Psychosocial care for persons affected by emergencies and major incidents: a Delphi study to determine the needs of professional first responders for education, training and support

Drury, John; Kemp, Verity; Newman, Jonathan; Novelli, David; Doyle, Christopher; Walter, Darren; Williams, Richard

doi:10.1136/emermed-2012-201632

Cited by 19 publications

(20 citation statements)

References 19 publications

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“…An interpretation of this could be that both the EMS and police departments need more knowledge about how to take care of persons in acute psychiatric distress. The need for ambulance personnel to be trained to a higher level in caring for patients facing psychiatric emergencies is known from previous studies, 5,30 and when the police work with mental health personnel, the outcome is better for the patient, the organization and the personnel. 7,8,10 The findings of this study may also indicate shortcomings in the mental healthcare system; the patients described both a lack of trust and a lack of availability to their ordinary health-care facilities; and the PAM sometimes becomes a substitute for other mental health caregivers.…”

Section: Discussionmentioning

confidence: 99%

Patients' experiences of the caring encounter with the psychiatric emergency response team in the emergency medical service—A qualitative interview study

Lindström

Sturesson

Carlborg

2020

Health Expectations

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Background Mental illnesses are increasing in the population; consequently, the number of psychiatric emergencies handled by the emergency medical services (EMS) has also increased. Alternative response systems have been developed and evaluated, but there is still a lack of knowledge concerning the patients' experiences of being cared for in the EMS by a psychiatric emergency response unit (In Swedish: Psykiatrisk Akut Mobilitet [PAM]). Objective The aim of this study was to explore patients' experiences of the caring encounter with the PAM team. Design A qualitative study design with 14 patients' interviews and content analysis was used. Results The patients expressed that the PAM team created a safe environment and actively involved the patient in their care by creating an open and safe place for dialogue. In this safe environment, the patients described how they participated in the decision making and received care without fear of being dismissed, ignored or judged. Discussion and Conclusion The patients' experiences of being cared for by the PAM team show that person‐centred care was achieved by involving the patients in their own care. This participation was possible because mutual trust and confidence existed, and the patients acknowledged the specialist response unit to be a valuable part of the EMS. However, further studies are needed to explore whether the PAM as a response unit in the EMS decreases the risk of suicide and to examine different health economic aspects of using PAM in the EMS.

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Section: Discussionmentioning

confidence: 99%

Patients' experiences of the caring encounter with the psychiatric emergency response team in the emergency medical service—A qualitative interview study

Lindström

Sturesson

Carlborg

2020

Health Expectations

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“…They reported being unsatisfied with the status quo, implying that their service inspired them to improve the quality of care for those affected by trauma. 35 Inversely, there are also negative consequences of therapeutic work, some of which are at the conscious level, and some are unconscious. As Hilfiker 36 states, ''All of us who attempt to heal the wounds of others will ourselves be wounded; it is, after all, inherent in the relationship''.…”

Section: Practical Guidelines For Individuals and Organizationsmentioning

confidence: 98%

Managing traumatic stress responses among clinicians: Individual and organizational tools for self-care

Sansbury

Graves

Scott

2014

Trauma

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There is a growing interest in conceptual frameworks related to preventing stress responses among mental health clinicians working with survivors of trauma. The following paper comprehensively compares and contrasts vicarious traumatization with compassion fatigue (i.e. secondary trauma), and it considers how these two traumatic stress responses can lead to professional burnout. It reviews the historical development and empirical support related to the effects of trauma work on clinicians, and it provides practical guidelines for both individuals and organizations to protect clinicians from traumatic stress responses.

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“…The extent and frequency of the psychosocial and mental health impacts of emergencies on rescuers, the staff of emergency services, and health and social care agencies fall between assessments of the impacts on people who are directly involved and people who are not involved 11. Drury et al and Williams and Greenberg offer further general information 27 28. Core to supporting people who respond are the necessities of ensuring that they are well briefed, well led and offered effective social and peer support.…”

Section: Caring For Respondersmentioning

confidence: 99%

Principles for designing and delivering psychosocial and mental healthcare

Williams

Kemp

2018

BMJ Mil Health

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The development of the UK's military policy includes the potential for military organisations to deploy in support of humanitarian aid operations. This paper offers an overview of the risks to people's mental health of their exposure to emergencies, major incidents, disasters, terrorism, displacement, postconflict environments in which humanitarian aid is delivered, and deployments to conflict zones. It summarises the psychosocial approach recommended by many contemporary researchers and practitioners. It differentiates the extremely common experience of distress from the mental disorders that people who are affected may develop and introduces the construct of psychosocial resilience. The authors recognise the importance of trajectories of response in separating people who are distressed and require psychosocial care from those who require mental healthcare. Finally, this paper summarises a strategic approach to designing, planning and providing psychosocial and mental healthcare, provides a model of care and outlines the principles for early psychosocial interventions that do not require training in mental healthcare to deliver them.

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Psychosocial care for persons affected by emergencies and major incidents: a Delphi study to determine the needs of professional first responders for education, training and support

Abstract: Background

Cited by 19 publications

References 19 publications

Patients' experiences of the caring encounter with the psychiatric emergency response team in the emergency medical service—A qualitative interview study

Patients' experiences of the caring encounter with the psychiatric emergency response team in the emergency medical service—A qualitative interview study

Managing traumatic stress responses among clinicians: Individual and organizational tools for self-care

Principles for designing and delivering psychosocial and mental healthcare

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