Is Psychological First Aid a useful tool for coaches, union representatives, employee assistance program specialists, lawyers and legal workers, peer group facilitators, and others who are providing support to those who have experienced workplace bullying and mobbing?
I recently completed an online, continuing education course in Psychological First Aid (PFA) (link here), offered by Johns Hopkins University via Coursera, one of the most popular providers of open enrollment, university-level online courses . The Johns Hopkins course is taught by psychiatry and behavioral sciences professor George Everly, a leading authority on PFA and co-author, with Jeffrey Lating, of The Johns Hopkins Guide to Psychological First Aid (2017). The course itself takes about 8-10 hours to complete, ideally over a span of a few weeks. The course itself is free of charge, with an added fee for a certificate of completion.
Dr. Everly developed his PFA model to provide first responders who are not trained as counselors with knowledge and training to assist those who have experienced traumatic events, such as displacement due to wars, severe weather events, and other man-made and natural disasters. His model is called “RAPID PFA.” Here are the sequential steps covered in the course:
- R — “Establishing Rapport and Reflective Listening”
- A — “Assessment/Listening to the Story“
- P — “Psychological Triage/Prioritization“
- I — “Intervention Tactics to Stabilize and Mitigate Acute Distress”
- D — “Disposition and Facilitating Access to Continued Care”
The final piece of the course relates to the importance of self-care for those providing PFA.
At no time does PFA call upon someone to render a clinical diagnosis. (That would be wrong on so many levels!) Rather, PFA is designed to help non-clinical individuals facilitate emotional and practical support for those who have experienced traumatic events. This may include, when necessary, referrals to professional mental health and medical care, as well as other tangible forms of assistance.
PFA for workplace bullying and mobbing?
I’ve given a lot of thought as to how Dr. Everly’s RAPID PFA model can be deployed to help those who have experienced severe work abuse. I think it’s a very helpful model for non-clinical folks who are providing support to targets of workplace bullying and mobbing. RAPID PFA not only offers a useful, simple framework for providing support and guidance, but also sets markers for when referrals to professional mental health care may be needed.
Research examining the RAPID PFA model has validated its effectiveness as an early intervention tool, especially when rendered soon after a precipitating event. Herein lies a challenge toward applying PFA to workplace abuse situations: All too often, the mistreatment builds over time, especially in the more covert or indirect forms. In such cases, there may be no single, major traumatic event that prompts someone to seek help. Accordingly, targets frequently wait to seek assistance, as work abuse can take an inordinately long time to process and comprehend. In such instances, a lot of emotional damage may have taken place before someone seeks help.
Finally, the RAPID PFA model is designed to help care providers make fairly quick assessments under scenarios where large numbers of people may suddenly need help. By contrast, we know that many targets of work abuse feel the need to share their stories in significant detail. It is a natural and understandable dynamic, but it can make the process of identifying next steps anything but, well, rapid.
Nevertheless, the RAPID PFA model holds a lot of promise as an early intervention protocol for helping people deal with workplace bullying and mobbing situations. For those who want to provide initial support and guidance to targeted individuals, it provides a straightforward, evidence-based approach for doing so, while helping us to understand appropriate boundaries between lay assistance and professional mental health care.