“…Several theories of the crisis state and models for crisis intervention with adults, have been proposed (Aguilera & Messick, 1974;Baldwin, 1979;Caplan, 1964Caplan, , 1970Jacobson, Strickler, & Morley, 1968). Although it has been argued that crisis intervention has no unified theoretical model (Smith, 1977), there is general agreement that crisis interventions are the preferred approach to treating disaster survivors (Frederick, 1977;Heffron, 1975;Kirn, 1975;Schulberg, 1974;Taylor, Ross, & Quarantelli, 1976;Tuckman, 1973;Zarle, Hartsough, & Ottinger, 1974).…”
Section: Questioning the Limitations Of Crisis Interventionmentioning
Crisis intervention has typically been conceptualized as seeking a return of clients to a state of equilibrium. Our work with Hurricane Andrew survivors in south Florida, as part of the Disaster Mental Health Services team of the American Red Cross, has led us to appreciate the importance of several further considerations. In our work, we developed a proactive approach, attempting to recognize and extend clients' preexisting strengths. We offer a number of pragmatic interventions, focusing particularly on children's issues and we draw attention to sensitive multicultural issues.
“…Several theories of the crisis state and models for crisis intervention with adults, have been proposed (Aguilera & Messick, 1974;Baldwin, 1979;Caplan, 1964Caplan, , 1970Jacobson, Strickler, & Morley, 1968). Although it has been argued that crisis intervention has no unified theoretical model (Smith, 1977), there is general agreement that crisis interventions are the preferred approach to treating disaster survivors (Frederick, 1977;Heffron, 1975;Kirn, 1975;Schulberg, 1974;Taylor, Ross, & Quarantelli, 1976;Tuckman, 1973;Zarle, Hartsough, & Ottinger, 1974).…”
Section: Questioning the Limitations Of Crisis Interventionmentioning
Crisis intervention has typically been conceptualized as seeking a return of clients to a state of equilibrium. Our work with Hurricane Andrew survivors in south Florida, as part of the Disaster Mental Health Services team of the American Red Cross, has led us to appreciate the importance of several further considerations. In our work, we developed a proactive approach, attempting to recognize and extend clients' preexisting strengths. We offer a number of pragmatic interventions, focusing particularly on children's issues and we draw attention to sensitive multicultural issues.
“…À ce titre, il se pourrait fort bien que les travailleurs sur le terrain se rendent compte que la situation n'est pas si grave que peuvent le penser les observateurs, les sinistrés ou les informateurs publics, qu'ils peuvent parvenir à contrôler la situation et que le vrai dé-sastre se passe dans les bureaux, pas sur le terrain ; d'où peut-être le plus grand stress vécu par les employés de deuxième ligne. Ce qui ne viendrait que confirmer plusieurs études où l'on parle d'un deuxième dé-sastre, parfois plus déterminant que le premier, créé par les organisations répondant aux demandes sur le terrain Harshbarger, 1973 ;Zarle et al, 1974 ;Taylor et al, 1976 ;Erickson, 1976 ;Logue et al, 1981 ;Green, 1982 ;Kroll-Smith et Couch, 1990).…”
Section: Les Travailleurs D'hydro-québec Et Leurs Perceptions De La Sunclassified
“…There is also evidence that the care‐givers, e.g. firemen, ambulance men, medical and nursing staff, social workers and others, experience after‐effects (Zarle et al 1974; Cohen & Ahearn 1980).…”
Man is unable to control for the ever-present potential of disaster. In the past practices and procedures have been developed to minimize physical risk and maximize personal safety. However, there has been little awareness of, or attention to, the stress to those involved in the care-giving process to the victims. Medical care-givers are at the forefront of post-disaster intervention. It is necessary to provide training and support for doctors engaged in post-disaster work, especially with regard to the psychosocial consequences for patients, relatives, and the medical team as a group and as individuals. Pre-disaster preparation is suggested as a situational moderator in the prevention or management of extreme strain in medical and paramedical staff. Specifically, social support in the form of team-building and supervisory support and debriefing, use of personality hardiness concepts in selection and training of staff, and general emergency preparedness should form part of a disaster preparation plan. Medical social workers and psychologists can play an important role as facilitators in disaster preparation. The importance of education and increasing awareness of disaster effects on the health team is emphasized.
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