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The Johns Hopkins Guide to Psychological First Aid


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There is nothing else in the crisis intervention/psychological first aid field that offers such content. Well written and easy to understand, this important, unique, and innovative book will be a huge contribution to the discipline. -- Jeffrey T. Mitchell, PhD, CTS, CCISM, Emergency Health Services, University of Maryland Baltimore County, coauthor of Emergency Response to Crisis The techniques taught in this book belong in disaster preparedness kits alongside water, food, batteries, and a flashlight. Using this guide, citizens can become crisis interventionists, fostering individual resilience during disasters when professional help can be hours or days away. -- Allison Romano, MPH, Ebola and Zika Project Manager, Public Health Emergency Preparedness and Response Section, Texas Department of State Health Services

Table of Contents

Part I. Psychological First Aid
1. Psychological First Aid
Defining Psychological First Aid
Development of the PFA Concept
PFA Recommended
Core Competencies of PFA
Validation of the Johns Hopkins RAPID PFA Model
Key Point Summary
2. Psychological Consequences of Trauma
Posttraumatic Stress Disorder
Generalized Anxiety
Panic Disorder
Substance Use
Psychophysiological Stress Syndromes
Key Point Summary
3. In the Wake of Disaster
Types of Disasters
Natural Disasters
Technological Disasters
Human-Made Disasters
War-Related Syndromes
Factors That Increase Severity
Key Point Summary
Part II. Psychological First Aid
4. R-Establishing Rapport and Reflective Listening
First Things First
Empathy and Rapport
The Empathic Cascade
Historical Development
Mechanisms of Action
Demonstration of the R in RAPID Model
Key Point Summary
Cognitive Indicia
Emotional Indicia
Behavioral Indicia
Spiritual Indicia
Physiological Indicia
Demonstration of the A in RAPID Model
Key Point Summary
6. P-Psychological Triage
Psychological or Behavioral Instability
Putting It All Together
Demonstration of the P in RAPID Model
Key Point Summary
7. I-Intervention Tactics to Stabilize and Mitigate Acute Distress
Explanatory Guidance
Anticipatory Guidance
Cognitive Reframing
Stress Management
Instillation of a Future Orientation-Hope
Enlisting the Support of Family and Friends
Delay Making Any Life-Altering Decisions/Changes
Faith-Based Intervention in PFA
When in Doubt . . .
Demonstration of the I in RAPID Model
Key Point Summary
8. D-Disposition and Facilitating Access to Continued Care
Where Do We Go from Here?
Demonstration of the D in RAPID Model
Follow-Up and Disposition
Key Point Summary
9. Self-Care
The Need for Self-Care
Risk Factors
Developing a Plan
Key Point Summary

About the Author

George S. Everly, Jr., is an associate professor of psychiatry and behavioral sciences at the Johns Hopkins School of Medicine, an adjunct professor of international health at the Johns Hopkins Bloomberg School of Public Health, and a professor of psychology at Loyola University Maryland. He is a former member of the Johns Hopkins Center for Public Health Preparedness. Jeffrey M. Lating is a professor of psychology at Loyola University Maryland. Everly and Lating are the coauthors of A Clinical Guide to the Treatment of the Human Stress Response and Personality-Guided Therapy for Posttraumatic Stress Disorder.


This guide is appropriate for all psychology students and others in the mental health fields; teachers, police officers, and firefighters will also find it helpful. Recomended.

* Choice *


* Journal of Psychiatric Intensive Care *

The book uses worked examples to engage the reader and help bring the [RAPID response] model to life in real situations.

* Journal of Psychiatric Intensive Care *

In their two part, nine-chapter book-aimed at the medical community and general public alike- Everly and Lating present an exhaustively sourced yet crisply written analysis of RAPID PFA and its successful application, including sample exchanges between a provider and a distressed individual to demonstrate how the process is done.

* Johns Hopkins Medicine *

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