OVERVIEW

1. OVERVIEW NOVA’S CRISIS INTERVENTION MODEL GROUP CRISIS INTERVENTION GCI

2. CRISIS REACTION • PHYSICAL Immobilization (“frozen fright”) Mobilization (fight, flight, or adapt) Exhaustion (problem of sleep)

3. CRISIS REACTION • EMOTIONAL Shock, Disbelief, Denial, Regression Cataclysmic emotions Fear, Anger, Confusion, Frustration, Guilt, Shame, Grief Reconstruction of (new) equilibrium

4. DIAGRAMMING A DISASTER BY TYPE: Disaster Impact • Step One: Determine the cause of the disaster: natural, human, technological • Step Two: Determine the element involved: earth, wind, fire, water, people • Step Three: Determine issues of concern: sensorial, duration, conceptual

5. Diagramming a Disaster • Sensorial Involvement Smell Taste Touch Sight Auditory

6. Diagramming a DisasterChronology • Pre-disaster Equilibrium Previous disaster history Cultural/economic tensions • Warning Characterized by anxiety Disaster subcultures Credible vs. non-credible

7. Diagramming a Disaster Chronology • Threat Responses vary: emotional problem-solving disengagement or “blunting”

8. Diagramming a DisasterChronology • Impact Timing may add to sense of unreality Time warp Duration Survival issues Community pre-occupation Low point vs. no low point

9. Diagramming a DisasterChronology Inventory Disorientation Silence Assessment/triage

10. Diagramming a DisasterChronology • Rescue • Remedy/Mitigation Disaster euphoria Disillusionment • Adjustment Stages

11. Diagramming a DisasterSpatial Dimensions • Convergence • Proximity • Remoteness • Geographic Spread

12. Diagramming a Disaster • Role Dimensions • Assessment of Social Disruption Practical Emotional • Distinguishing Features of Community Tragedy

13. Elements of Crisis Intervention • Safety and Security • Ventilation and Validation • Prediction and Preparation

14. Group Crisis Intervention(GCI) Techniques • Purpose: Address large numbers Provide peer validation Provide written validation through scribe Begin repair of community’s social fabric Educate community members Affirm hope for the future

15. Group Crisis Intervention • Logistics Who and How Many? Where? When? How Long? Setup

16. Group Crisis InterventionRoles • Lead Facilitator • Support Facilitator – “Scribe” • Other GCI Supporters

17. NOVA Basic GCI Process • Introduction • Ground Rules • Questions Sensorial, Memories, Prediction and Preparation, Follow-up • Education/Summary

18. Special IssuesDeath • Emotions: Fear, Anger, Guilt, Shame • Loss • Grief • Death Notification

19. Special IssuesLong Term Stress • Post-Trauma Character Changes • Trigger Events • Secondary Injuries

20. Special IssuesSpirituality • Trauma Impacts Faith • Power of Prayer in Crisis • Power of Ritual in Crisis • Ethical Guidelines for Helpers Survivors are Vulnerable Respect Ritual and Practices

21. Special IssuesCulture • Matrix of Influences • Cultural Action Plan Education Geography, History, Rituals and Routines Entrance into a Different Culture Respect and Good Will

22. Special IssuesChildren • Developmental Stages • Spasmodic Crisis Reactions • Death Issues • Lack of Denial • Grief • Impact of Parent Loss

23. Special IssuesElders • Challenges of Aging • Season of Losses • Trauma Shatters Beliefs

24. Organizing Crisis Response Teams • Goals Assist local caregivers in planning Support local caregivers Train local caregivers Provide crisis intervention

25. Organizing Crisis Response Teams • Levels of Service • Team Member Roles: HQ Staff, Team Leader, Team Manager, Media Liaison, Others (“Worker Bees”) • Local Host • Flow of Activities