L U IMPLEMENTING B E EMDR EARLY MENTAL HEALTH INTERVENTIONS R FOR MAN-MADE AND NATURAL DISASTERS F I O M MODELS, SCRIPTED PROTOCOLS, AND SUMMARY SHEETS R P M L A E “In this latest insightful volume gathered and edited by Marilyn Luber, the authors have combined the N M - lessons learned with personal accounts of how they proceeded. There is still much to be done to inte- M E A grate mental health care effectively into disaster response worldwide, but this volume will help to point D N E T the way to best practices.” I A N —Robert Gelbach, PhD N D G Past Executive Director at EMDR Humanitarian Assistance Programs NE A TM Eye Movement Desensitization and Reprocessing (EMDR) is a method of psychotherapy that has been exten- U R IMPLEMENTING sively researched and proven effective for the treatment of trauma. It is a set of standardized protocols incorpo- AD L rating elements from many different treatment approaches that has, to date, helped more than 2 million people R D relieve many types of psychological stress. This book presents EMDR early-response intervention protocols for I SE EMDR such traumatic events as earthquakes, mining accidents, tsunamis, and ongoing warfare. It also provides concise AA S summary sheets to facilitate quick information retrieval in perilous circumstances. TR E RL The book is authored by several of the fi rst generation of therapists who successfully employed EMDR as a clini- SY cal treatment for acute stress following massive trauma events. They vividly describe their experiences and the M protocols and models they developed to respond to disaster. The book describes two of the most commonly used E resources: the Butterfl y Hug and the Four Elements Exercise for Stress Management. N T The book includes new information on acute stress, secondary PTSD, and vicarious traumatization growing out A of interventions subsequent to natural disasters, warfare, and massacres in Turkey, Asia, the Middle East, South L and Central America, and the United States. Interventions that can be put to use on site and posttrauma are H EARLY MENTAL HEALTH presented for groups, including children, adolescents, adults, and special populations. E A Additionally the book addresses working with fi rst responders such as fi refi ghters, EMS workers, and others when L using EMDR. It facilitates the gathering and organizing of client data and contains updated and new scripted T H protocols, as well as summary sheets from EMDR Scripted Protocols: Basics and Special Situations and EMDR INTERVENTIONS Scripted Protocols: Special Populations. I N Key Features: T E • Provides EMDR early-intervention procedures for man-made and natural catastrophes R V • Addresses EMDR and early interventions for groups of all ages and special populations E FOR MAN-MADE AND NATURAL DISASTERS • Highlights international perspectives on how to organize a mental health response for recent traumatic N events T • Includes early-intervention scripts and summary sheets for individuals, groups, and special populations, I MODELS, SCRIPTED PROTOCOLS, O as well as self-care scripts for clinicians N AND SUMMARY SHEETS • Offers concise summary sheets for quick information retrieval S ISBN 978-0-8261-9921-8 MARILYN LUBER 11 W. 42nd Street New York, NY 10036-8002 9 780826 199218 EDITOR www.springerpub.com Implementing EMDR Early Mental Health Interventions for Man-Made and Natural Disasters Marilyn Luber, PhD, is a licensed clinical psychologist in general private practice in Center City, Philadelphia, Pennsylvania. She was trained in eye movement desensitiza- tion and reprocessing (EMDR) in 1992 by Dr. Francine Shapiro, and now assists in EMDR Institute trainings as a facilitator and logistics coordinator. She has coordinated trainings in EMDR-related fields in the greater Philadelphia area since 1997. She teaches Facilitator and Supervisory trainings and other EMDR-related subjects both nationally and internation- ally, and was on the EMDR Task Force for Dissociative Disorders. She was on the found- ing board of directors of the EMDR International Association (EMDRIA) and served as the chair of the International Committee until June 1999. Currently, she is a facilitator in the EMDR Global Alliance, a group consisting of the leaders of all the EMDR associations who are working to support standards in EMDR worldwide. In 1997, Dr. Luber was given a Humanitarian Services Award by the EMDR Humanitarian Association, and later, in 2003, she was presented with the EMDR International Association’s award for “outstanding con- tribution and service to EMDRIA.” In 2005, she was awarded the Francine Shapiro Award for “outstanding contribution and service to EMDR.” In 2009, she edited Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations and Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Special Pop- ulations published by Springer Publishing Company. Several years later, in 2012, she edited Springer’s first CD-ROM books, Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols With Summary Sheets CD-ROM Version: Basics and Special Situations and Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols With Summary Sheets CD-ROM Version: Special Populations. In 2001, through EMDR-HAP (Humanitarian Assistance Programs), she published Handbook for EMDR Clients and it has been translated into eight languages. She has written the “Around the World” and “In the Spotlight” articles for the EMDRIA Newsletter four times a year since 1997. She has worked as a primary con- sultant for the FBI field division in Philadelphia. Dr. Luber has a general psychology prac- tice, working with adolescents, adults, and couples, especially with complex post-traumatic stress disorder (C-PTSD), trauma and related issues, and dissociative disorders. She runs consultation groups for EMDR practitioners. Implementing EMDR Early Mental Health Interventions for Man-Made and Natural Disasters: Models, Scripted Protocols, and Summary Sheets Edited by Marilyn Luber, PhD Copyright © 2014 Springer Publishing Company, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer Publishing Company, LLC, or authorization through payment of the appropriate fees to the Copyright Clearance Center, Inc., 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400, fax 978-646-8600, [email protected] or on the Web at www.copyright.com. Springer Publishing Company, LLC 11 West 42nd Street New York, NY 10036 www.springerpub.com Acquisitions Editor: Sheri W. Sussman Composition: S4Carlisle ISBN: 978-0-8261-9921-8 e-book ISBN: 978-0-8261-9922-5 CD-ROM ISBN: 978-0-8261-2957-4 13 14 15 16 / 5 4 3 2 1 The author and the publisher of this Work have made every effort to use sources believed to be reliable to provide information that is accurate and compatible with the standards generally accepted at the time of publication. The author and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in part, from the readers’ use of, or reliance on, the information contained in this book. The publisher has no responsibility for the persistence or accuracy of URLs for external or third-party Internet websites referred to in this publication and does not guarantee that any content on such websites is, or will remain, accurate or appropriate. Library of Congress Cataloging-in-Publication Data Implementing EMDR early mental health interventions for man-made and natural disasters : models, scripted protocols, and summary sheets/edited by Marilyn Luber. p. ; cm. Implementing eye movement desensitization reprocessing early mental health interventions for man-made and natural disasters Includes bibliographical references and index. ISBN-13: 978-0-8261-9921-8 ISBN-10: 0-8261-9921-6 ISBN-13: 978-0-8261-9922-5 (e-book) ISBN-13: 978-0-8261-2957-4 (CD-ROM) I. Luber, Marilyn, editor of compilation. II. Title: Implementing eye movement desensitization reprocessing early mental health interventions for man-made and natural disasters. [DNLM: 1. Stress Disorders, Traumatic--therapy. 2. Cross-Cultural Comparison. 3. Disasters. 4. Eye Movement Desensitization Reprocessing. WM 172.5] RC552.T7 616.85'21—dc23 2013021409 Special discounts on bulk quantities of our books are available to corporations, professional associations, pharmaceutical companies, health care organizations, and other qualifying groups. If you are interested in a custom book, including chapters from more than one of our titles, we can provide that service as well. For details, please contact: Special Sales Department, Springer Publishing Company, LLC 11 West 42nd Street, 15th Floor, New York, NY 10036-8002 Phone: 877-687-7476 or 212-431-4370; Fax: 212-941-7842 E-mail: [email protected] Printed in the United States of America by McNaughton and Gunn. To my mother, who has been going through her own recent trauma with the spirit and true determination that she has always displayed throughout her life: a role model for us all. Epigraph We are all responsible for the world we live in. Worldwide, clinicians are forging bonds that transcend countries and ideologies. Bonds that can help heal the trauma and pain that lead to ongoing violence and suffering. To make a difference that effects generations to come—don’t leave it to anyone else. We all have to take a part in it. —Francine Shapiro Contents Contributors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxiii Robert Gelbach Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxv Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xxxix PART I Early Mental Health Intervention Response: An International Perspective Chapter 1 Perspectives on International Postdisaster Response: Israel’s Community Stress Prevention Center (CSPC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Alan Cohen and Mooli Lahad Summary Sheet: Perspectives on International Postdisaster Response: Israel’s Community Stress Prevention Center (CSPC) . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Marilyn Luber Chapter 2 The Turkish Mental Health Response and Training Program: Model for Developing Countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Emre Konuk and Zeynep Zat Summary Sheet: The Turkish Mental Health Response and Training Program: Model for Developing Countries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Marilyn Luber Chapter 3 Spain: The Evolution of Mental Health Response in Disasters . . . . . . . . . . . . . . . . . . . 49 Maria Cervera Summary Sheet: Spain: The Evolution of Mental Health Response in Disasters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67 Marilyn Luber Chapter 4 Recent Trauma Response: Actions for an Early Psychological Intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75 Ignacio Jarero and Susana Uribe Summary Sheet: Recent Trauma Response: Actions for an Early Psychological Intervention . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Marilyn Luber ix