On the Brink of Disaster

Abstract

In recent years mental health professionals have become increasingly aware of their role in ameliorating the impact of disaster and have begun to develop models for systematizing interventions. As many have noted, however, these models are largely based on clinical wisdom due to the dearth of empirical data on disaster and its social and psychological consequences. This article describes one model of disaster intervention, the Triple ABCD Model, and provides evidence-based guidelines for determining possible hazards and risks to both individuals and communities. Key factors considered are intentionality, predictability, time frame, degree of threat, location, extent of disruption and destruction, and timeliness and sustainability of the outside resources. Implications for practice include the importance of considering both individual and community factors in assessing risk and resilience; the need for mental health practitioners to exercise both clinical and community building skills when responding to disaster; and the importance of training and education of mental health professionals that include emergency planning and response with a focus on supporting the public at both an individual and community level.