Hostname: page-component-cd9895bd7-jn8rn Total loading time: 0 Render date: 2024-12-27T02:23:19.488Z Has data issue: false hasContentIssue false

Implementing Psychological First-Aid Training for Medical Reserve Corps Volunteers

Published online by Cambridge University Press:  27 February 2014

Anita Chandra*
Affiliation:
RAND Corporation, Arlington, Virginia, University of California, Los Angeles, California
Jee Kim
Affiliation:
Los Angeles County Department of Public Health, University of California, Los Angeles, California
Huibrie C. Pieters
Affiliation:
University of California, Los Angeles, Los Angeles, California
Jennifer Tang
Affiliation:
Center for Health Services and Society, University of California, Los Angeles Institute for Neuroscience and Human Behavior, Los Angeles, California
Michael McCreary
Affiliation:
Center for Health Services and Society, University of California, Los Angeles Institute for Neuroscience and Human Behavior, Los Angeles, California
Merritt Schreiber
Affiliation:
University of California, Irvine, Irvine, California
Kenneth Wells
Affiliation:
Center for Health Services and Society, University of California, Los Angeles Institute for Neuroscience and Human Behavior, Los Angeles, California RAND Corporation, Santa Monica, California
*
Address correspondence and reprint requests to Anita Chandra, DrPH, Senior Policy Researcher, RAND Corporation, Arlington, VA (email:chandra@rand.org).

Abstract

Objective

We assessed the feasibility and impact on knowledge, attitudes, and reported practices of psychological first-aid (PFA) training in a sample of Medical Reserve Corps (MRC) members. Data have been limited on the uptake of PFA training in surge responders (eg, MRC) who are critical to community response.

Methods

Our mixed-methods approach involved self-administered pre- and post-training surveys and within-training focus group discussions of 76 MRC members attending a PFA training and train-the-trainer workshop. Listen, protect, connect (a PFA model for lay persons) focuses on listening and understanding both verbal and nonverbal cues; protecting the individual by determining realistic ways to help while providing reassurance; and connecting the individual with resources in the community.

Results

From pre- to post-training, perceived confidence and capability in using PFA after an emergency or disaster increased from 71% to 90% (P < .01), but no significant increase was found in PFA-related knowledge. Qualitative analyses suggest that knowledge and intentions to use PFA increased with training. Brief training was feasible, and while results were modest, the PFA training resulted in greater reported confidence and perceived capability in addressing psychological distress of persons affected by public health threats.

Conclusion

PFA training is a promising approach to improve surge responder confidence and competency in addressing postdisaster needs. (Disaster Med Public Health Preparedness. 2014;0:1-6)

Type
Concepts in Disaster Medicine
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Chandra, A, Acosta, JD. The Role of Nongovernmental Organizations in Long-Term Human Recovery After Disaster: Reflections from Louisiana Four Years After Hurricane Katrina. Arlington, VA: RAND Corporation; 2009.Google Scholar
2. Kates, RW, Pijawka, D. From rubble to monument: the pace of reconstruction. In: Haas JE, Kates RW, Bowden MJ, eds. Disaster and Reconstruction. Cambridge, MA: MIT Press; 1977:1-23.Google Scholar
3. Norris, FH. Psychosocial consequences of major hurricanes and floods: range, duration, and magnitude of effects and risk factors for adverse outcomes. Hanover, NH: Dartmouth College; National Center for PTSD; 2005.Google Scholar
4. Federal Emergency Management Agency. National Disaster Recovery Framework, strengthening disaster recovery for the nation. Washington, DC: Federal Emergency Management Agency; September 2011:1-116.Google Scholar
5. Department of Homeland Security. Presidential policy directive PPD-8: national preparedness. Washington, DC: Department of Homeland Security; March 3, 2011.Google Scholar
6. US Department of Health and Human Services. National Health Security Strategy of the United States of America. In: Washington, DC: Department of Health and Human Services; December 2009.Google Scholar
7. US Department of Health and Human Services. HHS Disaster Behavioral Health Concept of Operations. Washington, DC: Department of Health and Human Services; December 2011.Google Scholar
8. National Child Traumatic Stress Network; National Center for PTSD. Psychological First Aid: Field Operations Guide, ed 2. Washington, DC: Department of Health and Human Services; July 2006.Google Scholar
9. US Department of Health and Human Services. Psychological first aid: a guide for emergency and disaster response workers. Washington, DC: US Department of Health and Human Services; 2005.Google Scholar
10. Uniformed Services University of the Health Sciences. Psychological first aid: helping victims in the immediate aftermath of disaster. Bethesda, MD: Uniformed Services University of the Health Sciences; January 2005.Google Scholar
11. Inter-Agency Standing Committee. IASC guidelines on mental health and psychosocial support in emergency settings: Geneva, Switzerland: Office for the Coordination of Humanitarian Affairs; 2007.Google Scholar
12. Van Emmerik, AAP, Kamphuis, JH, Hulsbosch, AM, Emmelkamp, PMG. Single session debriefing after psychological trauma: a meta-analysis. Lancet. 2002;360(9335):766-771.CrossRefGoogle ScholarPubMed
13. Van Ommeren, M, Saxena, S, Saraceno, B. Mental and social health during and after acute emergencies: emerging consensus? Bull World Health Organ. 2005;83(1):71-75.Google ScholarPubMed
14. Patterson, GT. An examination of evidenced-based practice interventions for public emergencies. J Evid Based Soc Work. 2009;6(3):274-287.Google Scholar
15. Gurwitch, R, Schreiber, M. The Parent's Guide to Psychological First Aid. Boston, MA: Oxford University Press; 2010.Google Scholar
16. Schreiber, M, Gurwitch, R, Wong, M. Listen, Protect, Connect--Model & Teach: Psychological First Aid (PFA) for Students and Teachers. Washington, DC: US Department of Homeland Security; 2006.Google Scholar
17. Wong, M, Schreiber, M, Gurwitch, R. Psychological first aid (PFA) for students and teachers: listen, protect, connect—model & teach. In: Helpful Hints for School Emergency Management. Washington, DC: US Department of Education Readiness and Emergency Management for Schools Technical Assistance Center; 2008;3(3):1-11.Google Scholar
18. Forbes, D, Lewis, V, Varker, T, etal. Psychological first aid following trauma: implementation and evaluation framework for high-risk organizations. Psychiatry. 2011;74(3):224-239.Google Scholar
19. Allen, B, Brymer, MJ, Steinberg, AM, etal. Perceptions of psychological first aid among providers responding to Hurricanes Gustav and Ike. J Trauma Stress. 2010;23(4):509-513.Google Scholar
20. McCabe, OL, Perry, C, Azur, M, Taylor, HG, Bailey, M, Links, JM. Psychological first-aid training for paraprofessionals: a systems-based model for enhancing capacity of rural emergency responses. Prehosp Disaster Med. 2011;26(4):251-258.CrossRefGoogle ScholarPubMed
21. Moran, C, Britton, NR. Emergency work experience and reactions to traumatic incidents. J Trauma Stress. 1994;7(4):575-585.Google Scholar
22. National Association of County and City Health Officials. A brief history of the Medical Reserve Corps. Washington, DC: National Association of County and City Health Officials; August 2011.Google Scholar
23. Division of the Civilian Medical Reserve Corps. About leading; 2011. https://www.medicalreservecorps.gov/leaderFldr/Lead. Accessed December 10, 2013.Google Scholar
24. Wells, KB, Sherbourne, C, Schoenbaum, M, etal. Impact of disseminating quality improvement programs for depression in managed primary care. JAMA. 2000;283(2):212-220.Google Scholar
25. Wennerstrom, A, Vannoy, SD, Allen, C. Community-based participatory development of a community health worker mental health outreach role to extend collaborative care in post-Katrina New Orleans. Ethn Dis. 2011;21(3 suppl 1):S1-S45.Google ScholarPubMed
26. US Census Bureau. 2011 American Community Survey. In: State and County QuickFacts. Washington, DC: US Census Bureau; 2011.Google Scholar
27. Everly, GS. Toward a model of psychological triage. Int J Emerg Men Health. 1999;1(3):151-154.Google Scholar