Psychological first aid (pfa) in disaster
â˘Als PPTX, PDF herunterladenâ˘
13 gefällt mirâ˘5,015 views
Weekly journal club topic presentatio of department of Psychiatry. Bangladesh is disaster prone country. Disaster psychiatry is very relevant here. Hope this ppt will provide mental health professional a little idea about PFA , disaster psychiatry and disaster management.
Empfohlen
Weitere ähnliche Inhalte
Was ist angesagt?
Was ist angesagt? (20)
Andere mochten auch
Andere mochten auch (18)
Ăhnlich wie Psychological first aid (pfa) in disaster
Ăhnlich wie Psychological first aid (pfa) in disaster (20)
KĂźrzlich hochgeladen
KĂźrzlich hochgeladen (20)
Psychological first aid (pfa) in disaster
- 1. Psychological First Aid (PFA) in disaster Dr Md Saleh Uddin Resident, Phase B Department of Psychiatry BSMMU, Dhaka 20.05.2014
- 2. Contents ⢠Disaster ⢠Disaster Psychiatry ⢠Psychological First Aid (PFA) ⢠Mental Health First Aid (MHFA) ⢠Conclusion ⢠References
- 3. Disaster
- 4. Disaster ⢠is a severe destruction that greatly exceeds the coping capacity of the affected community Disaster Response RecoveryMitigation Preparedness
- 5. Local Scenario ⢠Major Cyclones: 75 cyclones and floods/100 years
- 6. Natural disaster 1980-2010(CRED report 2012) ⢠No of events:234 ⢠No of people killed:191,836 ⢠Average killed per year:6,188 ⢠No of people affected:323,480,264 ⢠Average affected per year:10,434,847 ⢠Economic Damage (US$ X 1,000):17,072,500 ⢠Economic Damage per year (US$ X 1,000):550,726
- 8. Killed by disaster Affected by disaster
- 9. ⢠A report published in 1996 states that 66% of the tornado affected people were psychologically traumatized in the costal area ⢠Another study found 31.3% war injured freedom fighters suffering from post traumatic stress disorder even after 27 years of liberation war
- 10. ⢠2007 - Super cyclone âSidrâ changed the views regarding post disaster mental health service ⢠Technical and financial support came from World Psychiatric Association (WPA) ⢠Multiple teams rushed to the affected area to provide mental health services
- 11. Training Manuals
- 12. Plan Act
- 13. ⢠District Disaster Management Plan(DDMP)
- 14. Global scenario
- 17. ⢠Victim ⢠Psychological responses ⢠Psychosocial intervention
- 19. Psychological responses Psychological responses Within 24hrs Within days to weeks After 3 weeks
- 20. Psychological responses Donât need intervention May need only minimal intervention Need help from mental health professional
- 21. Normal reactive process ⢠Most recovers within 6 to 16 months ⢠Common stress reactions Emotional , Cognitive, Physical, Interpersonal ⢠Post traumatic growth/benefited response
- 22. Within 24 hrs ⢠Tension, anxiety, panic ⢠Stunned, dazed, shocked, disbelief ⢠Restlessness, confusion ⢠Agitation, crying and withdrawal ⢠Survivorâs guilt
- 23. Within days to weeks ⢠Being fearful , vigilant, hyper alert ⢠Irritable, angry, unable to sleep ⢠Worried, despondent ⢠Flashback ⢠Weeping, guilt feeling ⢠Sadness ⢠Positive thinking(hope for future, rescue work) ⢠Acceptance of disaster as natureâs doing
- 24. After 3 weeks ⢠Restlessness, panic feeling ⢠Continued deep sadness, unrealistic, pessimistic thoughts ⢠Outward inactivity, isolated and wihtdrawn behavior ⢠Anxiety
- 25. Psychiatric response ⢠Acute stress disorder ⢠PTSD ⢠MDD ⢠Substance abuse ⢠Psychological disorder ⢠Organic ⢠Adjustment disorder ⢠Bereavement ⢠Family violence ⢠Child and spouse abuse
- 26. Psychosocial intervention ⢠Psychosocial first aid (PFA) ⢠Trauma counseling ⢠Greif counseling ⢠Anticipatory guidance ⢠Crisis counseling ⢠Problem solving counseling
- 27. Psychological First Aid (PFA)
- 28. ⢠Understanding PFA ⢠How to help responsibly ⢠Providing PFA ⢠Caring self and colleague
- 29. PFA âA human supportive response to a fellow human being who is suffering and who may need supportâ (Sphere2011, IASC WHO-2007)
- 30. PFA Elements ⢠Care and support ⢠Needs and concerns ⢠Address basic needs ⢠Listening to people, not pressuring ⢠Comforting people and helping them to feel calm ⢠Helping people connect to information, service and social support ⢠Protecting from further harm
- 31. PFA What PFA is not ⢠Not only professionals do ⢠Not a professional counseling ⢠Not âPsychological debriefingâ or âCISDâ ⢠Not asking, analyzing, put in order ⢠Available to listen but not pressuring to talk
- 32. PFA Who need immediately ⢠Serious life threatening injuries ⢠So upset, cant care themselves and family ⢠May hurt self/others
- 33. PFA When and where ⢠Recently affected ⢠Sometimes days or weeks after ⢠Scene of accident/disaster ⢠Health center, shelter/camps etc
- 34. PFA Providing PFA ⢠Preparation ⢠Good communication ⢠PFA action principal ⢠Ending help ⢠Who likely need special attention
- 35. Providing PFA Preparation ⢠Learn about crisis ⢠Learn about available service and support ⢠Learn about safety and security concern
- 36. Providing PFA Good communication ⢠Basics of communication skill ⢠Donât pressure ⢠Donât think you must solve all problems ⢠Donât give false promise
- 38. Providing PFA Ending help Depends on the context of crisis Individualâs role and situation Needs of the people
- 39. Providing PFA Special attention group ⢠Child adolescent group ⢠People with health conditions/disabilities ⢠People at risk/discrimination/violence
- 40. Caring for self and colleague ⢠Getting ready to help ⢠Managing stress ⢠Rest and reflection
- 41. ⢠Safe effective feasible? ⢠58 citations ⢠Insufficient evidence ⢠Objective observation and expert opinion(Class iii, iv)
- 42. Mental Health First Aid (MHFA)
- 43. MHFA ⢠Person developing a mental health problem or experiencing a mental health crisis ⢠Until treatment /Support received ⢠Not a substitute of counseling, medical care, peer support/ treatment.
- 44. MHFA People can learn ⢠Overview of mental health problems ⢠First aid for crisis situations ⢠First aid for non crisis situations
- 45. MHFA Spectrum of mental health intervention
- 46. MHFA ⢠Created in Australia (2001) ⢠Currently in 18 countries ⢠Piloted in USA (2008)
- 47. MHFA Why MHFA? ⢠Problems are common ⢠Stigma ⢠Professional unavailability ⢠Do not seek help ⢠Awareness
- 48. Conclusion ⢠Basics Disaster management Disaster Psychiatry Psychological first aid (LOOK LISTEN LINK) ⢠Local research and system innovation
- 49. References ⢠Disaster mental health response Handbook, The NSW institute of Psychiatry, Australia, 2000 ⢠Role of psychiatry in disaster management: a brief review, H U Ahmed et al, NIMH, Dhaka. Journal of Psychiatry, Vol 20, December 2006 ⢠Psychosocial care of Disaster affected population: Physicians manual, WHO, 2007 ⢠NIMH Dhaka, Bangladesh, 2008 ⢠Psychological first aid: guide for field worker, WHO, 2011 ⢠Mental health service after disaster: Current scenario and future prospect of Bangladesh, H U Ahmed et al, WPA regional meeting, Indonesia, 2012 ⢠National plan for disaster management 2010-2015, Disaster management and relief division, Govt republic of Bangladesh. ⢠Annual disaster Statistical Review2012, Center for research on the Epidemiology of disasters (CRED), Belgium ⢠www.google.com: Images
- 50. 1971 2013 2014
- 51. Disaster Vs Healthy Body & Mind â SOCIAL WEAPON â
- 52. Resilience
- 53. THANK YOU