Wisdom sdom is s no noth thing ing more th than n healed led - PDF document

9/13/2013 Understanding Critical Incident Mental Health Issues Trudy Gilbert-Eliot, Ph.D., LMFT, LADC Wisdom sdom is s no noth thing ing more th than n healed led pain in. – Robert Gary Lee 1

9/13/2013 Understanding Critical Incident Mental Health Issues  Public  Coping with a Critical Incident  First Responders  Debriefing  Compassion Fatigue  Vicarious Traumatization  Mental Health Practitioner  Compassion Fatigue  Vicarious Traumatization Methods of Intervention  Critical Incident Stress  Psychological First Aid Debriefing  Used for First Responders and those  Used for First impacted by a critical Responders and those incident impacted by a critical incident  Emphasis is on moving the person forward in a  Emphasis is on sharing positive way the impact of the event  Research supports  Research is unclear efficacy 2

9/13/2013 Compassion Fatigue  Progressive exhaustion  Dysfunction  Biological  Psychological  Social  Results from prolonged exposure to clients stories of trauma  Not burnout  Report high job satisfaction Vicarious or Secondary Traumatization  Controversial: research new  Caused by indirect exposure  DSM V allows for dx of PTSD  PTSD rates therapist vs. patient  Assessing  Empathy 3

9/13/2013 Responses to Trauma  Resilience  Decline  Post-traumatic Growth (PTG) Posttraumatic Growth (PTG)  Coping takes the form of ‘meaning - making’: low discrepancy between global meaning and appraised meaning= little distress  The memories are stressful rather than traumatic  Social support greatly decreases likelihood of developing PTSD  Posttraumatic growth can take place when the trauma is based on meaning and the person can attest to the personal growth they achieved as a result of the trauma 4

9/13/2013 Critical Incidents  6 Sep 2011: Carson City Shootings  16 Sep 2011: Air Races Mass Casualty  23 Sep 2011: Casino Shooting 5

9/13/2013 What I Learned  Boundaries  In group/out group  Voyeurs  Vicarious Traumatization Planning Ahead  Self-Care  Countertransference  Support  Talk, talk, talk 6

9/13/2013 Contact Information  Trudy Gilbert-Eliot, M.S., LMFT, LADC  Nevada Marriage and Family Therapist #0828  Nevada Licensed Alcohol and Drug Counselor #0127L  458 Court Street  Reno, NV 89501  775-772-9017  nvpsych@sbcglobal.net Back up Slides 7

9/13/2013 Operational Effectiveness  Initial notification  Arrival, Observation, Assessment  Escalation  No back up  Privacy vs. doing our best  What to Say  Post-observational period: Aftercare  Getting a list of names/Keeping in touch  Talking with Commanders  Rotation/self-care 8