Objective: This paper describes an approach where disaster-bereaved families gather over three weekends to process and learn about grief together (a collective approach). Method: The article is based on experience related to several disasters in Norway and Finland, using a maritime disaster in which 16 persons lost their lives as a case example. Conclusions: This approach provides an opportunity to help numerous persons simultaneously. It facilitates support, communality and help within a group setting, provides access to self-help methods and allows screening of those in need of further help. Three weekend gatherings were held during the first year following loss of family members. Using plenary sessions, small groups and rituals during weekends, important themes within normal grief reactions over time were addressed.
In recent years it has been common after disasters and terrorist events to offer bereaved families the opportunity to visit the place where their loved ones died. Many report that such visits are beneficial in processing their loss. Various factors, both cognitive (eg, counteracting disbelief) and existential or emotional (eg, achieving a sense of closeness to the deceased), are associated with the experienced benefit. Nonetheless, exacerbations of trauma and grief reactions (eg, re-enactment fantasies) are common, with some of the bereaved also reporting adverse reactions after the visit. Subsequently, proper preparations are a prerequisite before such visits take place. This article describes how to optimize collective visits to the site of death after disasters or terrorist events for bereaved families. Important questions-for example, concerning those who should be responsible for organizing a visit and those who should be invited, the timing of the visit, what can be done at the site, the need for support personnel, and other practical issues-are discussed and general guidelines are recommended. (Disaster Med Public Health Preparedness. 2018;12:523-527).
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