not just self-efficacy but also community efficacy among survivors. Originality/value The study contributes to the dearth of knowledge on the use of PFA when used in a group, collective, and developing country setting

Mindfulness Interventions for Disaster Resilience in Southeast Asia

This chapter summarizes the literature on mindfulness and its impact of postdisaster response. Although the use of mindfulness is still in its infancy in Southeast Asia (SEA), initial studies suggest it has potential as a means to address survivors’ posttrauma symptoms. Given cultural nuances such as a discomfort in emotional expression and shame, mindfulness is non-intrusive and encourages non-judgmental acceptance. Mindfulness has been used in group settings which is congruent with the region’s collectivist orientation. In addition, given the importance of spirituality, we suggest that mindfulness may be an inclusive approach that is familiar and acceptable to SEA survivors

A Pilot Study of Mindfulness Meditation for Pediatric Chronic Pain

Despite advances in psychological interventions for pediatric chronic pain, there has been little research examining mindfulness meditation for these conditions. This study presents data from a pilot clinical trial of a six-week manualized mindfulness meditation intervention offered to 20 adolescents aged 13–17 years. Measures of pain intensity, functional disability, depression and parent worry about their child’s pain were obtained at baseline and post-treatment. Results indicated no significant changes in pain or depression, however functional disability and frequency of pain functioning complaints improved with small effect sizes. Parents’ worry about child’s pain significantly decreased with a large effect size. Participants rated intervention components positively and most teens suggested that the number of sessions be increased. Three case examples illustrate mindfulness meditation effects and precautions. Mindfulness meditation shows promise as a feasible and acceptable intervention for youth with chronic pain. Future research should optimize intervention components and determine treatment efficacy

A Pilot Study of Meditation for Mental Health Workers Following Hurricane Katrina

This pilot study examined the effects of a manualized meditation intervention (calle