From: Subject: CMHS Programs: Emergency Mental Health and Traumatic Stress - Stress Prevention and Management Date: Wed, 6 Jun 2007 13:13:03 -0400 MIME-Version: 1.0 Content-Type: multipart/related; type="text/html"; boundary="----=_NextPart_000_0000_01C7A83C.6A25E140" X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.3028 This is a multi-part message in MIME format. ------=_NextPart_000_0000_01C7A83C.6A25E140 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: http://mentalhealth.samhsa.gov/cmhs/EmergencyServices/stress.asp CMHS Programs: Emergency Mental Health and Traumatic = Stress - Stress Prevention and Management
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Emergency Mental Health and
Traumatic Stress

Tips for Emergency and Disaster Response Workers

Stress Prevention and Management Approaches for Rescue Workers = in the=20 Aftermath of Terrorist Acts

Engaging in rescue and recovery efforts in the wake of = terrorist acts=20 is inevitably stressful for rescue workers. The long hours, = breadth of=20 needs and demands, ambiguous roles, and exposure to human = suffering can=20 adversely affect even the most experienced professional. While the = work is=20 personally rewarding and challenging, it also has the potential = for=20 affecting workers in harmful ways. Too often, the stress = experienced by=20 rescue workers is addressed as an afterthought. With a little = effort,=20 however, steps can be taken to minimize the effects of stress.

Stress prevention and management should be addressed in two = critical=20 contexts: the organization and the individual. Adopting a = preventive=20 perspective allows both workers and organizations to anticipate = stressors=20 and shape responses, rather than simply reacting to a crisis when = it=20 occurs. Suggestions for organizational and individual stress = prevention=20 and management approaches are presented below:

Organizational Approaches for Stress Prevention and=20 Management

  1. Provide effective management structure and = leadership.=20 Elements include:
    • Clear chain of command and reporting=20 relationships.
    • Available and accessible supervisors.
    • Disaster orientation for all workers.
    • Shifts of no longer than 12 hours, = followed by 12=20 hours off.
    • Briefings at the beginning of shifts as = workers=20 enter the operation.
    • Necessary supplies (e.g., paper, forms, = pens,=20 educational materials, etc.).
    • Communication tools (e.g., cell phones, = radios,=20 etc.).
  2. Define clear purpose and goals.
  3. Define clear intervention goals and = strategies=20 appropriate to assignment setting.
  4. Define roles by function.
  5. Orient and train staff with written role = descriptions=20 for each assignment setting. When setting is under the = jurisdiction of=20 another agency (e.g., Red Cross, FEMA), inform workers of each = agency's=20 role, contact people, and expectations.
  6. Nurture team support.
  7. Create a buddy system to support and monitor = stress=20 reactions. Promote a positive atmosphere of support and = tolerance with=20 frequent praise.
  8. Develop a plan for stress management. For = example:
    • Assess workers' functioning regularly.
    • Rotate workers between low-, mid-, and = high-stress=20 tasks.
    • Encourage breaks and time away from = assignment.
    • Educate about signs and symptoms of worker = stress=20 and coping strategies.
    • Provide individual and group defusing and=20 debriefing.
    • Develop an exit plan for workers leaving = the=20 operation, including a debriefing, reentry information, = opportunity to=20 critique, and formal recognition for service. =

Individual Approaches for Stress Prevention and = Management

  1. Manage workload.=20
    • Set priority levels for tasks with a = realistic work=20 plan.
    • Delegate existing workloads so workers are = not=20 attempting disaster response in addition to their usual jobs. =
  2. Balance lifestyle.=20
    • Get physical exercise and stretch muscles = when=20 possible.
    • Eat nutritiously and avoid excessive junk = food,=20 caffeine, alcohol, or tobacco.
    • Get adequate sleep and rest, especially on = longer=20 assignments.
    • Maintain contact and connection with = primary social=20 supports.
  3. Apply stress reduction techniques.=20
    • Reduce physical tension by taking deep = breaths,=20 calming self through meditation, walking mindfully, etc.
    • Use time off for exercise, reading, = listening to=20 music, taking a bath, talking to family, or getting a special = meal to=20 recharge batteries.
    • Talk about emotions and reactions with = coworkers=20 during appropriate times.
  4. Practice self-awareness.=20
    • Recognize and heed early warning signs for = stress=20 reactions.
    • Accept that one may not be able to = self-assess=20 problematic stress reactions.
    • Avoid over identification with = survivors'/victims'=20 grief and trauma, which may interfere with discussing painful=20 material.=20
    • Understand differences between = professional helping=20 relationships and friendships.
    • Examine personal prejudices and cultural=20 stereotypes.
    • Be mindful that vicarious traumatization = or=20 compassion fatigue may develop.
    • Recognize when a personal disaster = experience or=20 loss interferes with effectiveness.

Additional resources can be found here: = mentalhealth.samhsa.gov/cmhs/EmergencyServices/links.asp

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MARGIN-TOP: 0pt; FONT-WEIGHT: bold; FONT-SIZE: medium; COLOR: #3399cc; = FONT-FAMILY: Comic Sans MS; TEXT-ALIGN: center } TABLE.sshs { BORDER-RIGHT: #ffffff thin solid; BORDER-TOP: #ffffff thin solid; = BORDER-LEFT: #ffffff thin solid; BORDER-BOTTOM: #ffffff thin solid; = BACKGROUND-COLOR: #ffffff } TD.sshs { PADDING-RIGHT: 5pt; PADDING-LEFT: 5pt; FONT-SIZE: x-small; MARGIN-LEFT: = -17pt; COLOR: #ffffff; PADDING-TOP: 5pt; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif; BACKGROUND-COLOR: #3399cc } .h4sshs { FONT-WEIGHT: bold; FONT-SIZE: small; COLOR: #000000; FONT-FAMILY: = Verdana, Arial, Helvetica, sans-serif; TEXT-ALIGN: left } .h5sshs { FONT-WEIGHT: bold; FONT-SIZE: x-small; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif; TEXT-ALIGN: left; TEXT-DECORATION: none } .h6sshs { FONT-WEIGHT: bold; FONT-SIZE: small; COLOR: black; FONT-STYLE: italic; = FONT-FAMILY: Times New Roman; TEXT-DECORATION: none } .CartListHead { FONT-WEIGHT: normal; FONT-SIZE: 9px; COLOR: black; LINE-HEIGHT: 20pt; = BORDER-BOTTOM: dimgray; FONT-FAMILY: Verdana, Arial, Helvetica, = sans-serif; BACKGROUND-COLOR: #ffcc66 } .CartListItem { PADDING-LEFT: 5px; FONT-SIZE: 11px; BORDER-LEFT: dimgray 1px solid; = COLOR: black; BORDER-BOTTOM: dimgray; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif; BACKGROUND-COLOR: #ffffff } .CartListItemAlt { PADDING-LEFT: 5px; FONT-SIZE: 11px; BORDER-LEFT: dimgray 1px solid; = COLOR: black; BORDER-BOTTOM: dimgray; FONT-FAMILY: Verdana, Arial, = Helvetica, sans-serif; BACKGROUND-COLOR: #f2f2f2 } .CartListFooter { LINE-HEIGHT: 10pt; BACKGROUND-COLOR: #ffcc66 } ------=_NextPart_000_0000_01C7A83C.6A25E140 Content-Type: application/octet-stream Content-Transfer-Encoding: quoted-printable Content-Location: http://mentalhealth.samhsa.gov/_scripts/menu_array.js /* DHTML Menu version 3.3.19 Written by Andy Woolley Copyright 2002 (c) Milonic Solutions. All Rights Reserved. Plase vist http://www.milonic.co.uk/menu or e-mail menu3@milonic.com You may use this menu on your web site free of charge as long as you = place prominent links to http://www.milonic.co.uk/menu and your inform us of your intentions with your URL AND ALL copyright = notices remain in place in all files including your home page Comercial support contracts are available on request if you cannot = comply with the above rules. This script featured on Dynamic Drive (http://www.dynamicdrive.com) */ //The following line is critical for menu operation, and MUST APPEAR = ONLY ONCE. If you have more than one menu_array.js file rem out this = line in subsequent files menunum=3D0;menus=3Dnew Array();_d=3Ddocument;function = addmenu(){menunum++;menus[menunum]=3Dmenu;}function = dumpmenus(){mt=3D"");=09 for(x=3D0;x