Mental Well-being Considerations in Preparation for Disaster Health Care: Learning From Deployment

Tytti H. Mäkinen, Sari M. Miettinen, George Kernohan

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)
17 Downloads (Pure)


Introduction: The mental well-being of internationally deployed disaster-relief workers has become an issue of concern. The psychological consequences for the relief worker being exposed to trauma and threats have been well documented; however, the role of pre-deployment preparation in supporting mental well-being has not received due attention, despite research indicating the need for it. Hypothesis/Problem: This case series examines the experiences of deployed volunteers of one emergency-relief organization. The aim of this research was to identify the participants' interpretations of the appropriateness of the pre-deployment preparation they had received in light of supporting their mental well-being during and after deployment.The main research questions were: How appropriate was pre-deployment preparation in supporting mental well-being? What elements were lacking, and what else would be useful?Methods: Using a hermeneutic phenomenological approach, thematic, semi-structured interviews were conducted with six deployed volunteers of an international emergency-relief organization. Data were analyzed using content analysis.Results: The participants in this study regarded the pre-deployment preparation they had received, on the whole, as appropriate in supporting their mental well-being. The seven main themes identified as important and supportive of mental well-being were: (1) realistic expectations, (2) team building and support, (3) self-awareness and self-care, (4) post-deployment support, (5) practical skills and creative solutions, (6) shared values and beliefs, and (7) safety and security. Specific areas identified as lacking within these themes included communication, self-care, post-deployment support, and safety and security.Conclusion: Themes identified as important for supporting mental well-being in this research largely were consistent with those in previous research. The generally positive experiences of the support received do not reflect results from existing research, where significant shortcomings in worker support have been expressed. However, important elements were also identified as lacking in this specific pre-deployment preparation.
Original languageEnglish
Pages (from-to)327-336
JournalPrehospital Disaster Medicine
Issue number4
Publication statusPublished - 9 Aug 2015

Bibliographical note

Reference text: 1. Inter-Agency Standing Committee. IASC Guidelines on Mental Health and Psychosocial Support in Emergency Settings. Published 2007. Accessed May 3, 2014.
2. Antares Foundation. Managing Stress in Humanitarian Workers: Guidelines for Good Practice. Published 2012. Accessed May 3, 2014.
3. Lopes Cardozo B, Gotway Crawford C, Eriksson C, et al. Psychological distress, depression, anxiety, and burnout among international humanitarian aid workers: a longitudinal Study. PLoS ONE. 2012;7(9).
4. Connorton E, Perry MJ, Hemenway D, Miller M. Humanitarian relief workers and trauma-related mental illness. Epidemiol Rev. 2012;34(1):145-155.
5. Walsh D. Interventions to reduce psychosocial disturbance following humanitarian relief efforts involving natural disasters: an integrative review. Int J Nurs Pract. 2009;15(4):231-240.
6. Fullerton CS, Ursano RJ, Wang L. Acute stress disorder, posttraumatic stress disorder, and depression in disaster or rescue workers. Am J Psychiatry. 2004;161(8):1370-1376.
7. McFarlane C. Risks associated with the psychological adjustment of humanitarian aid workers. The Australasian Journal of Disaster and Trauma Studies. 2004;1.
8. McCall M, Salama P. Selection, training, and support of relief workers: an occupational health issue. BMJ. 1999;318(7176):113-116.
9. The Sphere Project: Humanitarian Charter and Minimum Standards in Humanitarian Response. 3rd ed. Rugby, England: The Sphere Project; 2011.
10. World Health Organization. Mental health: a state of well-being. Accessed May 3, 2014.
11. Mental Health Association of NSW Web site. Accessed October 3, 2013.
12. Aitken P, Leggat PA, Robertson AG, Harley H, Speare R, Leclercq MG. Education and training of Australian Disaster Medical Assistance Team members: results of a national survey. Prehosp Disaster Med. 2011;26(1):41-48.
13. Hearns A, Deeny P. The value of support for aid workers in complex emergencies: a phenomenological study. Disaster Manag Response: DMR: An Official Publication Of The Emergency Nurses Association. 2007;5(2):28-35.
14. People In Aid/InterHealth. Approaches to Staff Care in International NGOs. Published 2009. Accessed May 1, 2014.
15. Mollica RF, Lopes Cardozo B, Osofsky HJ, Raphael B, Ager A, Salama P. Mental health in complex emergencies. Lancet. 2004;364(9450):2058-2067.
16. International Federation of Red Cross Red Crescent. Managing stress in the field. Published 2009. Accessed September 30, 2013.
17. Ilsley P, Kraseman K. Phenomenological Methodology. Metodix Web site. Accessed April 24, 2014.
18. van Manen M. Researching lived experience: human science for an action sensitive pedagogy. New York, USA: The State University of New York; 1990.
19. Bilal MS, Rana MH, Rahim S, Ali S. Psychological trauma in a relief worker -a case report from earthquake-struck areas of north Pakistan. Prehosp Disaster Med. 2007;22(5):458-461.
20. Cater J. Skype - a cost-effective method for qualitative research. Rehabilitation Counselors & Educators Journal. 2011;4(2):3.
21. Cohen D, Crabtree B. Qualitative Research Guidelines Project. Robert Wood Johnson Foundation Web site. Published July 2006. Accessed October 22, 2014.
22. Elo S, Kyngäs H. The qualitative content analysis process. J Adv Nurs. 2008;62(1):107-115.
23. Ranse J, Arbon P. Graduate nurses’ lived experience of in-hospital resuscitation: a hermeneutic phenomenological approach. Aust Crit Care. 2008;21(1):38-47.
24. Boldor N, Bar-Dayan Y, Rosenbloom T, Shemer J, Bar-Dayan Y. Optimism of health care workers during a disaster: a review of the literature. Emerg Health Threats J. 2012;5:7270.
25. Wang XL, Shi ZB, Ng SM, Wang B, Chan CL. Sustaining engagement through work in post-disaster relief and reconstruction. Qualitative Health Research. 2011;21(4):465-476.
26. Campbell C, Campbell D, Krier D, Kuehlthau R, Hilmes T, Stromberger M. Reduction in burnout may be a benefit for short-term medical mission volunteers. Ment Health Relig Cult. 2009;12(7):627-637.
27. Salama P. The psychological health of relief workers: some practical suggestions. Humanitarian Exchange Magazine. 1999;15.
28. Curling P, Simmons K. Stress and staff support strategies for international aid work. Intervention. 2010;8(2):93-105.
29. Lovell-Hawker D. “Guidelines for crisis and routine debriefing.” In O’Donnell K (ed). Doing Member Care Well. Pasadena, California USA: William Carey Library; 2002:457-475.
30. Moresky RT, Eliades MJ, Bhimani MA, Bunney EB, VanRooyen MJ. Preparing international relief workers for health care in the field: an evaluation of organizational practices. Prehosp Disast Med. 2001;16(4):257-262.


  • disasters
  • education
  • mental health
  • personnel


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