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RESPONDING IN TIMES OF
   CRISIS: PROVIDING
“PSYCHOLOGICAL FIRST
  AID” TO EMPLOYEE
        VICTIMS
  A TRAINING FOR   HARBORONE
    BRANCH MANAGERS AND
   SUPERVISORY PERSONNEL
2008 FINANCIAL INSTITUTION ROBBERY RATES

   Although precise statistics have not been released, a
    spike in the number of bank robberies nationwide for the
    4th quarter of 2008 is likely.

   This is not unusual during economically challenging
    times, experts say, bank robberies typically increase
    when the economy is sluggish.

   Add the holiday season to the mix, typically the time of
    year when the highest number of bank robberies occur,
    and final numbers for 4th quarter 2008 robbery rates
    could equal one robbery approximately every 20 minutes.
What we know about workplace
  critical incidents like robberies

1. Not all robberies are alike: Some are relatively
  quiet, involving just one teller who receives a note -
  - while others are more hostile (even violent) and
  may involve numerous (or all) workers in a branch.
2. Not all employees are alike: Individuals vary
  widely in their capacity for resilience to stress and
  traumatic events. For example, some workers may
  have previous exposure to robberies; while others
  may have physical or emotional conditions which
  will affect their reaction(s) to such events.
The importance of social support

   While these two factors indicate that responding to
    employees after a robbery may require a case-by-case
    approach; there is a large body of research that
    indicates social support can reduce occupational
    stress, enhance health, and buffer the impact of
    workplace trauma.
   Work-related sources of support can reduce the
    post-robbery potential for harmful effects by providing
    appropriate levels of comfort, information and
    resources. Managers, supervisors and co-workers
    can all be effective in reducing the negative impact of
    stressful and traumatic events.
The critical incident stress response

 When a robbery occurs, employees are likely to
 feel a variety of emotions; these include shock,
 fear, anxiety, disconnectedness, and even anger.
    The time span of these emotions may continue for
     days, weeks, months -- although typically these
     feelings become less intense in frequency, duration
     and intensity.
    Given that bank employees typically return to the same
     environment where the robbery occurred, some may
     experience a ‘triggering effect’ when they encounter
     certain stimuli.
Survey results: How has the robbery affected
  your ability to be productive on the job?
Not all will quickly return to normal

Indications of a lingering stress response:
     Perceived reduction in workplace safety
     Difficulty concentrating; increased mistakes
     Irritability with fellow workers and customers
     Increased absenteeism and ‘presenteeism’
     Decreased overall productivity
     Increased workers compensation claims/costs
     Employee attrition
Human capital resources

As managers and supervisors, some of the
primary responsibilities entrusted to you within
the realm of human capital resources include:
  Employee health and safety
  Monitoring performance and productivity
  Reducing risks to the organization
‘Psychological first aid’

 Psychological first aid is an application of early
  critical incident/crisis response suitable for use
  by non-mental health professionals.
 Relying on a strengths-based perspective, it
  involves providing a basic level of support and
  information to victims immediately following a
  critical incident/emergency/disaster.
 It is designed to reduce the initial distress of
  traumatic events and foster coping abilities.
Ways to help employees cope

   First priority: Make sure everyone is safe – visual
    staff inspections are just part of a complete picture.
   Expressing your concern by engaging/inquiring
    directly of each employee as to how they are doing
    will help gauge their state of mind and the level of
    their stress reaction.
   Keep in mind the potential variety of individual
    responses and range of emotions in such events –
    avoid judgmental language or labeling of anyone’s
    particular responses, the initial focus should be on
    checking in with each individual and reassurance.
Before the crisis responders arrive

 Provide employees with: a) factual information,
  and; b) an appropriate level of detail about the
  incident, their level of safety, and what to expect.
 Discuss immediate expectations, including work
  and leave schedules, to allow employees to have
  this information when they notify families and
  friends of their status.
 Provide general information about the common
  emotional responses to a robbery: anxiety and
  inability to sleep – emphasize that these feelings
  are normal and will usually ease with time.
What’s a normal/abnormal response?

 Minor physical symptoms           Hyperarousal (Overactive)
      Trembling; fidgeting             Argumentative
      Nausea, vomiting                 Rapid-fire speech
      Mild diarrhea                    Jokes inappropriately
      Teary-eyed                       Making endless suggestions
      Dazed                            Jumping around, multiple activities

 Panic/Flight reaction             Shock/Depression (Underactive)
      Attempts to flee premises        Vacant expression
      Loss of judgment                 Unusual lack of emotional display
      Uncontrolled weeping             Standing/sitting without moving or
                                         talking
      Overly repetitive speech
Before employees depart the scene

 Maintain communication with individuals to
  assess their status as appropriate.
 Setup a communications plan to allow employees
  to communicate with management for updates,
  and each other for support, etc.
 Before employees leave the premises, it may be
  wise to determine if their ability to drive or make
  their way home is impaired. If so, offer any
  assistance as needed.
Encouraging the use of services

   Inform employees that a EAP representative/mental
    health professional will be conducting an initial
    debriefing session (and provide date and time if
    available).
   Strongly encourage all employees (not just those
    present during the incident) to attend.
   For those unable or unwilling to attend the initial
    debriefing service, make certain they understand that
    additional counseling services are available now and
    will continue to be provided through the EAP.
   Furnish EAP contact information to employees (and
    family members as appropriate).
Helping families & friends cope

   Often, the families and significant others of bank
    employees lack factual information about what
    happens in a typical bank robbery and the risks to their
    loved ones. Their misunderstanding of such events
    may be based on TV programs or movie plots.
   One suggestion is to encourage employees to
    communicate to their family and friends in a reassuring
    manner about the reality of their working conditions.
    (This could be done either in response to an event to
    allay fears, or before an event to prepare families.)
3rd Qtr ‘08 Financial Institution Robberies

                  Modus Operandi in 1,358 total reported violations
                 Demand Note Used                             764
                 Firearm Used                                 378
                 Other Weapon Used                             8
                 Weapon Threatened/Not shown                  595
                 Oral Demand                                  757

        Injuries during Robberies                     Deaths during Robberies
Customers                           3        Customers                          0

Employees                           18       Employees                          0
                                             Perpetrators                       5
Perpetrators                        7
                                             Law Officers                       0
Law Officers                        2
                                             Guards                             0
Guards                              1
                                             Others                             1
Total                               31
                                             Total                              6
Providing ‘psychological first aid’

 When victims want to talk, be prepared to listen.
  When listening, focus on patiently hearing what
  speakers are trying to say.
 Respond in ways that address immediate goals
  and how you can be of assistance. Speak slowly,
  clearly and calmly. Clarify answers repeatedly as
  necessary.
 Update victims and others as new information
  becomes available. Inform them of available
  resources and how they can access them easily.

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Responding in Times of Crisis: Providing Psychological First Aid

  • 1. RESPONDING IN TIMES OF CRISIS: PROVIDING “PSYCHOLOGICAL FIRST AID” TO EMPLOYEE VICTIMS A TRAINING FOR HARBORONE BRANCH MANAGERS AND SUPERVISORY PERSONNEL
  • 2. 2008 FINANCIAL INSTITUTION ROBBERY RATES  Although precise statistics have not been released, a spike in the number of bank robberies nationwide for the 4th quarter of 2008 is likely.  This is not unusual during economically challenging times, experts say, bank robberies typically increase when the economy is sluggish.  Add the holiday season to the mix, typically the time of year when the highest number of bank robberies occur, and final numbers for 4th quarter 2008 robbery rates could equal one robbery approximately every 20 minutes.
  • 3. What we know about workplace critical incidents like robberies 1. Not all robberies are alike: Some are relatively quiet, involving just one teller who receives a note - - while others are more hostile (even violent) and may involve numerous (or all) workers in a branch. 2. Not all employees are alike: Individuals vary widely in their capacity for resilience to stress and traumatic events. For example, some workers may have previous exposure to robberies; while others may have physical or emotional conditions which will affect their reaction(s) to such events.
  • 4. The importance of social support  While these two factors indicate that responding to employees after a robbery may require a case-by-case approach; there is a large body of research that indicates social support can reduce occupational stress, enhance health, and buffer the impact of workplace trauma.  Work-related sources of support can reduce the post-robbery potential for harmful effects by providing appropriate levels of comfort, information and resources. Managers, supervisors and co-workers can all be effective in reducing the negative impact of stressful and traumatic events.
  • 5. The critical incident stress response When a robbery occurs, employees are likely to feel a variety of emotions; these include shock, fear, anxiety, disconnectedness, and even anger.  The time span of these emotions may continue for days, weeks, months -- although typically these feelings become less intense in frequency, duration and intensity.  Given that bank employees typically return to the same environment where the robbery occurred, some may experience a ‘triggering effect’ when they encounter certain stimuli.
  • 6. Survey results: How has the robbery affected your ability to be productive on the job?
  • 7. Not all will quickly return to normal Indications of a lingering stress response:  Perceived reduction in workplace safety  Difficulty concentrating; increased mistakes  Irritability with fellow workers and customers  Increased absenteeism and ‘presenteeism’  Decreased overall productivity  Increased workers compensation claims/costs  Employee attrition
  • 8. Human capital resources As managers and supervisors, some of the primary responsibilities entrusted to you within the realm of human capital resources include:  Employee health and safety  Monitoring performance and productivity  Reducing risks to the organization
  • 9. ‘Psychological first aid’  Psychological first aid is an application of early critical incident/crisis response suitable for use by non-mental health professionals.  Relying on a strengths-based perspective, it involves providing a basic level of support and information to victims immediately following a critical incident/emergency/disaster.  It is designed to reduce the initial distress of traumatic events and foster coping abilities.
  • 10. Ways to help employees cope  First priority: Make sure everyone is safe – visual staff inspections are just part of a complete picture.  Expressing your concern by engaging/inquiring directly of each employee as to how they are doing will help gauge their state of mind and the level of their stress reaction.  Keep in mind the potential variety of individual responses and range of emotions in such events – avoid judgmental language or labeling of anyone’s particular responses, the initial focus should be on checking in with each individual and reassurance.
  • 11. Before the crisis responders arrive  Provide employees with: a) factual information, and; b) an appropriate level of detail about the incident, their level of safety, and what to expect.  Discuss immediate expectations, including work and leave schedules, to allow employees to have this information when they notify families and friends of their status.  Provide general information about the common emotional responses to a robbery: anxiety and inability to sleep – emphasize that these feelings are normal and will usually ease with time.
  • 12. What’s a normal/abnormal response? Minor physical symptoms Hyperarousal (Overactive)  Trembling; fidgeting  Argumentative  Nausea, vomiting  Rapid-fire speech  Mild diarrhea  Jokes inappropriately  Teary-eyed  Making endless suggestions  Dazed  Jumping around, multiple activities Panic/Flight reaction Shock/Depression (Underactive)  Attempts to flee premises  Vacant expression  Loss of judgment  Unusual lack of emotional display  Uncontrolled weeping  Standing/sitting without moving or talking  Overly repetitive speech
  • 13. Before employees depart the scene  Maintain communication with individuals to assess their status as appropriate.  Setup a communications plan to allow employees to communicate with management for updates, and each other for support, etc.  Before employees leave the premises, it may be wise to determine if their ability to drive or make their way home is impaired. If so, offer any assistance as needed.
  • 14. Encouraging the use of services  Inform employees that a EAP representative/mental health professional will be conducting an initial debriefing session (and provide date and time if available).  Strongly encourage all employees (not just those present during the incident) to attend.  For those unable or unwilling to attend the initial debriefing service, make certain they understand that additional counseling services are available now and will continue to be provided through the EAP.  Furnish EAP contact information to employees (and family members as appropriate).
  • 15. Helping families & friends cope  Often, the families and significant others of bank employees lack factual information about what happens in a typical bank robbery and the risks to their loved ones. Their misunderstanding of such events may be based on TV programs or movie plots.  One suggestion is to encourage employees to communicate to their family and friends in a reassuring manner about the reality of their working conditions. (This could be done either in response to an event to allay fears, or before an event to prepare families.)
  • 16. 3rd Qtr ‘08 Financial Institution Robberies Modus Operandi in 1,358 total reported violations Demand Note Used 764 Firearm Used 378 Other Weapon Used 8 Weapon Threatened/Not shown 595 Oral Demand 757 Injuries during Robberies Deaths during Robberies Customers 3 Customers 0 Employees 18 Employees 0 Perpetrators 5 Perpetrators 7 Law Officers 0 Law Officers 2 Guards 0 Guards 1 Others 1 Total 31 Total 6
  • 17. Providing ‘psychological first aid’  When victims want to talk, be prepared to listen. When listening, focus on patiently hearing what speakers are trying to say.  Respond in ways that address immediate goals and how you can be of assistance. Speak slowly, clearly and calmly. Clarify answers repeatedly as necessary.  Update victims and others as new information becomes available. Inform them of available resources and how they can access them easily.