Guidelines for psychosocial support for uniformed service organizations (USO)
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Guidelines for psychosocial support for uniformed service organizations (USO). _ Hans te Brake, PhD 12th European Conference on Traumatic Stress Vienna 2-5 June 2011. A standard for the best psychosocial care for USO personnel. to prevent differences in psychosocial care between organizations

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Hans te brake phd 12th european conference on traumatic stress vienna 2 5 june 2011

Guidelines for psychosocial support for uniformed service organizations (USO)

_Hans te Brake, PhD12th European Conference on Traumatic Stress Vienna2-5 June 2011


Hans te brake phd 12th european conference on traumatic stress vienna 2 5 june 2011

A standard for the best psychosocial care for USO personnel organizations (USO)

  • to prevent differences in psychosocial care between organizations

  • to prevent differences in psychosocial care within organizations


Commitment from relevant organizations
Commitment from relevant organizations organizations (USO)

  • Ambulance

  • Fire brigade

  • Police

  • Ministry of defence

  • Royal Dutch Water Life Saving Association

  • GPs

  • Psychologists

  • Psychiatrists

  • Netherlands Society of Occupational Medicine

  • In addition: the Dutch Red Cross, social counselors, Dutch Victim Care, Veteran care, The Netherlands Press Council, Association of Netherlands Municipalities


Guideline development
Guideline development organizations (USO)

  • Specific methodology

  • Systematic literature research

  • Best-practices

  • Consensus among experts

  • Authorisation (commitment)

  • Project- and steering group

  • Focus groups (multidisciplinary)

  • Test of practicality (mono disciplinary)

evidence based


Resilience as a vantage point
Resilience as a vantage point organizations (USO)

Most people are able to recover after experiencing a shocking incident, people are resilient.

Centralized are the uniformed servicemen and their ability to ‘bounce back’

However, for this to happen a supportive context is needed, promoting the use of peoples resilience:

Provide practical help and information

Show empathy

A timely detection of psychopathology and proper referral to professional help is essential


Stepped care model
Stepped care model organizations (USO)

(based on Gersons, 2005)

  • Applicable to all uniformed service organizations

  • Leaves room for interpretation and context-specific implementation


Peer support
Peer support organizations (USO)

Translation of the ’supportive context’ within the USO

People working in an USO often prefer (direct) colleagues for talking about work-related (shocking) incidents: colleagues are accessible, and can provide a low-threshold access

Peer support is already common practice (albeit in very diverse ways!)

Colleagues (and their supervisors) play an important role in the timely identification of those in need for professional psychosocial care


Peer support 4 steps
Peer support: 4 steps organizations (USO)

2. deployment peer support

3. delivering peer support

4. advise for referral

monitoring by coordinator / team leader

1. detection

  • 55 recommendations

  • Uniformed servicemen, peer supporters, team leaders, management


Discussion
Discussion organizations (USO)

  • Key accomplishments of guidelines for USO:

    • multidisciplinary agreement on

    • and organisation-wideadherence to

    • specific recommendations

    • regarding the best possiblepsychosocial support

    • for uniformed services.


Hans te brake phd 12th european conference on traumatic stress vienna 2 5 june 2011

Thank you for your attention. organizations (USO)

Hans te BrakeH.tebrake@amc.uva.nl04.06.2011