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PSYCHOLOGICAL FIRST AID (PFA) - Coggle Diagram
PSYCHOLOGICAL FIRST AID (PFA)
Module 1: Introduction
What is PFA?
PFA may be defined as a compassionate and supportive presence designed to
mitigate acute distress
and
asses the need for continued mental health care.
It is not a process of diagnostic formulation nor is it a process of therapeutic formulation and intervention
Psychological First Aid may be thought as a subset of psychological crisis intervention and has a different skill set
Terms and Concepts
There's a need for psychological services, but more specifically, psychological first aid services.
Terms
Surge: surge is an increase demand for services.
Surge Capacity is the ability to provide those services when needed.
Concepts
Triage refers to the process of assessing and prioritizing psychological and behavioral reactions in order to determine the appropriate level of care and intervention needed
Surge Capacity refers to the ability of a healthcare system or organization to rapidly expand its resources and capabilities to meet the increased demand for services during and after a disaster or crisis.
Historical Concept
Psychological first aid
is not designed to be a once only intervention.
And again, keep in mind the continuum of care. Psychological first aid is simply the earliest point on that continuum.
RAPID Model
Rapport and Reflective Listening:
We must be compassionate enough and patient enough to listen to the story that someone will tell us. But it all begins with rapport.
Assessment
: Identify who is in acute distress and apparently needs assistance versus those who don't.
Prioritization:
actually dovetailing with the A. We ask ourselves, of those who need our assistance who should be at the front of the line?
Intervention:
review certain intervention strategies, not therapy, but certain things that can shall we say, take the sting out of acute adversity
Disposition and Follow-up:
observing the person you've just done the intervention with. How are they doing? Are they able to return to some level of productive functioning? If not, what do they need?
A conversation designed to help people ultimately recover from tragedy or adversity.
Module 2: Rapport/ Reflective Listening
The goals
Make a contac
Provide an introduction
Establish rapport
Establish some degree of empathy (perceived understanding)
Reflective Listening
Ongoing process used throughout the entire interaction with a person who is in crisis or in the wake of adversity
What you say initially will obviously depend on the situation itself.
Explain who you are, what you're doing and then ask an initial question.
Closed-ended questions
Open-ended questions
Reflective listening paraphrase questions
Summary paraphrase:
the core of reflective listening consists of taking the other person's words, paraphrasing them, rephrasing them.
Rephrase the essence of their message into your words and reflect them back.
To rephrase the core content or sometimes the emotions into what is often a yes or no question, and sending it back for affirmation or modification
Three elements to discourse.
The Logos
The Ethos
The Pathos
Techniques
Be Present
Listen
Allow catharsis
Don't rush to solve a complicated problem with simplistic solution (unless the resolution is evident)
Don't try to make the person feel better by diminishing, trivializing his/ her concerns
Don't argue
Module 3: Assessment
Groups of survivors
The Eustress
Module 4: Prioritization