9. Defusing and debriefing (Index)

INDEX

 

 

 

 

CHAPTER 1:  DEFUSING                                                                                                 

Davis, Weaver, Meichenbaum, Roos & Du Toit

·         Important aspects to keep in mind                                                                          

·      The aims of trauma defusing                                                             

·      Different role players and their responsibility on a

trauma scene                                                                                   

·         Practical guidelines                                                                                                 

  • Gaining the confidence of the victim                                            

o     Calm the victims                                                                                                

o     Establish what happened                                                                                   

  • Provide emotional support                                                                                
  • Provide practical assistance for physical needs                                                
  • Assist victims in regaining control and routine                                                  
  • Protect victims against secondary traumatisation                                             

o        Provide clear information about the process                                                     

  • Ensure the victims' safety                                                                                  

·         Emotional reactions of defusers                                                                              

·         Final remark                                                                                                            

 

 

CHAPTER 2:  DEBRIEFING                                                                                              

Davis, Weaver, Meichenbaum, Roos & Du Toit

·         What is debriefing?                                                                                                 

·         Characteristics of Trauma Debriefing                                                                      

·         Goals of trauma debriefing                                                                    

  • Create a safe place                                                                          
  • Reality testing                                                                                                    
  • Re-establish control                                                                                        
  • Cognitive redefinition                                                                    
  • Prevention of Posttraumatic Stress Disorder (PTSD)                                      

·         Practical guidelines                                                                                                 

·         Trauma debriefing models                                                                                      

Phase 1:  Defusing on or near to the trauma scene                                                 

Phase 2: Initial debriefing                                                                                       

Phase 3: Formal CISD-model                                                                                   

§         One: Introductory stage                                                                               

§         Two: Facts stage                                                                                          

§         Three: Thinking cognitive stage                                                                  

§         Four: Emotions stage                                                                                   

§         Five: Symptoms stage                                                                                 

§         Six: Teaching stage                                                                                     

§     Seven: Re-entering stage                                                                             

Phase Four: Follow-up CISD                                                                                    

Adapted debriefing-model                                                                                       

§         Recognition of spiritual needs                                                                           

§         Phases of the adapted trauma debriefing model                                              

·         Debriefing session handout                                                                                     

o        Initial Phase                                                                                                      

o        Fact Phase                                                                                                         

o        Thought Phase                                                                                                  

o        Reaction Phase                                                                                                 

o        Symptom Phase                                                                                                

o        Teaching Phase                                                                                                 

o        Re-entry Phase                                                                                                  

 

 

CHAPTER 3: DEBRIEFING OF BANK PERSONNEL AFTER A

BANK ROBBERY                                                                                                            

Yvonne Retief

 

 

CHAPTER 4: ASSESSMENT AND TRIAGE                                                          

·         Common reactions experienced after a traumatic event                               

·         Problematic stress responses                                                                           

·         Survivor resiliency factors                                                                                 

  • Positive outcome of negative life events
  • Assessing a survivor's perception of impact and resources                 

·         Three dimensions for assessment of a survivor's perception                     

o   How does the survivor perceive the critical incident?                             

o   How does the survivor perceive the available resources?                     

§  Internal resources                                                                                   

§  External resources                                                                                

o   How does the survivor perceive the personal impact?                            

o   Getting through today and preparing for tomorrow                                

·         Assessing loss issues                                                                                        

·         Quick reference tips for assessment during the first 48 hours                    

·         Important questions                                                                                           

 

 

CHAPTER 5: MANAGING A MAJOR DISASTER OR TERROR EVENT                       

·         Body recovery and stress management for supervisors                               

·         Excellence in debriefing                                                                                                 

·         Funerals and memorials: a part of recovery                                                    

 

 

CHAPTER 6:  RELAPSE PREVENTION                                                                                     

 Schiraldi & Hicks

·         Relapse prevention                                                                                                 

  • Understand the dynamics of “failure”                                                               
  • Identify and anticipate high-risk situations                                                        
  • Develop a sound coping plan                                                                            
  • Rehearse the plan                                                                                             
  • Try out the plan in real life                                                                                
  • Evaluate and make improvements if needed                                                    

 

 

BIBLIOGRAPHY