March 27 2023 Associate Director Clinical Services ryancyntuscedu TOM BADZEY MFT MA CLINICAL PSYCHOLOGY CINDY RYAN PHD MFT CEAP ACC Employee Assistance Professional USC WorkWell Center ID: 1047935
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1. CERT Basic TrainingDisaster PsychologyMarch 27, 2023
2. Associate Director, Clinical Servicesryancynt@usc.edu TOM BADZEY, MFT, MA CLINICAL PSYCHOLOGYCINDY RYAN, PHD, MFT, CEAP, ACCEmployee Assistance Professional, USC WorkWell Centertbadzey@uscWelcome and ObjectivesUnderstand disaster trauma for survivors and rescuersIdentify and commit to taking steps for personal well-being Acquire and practice providing psychological first aid010203
3. We invite you to move during today’s session. Stand and/or stretch in a manner that feels best for you.Stretch Break
4. Part I- Defining Traumatic Crisisan event experienced or witnessed in which people’s ability to cope is overwhelmed by:Actual or potential injury to self or othersDestruction of their homes, neighborhood, or value possessionsLoss of contact with family or close friends
5. What traumatic crises have you or someone you know experienced?How did it affect you/them?What kinds of support did you/them receive?How effective was that support?What other kinds of support would you have wanted?Individual Reflection & Group Share
6. Causes of Disaster ReactionsAssisting neighbors, friends, or coworkers who have also been injuredWorking in your neighborhoodDealing with your own personal lossesFeeling unsafe and insecure
7. The Five Fs of Trauma ResponseFreeze“Stop, look, and listen,” or be on guard and watchfulFlightFleeFightAttempt to combat the threat FrightTonic immobility when in contact with a predator, or playing dead FaintFear-induced fainting 0102030405
8. One More “F” … Flipping Your Lid06Flipping your lidDr. Dan Siegel, author and neuroscientistWhat’s going on in the brain when trauma occursWhat the brain can and can’t doWhat you need: stabilizing, soothing supportGet the prefrontal cortex back online
9. How would you know?Symptoms of Psychological TraumaPhysical SignsEmotional SignsCognitive SignsSpiritual Signs
10. Physical Signs of TraumaLoss of appetiteHeadaches or chest painDiarrhea, stomach pain, or nauseaHyperactivityIncrease in substance useNightmaresInsomniaFatiguePhysical Signs
11. Emotional Signs of TraumaEmotional distress – reactive and/or hypervigilantIrritability/aggressionBlame and guiltFlat affect (void of responses)Feeling detached (dissociation)Feeling isolated/cut offEmotional Signs
12. Cognitive SignsCognitive Signs of TraumaConcentrationFocusMemoryDerealization & depersonalizationNegative thoughts (totalizing, generalizing)
13. Spiritual SignsSpiritual Signs of TraumaDisillusionmentLoss of FaithExistential crisisIncreased spirituality/religiousness
14. We invite you to move during today’s session. Stand and/or stretch in a manner that feels best for you.Stretch Break
15. Part II- Emotional Phases of a CrisisPre-DisasterImpactHeroicHoneymoonDisillusionmentReconstruction
16. Mediating Factors01Prior experience with a similar event02Intensity of disruption04Emotional strength of individual03Individual feelings about event05Length of time since event
17. Stabilizing Factors01Assess survivors for injury or shock 02Get uninjured people to help 04Help survivors connect with natural support systems 03Provide support by listening and empathizing
18. Listen, Protect, ConnectListen to survivors and pay attention to what they say LISTENHelp survivors feel protected by providing support ProtectConnect survivors to friends and loved ones CONNECT
19. How to Be an Empathetic ListenerPut yourself in the speaker’s shoes EmpathyListen for meaning, not just words listenPay attention to nonverbal communication Pay attentionParaphrase the speaker paraphrase
20. What To Say“I’m so sorry this has happened”“What do you need?”Lead with open-ended questions when possible“Is it all right if I help you with…?”“I can’t imagine what this is like for you”“I’m sorry for your pain”“I understand”“You’re strong”“Don’t feel bad”“Don’t cry”“You’ll get through this”“It’s God’s will”“At least you still have…”“It could be worse ”“Everything will be okay”
21. Role Play ActivityLet’s Try it out
22. We invite you to move during today’s session. Stand and/or stretch in a manner that feels best for you.Stretch Break
23. Part III- Individual & Team Well-BeingActions can be taken before, during, and after an incident to help manage emotional impact of disaster response work Knowing possible psychological and physiological symptoms of disaster trauma helps manage impactLearn to manage stress:CERT volunteers for themselvesCERT leaders during response
24. How to Reduce StressGet enough sleep Allow yourself to receive as well as give Connect with others Exercise regularly Balance work, play, and rest Eat a balanced diet How to Reduce StressUse spiritual resources
25. Take Care of YourselfBe aware of trauma that can follow a disaster Explain to family members and friends what you need:Listen when you want to talkDon’t force yourself to talk until you are ready
26. This activity provides you with the opportunity to identify self-care tools you can use before and during a crisis so that you are ready to respond during an emergency Complete this exercise individually and at your own pace. When everyone has finished, you will have the opportunity to share your responses with the class if you would like Self-Care Toolkit– Part 1: Self-AssessmentPlease take about 5 minutes to complete Part 1 of the Self-Care Toolkit Worksheet
27. Self-Care Toolkit– Part 1What did you notice?How did you feel?Pair Share
28. This activity provides you with the opportunity to identify self-care tools you can use before and during a crisis so that you are ready to respond during an emergency Complete this exercise individually and at your own pace. When everyone has finished, you will have the opportunity to share your responses with the class if you would like Self-Care Toolkit – Part 2: Self-AssessmentPlease take about 5 minutes to complete Part 2 of the Self-Care Toolkit Worksheet
29. Self-Care Toolkit– Part 2What areas are you strong with?What areas need more help?What can you commit to changing within the next month?Pair Share
30. How Team Leaders Reduce StressBrief CERT personnel beforehand Remember CERT is a team Rest and regroup Take breaks away from the incident site Establish a culture of acceptance Eat properly, stay hydrated Be aware of changes in teammates Rotate teams and duties Phase out workers gradually Defuse after shift
31. Unit SummaryPrepare yourself, as rescues may be unpleasant and uncomfortable Prepare yourselfKnow the psychological and physiological symptoms of trauma Know the symptomsUnderstand the six emotional phases of a disaster Understand emotionsTake steps to reduce stress, which affects cognition, health, and interactions Reduce stressStabilize individuals stabilizeListen, protect, and connect to support survivors Listen, protect, connectBe an empathetic listener empathy
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