The 2020 Online and Self - Guided PFA Modules - MODULE 1 1 The 2020 Online and Self - Guided PFA Modules - MODULE 1 2 Disaster Risk Reduction and Management Service 2nd Floor, Rm 201, Mabini Building, Department of Education DepEd Complex, Meralco Avenue, Pasig City, Philippines This 2020 Online and Self-Guided Modules: Supplemental to the SEES Manual is intended for use of Secondary Teachers, School Heads and identified Non-Teaching Personnel of DepEd region and division offices for the provision of remote Psychological First Aid to secondary learners. ©DepEd 2020 The 2020 Online and Self - Guided PFA Modules - MODULE 1 3 The 2020 Online and Self-Guided PFA (Psychological First Aid) Modules: Supplemental to the SEES (Supporting, Enabling and Empowering Students Manual ) RATIONALE: Severe Acute Respiratory Syndrome Coronavirus 2 (or SARS-CoV2) is an infectious disease that was first identified in the province of Hubei, China in December 2019. The World Health Organization declared the disease as a pandemic on March 11, 2020 as the virus spread across 110 countries. To date, it has infected more than 11.5 million people worldwide and has caused more than half a million deaths (https://www.worldometers.info/coronavirus/6/7/2020). Due to its infectious nature, governments all over the world were forced to implement strict quarantine and lockdown measures to curb the spread of the disease. Offices imposed work from home orders, all shops and restaurants were recommended to shut down and schools were called off. As the pandemic (coupled sometimes with other crisis situations) continues to affect the lives of people all over the world, various sectors of governments have chosen to adapt other ways and means to continue to provide their services to the people. These “new normal” practices shall continue to evolve as specialists begin to understand more aspects of the virus itself. The 2020 Online and Self - Guided PFA Modules - MODULE 1 4 The 2020 Online and Self-Guided PFA (Psychological First Aid) Modules: Supplemental to the SEES (Supporting, Enabling and Empowering Students Manual ) In the Philippines, the number of infected persons continues to rise daily. The President has ordered a “No School until there is a vaccine available” policy (https://www.aljazeera.com/news/2020/05/school-coronavirusvaccine-duterte- 200526084102106.html). With schools closed, the Department of Education recommended a shift in the school calendar and moved the opening of classes to August 24, 2020. Based on the Basic Education Learning Continuity Plan of DepEd, classes will be delivered using following learning delivery modalities. 1. 2. 3. 4. Face-to-face – with the pronouncement of the Philippine government that there will be no faceto-face learning until there is already a vaccine for COVID-19, this modality is not yet feasible but given the possibility, this is one of learning modalities that is considered to be used with consideration of the required social distancing measures in the classroom set-up Distance learning – this include different distance learning modalities such as modular distance learning, online distance learning and TV/Radio-based instruction Blended learning – this refers to combination of face-to-face with any or a mix of distance learning modalities Home schooling – this is an ADM that aims to provide learners with access to quality basic education through a home-based environment to be facilitate by qualified parents, guardians, or The 2020 Online and Self - Guided PFA Modules - MODULE 1 tutors who have undergone relevant training 5 The 2020 Online and Self-Guided PFA (Psychological First Aid) Modules: Supplemental to the SEES (Supporting, Enabling and Empowering Students Manual) Objectives: For the users: 1. to provide teachers and non-teaching staff with a quick reference and guide regarding the proper conduct of PFA when delivered either online or through self-guided modules. 2. 3. to equip teachers with additional skills needed in the delivery of online PFA and PFA through selfguided modules. to further develop the competence of the users in delivering PFA using other platforms. For the students: 4. to provide students with a venue by which they can discuss their fears, feelings, and anxieties. 5. to enable students to manage their feelings and reframe their thoughts. 6. to empower students to look for linkages to services that could help others 7. to allow students to focus on their strengths and support systems during a fearful and worrisome time. • In other words, these supplemental modules serve to support, empower and enable teachers to help students to move beyond the worries and fears brought about by the pandemic and help them The 2020of Online and Self - Guided PFA Modules - MODULE 1 become more active members the community. 6 Module 1: Validating Feelings and Normalizing Reactions Objectives: By the end of the session, you must be able to: Identify feelings/reactions related to the pandemic/any form of disaster Accept that all feelings and reactions are normal and valid Materials/Handouts Small Whiteboard and marker/bond paper and marker Sample Graph of Emotions Common Reactions of Students to Stressful Events Handout: When Terrible Things Happen (attached at the end of this module) Introduction: Hi. How are you all feeling today? How has it been since the start of ECQ/MECQ/GCQ? Classes are about to start again and this is how we will be conducting classes but before we can do that, it is important that we talk about how you are first. Before we begin, can you make sure that you have a sheet of paper with you please? The 2020 Online and Self - Guided PFA Modules - MODULE 1 7 Module 1: Validating Feelings and Normalizing Reactions ACTIVITY: Graphing Feelings Identify about 5 feelings or emotions that you have experienced during the past few months/weeks or days. Write them down on the piece of paper. (The teacher will be giving 5 Minutes for the students to finish the students’ work) On the same paper write a graph or pie chart can you create a graph or a pie chart of feelings/emotions that you have or may have had during all the crisis situations that you experienced? An example is given. You will also be given 10 minutes for you to finish the graph. My Emotions 100 75 50 25 0 worried scared angry numb The 2020 Online and Self - Guided PFA Modules - MODULE 1 8 Module 1: Validating Feelings and Normalizing Reactions ACTIVITY: Graphing Feelings Now, please share your answers to your teacher. Some of you may show your work through the videos and talk about it for a short while. Some who have only audios may share as well. ANALYSIS What were the feelings that were mentioned a lot? Write these down on your whiteboard/manila paper. What did you notice about your reactions to the different situations? Are these normal reactions to everything that you experienced? I would like to show you this table of common reactions of students to stressful events. Please read those and tell me what you realize. The 2020 Online and Self - Guided PFA Modules - MODULE 1 9 Module 1: Validating Feelings and Normalizing good that you realized that these are normal reactions as of this time. You must also ReactionsIt’s realize that it is okay to not feel okay. ABSTRACTION Read a part of the Hand out When Terrible Things Happen” from the National Child Traumatic Stress Network (NCTSN). The 2020 Online and Self - Guided PFA Modules - MODULE 1 10 Module 1: Validating Feelings and Normalizing Reactions ABSTRACTION What are the feelings on your activity which are the same with hand out “When terrible things happen?” APPLICATION Today we learned that our reactions to the pandemic, to any stressful event/disaster are normal and valid. How can you apply this learning to your life especially because the pandemic is not yet over? The 2020 Online and Self - Guided PFA Modules - MODULE 1 11 Module 1: Validating Feelings and Normalizing Reactions Common Reactions of Students to Stressful Events • • • • • • • • • feel a strong responsibility to the family. feel anxious brought about by uncertainty of the future. feel intense or prolonged grief for not being able to wake. may become self-absorbed and feel self-pity. may experience changes in their relationships with other people. may also start taking risks, engage in self-destructive behavior, have avoidant behavior, and become aggressive. may experience major shifts in their view of the world accompanied by a sense of hopelessness about the present and the future. may become defiant of authorities and parents while they start relying on peers for socializing through social media. may feel guilty and anxious having been separated from their loved ones due to lockdown. The 2020 Online and Self - Guided PFA Modules - MODULE 1 12 Module 1: Validating Feelings and Normalizing Reactions Common negative reactions that may continue include: Intrusive reactions • • • • • • • • Distressing thoughts or images of the event while awake or dreaming Upsetting emotional or physical reactions to reminders of the experience Feeling like the experience is happening all over again (“flashback”) Avoid talking, thinking, and having feelings about the traumatic event Avoid reminders of the event (places and people connected to what happened) Restricted emotions; feeling numb Feelings of detachment and estrangement from others; social withdrawal Loss of interest in usually pleasurable activities Physical arousal reactions • • • Constantly being “on the lookout” for danger, startling easily, or being jumpy Irritability or outbursts of anger, feeling “on edge” Difficulty falling or staying asleep, problems concentrating or paying attention The 2020 Online and Self - Guided PFA Modules - MODULE 1 13 Module 1: Validating Feelings and Normalizing Reactions Reactions to trauma and loss reminders • • • Reactions to places, people, sights, sounds, smells, and feelings that are reminders of the disaster Reminders can bring on distressing mental images, thoughts, and emotional/physical reactions Common examples include: sudden loud noises, sirens, locations where the disaster occurred, seeing people with disabilities, funerals, anniversaries of the disaster, and television/radio news about the disaster. The 2020 Online and Self - Guided PFA Modules - MODULE 1 14 Module 1: Validating Feelings and Normalizing Reactions Positive changes in priorities, worldview, and expectations • • • • • Enhanced appreciation that family and friends are precious and important Meeting the challenge of addressing difficulties (by taking positive action steps, changing the focus of thoughts, using humor, acceptance) Shifting expectations about what to expect from day to day and about what is considered a “good day” Shifting priorities to focus more on quality time with family or friends Increased commitment to self, family, friends, and spiritual/religious faith When a Loved One Dies, Common Reactions Include: Feeling confused, numb, disbelief, bewildered, or lost Feeling angry at the person who died or at people considered responsible for the death • Strong physical reactions such as nausea, fatigue, shakiness, and muscle weakness • Feeling guilty for still being alive • Intense emotions such as extreme sadness, anger, or fear • Increased risk for physical illness and injury • Decreased productivity or difficulties making decisions • Having thoughts about the person who died even when you don’t want to • Longing, missing, and wanting to search for the person who died • Children and adolescents are particularly likely to worry that they or a parent might die • Children and adolescents may become anxious when separated from caregivers Theor2020 otherOnline loved and onesSelf - Guided PFA Modules - MODULE 1 • • 15 Module 1: Reactions What Helps • • • • • • • • • • • • • Validating Feelings and Normalizing What Doesn’t Help Talking to another person for support or spending time with others Engaging in positive distracting activities (sports, hobbies, reading) Getting adequate rest and eating healthy meals Trying to maintain a normal schedule Scheduling pleasant activities Taking breaks Reminiscing about a loved one who has died Focusing on something practical that you can do right now to manage the situation better Using relaxation methods (breathing exercises, meditation, calming self-talk, music) Participating in a support group Exercising in moderation Keeping a journal The 2020 Online and Self - Guided PFA Modules - MODULE 1 Seeking counseling • • • • • • • • • • Using alcohol or drugs to cope Extreme withdrawal from family or friends Overeating or failing to eat Withdrawing from pleasant activities Working too much Violence or conflict Doing risky things (driving recklessly, substance abuse, not taking adequate precautions) Extreme avoidance of thinking or talking about the event or a death of a loved one Not taking care of yourself Excessive TV or computer games 16 Module 1: Validating Feelings and Normalizing Reactions Now that you knew that what you were feeling or how you were reacting was similar to the one on the list, how do you feel now about yourself? Always remember that your reactions to the stressful situation are normal at the moment or until about three months. Most young people will react in the same manner. You are not being crazy when you have those feelings. Also, the next time you feel that way, try to take ten deep breaths. Slowly. And then try to do letter writing and send the letter to your close friends. This will help you calm down. Can we try to do that together? Count 1-10 as you breathe in and out. You will be given 10 to 15 minutes to finish your letter. CLOSURE: (Some students will be reading their letter to the class.) Read your letter again. Compare how you feel now that you know that those feelings were normal and valid? Say to yourself: my feelings are valid. My reactions are normal. My feelings and reactions are valid and normal. The 2020 Online and Self - Guided PFA Modules - MODULE 1 17