Co-financed by the

EU Commission
No. ECHO/SUB/2012/640917

European Network for Psychosocial Crisis Management

Assisting Disabled in Case of Disaster
Prof. Dr. Robert Bering & Dipl.-Psych. Michael Kamp

Partners in the Project are

Germany, Center for Psychotraumatology, Alexianer, Krefeld
Czech Republic, Charles University, Prague
Denmark, University of Southern Denmark
Germany, Federal office of civil protection and disaster assistance, Bonn
Norway, Norwegian Center of Violence and Traumatic Stress Studies, Oslo

further

University of Cologne, Education of hearing impaired individuals, Cologne Germany

Israelian Trauma Coalition (ITC), Jerusalem, Israel
Sociedad Espanola des Psicotraumattologia y Estres Traumatico (SEPET-D), Madrid, Spain
 Co-financed by the
EU Commission
No. ECHO/SUB/2012/640917

NOTA DEL EQUIPO DOCENTE:

Aquellas personas que no puedan seguir el contenido de
esta documentacin, pueden consultar la pgina web en
CASTELLANO del proyecto:
http://eunad-info.eu/es/inicio.html

What is the objective of EUNAD?

How did we get on this way?
What are the milestones of EUNAD?
Recommendations?
 Co-financed by the
Center of Psychotraumatology
EU Commission
Versorgungsnetzwerk fr
No. ECHO/SUB/2012/640917
PsychotraumatologieCologne/
imKrefeld
Alexianerverbund

St. Hedwig
OEG/ BG Ambulanz/
TK

Zentrum fr
Folteropfer
TK

Klinik Bosse Wittenberg

BG-Ambulanz

Alexianer Aachen GmbH

OEG-Ambulanz
 Co-financed by the
EU Commission
No. ECHO/SUB/2012/640917

How to integrate
psychosocial support in
disaster management?
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EU Commission
No. ECHO/SUB/2012/640917

The project aims at a standardization of psychosocial

aftercare in case of disasters as well as at the development of
an European network based on current findings in
psychotraumatology.
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EU Commission
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Main objectives of EUNAD

EUNAD aims toward the implementation and
preparation of EU human rights-related assistance
programmes for disabled survivors of disasters.
EUNAD aims to be a step forward in the
implementation of the UN Convention on the Rights
of persons with disabilities.
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CBRN Incidents
Tsunami Japan, 2011

Break down of the historical

archive in Cologne, 2009
? What about
sensory
impairments
Love parade disaster, 2010
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EU Commission
No. ECHO/SUB/2012/640917

What is the objective of EUNAD?

How did we get on this way?
What are the milestones of EUNAD?
Recommendations?
 Co-financed by the
EU Commission
No. ECHO/SUB/2012/640917

Psychosocial care after disaster:

Projects co-financed by ECHO

EUTOPA (2007-2009) - TGIP Manuals

EUTOPA-IP (2009-2011) - Intervention

CBRN & PSS (2011-2013) - Trainings

EUNAD (2014-2015) - Disabilities

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Time Course of Traumatic Stress

How can we improve the psychosocial aftercare for people affected by disasters?
How can we prevent a traumatic process and support recovery?

Pre-traumatic Situational Components Coping Strategies, Effects

Outline
Traumatic
Process

Life Traumatic Traumatic

Situation Shock
History Reaction

Recovery
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EU Commission
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23 Countries were
represented in EUTOPA
Dean Ajdukovic, David Alexander, Rosemarie Barwinski,
Roman Birvon, Jonathan Bisson, Barbara Blanckmeister,
David Bolton, Gernot Brauchle, Claudia Bredenbeck, Chris
Brewin, Bruno Carlos Almeida de Brito, Ranieri
Brook Barbieri, Alarcos Cieza, Paul Cutajar, Francine Dal,
Anita Deak, Katherine Deeley, Albert Deistler, Fruzsina
Deme, Aida Maria dos Santos Dias, Michel Dckers, Jose
Felix Duque, Ask Elklit, Lucy Faulkner, Maja Furlan,
Eva Garossa, George Gawlinski, Eric Geerligs, Oliver
Gengenbach, Stelios Georgiades, Berthold Gersons, Annika
Gillispie, Irina Gudaviciene, Miroslav Harvan, Trond Heir,
Leonie Hoijtink, Simona Hoskovcov, Barbara
Juen, Maria Kee, Zafiria Kollia, Uwe Korch, Dietmar Kratzer,
Nora Lang, Talia Levanon, Vivienne Lukey, Jana
Malikova, Robert Masten, Giulia Marino, Jos M.O. Mendes,
Tiiu Meres, Jos Carlos Mingote Adn, Maureen
Mooney, Maria Eugenia Morante Benadero, Carlos Mur de
Viu, Jose Netten, gatha Niemyjska, Ilina Nikolova,
Brigit Nooij, Dag Nordanger, Lasse Nurmi, Miranda Olff,
Francisco Orengo, Gerry OSullivan, Anthony
Pemberton, Danila Pennacchi, Delphine Pennewaert, Pascal
Perez Guertault, Cristiana Pizzi, Gerd Puhl, Raija-
Leena Punamki, Ralf Radix, Gavin Rees, Maire Riis, Magda
Rooze, Claudia Roth, Arielle de Ruijter, Salli Saari,
Rob Sardemann, Christina Schlomacher, Claudia Schorr,
Frederico Galvao da Silva, Jana Seblova, Aysen Ufuk
Sezgin, Erik de Soir, Marc Stein, Gisela Steiner, Sofia
Stoimenova, Axel Strang, Jan Swinkels, Lajos Szab,
Dominique Szepielak, Petra Tabelling, Hans te Brake, Miguel
Andr Telo de Arriaga, Graham Turpin, Willy van
Halem, Koen van Praet, Joszef Vegh, Ronald Voorthuis,
Edgar Vor, Stepan Vymetal, Dieter Wagner, Lars Weisaeth,
Martin Willems, Richard Williams, Moya Wood - Heath,
William Yule, Bogdan Zawadzki.
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EU Commission
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Target Group Intervention Program (TGIP)

Manual I:Implementing the Cologne Risk Index-Disaster
Manual II: Measures for TGIP
Manual III: Trauma-based psychoinformation
Manual IV: Rehabilitation of stress response syndroms
TGIP offers a framework to plan psychosocial interventions from the acute
phase up to the mid- and longterm course.
TGIP is based on psychosocial and clinical experiences as well as empirical
evidence, TGIP offers a tool of measures, depending on the riskprofile of the
affected.
TGIP contains the concrete description of actions for a gradual intervention
planing that focusses first of all on the mid- and longterm traumatic process.

Spanish version of TGIP: http://eutopa-info.eu/index.php?id=23&L=2

 Co-financed by the
EU Commission
Target Group Intervention program (TGIP)
No. ECHO/SUB/2012/640917

Psychological Trauma Psychological

First Aid First Aid

Psychoinformation

Prognostical Screening: CRI-D

Group of Recovery Switcher High-Risk-Group

Guidance in Self-Help Guidance in Self-Help Guidance in self-Help

Monitoring Clinical Diagnostic

Clinical Diagnostic Trauma Therapy

Information about
professional help Rehabilitation
In need of Trauma Therapy
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EU Commission
No. ECHO/SUB/2012/640917

Cologne Risk Index war zone Afghanistan

Group of recovery Group of Switchers Risk Group

(Score 0-3) (Score 4-6) Score (7-18)
Dunker 2009
Dunker, 2008
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EU Commission
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What is the objective of EUNAD?

How did we get on this way?
What are the milestones of EUNAD?
Recommendations?
 Co-financed by the
EU Commission
No. ECHO/SUB/2012/640917

www.eunad-info.eu

Tasks
Workshops
Pilot training
Recommendations
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EU Commission
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Workshops/ Conferences
Task:
Expert panel organized by ITC in Israel
Local workshops
International workshops

Results:
Integration of associations for disabled
Recommendations
Task Force
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EU Commission
No. ECHO/SUB/2012/640917

Pilot training:
Task:
Germany
Czech Republic
Norway
Israel

Kirjat Schmona June 2014

Result:
Training of different vocational groups such as mental health
professionals, fire brigades, police, social workers and officials
responsible for disability management.
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EU Commission
No. ECHO/SUB/2012/640917

Trainings:
E.G. How to get to shelters?
 Co-financed by the
EU Commission
No. ECHO/SUB/2012/640917

Dissemination
 Dissemination
Co-financed by the
EU Commission
for
people with disabilities
No. ECHO/SUB/2012/640917
www.eunad-info.eu

1. Read Page
2. Magnification
3. Page in easy
language
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EU Commission
No. ECHO/SUB/2012/640917

Sign language
for depths
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EU Commission
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Help for Helpers

Help for Survivors

TGIP Manuals

Recommendations

Cologne Risk Index online

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EU Commission
No. ECHO/SUB/2012/640917

Expert Group
EU member states
Adviser in case of incident (website)

Reevaluator after catastrophies

Specialists for target groups with special needs

Contact. psychotraumatologie@alexianer.de
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General Recommendations:
Deaf/hearing impaired individuals react just as hearing individuals during
times of crisis.
Cooperation, networking, communication, exchange with deaf/hearing
impairment associations is helpful and necessary (Nothing about us without
us)
Deaf/hearing impaired mostly do not like to describe themselves as
disabled. They consider themselves as being part of a linguistic and
cultural minority group.
Use and adapt existing structures and services, try to find universal designs.
Services should be offered all over the country and should not be centralized.
Sensitize the population (possible zero-responders) and professionals about
deafness/hearing impairment.
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EU Commission
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Emergency
Communicate information (e.g. aboutPreparedness
existing dangers, present situation and
development after disaster) in several different ways: TV, media, Internet, SMS,
Apps, etc. (in written text, spoken language, sign language).
Assemble a network of interpreters (translating via video vs. in personal).
Create information material (in written text, spoken language, sign language) for
deaf/hearing impaired.
Educate deaf/hearing impaired individuals to be prepared for disaster, first aid,
etc. (e.g. via deaf/hearing impaired associations)
Establish a voluntary database of people with disability for easier contact, crisis
communication and warning.
Use multi-sensual alert-systems (e.g. sound, vibration, flashlight) and emergen-
cy-call-systems (Telephone, SMS, FAX, Apps, Skype, Internet, E-Mail).
Create inclusive standards for evacuation and emergency routines for
employers/schools/communities/public-traffic systems/ public places etc. In
particular deaf/hearing impaired individuals should take part in disaster drills
and simulation.

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Psychosocial First Aid I

Try not to separate deaf/hearing impaired individuals from each other or
their relatives/friends as these people. Promote their feeling of security and
their chance to communicate and receive information
Specific communication advice:
Ask for preferred way of communication (e.g. spoken language, written
language, sign language),
Call sign language interpreter if deaf/hearing impaired prefers sign language.
Point and use basic signs, gestures or cards that symbolize cohesion, help,
security etc., speak slowly and clearly, do not shout (as many hard of hearing
people show symptoms of hypo- and hyperacusia at the same time),
Stay in eye-contact and observe their mimes and reactions,
Make sure there is enough light so they can see your face and what is going on
around them,
Ask what a deaf/hearing impaired person has understood or offer to repeat your
communicated information to make sure he/she did understand your message
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EU Commission
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Psychosocial First Aid II

Signal values and symbols are extremely important in chaotic situations

(e.g. logos, orange vest, blanket) in order to signal warmth and
security. If first responders (etc. firemen and police men) wear safety
helmets outside the danger zone, they should take them off, so the
deaf/hearing impaired have the chance to lip-read and see facial
expressions.
Deaf/hearing impaired individuals are most vulnerable in the dark or
while asleep when they can not compensate their hearing loss with the
visual sense.
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EU Commission
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Contact:
Prof. Dr. Robert Bering
robert.bering@uni-koeln.de
r.bering@alexianer.de