Guidelines for International Training in Mental Health and Psychosocial Interventions for Trauma Exposed Populations in Clinical and Community Settings

Weine, Stevan; Danieli, Yael; Silove, Derick; Ommeren, Mark van; Fairbank, John A.; Saul, Jack

doi:10.1521/psyc.65.2.156.19936

Cited by 87 publications

(63 citation statements)

References 1 publication

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“…Psychosocial interventions for trauma-exposed populations are a new, developing field (Weine et al, 2002). The Oxford English Dictionary defines 'psychosocial interventions' as 'pertaining to the influence of social factors on an individuals mind and behaviours'.…”

Section: Definitions Of Psychosocial Interventionsmentioning

confidence: 99%

Management of dead bodies as a component of psychosocial interventions after the tsunami: A view from Sri Lanka

Sumathipala

Siribaddana

Perera

2006

International Review of Psychiatry

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Even if predicted, disasters may not be completely averted due to reasons beyond human control. There is always likely to be a degree of loss, human as well as material. Therefore, the correct strategy is to limit the damage and minimize the harm. Such damage control exercises should be mindful about the psychological costs of the disaster. Identification of dead bodies and the missing, as well as providing a dignified burial, is a crucial part of the overall management of a disaster. It will alleviate the long-term psychological as well as legal consequences. Hence, a comprehensive forensic service including modern genetic capabilities is a must for disaster response. Development of a comprehensive and efficient psychosocial intervention at community level after a disaster should recognise the importance of dead body management as an integral part of it. The guiding principles of psychosocial interventions are: to be multi-sectoral and multi-level; to include immediate, mid-term and long-term interventions; to be socially and culturally sensitive; to recognize the functionality of existing social and healthcare systems; to adopt a public mental health approach; and to be informed by evidence-based planning and implementation proven to be locally effective.

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Section: Definitions Of Psychosocial Interventionsmentioning

confidence: 99%

Management of dead bodies as a component of psychosocial interventions after the tsunami: A view from Sri Lanka

Sumathipala

Siribaddana

Perera

2006

International Review of Psychiatry

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“…The training courses are seen as compatible with international guidelines (Weine et al, 2002) and include topics such as understanding counselling concepts and process, the understanding of mental health problems, and the application of counselling skills and specific intervention strategies. Through role-plays, lectures, experiential learning and group work, the trainees learn skills specific for targeted beneficiaries as well as generic concepts such as working with coping strategies, symptom management techniques (e.g., relaxation), psycho-education and strengthening of existing resources.…”

Section: Introductionmentioning

confidence: 99%

Psychosocial Counselling in Nepal: Perspectives of Counsellors and Beneficiaries

Jordans

Keen²,

Pradhan³

et al. 2007

Int J Adv Counselling

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The aims of this qualitative study were (1) to add to the understanding of the growing field of psychosocial counselling in Nepal, and (2) gather concrete points for improvement of services. Semi-structured interviews were conducted with clients (n=34), para-professional counsellors (n=26) and managers (n=23) of organizations in which psychosocial counselling was taking place. The main findings were that stakeholders generally presented a positive view of the significance and supportive function of psychosocial counselling, while providing useful suggestions for improvement. Matters of ongoing training and supervision, confidentiality and integration of counselling within mainstream care provision need to be addressed and potentially adapted. Implications for other non-Western countries with little mental health resources are discussed.

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“…Most existing treatment guidelines for PTSD point to judicious use of the same group of medications, although they specify that this suggestion is based on sparse empirical data and represents an extrapolation of PTSD practice guidelines, based on common practice (Foa et al, 2005;Stein et al, 2003;Ursano et al, 2004;Weine et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Early Poststressor Intervention with Sertraline on Behavioral Responses in an Animal Model of Post-Traumatic Stress Disorder

Matar

Cohen

Kaplan

et al. 2006

Neuropsychopharmacol

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Whereas several well-controlled studies have established the selective serotonin reuptake inhibitors (SSRIs) as the recommended firstline pharmacotherapeutic agents for acute and chronic post-traumatic stress disorder (PTSD), drug interventions in the acute postexposure phase have not been studied to the same extent and tend to be largely speculative. This study employed an animal model which assesses prevalence of individual stress-response behavior patterns in order to assess the short-term effects of a brief treatment regimen with an SSRI (sertraline) administered immediately after stress-exposure, with those of an identical delayed regimen and of saline. Prevalence rates of rats displaying extreme anxiety-like behavioral responses to predator stress, compared to partial and minimal responses, were assessed in the elevated plus maze and startle response paradigms, with and without intraperitoneal administration of sertraline for 7 days immediately postexposure, or 7 days after exposure. Immediate postexposure administration of sertraline reduced anxiety-like and avoidant behavior, decreased hyperarousal responses and diminished the overall incidence of extreme (PTSD-like) behavioral responses, compared to the delayed treatment regimen and to saline controls. Brief immediate poststress exposure treatment with sertraline reduced prevalence rates of extreme behavioral disruption in the short-term. SSRI drugs are thus worthy of further investigation as agents of secondary prevention in the acute aftermath of stress-exposure.

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Guidelines for International Training in Mental Health and Psychosocial Interventions for Trauma Exposed Populations in Clinical and Community Settings

Abstract: The generated guidelines addresses four dimensions: (1) values, (2) contextual challenges in societies during or after conflicts, (3) core curricular elements, and (4) monitoring and evaluation. The guidelines can improve international training.

Cited by 87 publications

References 1 publication

Management of dead bodies as a component of psychosocial interventions after the tsunami: A view from Sri Lanka

Management of dead bodies as a component of psychosocial interventions after the tsunami: A view from Sri Lanka

Psychosocial Counselling in Nepal: Perspectives of Counsellors and Beneficiaries

The Effect of Early Poststressor Intervention with Sertraline on Behavioral Responses in an Animal Model of Post-Traumatic Stress Disorder

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