Search results

This chapter summarizes the literature on mindfulness and its impact of postdisaster response. Although the use of mindfulness is still in its infancy in Southeast Asia (SEA), initial studies suggest it has potential as a means to address survivors’ posttrauma symptoms. Given cultural nuances such as a discomfort in emotional expression and shame, mindfulness is non-intrusive and encourages non-judgmental acceptance. Mindfulness has been used in group settings which is congruent with the region’s collectivist orientation. In addition, given the importance of spirituality, we suggest that mindfulness may be an inclusive approach that is familiar and acceptable to SEA survivors.

Advances in disaster prevention and mitigation in Southeast Asia (SEA) have increasingly included plans for mental health and psychosocial support. However, substantial challenges remain, particularly in the areas of (a) disaster communication and preparedness, (b) institutionalized disaster education, (c) culturally adapted and evidence-based tools and interventions, (d) developing capacities and caring for disaster responders, and (e) enabling collective resilience. In addition, the impacts of poverty, lack of access to education, and other forms of marginalization result in less resources to prepare for hazardous event and increased vulnerability to environmental hazards for SEA countries. These issues highlight the need for SEA governments to address deeply rooted human development issues that put communities at risk and heighten vulnerabilities of SEA populations.

Southeast Asia (SEA) is a region highly susceptible to earthquakes, volcanic eruptions, and tsunamis, though the region has been underrepresented in disaster mental health research. This chapter addresses risk factors for SEA, including its disaster-prone location, the psychological toll of frequent disasters, and stigma and shame and lack of psychoeducation about psychological help-seeking. Collectivism, strong family ties, and religious faith are among SEA’s resilience factors. Culture should be heavily accounted for in mental health and psychosocial support (MHPSS), considering the wide array of cultural differences in spirituality, affect and expression, power distance, and gender and masculinity in SEA. Because culture affects treatment satisfaction, treatment engagement, and treatment outcomes, future research should explore how aspects of SEA culture impact accessibility and engagement in MHPSS.

Disaster responders play a crucial role in providing aid to individuals and communities following catastrophic events. Being tasked to protect and preserve life and property, these groups of professionals are constantly exposed to various hazards, which puts them at risk of negative mental health consequences. This chapter describes and discusses these mental health effects and interventions for disaster responders in Southeast Asia. The chapter defines who the disaster responders are in Southeast Asian countries. Drawing from the literature, this chapter enumerates the various positive and negative psychological consequences of disaster response, and the risk and protective factors associated with disaster response work. This chapter also describes the different interventions, such as psychological first aid and psychotherapy, following the Inter-agency Standing Committee (IASC) (2007) guidelines on conducting mental health and psychosocial support services (MHPSS), and focusing on the Southeast Asian context. This chapter ends with a discussion of the different challenges of providing MHPSS in Southeast Asia and with some recommendations on how to improve the delivery of these services and the mental health of disaster responders in general.

The occurrences of natural hazards in Southeast Asia have become not only more frequent but their severity has also intensified. More than 200,000 persons perished from the 2004 tsunami resulting from the 9.1 magnitude earthquake in coastal Sumatra, Indonesia, which was the third strongest since 1900. A record-breaking typhoon internationally named Haiyan (locally known as Yolanda) ravaged Central Philippines in 2013. Failure of the communities, as well as the countries, to cope with the hazards has led to disasters that have compelled them to seek external assistance, especially internationally. In the 2004 and 2013 disasters referred to, one specific form of assistance was the conduct of art therapy especially for children. This chapter surveys the literature and examines why and how art therapy has been used in disasters in the region, and which areas either need further exploration or research.

This chapter reviews the empirical evidence for Psychological First Aid (PFA) in the context and experience of the Southeast Asian (SEA) region. First, this chapter provides the definition and background of PFA and its core principles, to explain the basis for doing PFA as part of an integrated approach to disaster mental health. Second, the existing literature on the effectiveness of PFA is reviewed. Third, this chapter examines the application and adaptation of PFA in SEA. Implications and recommendations are provided at the end of the chapter.

The purpose of this paper is to develop and evaluate a culturally sensitive and mindfulness informed psychological first aid (PFA) intervention for use with disaster workers in the Philippines intended to increase disaster knowledge and disaster coping self-efficacy.

The study used a non-experimental, pre-test, post-test design. Measures of disaster knowledge and disaster coping self-efficacy were measured before and after the PFA intervention.

Paired sample t-tests revealed significant pre/post-increases in knowledge about disaster reactions and disaster coping self-efficacy. Workshop evaluations indicated that the following proportions of participants rated these workshop components as the most useful: mindfulness, information about disaster reactions, small group sharing, information about coping, and the open space activity.

As in many disaster studies, it was not possible to include a randomized control group in the design. Another limitation was that only pre- and post-intervention data were collected. Future research should include longer-term follow-ups with participants to assess whether the benefits of the intervention are maintained over time. Future research may wish to address the limitations of the study including the lack of a control group and obtaining follow-up data to enable more robust conclusions.

These results indicate how the use of a group-based intervention may be helpful especially in a collectivist culture. At the same time, acknowledging cultural values such as spirituality is an important component to providing psychosocial support for survivors. Mindfulness was found useful both as an initial calming activity as well as a means for helping survivors manage their stress reactions. Finally, the utilization of an open space activity can also be a helpful problem-solving mechanism when done in intact groups, as it enhances not just self-efficacy but also community efficacy among survivors.

The study contributes to the dearth of knowledge on the use of PFA when used in a group, collective, and developing country setting.

Although the Sendai Framework for Disaster Risk Reduction 2015–2030 explicitly recognizes the need for psychosocial support and mental health services, the focus of this and many disaster risk reduction and management (DRRM) plans lies in the response, recovery, and rehabilitation phases. Less attention has been given to how mental health aspects affect the predisaster phase. This chapter explores the less understood concept of “resistance” in the perspectives model of disaster mental health, which is related to DRRM themes of “prevention and mitigation” and “preparedness” interventions. Four strategies are identified by which DRRM interventions can contribute to psychosocial support and mental health: increasing stress resistance, fostering cohesion and social support, fostering positive cognition, and building self-efficacy and hardiness. We review the cases of the Philippines, Indonesia, Myanmar, and Thailand and report existing socio-political DRRM initiatives for prevention, mitigation, and preparedness that can potentially enhance resistance as a predisaster intervention. Beyond medical services or clinical mental health interventions for select populations, DRRM interventions can benefit the general public. Despite natural intersections, there remains a need for deliberate and targeted initiatives that explore how vertical pyschosocial care programs can be created to straddle both DRRM and health sectors in practice.

This chapter describes the environmental risks and vulnerabilities faced by work organizations in Southeast Asia. It also presents cases that demonstrate how these organizations respond to disasters and natural hazards. To situate the case discussions, a review of existing studies of organizational resilience, particularly those that propose definitions, models, and frameworks is presented. The cases from the Philippines and Thailand illustrate how active and integrative efforts at building resilience can be institutionalized at the organizational level.