Rao Kiran
Department of Mental Health and Social Psychology, National Institute of Mental Health & Neuro Sciences, Bangalore, Karnataka, India.
Int Rev Psychiatry. 2006 Dec;18(6):501-5. doi: 10.1080/09540260601038472.
The paper outlines psychosocial interventions in providing care and support to disaster-affected communities. Any impact of disaster can be looked at in two ways: firstly by ascertaining the characteristics of the event itself, and secondly, how that event is appraised by those affected. Depending on different phases of the impact of the disaster, individuals will respond in different styles. Psychosocial interventions must be tailored to address the needs of the target population, with special attention paid to vulnerable groups such as children, women and the elderly. These should also be modulated according to the phase of recovery following the event occurrence because each phase will highlight different needs. The four phases of intervention, although determined separately, may show an overlap. In the initial phases, the emphasis is on social intervention that can be delivered by community-level workers. In the later phases, the psychological issues that emerge necessitate the services of trained professionals. Initial social care will need to give way to psychological care, and on occasion both will need to be combined for a considerable period. Since psychosocial care is a long-term, continuous process, disaster management and preparedness programmes must invest in training for capacity building by training community workers and primary care health professionals.
本文概述了在为受灾社区提供护理和支持方面的心理社会干预措施。灾害的任何影响都可以从两个方面来看待:首先是确定事件本身的特征,其次是受影响者如何评估该事件。根据灾害影响的不同阶段,个人会有不同的反应方式。心理社会干预措施必须根据目标人群的需求进行调整,特别关注儿童、妇女和老年人等弱势群体。这些干预措施还应根据事件发生后的恢复阶段进行调整,因为每个阶段会突出不同的需求。干预的四个阶段虽然是分别确定的,但可能会有重叠。在初始阶段,重点是社区层面的工作人员可以提供的社会干预。在后期阶段,出现的心理问题需要受过训练的专业人员提供服务。最初的社会护理将需要让位于心理护理,有时两者需要在相当长的一段时间内结合起来。由于心理社会护理是一个长期的、持续的过程,灾害管理和备灾计划必须通过培训社区工作者和初级保健卫生专业人员来投资能力建设培训。