crisis, trauma and disaster training power point
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Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 1
CRISIS, TRAUMA AND DISASTER TRAININGA FAITH BASED PERCPECTIVE
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Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 2
“
”
In this world you will have trouble, be of good cheer, I have overcome the world”
JESUS
John 16:33 KJV
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 3
Define
TroubleCritical incidentCrisis TraumaDisaster
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Trouble
Defined Inconvenience, exertion To cause disorder, discomfort To disturb, agitate Requiring extra effort Mental agitation or worry Unfortunate or distressing position Civil disorder, disturbance or
conflict Mental or emotional distress
Examples Natural disasters
Tornado Earthquake Fire Flood
Man-made disasters (shooting rampage)
Personal (suicide, abuse, homicide) War, civil unrest Terrorism
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 5
CRITICAL INCIDENT
The catalyst for emotional and
psychological trauma Cisney, J (n.d.). Impact Dynamics of Crisis and Trauma [video]
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 6
CRISIS
A response or reaction of an individual to an incident that has occurred.
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 7
Crisis InterventionThe application
of psychological first aid.
Cisney, J. (n.d.). Impact Dynamics of Crisis and Trauma
Stabilize people of their symptoms: physical and mental/emotional
Symptom reduction: safety, food, shelter, survival needs
Reestablish a functional capacity: assign an area to help others
Seek higher level of care referral
IF immediate care not available/received PTSD
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 8
Post Traumatic STRESS
Defined Post traumatic STRESS is a normal
reaction to an abnormal event. A helpful mechanism in the brain, created
by God, as a response to threats to our safety.
The mind changes when feelings of threat…fight, flight or freeze.
At time of threat, the frontal lobe of cognitive decision making, debate & emotion disables so the amygdala can enable the ACT of self preservation in crisis moment. Blood flow redirects from vital organs to muscles to increase strength. Feeling of pain is lessened
General symptoms Confusion or inability to concentrate Difficulty making decisions Sensory distortion- heightened use Inappropriate guilt and regret (take fault
for not preventing) Preoccupation with the event-
nightmares Inability to understand the
consequences of their behavior Psychosis and loss of touch with realityCisney, J. (n.d.). Impact dynamics of crisis and trauma [video]
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 9
Group Activity
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 10
TAKE CARE OF YOURSELF FIRST
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 11
Behaviors and reactions during a time of a critical incident
Are not necessarily mental illness: The reactions and behaviors are a way of dealing with the overload of stimulation, hormone reactions and mental processing
Healing comes when the individual is able to find a new-normal in moving forward in life.
A person who can not find this new-normal and move on may need professional mental health processes to work through the trauma to find meaning in the experience.
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 12
Trauma “is more than a state of crisis. It is a NORMAL reaction to an abnormal event that overwhelm a person’s ability to adapt to life”(wright 2011)
90% of people will be exposed to a trauma event in their lifetime (Cisney, n.d.)
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 13
Trauma Shock Responses
Trauma Shock Responses Impaired cognitive functioning Trauma trigger Numbness Physical somatic pain Overwhelming feelings Fight Flight Respond in emotional age vs
chronological age If the person remains in crisis mode, their
baseline functioning changes (Cisney, n.d)
Belief System It is all about survival A need to control yet appearing
the victim Moral rules and attitudes
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 14
DISASTER
Natural disastersTornadoEarthquakeFire Flood
Man-made disasters (shooting rampage)Personal (suicide, abuse, homicide)War, civil unrestTerrorism
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Multicultural Considerations
Grouping categories Nationality Ethnic group Religious group Gender identification Lifestyle practices Education Socio-Economical Physical ability Cultural systems- privilege
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Culture is not reduced to the definition of race and ethnic groups, but
Encompasses the scope of influences an individual may experience in the context of their personal environment and that environments societal interpretations, beliefs and values.
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 17
Multi cultural counseling
The preparation and practice of integrating cultural awareness, knowledge and skill into the counseling setting.(Hays & Erford , 2014)
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Additional considerations
Traditions Values Cultural positions Moral compasses
Physical environment Historical context Political events Dominant religions Philosophies
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Crisis as OpportunityGenuine care and comfort
Build positive relationships that build trustCommunity awareness
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Each person has a religious, moral and ethical compass that has been engrained through parental rearing, community environments and cultural experiences.
These experiences have been filtered, tested and adjusted by one’s own personal life perceptions. These perceptions create belief systems and behavioral endeavors motivated by a vow of the will, solidified by the action of lifestyle practices
When crisis or conflict arise, emotional and mental reasoning cause a person to acknowledge their original view of God and how that plays into the current situation.
What life adjustments will need to be compromised?
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People are drawn to look for answers about (a) GodAnd what that says about (them) self
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Define Spirituality Moral compass
Ethics Relational
Religious affiliation Parental upbringing
Be a good person Family activity
Nominal characteristics
Community expectations
Contribute to society
Family/community activity
Personal Relationship Bible as the guide
Christ motivated/denial of selfish ambition
Person & God intimate/personal
Just because a person classifies themselves as a Christian or spiritual person, it does not mean their definition is the same as yours.
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 23
What you can do
Listen- shhhh no talking Learn- what they are thinking,
feeling and believing about the situation
Keep them talking Give them a task to help and not
be (the) victim Be a presence
Meet primary needs of 1. Safety2. Food/drink3. Check for physical (medical) care
needs4. Shelter5. Personal care items6. Check on family members
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 24
Things to Avoid- the worst enemy in the time of imminent crisis need is the well-meaning person who does have all the facts
Boundaries Personal space awareness NO touch Gender inappropriateness Telling of how you can relate Assumptions of their feelings,
thought or belief Relying on your own ….
Words –n- deeds It is not okay Scripture promises Pat answers Theological answers/debate Give no counsel (time for triage
“be with, not walk through”) Promises
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 25
Prepare for the future
In house Crisis/trauma support teams Congregational training… Prepare a safe environment Cache of supplies for
community preparedness Continuing counseling
resources
In the community 1. attend classes 2. each community
preparedness 3. community relationship
building
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 26
The time of sorrows is pressing down upon the nations. Sad to say, the church and community is still baffled on the role the church could facilitate. With the separation of church and state, the local church has not kept abreast of policy and protocol for safety and collaboration with community
based social services and resources to meet the mental, physical, and emotional supports. This disconnect has left a breech in comprehensive treatment for the whole person.
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 27
The church has lack of resources for her hurting members and the community cannot meet the spiritual component that 9 out-of 10 people search for when trying to cope with fear, trauma and disaster.
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The church is being called up to take her place. Will she, (the church) accept the
invitation without compromising the character of Christ? During this invitation window the church must utilize the time to define disaster, train their troops and prepare for the scope, intensity and duration needed to implement care in reaching the hurt and dying mass called humanity.
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 29
There is a call for training and preparedness
To mourn with those who mourn
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Matthew 25: 35-36 (revised)
Give to the hungry, not only bread but the word of GodGive to the thirsty, not only water, but truth and loveClothe the naked, not just with garments of cloth, but with dignity and esteemTake in the sick of heart not only with brick and stone, but into hearts that understand, love and protectVisit the sick in heart, the dying soul as well as the physical body (unknown 1989)
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 31
Restore the RuinDavid Wilkerson; A Call to AnguishLets have a heart and action to plan for rebuilding the people of God and reaching out with hope to the world around us.
In the times of crisis, people turn to the church for help and hope. What will they find when they come. Are we ready? Do we know how to be a Nehemiah and care for the city in front of our personal doorstep?
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 32
Places to get involved
CERT- Community Emergency Response Team Medical Corp Denominational emergency counsels Red Cross FEMA- citizen corps National Guard Local Hospital- emergency preparedness programs Your local place of worship
Kaylene Scholl Henderson (c) 2015 www.carouselproject.net 33
Kaylene Scholl Henderson has been at the forefront of crisis care starting with the AIDS epidemic in the 1980’s. Kaylene has received a commendation from the Department of Human Services- White House in 1989 for her pioneering work for children affected and infected with AIDS.
Throughout the years Kaylene has opened her home to foster children, domestic violence victims and the homeless in their time of trauma and crisis. She has taken this experience and served as a consultant to non-profit organizations desiring to minister to these populations.
Kaylene’s passion has focused on families of adoption where the traumatized children traumatizes their new family and community. Her education includes A Bachelors of Science from Kaplan University in Human Services- Child and Family and a Masters from Liberty University, Human Services; Crisis response, trauma and disaster counseling.
Kaylene is a member of the American Association of Christian Counseling and is a member of Salem Oregon CERT and Marion County (Oregon) Medical Corp, Behavioral Health Team.
To learn more about the work that Kaylene does or to inquire of more services seewww.carouselproject.net
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