Volunteers
from the PMI Bali Chapter, Denpasar Branch, find that sharing
their stories helps them through their stress (p8486)
Dealing
with bodies and badly charred remains have resulted in flashbacks
and nightmares for many volunteers (p8485)
insert
caption three here. (pxxxx)
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Volunteers helped to cope with Bali
trauma
8 November 2002
by Herniwaty Husni in Bali
Volunteers responding to disasters
are often at risk of post-traumatic stress syndrome. Most of the 200
volunteers deployed during the relief operations that followed the
Bali bomb blasts on 11 October were responding to a disaster for the
first time. There was therefore concern that they would be at greater
risk. To counter this, the Indonesian Red Cross (Palang Merah Indonesia
- PMI) embarked on a psychological debriefing programme to ensure
that their volunteers were well.
The young volunteers are clearly pleased to have been given the opportunity
to talk about their experiences. Feelings of sadness, anger and disbelief
are common. When asked to talk about the changes they have noticed
in themselves, the volunteers speak of loss of appetite, flashbacks,
restless sleep and nightmares.
The psychological debriefings, facilitated by a trained member of
staff or volunteer and lasting no more than two hours, were conducted
in groups of ten to thirteen volunteers.
Facilitators took the volunteers through a six-step process which
primarily involved the volunteers talking about their tasks and roles
during the relief operations, their experiences and feelings and the
changes they noticed in themselves as a result of their involvement
in the disaster.
"Mostly, they want to tell their story. The volunteers want to
be heard and they want to hear that they did well," said Iris
Trapman, an Australian Red Cross delegate working on a disaster preparedness
proposal with the PMI.
A psychologist by training, Trapman had helped to train four PMI headquarters
staff who carried out the debriefing sessions.
"Debriefings after relief operations in the past were concentrated
on operational issues and not focused on personal experiences,"
said Ekuwin Suharyant, head of social services at PMI headquarters.
"These new debriefing sessions provide the volunteers with an
avenue to share their problems and relieve stress," he adds.
The Bali disaster - in which nearly 200 people, many of them foreign
tourists, died - provided the PMI with an ideal opportunity to introduce
the long-mooted debriefings.
Trauma cannot be seen with the naked eye, and Esteri, a volunteer
from Semarang and one of the facilitators, said the debriefings were
an important way of assessing the mental well-being of volunteers.
This is especially true of those involved in long-term conflict, such
as Aceh or Maluku.
"What the volunteers are experiencing is normal," Trapman
explains. "What would be abnormal is if these symptoms do not
decrease or disappear over time and we explain this to them."
The volunteers were taught about how to notice tell-tale signs of
prolonged post-traumatic stress symptoms and to seek help if it happens.
They were also provided with various tips and suggestions on how to
relieve their stress and cope.
"We let them know that they should always talk about their feelings
with their friends and families," Ekuwin says.
Following their experience in Bali, the PMI team will go back and
evaluate the success of the psychological debriefing programme. A
proposal for a sustained programme, where all volunteers involved
in relief operations will be debriefed, will be drawn up.
"One of the ideas was to train a small group of staff and volunteers
more thoroughly," said Trapman. "This group would then be
dispatched to debrief volunteers who are involved in relief operations
throughout Indonesia."
Related Links:
1 November 2002 - A life-changing
night in Bali
22 October 2002 - Red Cross continues
to take lead in Bali response
14 October 2002 - Indonesian Red
Cross quick on scene of Bali bombings
Indonesia - Appeals,
Updates and Reports
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