DISASTER CHAPLAINS OPERATIONS MODULE 1 NYDIS Training Curriculum Operations Module 1 General Principles 1 DISASTER CHAPLAINS OPERATIONS MODULE Objectives (1) In this module you will: Explore all the stages of the disaster continuum Understand and articulate the definition and purpose of Emotional and Spiritual Care (ESC) Identify and apply a core intervention that you can use in any phase of any disaster 2 1 DISASTER CHAPLAINS OPERATIONS MODULE Objectives (2) Identify and appreciate the qualities of being an ESC provider, including the religious leader’s identity and role Understand and demonstrate a general approach to ESC 3 1 DISASTER CHAPLAINS OPERATIONS MODULE First Objective: Stages of A Disaster 4 1 DISASTER CHAPLAINS OPERATIONS MODULE Question: What are some current or recent disasters and what stage are they in now? 5 1 DISASTER CHAPLAINS OPERATIONS MODULE How Individuals and Communities Are Affected by Disasters 6 1 DISASTER CHAPLAINS OPERATIONS MODULE Situational Awareness Where are you in relation to the event? Emotionally, spiritually, mentally What phase is the disaster in when you get there? What are you going there to do? with whom? for whom? why? where? 7 1 DISASTER CHAPLAINS OPERATIONS MODULE Second Objective: Definitions Emotional and Spiritual Care (ESC) is defined as: Attending to the emotional distress, psychological and spiritual needs, and crisis-in-faith, of traumaaffected persons through the caregiver’s presence, listening, words, crisis intervention and/or referral to professional care. The Salvation Army, p. 36. 8 1 DISASTER CHAPLAINS OPERATIONS MODULE Purpose 1 The purpose of Emotional and Spiritual Care: To help those affected draw upon their own emotional and spiritual resources in the midst of their pain To help them work through their grief rather than take away their grief Disaster Spiritual Care, Roberts & Ashley, Eds., p. xvii 9 DISASTER CHAPLAINS OPERATIONS MODULE Getting Started Photo courtesy of FDNY Photo Unit 10 1 DISASTER CHAPLAINS OPERATIONS MODULE Third Objective: Core Intervention During the emergency phase, the role of the emotional and spiritual caregiver is to provide acute emotional and spiritual care interventions largely through being present, listening, creating an environment of safety and security, and providing basic chaplaincy services. 11 The Salvation Army, p. 36. 1 DISASTER CHAPLAINS OPERATIONS MODULE PCAID (The Salvation Army approach) Presence Connect Assessment Intervention Develop ongoing care plan 12 1 DISASTER CHAPLAINS OPERATIONS MODULE Presence Requires that you: Be self-aware Keep all of your attention on the other person Listen with your heart and with your mind. 13 1 DISASTER CHAPLAINS OPERATIONS MODULE Connect Emotionally and spiritually Through your presence and compassion By establishing relationships of trust 14 1 DISASTER CHAPLAINS OPERATIONS MODULE How to Open a Conversation Introduce yourself and your function Start with fact/content questions: What happened? When did you get here? What do you need right now? Is anybody missing? 15 1 DISASTER CHAPLAINS OPERATIONS MODULE Guidelines for “Connecting” Human qualities for connecting Connecting in practice Factors which prevent us from connecting The Salvation Army, Appendix 5-A, p. 84 16 1 DISASTER CHAPLAINS OPERATIONS MODULE Assessment 1 Is the person: Safe Far enough away from further danger Are their basic needs being met? If yes to the above, assess for: Mental Health Ability to connect with loved ones and caregivers Assets and coping abilities Spiritual reactions and needs. The Salvation Army, p. 79. 17 DISASTER CHAPLAINS OPERATIONS MODULE Intervention The basic goal of crisis intervention is to stabilize the system. Remember Bambi’s mother!!! “Yes, there’s danger out there” “ – But you’re safe.” 18 1 DISASTER CHAPLAINS OPERATIONS MODULE Intervention 1 Foundational elements of care: Being present Connecting Being with Listening Making appropriate referrals whenever you are in doubt. The Salvation Army, p. 81. 19 DISASTER CHAPLAINS OPERATIONS MODULE 1 Intervention Guidelines Don’t rush to fill the space with words Be aware of the power of a non-anxious, accepting presence to come alongside and walk with another through their pain. Be aware of the vulnerability of the survivor. Demonstrate appropriate boundaries. The Salvation Army, p. 76. 20 DISASTER CHAPLAINS OPERATIONS MODULE Different Interventions for: Pre-planning/preparedness Immediate response phase Short-term recovery Long-term recovery But the overall PCAID approach will work in each phase of a disaster. 21 1 DISASTER CHAPLAINS OPERATIONS MODULE Developing a Plan of Care Before ending the intervention, ask the survivor what their next steps are: “What do you need to do next?” “Is there anyone you need to call?” “Who will be with you tonight?” 22 1 DISASTER CHAPLAINS OPERATIONS MODULE 1 What is not clear about PCAID or the purpose of Emotional and Spiritual Care in a disaster? 23 DISASTER CHAPLAINS OPERATIONS MODULE Exercise Look at the following photo. In groups of 4, follow the PCAID model and identify what you would do in each of those stages if you met this group of individuals after the explosion. Each group will explain to the larger group how they would develop one of the stages in PCAID. What did you learn? 24 1 DISASTER CHAPLAINS OPERATIONS MODULE Oklahoma City Bombing, April 19, 1995 Copyright 1995, The Oklahoma Publishing Company 25 1 DISASTER CHAPLAINS OPERATIONS MODULE Guiding Approach 26 Patience and flexibility Experience Putting others first Monitoring your own health Staying fit 1 DISASTER CHAPLAINS Fourth Objective: Qualities of ESC Caregivers in Disaster (1) Are able to lead and to follow Are familiar with different human reactions to trauma Can assess ESC needs through observation, intuition, and nonthreatening dialogue Possess good crisis intervention skills 27 OPERATIONS MODULE 1 DISASTER CHAPLAINS Qualities of ESC Caregivers in Disaster Response (2): Are able to reach out and connect with genuine compassion Are emotionally and spiritually mature Maintain objective and calm presence in chaotic situations Are “low maintenance,” flexible and adaptable Are resourceful problem solvers The Salvation Army , p. 31 28 OPERATIONS MODULE 1 DISASTER CHAPLAINS OPERATIONS MODULE General Response Principles Most disaster response is local. Things happen and move very quickly. Bad things happen fast. You cannot control either of these. Disaster sites are generally a multifaith and richly diverse spiritual environment. 29 1 DISASTER CHAPLAINS OPERATIONS MODULE Disaster Chaplains ARE a part of the overall response ARE Secondary and Tertiary Responders ARE NOT to self-deploy Have a different identity and role than in a worshiping community ARE NOT in charge. 30 1 DISASTER CHAPLAINS OPERATIONS MODULE Religious Diversity Every disaster site is going to be a multifaith environment. Respect other people’s belief systems. Unless you ask, you have no idea what their beliefs are. If these are unfamiliar to you, ask what appropriate behavior would be. Ask what their spiritual/religious needs are at this time. Be respectful of what they believe. Do NOT proselytize. 31 1 DISASTER CHAPLAINS OPERATIONS MODULE World Trade Center Recovery Operation Photo courtesy of FDNY Photo Unit 32 1 DISASTER CHAPLAINS Religious Leaders’ Identity in Disasters Is different from ‘at home’ Issues: Not being in charge Working as part of a team Multi-faith ‘worshiping community’ Different interventions Listening & Presence vs. Answers 33 OPERATIONS MODULE 1 DISASTER CHAPLAINS OPERATIONS MODULE Disaster ESC “Do’s” See Attachment C. 34 1 DISASTER CHAPLAINS OPERATIONS MODULE Awareness of Limitations Function as part of a team Remember reporting chain of command Don’t overstep your role Refer often When in doubt, ask for help 35 1 DISASTER CHAPLAINS OPERATIONS MODULE Guiding Principles Throughout Never inflict ministry on anyone Help them find and use their own emotional and spiritual resources Respect the religious diversity you will find Be a calm, non-anxious presence 36 1 DISASTER CHAPLAINS OPERATIONS MODULE Objectives Review (1) Know all the stages of the disaster continuum Understand and articulate the definition and purpose of Emotional and Spiritual Care (ESC) Identify and apply a core intervention that you can use in any phase of any disaster. 37 1 DISASTER CHAPLAINS OPERATIONS MODULE Objectives Review (2) Identify and appreciate the qualities of being an ESC Caregiver, including the religious leader’s identity and role Understand and demonstrate a general approach to ESC. 38 1