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European Network for Psychosocial Crisis Management – Assisting Disabled in Case of Disaster

Prof. Dr. Robert Bering & Dipl.-Psych. Michael Kamp

Partners in the Project are Germany, Center for Psychotraumatology, Alexianer, Krefeld

Czech Republic, Charles University, Prague Denmark, University of Southern Denmark

Germany, Federal office of civil protection and disaster assistance, Bonn Norway, Norwegian Center of Violence and Traumatic Stress Studies, Oslo

further

University of Cologne, Education of hearing impaired individuals, Cologne Germany

Israelian Trauma Coalition (ITC), Jerusalem, Israel Sociedad Espanola des Psicotraumattologia y Estres Traumatico (SEPET-D), Madrid, Spain

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What is the objective of EUNAD? How did we get on this way?

What are the milestones of EUNAD?

Recommendations?

NOTA DEL EQUIPO DOCENTE: Aquellas personas que no puedan seguir el contenido de esta documentación, pueden consultar la página web en CASTELLANO del proyecto: http://eunad-info.eu/es/inicio.html

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No. ECHO/SUB/2012/640917 Versorgungsnetzwerk für

Psychotraumatologie im Alexianerverbund

St. Hedwig OEG/ BG Ambulanz/ TK Zentrum für Folteropfer TK

Alexianer Aachen GmbH OEG-Ambulanz

Klinik Bosse Wittenberg BG-Ambulanz

Center of Psychotraumatology Cologne/ Krefeld

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How to integrate psychosocial support in disaster management?

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The project aims at a standardization of psychosocial aftercare in case of disasters as well as at the development of an European network based on current findings in psychotraumatology.

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Main objectives of EUNAD •  EUNAD aims toward the implementation and

preparation of EU human rights-related assistance programmes for disabled survivors of disasters.

•  EUNAD aims to be a step forward in the implementation of the UN Convention on the Rights of persons with disabilities.

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Love parade disaster, 2010

Tsunami Japan, 2011 CBRN Incidents

? Break down of the historical archive in Cologne, 2009

What about sensory impairments

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What is the objective of EUNAD? How did we get on this way?

What are the milestones of EUNAD?

Recommendations?

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Psychosocial care after disaster: Projects co-financed by ECHO

•  EUTOPA (2007-2009) - TGIP Manuals

•  EUTOPA-IP (2009-2011) - Intervention

•  CBRN & PSS (2011-2013) - Trainings

•  EUNAD (2014-2015) - Disabilities

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Pre-traumatic Outline

Situational Components Coping Strategies, Effects

Traumatic Situation

Traumatic Reaction

Traumatic Process

Recovery

Time Course of Traumatic Stress How can we improve the psychosocial aftercare for people affected by disasters? How can we prevent a traumatic process and support recovery?

Shock Life History

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23 Countries were represented in EUTOPA Dean Ajdukovic, David Alexander, Rosemarie Barwinski, Roman Birvon, Jonathan Bisson, Barbara Blanckmeister, David Bolton, Gernot Brauchle, Claudia Bredenbeck, Chris Brewin, Bruno Carlos Almeida de Brito, Ranieri Brook Barbieri, Alarcos Cieza, Paul Cutajar, Francine Dal, Anita Deak, Katherine Deeley, Albert Deistler, Fruzsina Deme, Aida Maria dos Santos Dias, Michel Dückers, Jose Felix Duque, Ask Elklit, Lucy Faulkner, Maja Furlan, Eva Garossa, George Gawlinski, Eric Geerligs, Oliver Gengenbach, Stelios Georgiades, Berthold Gersons, Annika Gillispie, Irina Gudaviciene, Miroslav Harvan, Trond Heir, Leonie Hoijtink, Simona Hoskovcová, Barbara Juen, Maria Kee, Zafiria Kollia, Uwe Korch, Dietmar Kratzer, Nora Lang, Talia Levanon, Vivienne Lukey, Jana Malikova, Robert Masten, Giulia Marino, José M.O. Mendes, Tiiu Meres, José Carlos Mingote Adán, Maureen Mooney, Maria Eugenia Morante Benadero, Carlos Mur de Viu, Josée Netten, Àgatha Niemyjska, Ilina Nikolova, Brigit Nooij, Dag Nordanger, Lasse Nurmi, Miranda Olff, Francisco Orengo, Gerry O’Sullivan, Anthony Pemberton, Danila Pennacchi, Delphine Pennewaert, Pascal Perez Guertault, Cristiana Pizzi, Gerd Puhl, Raija- Leena Punamäki, Ralf Radix, Gavin Rees, Maire Riis, Magda Rooze, Claudia Roth, Arielle de Ruijter, Salli Saari, Rob Sardemann, Christina Schloßmacher, Claudia Schorr, Frederico Galvao da Silva, Jana Seblova, Aysen Ufuk Sezgin, Erik de Soir, Marc Stein, Gisela Steiner, Sofia Stoimenova, Axel Strang, Jan Swinkels, Lajos Szabó, Dominique Szepielak, Petra Tabelling, Hans te Brake, Miguel André Telo de Arriaga, Graham Turpin, Willy van Halem, Koen van Praet, Joszef Vegh, Ronald Voorthuis, Edgar Vor, Stepan Vymetal, Dieter Wagner, Lars Weisaeth, Martin Willems, Richard Williams, Moya Wood - Heath, William Yule, Bogdan Zawadzki.

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Manual I:Implementing the Cologne Risk Index-Disaster Manual II: Measures for TGIP Manual III: Trauma-based psychoinformation Manual IV: Rehabilitation of stress response syndroms

Target Group Intervention Program (TGIP)

•  TGIP offers a framework to plan psychosocial interventions from the acute phase up to the mid- and longterm course.

•  TGIP is based on psychosocial and clinical experiences as well as empirical evidence, TGIP offers a tool of measures, depending on the riskprofile of the affected.

•  TGIP contains the concrete description of actions for a gradual intervention planing that focusses first of all on the mid- and longterm traumatic process.

•  Spanish version of TGIP: http://eutopa-info.eu/index.php?id=23&L=2

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Prognostical Screening: CRI-D

Group of Recovery Guidance in Self-Help

Switcher

Monitoring

Clinical Diagnostic

In need of Trauma Therapy

Guidance in Self-Help

Trauma

High-Risk-Group

Trauma Therapy

Guidance in self-Help

Psychological First Aid

Information about professional help

Psychoinformation

Clinical Diagnostic

Psychological First Aid

Rehabilitation

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Dunker 2009

Cologne Risk Index – war zone Afghanistan

Group of recovery Group of Switchers Risk Group

(Score 0-3) (Score 4-6) Score (7-18)

Dunker, 2008

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What is the objective of EUNAD? How did we get on this way?

What are the milestones of EUNAD?

Recommendations?

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Tasks

Workshops Pilot training

Recommendations

www.eunad-info.eu

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Workshops/ Conferences Task: •  Expert panel organized by ITC in Israel •  Local workshops •  International workshops

Results: ü  Integration of associations for disabled ü  Recommendations ü  Task Force

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Pilot training: Task: Germany Czech Republic Norway Israel Result: Training of different vocational groups such as mental health professionals, fire brigades, police, social workers and officials responsible for disability management.

Kirjat Schmona June 2014

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Trainings: E.G. How to get to shelters?

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Dissemination

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Dissemination for people with disabilities

1.  Read Page 2.  Magnification 3.  Page in easy

language

www.eunad-info.eu

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Sign language for depths

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Help for Helpers Help for Survivors TGIP Manuals Recommendations Cologne Risk Index online

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Expert Group EU member states

Adviser in case of incident (website) Reevaluator after catastrophies Specialists for target groups with special needs Contact. psychotraumatologie@alexianer.de

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General Recommendations: •  Deaf/hearing impaired individuals react just as hearing individuals during

times of crisis. •  Cooperation, networking, communication, exchange with deaf/hearing

impairment associations is helpful and necessary (“Nothing about us without us”)

•  Deaf/hearing impaired mostly do not like to describe themselves as „disabled“. They consider themselves as being part of a „linguistic and cultural minority group“.

•  Use and adapt existing structures and services, try to find universal designs. Services should be offered all over the country and should not be centralized.

•  Sensitize the population (possible zero-responders) and professionals about deafness/hearing impairment.

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Emergency Preparedness

•  Communicate information (e.g. about existing dangers, present situation and development after disaster) in several different ways: TV, media, Internet, SMS, Apps, etc. (in written text, spoken language, sign language).

•  Assemble a network of interpreters (translating via video vs. in personal). •  Create information material (in written text, spoken language, sign language) for

deaf/hearing impaired. •  Educate deaf/hearing impaired individuals to be prepared for disaster, first aid,

etc. (e.g. via deaf/hearing impaired associations) •  Establish a voluntary database of people with disability for easier contact, crisis

communication and warning. •  Use multi-sensual alert-systems (e.g. sound, vibration, flashlight) and emergen-

cy-call-systems (Telephone, SMS, FAX, Apps, Skype, Internet, E-Mail). •  Create inclusive standards for evacuation and emergency routines for

employers/schools/communities/public-traffic systems/ public places etc. In particular deaf/hearing impaired individuals should take part in disaster drills and simulation.

• 

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Psychosocial First Aid I •  Try not to separate deaf/hearing impaired individuals from each other or

their relatives/friends as these people. Promote their feeling of security and their chance to communicate and receive information

•  Specific communication advice: ü  Ask for preferred way of communication (e.g. spoken language, written

language, sign language), ü  Call sign language interpreter if deaf/hearing impaired prefers sign language. ü  Point and use basic signs, gestures or cards that symbolize cohesion, help,

security etc., speak slowly and clearly, do not shout (as many hard of hearing people show symptoms of hypo- and hyperacusia at the same time),

ü  Stay in eye-contact and observe their mimes and reactions, ü  Make sure there is enough light so they can see your face and what is going on

around them, ü  Ask what a deaf/hearing impaired person has understood or offer to repeat your

communicated information to make sure he/she did understand your message

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•  Signal values and symbols are extremely important in chaotic situations (e.g. logos, orange vest, blanket) in order to signal warmth and security. If first responders (etc. firemen and police men) wear safety helmets outside the danger zone, they should take them off, so the deaf/hearing impaired have the chance to lip-read and see facial expressions.

•  Deaf/hearing impaired individuals are most vulnerable in the dark or while asleep when they can not compensate their hearing loss with the visual sense.

Psychosocial First Aid II

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Contact: Prof. Dr. Robert Bering robert.bering@uni-koeln.de r.bering@alexianer.de