Saving Minds with Psychological First Aid
This half-meter resolution satellite image of Rikuzentakata, Japan, was taken two days after an 9.0-magnitude earthquake struck the Oshika Peninsula on March 11, 2011. Here you can see extensive destruction to buildings, vehicles and infrastructure. Entire regions have been flooded, swept away or reduced to ruin. The image was taken by the GeoEye-1 satellite at 10:21 a.m. (local time) on March 13, 2011, from 423 miles in space as it moved from north to south over Japan at a speed of 4 miles per second.
Credit: GeoEye

In the aftermath of disaster, the focus is usually on physical first aid: making sure victims are stable and safe. But an increasing number of rescue and recovery experts are adding a mental component to their emergency response. It's called psychological first aid, and the idea is to prevent long-term mental illness following catastrophes.

"It is a move to support people emotionally and psychologically in order to maximize their psychological functioning, said Joshua Klapow, a clinical psychologist at the University of Alabama, Birmingham. "It's very much like physical first aid."

According to Klapow, there are three steps to treating people's psychological needs in the midst of a disaster:

1. Provide for basic physical needs. People need food, shelter and sufficient sleep to feel emotionally safe after a disaster, Klapow said.

2. Give disaster victims the chance to talk about what they're experiencing. This isn't about forcing people to talk before they're ready, Klapow said, but lets them know that they'll be heard when they're ready.

3. Connect victims to others. Social ties are key to helping people bounce back after a traumatic event, Klapow said. Ensuring people are connected with family, friends and community helps prevent social isolation later.

The principles of psychological first aid have become more popular in the wake of 9/11, said Lisa Brown, a professor of aging and mental health disparities at the University of South Florida. Brown and her colleagues have developed a manual for nursing home staff to use to ease resident anxiety during evacuations due to hurricanes or other disasters. [Download a PDF of the manual]

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