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Crisis Intervention and Psychological First Aid

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A Clinical Guide to the Treatment of the Human Stress Response

Abstract

Throughout this text, we have discussed the body and mind’s continuing struggle to maintain homeostasis. As the body struggles to maintain a physical homeostasis (Cannon in The wisdom of the body. Horton, New York, 1932) , or “steady state,” the mind struggles to maintain a similar balance. As a medical crisis is a state wherein physiological homeostasis has been disrupted with resultant physical distress and dysfunction, we then see the possibility of a psychological analogue. A psychological crisis is a response to a critical incident or distressing event wherein the individual’s psychological balance has been disrupted. There is, in effect, a psychological disequilibrium. This disequilibrium results because the individual’s usual coping mechanisms have failed. The predictable result is the emergence of evidence of acute psychological or behavioral distress coupled with some degree of functional impairment.

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References

  • Adler, A., Bliese, P. D., McGurk, D., Hoge, C. W., & Castro, C. A. (2009). Battlemind debriefing and battlemind training as early interventions with soldiers returning from Iraq: Randomization by platoon. Journal of Consulting and Clinical Psychology, 77, 928–940. https://doi.org/10.1037/a0016877.

    PubMed  Google Scholar 

  • Adler, A., Litz, B. T., Castro, C. A., Suvak, M., Thomas, J. L., Burrell, L., … Bliese, P. D. (2008). Group randomized trial of critical incident stress debriefing provided to US peacekeepers. Journal of Traumatic Stress, 21, 253–263. https://doi.org/10.1002/jts.20342.

    PubMed  Google Scholar 

  • American Psychiatric Association. (1954). Psychological first aid in community disasters. Washington, DC: Author.

    Google Scholar 

  • Artiss, K. (1963). Human behavior under stress: From combat to social psychiatry. Military Medicine, 128, 1011–1015.

    PubMed  Google Scholar 

  • Blain, D., Hoch, P., & Ryan, V. G. (1944). A course in psychological first aid and prevention: A preliminary report. Paper read at the Centenary Meeting of The American Psychiatric Association, Philadelphia, Pa., May 15–18.

    Google Scholar 

  • Bordow, S., & Porritt, D. (1979). An experimental evaluation of crisis intervention. Social Science and Medicine, 13, 251–256.

    Google Scholar 

  • Boscarino, J. A., Adams, R. E., & Figley, C. R. (2005). A prospective cohort study of the effectiveness of employer-sponsored crisis interventions after a major disaster. International Journal of Emergency Mental Health, 7, 9–22.

    PubMed  PubMed Central  Google Scholar 

  • Boscarino, J., Adams, R., & Figley, C. (2011). Mental health service use after the World Trade Center disaster: Utilization trends and comparative effectiveness. The Journal of Nervous and Mental Disease, 199, 91–99. https://doi.org/10.1097/FNMD.0b013e3182043b39.

  • Boscarino, J. A., Adams, R. E., Foa, E. B., & Landrigan, P. J. (2006). A propensity score analysis of brief worksite crisis interventions after the World Trade Center disaster: Implications for intervention and research. Medical Care, 44, 454–462. https://doi.org/10.1097/F01.mlr.0000207435.10138.36.

  • British Psychological Society. (1990). Psychological aspects of disaster. Leicester, UK: Author.

    Google Scholar 

  • British Psychological Society. (2015). Early interventions for trauma. Leicester, UK: Author.

    Google Scholar 

  • Cannon, W. (1932). The wisdom of the body. New York, NY: Horton.

    Google Scholar 

  • Caplan, C. (1961). An approach to community mental health. New York, NY: Grune & Stratton.

    Google Scholar 

  • Caplan, G. (1964). Principles of preventive psychiatry. New York, NY: Basic Books.

    Google Scholar 

  • Deahl, M., Srinivasan, M., Jones, N., Thomas, J., Neblett, C., & Jolly, A. (2000). Preventing psychological trauma in soldiers: The role of operational stress training and psychological debriefing. British Journal of Medical Psychology, 73, 77–85. https://doi.org/10.1348/00711200160318.

    PubMed  Google Scholar 

  • Dyregrov, A., & Regel, S. (2012). Early interventions following exposure to traumatic events: Implications for practice from recent research. Journal of Loss and Trauma, 17, 271–291. https://doi.org/10.1080/15325024.2011.616832.

    Google Scholar 

  • Everly, G. S., Jr., Barnett, D., & Links, J. (2012). The Johns Hopkins Model of Psychological First Aid (RAPID – PFA): Curriculum development and content validation. International Journal of Emergency Mental Health, 14, 95–103.

    PubMed  Google Scholar 

  • Everly, G. S., Jr., & Flynn, B. W. (2005). Principles and practice of acute psychological first aid after disasters. In G. S. Everly Jr. & C. L. Parker (Eds.), Mental health aspects of disasters: Public health preparedness and response, revised (pp. 79–89). Baltimore, MD: Johns Hopkins Center for Public Health Preparedness.

    Google Scholar 

  • Everly, G. S., Jr., & Langlieb, A. (2003). Evolving nature of disaster mental health. International Journal of Emergency Mental Health, 5, 113–119.

    PubMed  Google Scholar 

  • Everly, G. S., & Lating, J. M. (2017). The Johns Hopkins guide to psychological first aid. Baltimore, MD: Johns Hopkins Press.

    Google Scholar 

  • Everly, G. S., Jr., Lating, J. M., Sherman, M., & Goncher, I. (2016). The potential efficacy of a model of psychological first aid. Journal of Nervous and Mental Disease, 204, 233–235. https://doi.org/10.1097/NMD.0000000000000429.

    PubMed  Google Scholar 

  • Everly, G. S., Jr., McCabe, O. L., Semon, N., Thompson, C. B., & Links, J. (2014). The development of a model of psychological first aid (PFA) for non-mental health trained public health personnel: The Johns Hopkins’ RAPID-PFA. Journal of Public Health Management and Practice, 20, PS24–PS29. https://doi.org/10.1097/PHH.000000000000065.

  • Everly, G. S., Jr., & Mitchell, J. T. (1999). Critical incident stress management: A new era and standard of care in crisis intervention (2nd ed.). Ellicott City, MD: Chevron.

    Google Scholar 

  • Everly, G. S., Jr., & Mitchell, J. T. (2000). The debriefing controversy and crisis intervention: A review of lexical and substantive issues. International Journal of Emergency Mental Health, 2, 211–225.

    PubMed  Google Scholar 

  • Everly, G. S., Jr., & Mitchell, J. T. (2017). Critical incident stress management: A practical review. Ellicott City, MD: ICISF.

    Google Scholar 

  • Everly, G. S., Jr., Sherman, M. F., Stapleton, A., Barnett, D. J., Hiremath, G., & Links, J. (2006). Workplace crisis intervention: A systematic review of effect sizes. Journal of Workplace Behavioral Health, 21, 153–170.

    Google Scholar 

  • Hawker, D. M., Durkin, J., & Hawker, D. S. J. (2010). To debrief or not to debrief our heroes: That is the question. Clinical Psychology and Psychotherapy, Published online in Wiley Online Library (wileyonlinelibrary.com).

    Google Scholar 

  • Institute of Medicine. (2003). Preparing for the psychological consequences of terrorism: A public health strategy. Washington, DC: The National Academy of Sciences.

    Google Scholar 

  • Jacobson, J. M., Paul, J., & Blum, D. (2005). The EAP work-place critical incident continuum. Journal of Employee Assistance, 32, 28–30.

    Google Scholar 

  • McCabe, O. L., Semon, N., Lating, J. M., Everly, G. S., Jr., Perry, C. J., Moore, S. S., … Links, J. (2014). Developing an academic-government-faith partnership to build disaster mental health preparedness and community resilience: Program description and lessons learned. Public Health Reports, 129, S4, S96–106. https://doi.org/10.1177/00333549141296S413.

    PubMed  PubMed Central  Google Scholar 

  • McCabe, O. L., Semon, N., Thompson, C. B., Lating, J. M., Everly, G. S., Jr., Perry, C. J., … Links, J. (2014). Building a national model of public mental health preparedness and community resilience: Validation of a dual-intervention, systems-based approach. Disaster Medicine and Public Health Preparedness, 8, 511–526. https://doi.org/10.1017/dmp.2014.119.

    PubMed  Google Scholar 

  • Mitchell, J. T. (1983). When disaster strikes… the Critical Incident Stress Debriefing process. Journal of Emergency Medical Services, 8, 36–39.

    PubMed  Google Scholar 

  • Mitchell, J. T., & Everly, G. S. (2000). The CISD and CISM: Evolution, effects and outcomes. In B. Raphael & J. Wilson (Eds.), Psychological debriefing (pp. 71–90). Cambridge, MA: Cambridge University Press.

    Google Scholar 

  • Mitchell, S. G., & Mitchell, J. T. (2006). Caplan, community, and critical incident stress management. International Journal of Emergency Mental Health, 8, 1–10.

    Google Scholar 

  • National Institute of Mental Health. (2002). Mental health and mass violence: Evidence-based early psychological intervention for victims/survivors of mass violence: A workshop to reach consensus on best practices. NIMH (NIH Publication No 02–5138). Washington, DC.

    Google Scholar 

  • Neil, T. C., Oney, J. E., DiFonso, L., Thacker, B., & Reichart, W. (1974). Emotional first aid. Louisville, KY: Kemper-Behavioral Science Associates.

    Google Scholar 

  • Raphael, B. (1986). When disaster strikes. New York, NY: Basic Books.

    Google Scholar 

  • Regel, S. (2007). Post-trauma support in the workplace: the current status and practice of critical incident stress management (CISM) and psychological debriefing (PD) within organizations in the UK. Occupational Medicine, 57, 411–416. https://doi.org/10.1093/occmed/kqm071.

    PubMed  Google Scholar 

  • Regel, S. (2010). Does Psychological Debriefing work? Healthcare Counselling and Psychotherapy Journal, 10, 14–18.

    Google Scholar 

  • Regel, S., & Dyregrov, A. (2012). Commonalities and new directions in post-trauma support programs. In R. Hughes, A. Kinder, & C. Cooper (Eds.), International handbook of workplace trauma and support (pp. 48–67). New York, NY: Wiley.

    Google Scholar 

  • Robinson, R. (2007). Commentary on “Issues in the debriefing debate for the emergency services: Moving research outcomes forward”. Clinical Psychology, 14, 121–123. https://doi.org/10.1111/j.1468-2850.2007.00071.x.

    Google Scholar 

  • Rose, S. C., Bisson, J., Churchill, R., & Wessely, S. (2002). Psychological debriefing for preventing post traumatic stress disorder (PTSD). Cochrane Database of Systematic Reviews 2002, Issue 2. Art. No.: CD000560. https://doi.org/10.1002/14651858.CD000560.

  • Salmon, T. (1919). War neuroses and their lesson. New York Medical Journal, 108, 993–994.

    Google Scholar 

  • Solomon, Z., & Benbenishty, R. (1986). The role of proximity, immediacy, and expectancy in frontline treatment of combat stress reaction among Israelis in the Lebanon War. American Journal of Psychiatry, 143, 613–617.

    PubMed  Google Scholar 

  • Solomon, Z., Shklar, R., & Mikulincer, M. (2005). Frontline treatment of combat stress reaction: A 20-year longitudinal evaluation study. American Journal of Psychiatry, 162, 2309–2314. https://doi.org/10.1176/appi.ajp.162.12.2309.

    PubMed  Google Scholar 

  • Sphere Project. (2004). Sphere project handbook, revised. Geneva: Author.

    Google Scholar 

  • Stapleton, A. B., Lating, J., Kirkhart, M., & Everly, G. S., Jr. (2006). Effects of medical crisis intervention on anxiety, depression, and posttraumatic stress symptoms: A Meta-Analysis. Psychiatric Quarterly, 77, 231–238. https://doi.org/10.1007/s11126-006-9010-2.

    PubMed  Google Scholar 

  • Thorne, F. C. (1952). Psychological first aid. Journal of Clinical Psychology, 8, 210–211.

    PubMed  Google Scholar 

  • Tuckey, M. (2007). Issues in the debriefing debate for the emergency services: Moving research outcomes forward. Clinical Psychology, 14, 106–116. https://doi.org/10.1111/j.1468-2850.2007.00069.x.

    Google Scholar 

  • Tuckey, M. R., & Scott, J. E. (2014). Group critical incident stress debriefing with emergency services personnel: A randomized controlled trial. Anxiety Stress and Coping, 27, 38–54. https://doi.org/10.1080/10615806.2013.809421.

    Google Scholar 

  • U.S. Department of Health and Human Services. (2004). Mental health response to mass violence and terrorism: A training manual. DHHS Pub. No. SMA 3959. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

    Google Scholar 

  • World Health Organization. (2003). Mental health in emergencies. Geneva: Author.

    Google Scholar 

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Correspondence to George S. Everly Jr. .

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Everly, G.S., Lating, J.M. (2019). Crisis Intervention and Psychological First Aid. In: A Clinical Guide to the Treatment of the Human Stress Response. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-9098-6_10

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