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Psychological First-Aid Interventions and Training in Disaster Response: A Systematic Review
Chelsea Spencer1, Brooke Keilholtz1
1Department of Applied Human Sciences, Kansas State University, Manhattan, KS, USA.
Psychological First Aid (PFA) interventions focus on rapid assessment, psychoeducation, and social support. Effective PFA training emphasizes active listening, trauma-informed approaches, and responder self-care for better outcomes.
Area of Science:
- Psychology
- Trauma Studies
- Mental Health Interventions
Background:
- Psychological First Aid (PFA) is a critical early intervention for individuals experiencing acute distress after traumatic events.
- It aims to reduce psychological suffering, enhance coping mechanisms, and facilitate recovery.
- This review synthesizes current knowledge on PFA interventions and training methodologies.
Purpose of the Study:
- To systematically review and synthesize existing literature on Psychological First Aid interventions.
- To identify key themes and best practices in PFA training programs.
- To provide evidence-based insights for improving PFA delivery and training.
Main Methods:
- A systematic literature search was conducted across six electronic databases for peer-reviewed articles published between 2000 and 2025.
- Forty-six studies were included based on predefined eligibility criteria.
- Thematic analysis, following Braun and Clarke's (2006) six-step process, was employed to analyze the selected studies.
Main Results:
- Four key themes emerged regarding PFA interventions: rapid assessment and resource connection, psychoeducation and coping skills, social support provision, and the need for adaptable interventions.
- Five themes were identified for PFA training: the importance of pre-disaster and continuous training, active and reflective listening skills, trauma-informed education, mental health responder support and self-care, and the train-the-trainer model.
Conclusions:
- Findings highlight essential components for effective PFA interventions and training programs.
- Implications for clinical practice, professional development, and future research in PFA are discussed.
- The review underscores the need for standardized, adaptable, and well-supported PFA training to enhance mental health response in crisis situations.
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