In the Line of Fire: Trauma in the Emergency Services

Hardcover | December 21, 2004

byCheryl Regehr, Ted Bober

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In the wake of disaster emergency responders are first on the scene and last to leave. They put concern for the lives of others over concern for their own lives, and work tirelessly to recover the bodies of the missing. Their heroic actions save lives, provide comfort to and care for thewounded and inspire onlookers, but at what cost to themselves? We now know that rescue workers who are exposed to mutilated bodies, mass destruction, multiple casualties, and life-threatening situations may become the hidden victims of disaster. The traumatic consequences of exposure can profoundlyimpact emergency responders, radiate to their families, and permeate the emergency organization. This much-needed new book, based on the authors' original research and clinical experience, describes the consequences of trauma exposure on police officers, fire fighters, and paramedics. Weaving datacollected in large-scale quantitative studies with the personal stories of responders shared in qualitative interviews, this much-needed account explores the personal, organizational, and societal factors that can ameliorate or exacerbate traumatic response. Stress theory, organizational theory,crisis theory, and trauma theory provide a framework for understanding trauma responses and guiding intervention strategies. Using an ecological perspective, the authors explore interventions spanning prevention, disaster response, and follow-up, on individual, family, group, organizational, andcommunity levels. They provide specific suggestions for planning intervention programs, developing trauma response teams, training emergency service responders and mental health professionals, and evaluating the effectiveness of services provided. Disaster, whether large-scale or small, underscoresour ongoing vulnerability and the crucial need for response plans that address the health and well being of those who confront disaster on a daily basis. In the Line of Fire speaks directly to these emergency response workers as well as to the mental health professionals who provide them withservices, the administrators who support their efforts, and the family members who wonder if their loved one will return home safely from work tonight.

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In the wake of disaster emergency responders are first on the scene and last to leave. They put concern for the lives of others over concern for their own lives, and work tirelessly to recover the bodies of the missing. Their heroic actions save lives, provide comfort to and care for thewounded and inspire onlookers, but at what cost...

Cheryl Regehr, Ph.D., is Professor of Social Work and the Director of the Centre for Applied Social Research at the University of Toronto, where she also holds appointments in the Faculty of Law and the Institute for Medical Sciences. Her practice background includes direct service and administration in emergency mental health and wor...

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Paperback|Mar 3 2014

$53.39 online$65.95list price(save 19%)
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Format:HardcoverDimensions:288 pages, 6.3 × 9.29 × 0.79 inPublished:December 21, 2004Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0195165020

ISBN - 13:9780195165029

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Table of Contents

Foreword, Albert R. Roberts1. Setting the Stage2. All in a Day's Work: Traumatic Events in the Line of Duty3. Building a Framework: Health, Stress, Crisis, and Trauma4. Disastrous Events: Mass Emergencies and the Emergency Responder5. The Right Stuff: Trauma and Coping6. Help or Hindrance? Stress and the Emergency Service Organization7. Heroes or Villains? Public Inquiries8. Are You Coming Home Tonight? The Impact of Emergency Service Work on Families9. The Continuum of Intervention I: Doing the Right Job at the Right Time10. The Continuum of Intervention II: Interventions for Extreme Stress11. Laying the Foundation: Developing Trauma Response Teams12. Keeping it Going: Team Maintenance13. Does it Work? Evaluating the Efficacy of InterventionsReferencesIndex

Editorial Reviews

"In the Line of Fire is written by two professionals who have an impressive amount of experience working with front-line emergency services in Canada....They use case histories to bring to life the stressful events that emergency staff experience and refer to research evidence thatconvincingly builds a model that they refer to as a 'trajectory towards health or illness.' This gives us encouragement that many parts of a range of interventions may nudge those exposed to traumatic events towards healthy coping." -- Anna Higgitt, Mental Health Branch of the Department of Health,UK, in the British Journal of Psychiatry