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MENTAL HEALTH RESPONSE TO MASS VIOLENCE AND TERRORISM: A FIELD GUIDE


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Acknowledgments
This publication was produced under Interagency Agreement #RA00C5400A between the U.S. Department of Justice (DOJ), Office for Victims of Crime (OVC), and the Center for Mental Health Services (CMHS), the Substance Abuse and Mental Health Services Administration (SAMHSA). DOJ provided funds for the development of the document; SAMHSA provided funds for the editing, design, and layout of the publication; and the Federal Emergency Management Agency (FEMA) provided the funds for printing. The document was written by Deborah J. DeWolfe, Ph.D., M.S.P.H., and reviewed by a group of experts on mass violence and mental health response. The SAMHSA Disaster Technical Assistance Center (DTAC), ESI, under contract with CMHS, edited the document and designed the cover and layout for this publication.

Disclaimer
The content in this publication is solely the responsibility of the author and does not necessarily represent the position of U.S. DOJ, OVC; SAMHSA or its centers. This publication is a companion piece for Mental Health Response to Mass Violence and Terrorism: A Training Manual (SAMHSA Publication No. SMA 3959), and all material referenced in the Field Guide is cited in the Training Manual, References and Additional Reading section.

Public Domain Notice
All material appearing in this publication is in the public domain and may be reproduced or copied without permission from SAMHSA or CMHS. Citation of the source is appreciated. However, this publication may not be reproduced or distributed for a fee without the specific, written authorization of the Office of Communications, SAMHSA, Department of Health and Human Services (DHHS).

Electronic Access and Copies of Publication
This publication can be accessed electronically through the following Internet connections: www.samhsa.gov and www.ncjrs.org. For additional free copies of this document, please contact SAMHSA's National Mental Health Information Center, and ask for Publication No. SMA 4025, at 1-800-789-2647, 1-866-889-2647 (TDD); or contact the OVC Resource Center, and ask for Publication No. NCJ 205452, at 1-800-851-3420, 1-877-712-9279 (TTY).

Recommended Citation
U.S. Department of Health and Human Services. Mental Health Response to Mass Violence and Terrorism: A Field Guide. DHHS Pub. No. SMA 4025. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 2005.

Originating Office
Substance Abuse and Mental Health Services Administration
1 Choke Cherry Road, Rockville, Maryland 20857
DHHS Publication No. SMA 4025
Printed 2005


TABLE OF CONTENTS

Introduction

CHAPTER I. Key Principles for Mental Health Intervention

CHAPTER II. Survivors' and Families' Immediate Needs

CHAPTER III. Psychological First Aid and Counseling Skills
Establishing Rapport
Active Listening
Some Possible Do's and Definite Don'ts
Psychological First Aid
Problem Solving
A Word of Caution
Confidentiality

CHAPTER IV. When to Refer for Mental Health Services

CHAPTER V. Populations with Special Needs
Age Groups
Table 1: Reactions to Trauma
Highly Impacted Survivors and Families
Cultural, Ethnic, and Racial Groups
People with Serious and Persistent Mental Illness
Human Service, Criminal Justice, and Emergency Response Workers

CHAPTER VI. Stress Prevention, Management, and Intervention
Table 2: Organizational Approaches
Table 3: Individual Approaches

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