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After The Crisis Initiative. Peer Support Training Curriculum. Preparing Peers to Assist Peers in Preparing for and Recovering From Disasters. Intended Training Audience.
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After The Crisis Initiative Peer Support Training Curriculum Preparing Peers to Assist Peers in Preparing for and Recovering From Disasters
Intended Training Audience • This training is designed for use by organizations interested in organizing and training peers assists other peers preparing for disasters and to provide peer support crisis services to meet the needs of peer survivors, their families and communities following a disaster. • It may be used as a stand alone training or incorporated into Forensic Peer Specialist, Peer Specialist and Peer Counselor trainings.
Introductions • Trainer/Facilitator • Sponsoring Program/Agency • Training Participants
Preparing Yourself • Before committing yourself to this very challenging and rewarding endeavor, it is important to be sure that you are making the right choice, both for yourself and the people you will assist. • You may want to poll trusted family members and friends, as well as care providers, to consider their opinions. • Most importantly, you need to clarify your own thoughts.
Core Values of Training • Peer Support Principle: Peers have unique experiences and skills that are particularly valuable in helping other peers cope with and recover from disasters • Avoid Pathologizing Response: Normalizing the experiences and responses to disaster • Peer support services should be integrated into all aspects of disaster planning, implementation and service delivery to assure that the needs of peers are met • Encourage self-care and mutual support for peers providing these services
Training Goal • To provide reliable resources and supports to people with mental illness and CODs in the event of an emergency or disaster.
Training Objective Prepare peers with histories of mental illness, substance abuse and or involvement in the criminal justice systems to assist peers in preparing for disasters and to provide peer crisis support in the aftermath of a disaster
Adaptation of Training • Peers are the targeted population for the services described in this training. However, the After the Crisis Project encourages trainers to incorporate information and activities that reflect the unique characteristics and needs of the their communities. • This includes but is not limited to incarcerated peers, peers living in institutional settings such as state hospitals and adult homes, peers residing in rural communities, non-English speaking peers and peers with additional disabilities.
Recruitment of Trainees • Trainees should reflect the communities that they will be working in and the individuals that they will be providing services to.
Learning Objectives Peers attending this training will: • Understand the roles that peers can play in assisting in preparing for disasters • Understand roles that peers can play in providing peer support crisis services following a disaster • Understand the goals of peer support crisis services and how to use them to promote recovery • Understand the different stages of a disaster/emergency and the different needs of survivors, families and communities • Understand the impact that a disaster or emergency has upon individuals,groups and communities
Learning Objectives Continued • Understand the impact that culture has upon an individuals response to traumatic events and how culture can promote recovery • Learn strategies that promote engagement,trust and resiliency • Learn basic assessment and referral techniques • Understand the need for documenting contacts and record
Learning Objectives Continued • Learn strategies for self-care and staff support • Learn strategies for leveraging additional opportunities for peer support services in your community • Learn strategies for having peer services included in your local and state disaster plans • Learn strategies for collaborating with local and national disaster relief agencies • Learn about FEMA Crisis Worker Certification Training and other resources
Training Ice Breaker • You are are notified that you have five minutes to leave your home due to rising flood waters and you are told that you can only take one personal item with you when you leave, what would you take and why?
What About Your Experiences Make You Uniquely Qualified to Provide These Services?
Getting Started • What is a disaster or emergency? • How is a disaster or emergency different from other events or occurrences? • Who or what decides whether an event is an emergency? • Why should peers be trained to provide these services?
Challenges Experienced By Peers Following A Disaster • Lack of Information • Separation from “family” and friends • Difficulty accessing mental health services • Fear of getting “sick again” • Access to services
Peer Support Disaster Services Short term Emphasis on quickly assessing needs of survivors for referral to other resources Mobilized in response to a disaster Traditional Peer Support Services No time limits No or minimal emphasis on speedy assessments Designed to provide ongoing support to peers Peer Support Disaster Services vs. Traditional Peer Support Services
Common Ground: Crisis Counseling and Peer Support Disaster Services Peer Support Disaster Services have a lot in common with Crisis Counseling Model used by traditional disaster relief programs: • Recovery is possible • Services are Person Centered • Do not pathologize responses to events, “no you are not going crazy or getting sick again” • Not mental health treatment • Draws on the resiliency of individuals and communities in developing coping mechanisms • Services “brought” to people • Elimination of barriers to accessing counseling services and other support • Whenever possible, assist individuals and families in returning to their communities
Goals of Peer Support • Assist peers in understanding that their responses are often “normal” responses to an “abnormal event” • Crisis often creates opportunities for growth and change (Mead, 2001) Is your glass half empty or half full?
Goals of Peer Support Continued • Assist peers in talking about their experiences • Educate peers about trauma and sources of strength and resiliency • Assist peers in identifying their needs • Assist peers in getting their needs met • Assist peers in establishing or re-establishing contact with “family” and friends • Assist peers in setting short and long term goals for their recovery
Menu of Peer Support Services • Individual Crisis Counseling • Peer Support Groups • Public Education and Outreach What other services can peers provide?
Services Funded by FEMA • FEMA funds the following services, provided that they are provided by a “Certified” Crisis Counselor (more about this later) • Crisis Counseling • Support Groups • Public Outreach and Education These services are free
Levels of Preparedness • National • State • Local • Neighborhood/Community • Self and Family
Disaster Preparedness: Before the Crisis • Studies show that most Americans do not have a “Disaster Plan” and therefore are unprepared when disaster strikes • Peers can assist other peers and their families in developing personal “Disaster Plans” • Effective planning can avoid some of the problems experienced by peers in the aftermath of a disaster
Before the Crisis Preparedness=Empowerment
Role of Preparedness in Facilitating Rebuilding and Recovery by Individuals and Communities
Individual Preparedness Peers can assist peers in many activities: • Creation of personal/family plans • Storage of emergency items such as food, water, clothing and lighting • Assembling and retaining personal information in a safe and accessible place
Preparedness: Keys to Recovery • We all respond better to difficult situations when we are prepared • Preparedness can reduce some of the emotional,financial and destabilizing impact of disasters on individuals and communities • Preparedness can facilitate more timely recovery/rebuilding process
Strategies to Encourage Personal Preparedness • Convene a special event to complete plans • Make the development of plans part of routine services provided to all peers in diverse settings, including hospitals, jails and prisons and adult homes
Community Mobilization and Preparedness • Peer support groups and other activities provide a unique opportunity for peers to work together and develop strategies to support each other in preparing for a disaster Your “community “ can work together to address issues of: • Communication-Multiple means • Transportation • Temporary Shelter • Care of displaced pets • Meeting Places
Community Mapping: Creating Other Partnerships Disaster preparedness activities also create unique opportunities for peers and peer run programs to build bridges and collaborate with other community based organization in the area.
After the Crisis: Peer Crisis Services Peers Supporting Peers
Peer Support: An Emerging Practice in Disaster Crisis Services • First Responders- Police, Fire Department, Medical Personnel • Consumers first trained as Crisis Counselors in 1995-1996 Ventura Fires- 1995 Oklahoma Bombing-1995 World Trade Center Tragedy- 2001
What is in the Name: The Role of Peer Crisis Counselor • Crisis Counselor is the term used to define counselors specially trained to provide services and support to survivors and communities impacted by a disaster. • Peer Crisis Counselors are peers specially trained to provide services and support to peers and their communities.
Visualization Exercise • Have you ever been in a disaster? What are some of the things that you felt or worried about immediately following the event and the days weeks and months and weeks that followed?
Unique Risks Facing Peers • Relapse • Attributing normal physical and mental responses to onset of psychiatric symptoms • Interruption of mental health services What else?
Phases: Responses to Disaster • Honeymoon Phase • Inventory Phase • Disillusionment Phase • Rebuilding Phase
Community Responses Mirror Individual Responses • Communities exhibit similar responses to disasters. What behaviors may be observed in communities impacted by a disaster during the following phases: • Honeymoon • Inventory • Disillusionment • Rebuilding