Best
Practices in Trauma Intervention
For
most people, the response to trauma, including fear, anxiety,
re-experiencing, urges to avoid, and hyperarousal symptoms,
will gradually decrease over time.
People
should be encouraged to use natural supports and to talk
with those they are comfortable with friends, family,
co-workers at their own pace. They should follow
their natural inclination with regard to how much and
to whom they talk.
Outcome
studies of Psychological Debriefing do not overall support
the use of a one-session intervention shortly after the
trauma. In fact, some studies found that in the long run,
a single-session may hinder natural recovery (see Bisson,
Jenkins, Alexander, & Bannister, 1997; Mayou, Ehlers,
& Hobbs, 2000).
It
is recommended that brief interventions consist of 3-4
visits over 2-6 weeks time.
Individuals
who continue to experience severe distress that interferes
with functioning after three months are at higher risk
for continued problems. These individuals should receive
additional treatment.
References:
Foa
et al. Guidelines for mental
health professionals' response to the recent tragic events
in the US.