Prepping communities: Psychological

Question 1

What are the different psychological problem that will be faced after a disaster?

Answer 1

Transient distress symptoms, behavioral changes, anxiety disorders, PTSD

Question 2

What are the risk factors increasing rate of psychological problems?

Answer 2

Degree of exposure, exhaustion, physical harm, loss of someone close, history of mental disorder

Question 3

What is incident command’s role in addressing psychological issues?

Answer 3

Formally designated leader, training and practice, integration of volunteers, protective plan

Question 4

What should volunteers address for psychological issues?

Answer 4

Credentialing, just in time training, management

Can cause more issues if not trained correctly

Question 5

What can happen to the security and safety role of responders in a psychological event?

Answer 5

Can have similar responses to trauma and get PTSD just like civilians

Question 6

What should be done for interventions for responders?

Answer 6

Refer IDed affected to professionals

Question 7

What is done for triage and treatment in a psychological event?

Answer 7

Normal vs abnormal responses, treat with scope of competency and resources, ID high risk persons

Question 8

What is a normal response?

Answer 8

A sense of apprehension, worry, edginess, difficulty concentrating, rational to escape scene, sometimes altruistic behaviors
Guilt

Question 9

What are some prevalent syndrome?

Answer 9

Sub-diagnostic distress with physical complaints

Question 10

How is sub-diagnostic distress treated?

Answer 10

Normalize responses with empathy, support counseling, treat symptoms like insomnia

Question 11

What constitutes psychological first aid?

Answer 11

Protect survivors from more harm, reduce physiological arousal, get support for distressed, keep families together

Question 12

What are the characteristics abnormal responses?

Answer 12

Intensity and duration, results in disability, avoid certain object or events, usual pattern of symptoms

Question 13

What are some abnormal disorders?

Answer 13

Acute stress, PTSD, major depressive, dysthymic

Question 14

What types of reactions would you see in a young child (less than 5)?

Answer 14

Separation fears, nightmares, regression

Question 15

What types of reactions would you see in a child and adolescent (6-11, 12-18)?

Answer 15

Atypical disruptive behaviors, withdraw from people, activities, irritability and difficulty concentrating, lower grades

Question 16

What are common to stress disorders?

Answer 16

Re-experiencing events, emotional numbing, avoidance, autonomic arousal, disruption of life

Question 17

What is SNAP screening?

Answer 17

Startle
Numbness
Arousal/avoidance
Persistence

Question 18

What are some screening questions?

Answer 18

In the past two weeks have you …
Had a depressed mood most of the day?
Loss of interest or pleasure in most activities?
Think life is not worth living or about killing yourself?

Question 19

What questions would be asked to screen for substance abuse?

Answer 19

Ever had a problem with drugs? CAGE
Do you drink alcohol? How much? Felt you should CUT down? People ANNOYING you about it? Felt GUILTY about it? Drink the morning to rid a hangover (EYE-OPENER)?

Question 20

What should be done in evacuation event and post-event?

Answer 20

Care-control of persons who panic, care of displaced person, coordination with red cross and clinical triage/treatment teams