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VSE’s & IMPACT’s presentation at ESTSS conference


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VSE’s & IMPACT’s presentation at ESTSS conference in Denmark, June 2017

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VSE’s & IMPACT’s presentation at ESTSS conference

  1. 1. 6/30/2017 1 Overview of international psychosocial support initiatives against the backdrop of a parabolic model on quality/attitude of psychosocial support programmes. An Verelst Michel Dückers Introduction Victim Support Europe O Leading network of victim support organisations in Europe O 47 Members in 27 landen, among which 21 European Member States. O Our Members work with ± 3000 staff, 20000 volunteers and offer victim support to 2 million victoms of crimes and disasters every year
  2. 2. 6/30/2017 2 Introduction Impact O Dutch national knowledge & advice centre for community resilience and psychosocial care concerning critical incidents. advice Dutch and foreign ministries, local governments and organisations O translating scientific research to specific target groups, by developing handbooks and guidelines. Victim SupportEuropeand work on Mass victimisation O Support Members O Coordination O Bring together expertise O Policy Advice – European Directive on Combatting Terrorism
  3. 3. 6/30/2017 3 The needsof victims of crime – a Europeanframework Respect and Recognition Information Access to Justice Victim Support Protection Compensation and Mediation Needs of victims of terrorism Individual needs Needs of victims of terrorism Needs of all victims
  4. 4. 6/30/2017 4 Victims’ Needs vs. Victims’ Questions O ‘A victim does not ask for help’ O A clear message from victims of the terrorist attacks in Belgium ‘Reach out your hand to us, hold it, accompany us. We do not have the strength to come to you’ O ‘We were alone. If only they would have come earlier’ (Sousse, Tunisia) O Some French victims: ‘the government was taking care of everything. It didn’t give the space to victims to take their own initiatives’ A theoretical framework O Psychosocial Program O Quality (Donabedian model, Berwick, 2002) O Attitude (Dückers, 2014) i) basic aid (i.e. shelter, safety, food, drinking water, first aid, and medication); (ii) information (i.e. about what has happened, about the fate of loved ones, about normal reactions); (iii) Social and emotional support (i.e. comfort, a listening ear, recognition of grief, compassion); (iv) practical help (i.e. legal and financial issues, household); (v) mental health (i.e. adequate detection and management of complaints and problems) • Need-centeredness: provide services that are respectful of and responsive to preferences, needs, and values of affected people, ensuring that their values guide all decisions • Safety: avoid injuries to people from services that are intended to help them • Effectiveness: provide services based on scientific knowledge to all who could benefit from them, and refrain from providing services to those unlikely to benefit, thus avoiding both underuse and overuse, respectively • Efficiency: avoid waste, including waste of equipment, ideas, and energy • Timeliness: reduce waits and sometimes harmful delays for those who receive and those who provide services • Equity: provide services without variation in quality because of personal characteristics, such as sex, ethnicity, religion, geographic location, and socioeconomic status Attitude Extremely passive (waiting, deliberately or even unintentionally doing nothing) Overly Active (outreaching, proactive intervention)
  5. 5. 6/30/2017 5 A theoretical framework Acting too actively Underestimated resilience and self– reliance. Problems and complaints are created or increased. RISKS: Unsafe, Ineffective, Inefficient, Not need-centered, Not timely, Inequity Acting too passively Overestimated resilience and self-reliance. Problems and complaints are missed or neglected. RISKS: Unsafe, Ineffective; Inefficient; Not need- centered; Not timely; Inequity Psychosocial interventions after terrorism and disaster O Website MH17 O Family Liaison officers O Government information to victims Belgium O Public campaign Boston Marathon Bombings O EMDR Italian Earthquake O Scanning Social Media
  6. 6. 6/30/2017 6 MH17 Slachtofferhulp Information for Victims of MH17 • Up to date, one source, • Public and closed • Judicial, practical, psycho- education • For broader group • Responsive and FAQ • Referral to psychosocial support • Email notifications Family Liaison Officers - After attacks in Sousse, Paris, Brussels - Active flyering, identification of non-identified victims on arriving flights – offering support from Family Liaeson Officers
  7. 7. 6/30/2017 7 Belgian government - Commemoration - Incomplete and scattered list of victims - Timing and language - Privacy concerns - impact on the information received and spread Massachusetts Office for Victim Assistance - Public psycho-education campaign around anniversary and trigger events - Prevention of psychosocial consequences - Reach victims after an open attack
  8. 8. 6/30/2017 8 Molise (Fernandez,2007) - School destroyed by Earth Quake in Molise (32 survived, 27 died) - As it was considered the event met all the DSM IV criteria for PTSD – EMDR was offered to all children, only few did not complete the sessions NL, BE - Active scanning of social media to - 1) Identify victims to offer support - 2) Identify social concerns, fears, unrest, questions among the population,…
  9. 9. 6/30/2017 9 Thank you! Victim Support Europe An Verelst Impact Michel Dückers Needs of victims of terrorism O Recognition O Truth O Commemoration O Media attention O Information – clear, consistent, repeated, easily accessible O Peer support O Cross-border O Open disasters