terça-feira, novembro 02, 2004

Paulo Severino, a PSIC do Algarve, por ora... Posted by Hello
Simulacro em Cacilhas com intervenção PSIC: à esquerda e de laranja, Bruno Brito, ao fundo à direita de vermelho, Ludgero Paninho Posted by Hello

Bruno Brito dixit:

Tema para a primeira sessão (aniversário dos BVCacilhas)
(faltando definir o dia)
Gabinete de Psicologia e Apoio a Situações de Crise - 3 anos de existência -Passado, o Presente e os Projectos de Futuro

e ofereço-me para apresentar o tema podendo haver mais alguns interlocutores... faz-me sentido que se iniciasse por aqui...

Queria deixar à discussão no fórum a possibilidade de iniciarmos linhas de intervenção diferenciadas, até porque já existem áreas mais ao menos atribuidas como operacionalidade, crianças, ética, formação, agressão e agressivos, suicidios, etc.

Lanço mais uma acha para a fogueira. Qual é a vossa opinião sobre a constituição de grupos de apoio (regime de grupo de auto-ajuda) para oproblema do álcool e para as particularidades do serviço de emergência (e outros que considerem)?

Abraços
Bruno Brito

Bruno Brito escreveu:

Estou a gostar do andamento do blog....
queria deixar uma proposta...
apesar da inegável utilidade dos textos que tens vindo a colocar no blog, pergunto se alguma das alternativas é possível...Deixar esses mesmos textos para uma parte de arquivo do site... ou em outro sitecriado para o efeito, visto a forma adoptada carregar muito a página,tornando-se menos motivante o diálogo, os comments, as novidades...
que tal acriação de um blog alternativo, colado a este... ou outra coisa do género...

Estou a trabalhar num manual que segue as políticas europeias de intervenção... deveremos falar sobre ele mais tarde, pois será a base estrutural das intervenções onde estamos envolvidos...

queria acrescentar mais alguns links à lista de páginas a visitar

http://www.alertnet.com

http://www.trauma-pages.com

Grande abraço
Bruno Brito


Resposta:

Várias têm sido as sugestões quanto a fazer alterações informáticas ao blog mas:

1- não há tempo para mais
2-não se justifica por ora, ainda não está provado que seja usado o blog e que se esgote a sua utilização nos moldes actuais
3- o blog vai arquivando o material de cada mês, e faz um link novo para esse mês. para ver para trás há que clicar aí, o que já acontece, aliás
4- fazer links e pôr o material noutras páginas significa fazer essas páginas...ora...haja alguém que as possa fazer e que dê o link para se pôr no blog...trabalho de equipa!

Ludgero Paninho dixit
Um abraço a todos

segunda-feira, novembro 01, 2004

PSIC no Aniversário dos B.V.Cacilhas: Ludgero Paninho, Bruno Brito, Ana Margarida Santos, Rosalina Fialho, Jorge Silva Posted by Hello
O Padrinho da viatura: Dr. Abel Ramos Posted by Hello
Primeira viatura PSIC em Portugal Posted by Hello
B.V.Cacilhas, 2004. Inauguração da primeira viatura portuguesa de Psicologia de Suporte em Incidentes Críticos. Da esquerda para a direita: Ludgero Paninho, Bruno Brito, Alexandra, Ilídia, Cátia, Jorge Silva Posted by Hello

FOTOS E LOGOS

Este blog recebe fotos e emblemas de teams CISM ou similares. As fotos são dos elementos da própria PSIC ou de viaturas ou instalações que possuam ou usem em determinada situação. Fotos de encontros e de formação também são aceites, assim como de representação (as fotos do Bruno nos States e em Londres seriam muito bem vindas...).
Fico a guardar imagens, enviadas para

lupan@netcabo.pt

Orientação e Informação para preparar teams para Mass-Casualty

ORIENTATION AND SELF-CARE INFORMATION FOR DISASTER RELIEF
AND RECOVERY WORKERS:
Guidelines for Mass-Casualty Assignments
John D. Weaver, LCSW, BCD, ACSW, CBHE

Airline accidents, bombings, and other mass-casualty events often result in some of the most intense, complex, and stressful disaster relief assignments workers will face. DMH workers offer emergency and preventive mental health services to people affected by disaster and to relief and recovery workers assigned to the operation. This includes providing educational information about current stresses (and future stresses that are predictable), their effects, and methods of coping. It includes offering crisis intervention, information and referral services, and opportunities for defusing and debriefing. DMH workers also provide similar education and support to families of workers that are out on an assignment.

PRE-BRIEFING

Given the unique and stressful nature of mass-casualty incidents, extra time must be taken to prepare all workers for what is to come. This becomes an excellent time for DMH involvement. Taking part in orientation sessions for all incoming staff, offered as workers arrive at the relief site, provides an opportunity to inoculate workers to some of the stresses they may encounter during their assignment. This will also allow DMH workers a chance to set the stage for later defusing and debriefing sessions. Here are some suggestions:

1. Encourage people to take care of themselves (drink enough fluids, take breaks, etc.).

2. Describe the work setting in detail, covering duties, schedule, ID process, and so on. Prepare everyone for the fact that the sights, sounds, and smells they encounter along the way will form memories that may come back to them from time to time.

3. If serving workers/volunteers acting in recovery/identification roles (e.g., those working at a crash site or a morgue), offer education and special precautions on the psychological impact of things with which they may not be familiar. This may include explaining biohazard precautions, stressful working conditions, talking about the other organizations involved and their roles, etc. Offer a graphic description of the sights, sounds, and smells people will encounter.

4. Allow an opportunity for anyone who may feel he or she cannot handle the job to gracefully exit (or be assigned less stressful duties). People already grieving a previous loss, folks who have recently handled another mass-casualty incident, and anyone who for any reason is having second thoughts should be encouraged to speak to their supervisor. They may need to explore a low-stress assignment or they may even need to stop now. If so, be sure to thank them for their concern and assure them they have made the right choice by stopping now. Have someone take them aside and process the feelings they have about their decision to stop.

5. Remind everyone that they may reach that same point of wanting to end their involvement within a few minutes, hours, or days and that it is OK to stop at any time they feel they must do so.

6. Tell everyone about the availability of support services and any requirements that they attend defusing/debriefing sessions. Try to make it a requirement!

7. Encourage use of a buddy system and group meetings, for peer support.

8. Also encourage people to consider journaling. It can help people externalize some things (self debriefing) and help them later, when things slow down and they want to review (and reflect upon) their assignment.
____________________

(UMA SEQUENCIA QUE TEMOS VINDO A ADOPTAR NAS MISSÕES INTERNACIONAIS E QUE PROPONHO PASSE A SER A SEQUENCIA PADRÃO A ADOPTAR PELA PSIC...

COMO SABEM, É-ME MUITO CARA ESTA PARTE DAS MISSÕES! comentário do lud)
retomando o texto...

____________________

DEFUSING AND DEBRIEFING

As important as the DMH role is in all relief operations, it is even more critical in mass-casualty situations. In most relief operations, workers are offered opportunities for defusing and/or debriefing at the end of their assignment, both before they leave and after they have gotten home. The individual or group defusing/debriefing sessions are voluntary and, despite their importance, the sessions may be declined by workers who believe they are too healthy, too macho, too cool, too anxious, and/or too busy.
In mass-casualty situations, daily defusing sessions and end-of-job debriefings are essential for all workers. Attendance at defusing and debriefing sessions should be required for everyone involved in these assignments. This is especially true for those volunteers and staff who are serving in recovery rolls (e.g., trackers and scribes in morgue operations, persons picking up pieces of a crashed plane, and anyone handling personnel effects).
The focus for daily defusing should be on sharing the most important issues of the day and answering any specific questions the workers may pose (e.g., people often want to know what to say to their children about the disaster). Teaching about any predictable stresses/reactions that are to come is another important activity. For example, if cafeteria trays were used to carry body parts or if Vicks was used to mask foul odors, the next time folks use these items they will be reminded of this tragedy. Telling them about this now will offer some measure of stress inoculation. Save any in-depth discussions of feelings for the close-of-business (end-of-job) debriefings, so as to not lower needed defenses and healthy denial too soon to allow completion of the tasks at hand.
Sometimes there will be a wealth of people offering support services. There may be CISM team members and mental health workers that are assigned to FEMA, the FBI, police/fire rescue units, the military, and the airline, in addition to other local volunteers. Other times DMH team members may have little support and may need to help cover everyone else involved. It is always nice to have enough help available to offer a variety of support personnel (representative of gender, racial, ethnic, cultural, and religious diversity) and allow people to select the person with whom they feel comfortable. In fact, many times it seems people prefer to share things with a total stranger than someone they already know or someone they fear may represent interests other than their own.