The Humanitarian Disaster Institute: A Training Model for Graduate-Level Psychology and Counseling Programs.
Aten, Jamie D. ; Boan, David ; Davis, Edward B. 等
The Humanitarian Disaster Institute: A Training Model for Graduate-Level Psychology and Counseling Programs.
In the past 20 years, there have been over 13.000 natural,
technological, and complex disasters, and these events have collectively
affected 4.5 billion people, resulted in 1.6 million deaths, and caused
$2.4 trillion in damage (EM-DAT, n.d.; cf. CRED, 2016). Over that same
period, there have been over 100.000 terrorist incidents (START, 2016).
Some of the most devastating disasters in recorded history--such as
Hurricane Harvey (2017), the 2011 Japan earthquake and tsunami, the 2008
Sichuan (Wenchuan) earthquake, and Hurricane Katrina (2005)--have
occurred in the past decade. Furthermore, in modern history, disasters
are not only becoming more common and costly, but they are also becoming
more complex, with primary disasters (e.g., the 2011 Japan
earthquake/tsunami) often triggering secondary disasters (e.g., the 2011
Fukushima nuclear meltdown; cf. World Nuclear Association, 2017).
Disasters can devastate people's lives, both at a microlevel
(e.g., individuals and families) and a macrolevel (e.g., communities and
societies). They can cause a heavy psychological and religious/spiritual
(R/S) toll on individuals and families (Aten & Boan, 2016), and they
can catastrophically cripple the infrastructures of communities and even
nations (e.g., the 2010 Haiti earthquake; see O'Grady et al., 2018
[this issue]). With this increase in disasters and the scope and
intensity of their impacts, there is a need for more psychologists and
counselors to receive training in providing disaster mental health
services. Correspondingly, because over 80% of the world's
population identifies as R/S (Pew Research Center, 2017), there is a
need for training in spiritually oriented disaster psychology (Aten,
O'Grady, Milstein, Boan, & Schruba, 2014) as well. In this
article, we present a training model for spiritually oriented disaster
psychology. This model is particularly designed to help prepare
psychologists and counselors to provide competent, culturally
responsive, and effective disaster spiritual and emotional care
services, thereby helping people address the spiritual and psychological
consequences of disasters (see Schruba et al., 2018a [this issue]).
Role of Religious People and Organizations in Disaster Response
Religious people and faith-based organizations have played--and
continue to play--an enormous role in disaster relief and recovery
efforts. Indeed, disaster survivors often turn to religious communities
(e.g., churches), religious leaders (e.g., clergy), and faith-based
organizations (e.g., the Salvation Army) for practical, emotional, and
religious support in the wake of disaster (Aten & Boan, 2016;
Koenig, 2006; Roberts & Ashley, 2017). Sometimes religious
communities and leaders are so intricately connected to a
disaster-affected community's sociopolitical, economic, and
psychological life that they end up playing a central role in disaster
response (Aten, Hall, Weaver, Mangis, & Campbell, 2012; Bradfield,
Wylie, & Echterling, 1989; Brymer et al., 2006b; Cain &
Barthelemy, 2008; Curtis et al., 2017; Mattis & GraymanSimpson,
2013).
The Role of Psychologists and Counselors in Disaster Response
Psychologists and counselors often play a key role in disaster
relief and recovery efforts as well. For instance, the American
Psychological Association (APA) has a Disaster Resource Network that is
comprised of around 2,500 licensed psychologists who have expertise in
disaster mental health care (APA, n.d., 2014). Following a disaster,
these and other mental health professionals are mobilized to assist in
helping disaster-affected individuals, families, and communities. They
offer a variety of services, including logistical services (e.g.,
directing survivors to food and shelter) and mental health services
(APA, n.d., 2014).
With appropriate training (e.g., Hathaway, 2013; Vieten et al.,
2013, 2016), psychologists and counselors can also provide what is
called disaster emotional care (i.e., postdisaster mental health care
services; National VOAD, 2015) and disaster spiritual care (i.e.,
postdisaster spiritual health care services; National VOAD, 2009, 2014;
see Schruba et al., 2018a, 2018b [this issue]). However, even as most
mental health professionals have not received adequate training for
offering competent spiritually integrated psychotherapeutic services to
clients (Hathaway, 2013; Vieten et al., 2013, 2016), most mental health
professionals also have not received training either in offering
competent disaster mental health services (i.e., disaster emotional
care) or in offering spiritually integrated forms of such services
(i.e., disaster spiritual and emotional care; Bowman & Roysircar,
2011; Yutrzenka & Naifeh, 2008).
Nevertheless, in the U.S., the typical doctoral-level psychology
trainee in an APA-accredited program will receive strong training in
competencies that will likely transfer well into the context of
providing disaster emotional care services. For example, most trainees
who graduate from APA-accredited doctoral psychology programs will have
developed adequate competencies in foundational skills such as
professionalism, reflective practice (e.g., self-assessment and
self-care), scientific knowledge and methods (e.g., skills in making
decisions based on evidence-based practice), interpersonal and
expressive skills, individual and cultural diversity, ethical and legal
standards, and interdisciplinary systems (Fouad et al., 2009). Likewise,
they will have developed adequate functional competencies in areas such
as assessment, diagnosis, intervention, consultation, program
evaluation, research, supervision, management/administration, teaching,
and advocacy (Fouad et al., 2009).
Wheaton College's Humanitarian Disaster Institute (HDI)
To prepare psychology and counseling trainees to offer disaster
emotional and spiritual care services, what is needed is high-quality
graduate-level training that integrates science and practice and is
"sequential, cumulative, and graded in complexity, and designed to
prepare students for further organized training" (APA, 2013, pp.
6-7). It is this type of training that Wheaton College's
Humanitarian Disaster Institute (HDI; www.wheaton.edu/hdi ) seeks to
provide. The purpose of this article is to describe HDI's training
model. This model is based on HDI's (a) mission statement, (b)
institutional components, (c) training philosophy, (d) training
objectives, and (e) training opportunities. In what follows, we describe
each of these in turn.
HDI Mission Statement
HDI was founded in 2011 by the first author--Dr. Jamie D. Aten--who
serves as its Executive Director. HDI is the first faith-based academic
disaster research center in the U.S., and its mission is "to help
the [Christian] church prepare and care for a disaster-filled
world" ("Humanitarian Disaster Institute," n.d.).
Specifically, it seeks to train future psychologists who will help equip
the global church and faith-based organizations to prepare for, respond
to, and recover from disasters. In so doing, HDI seeks to strengthen
psychological service delivery to disaster-affected populations, by
training and equipping future mental health professionals to provide
competent, culturally responsive, and effective disaster spiritual and
emotional care services.
HDI Institutional Components
HDI is housed within Wheaton College, a faith-based higher
education institution that consists of a liberal arts college and a
graduate school. Wheaton College's mission is "[serving] Jesus
Christ and [advancing] His Kingdom through excellence in liberal arts
and graduate programs that educate the whole person to build the church
and benefit society worldwide" ("Wheaton College," n.d.).
Within this institutional context, HDI is a college-wide
interdisciplinary research center. Besides its founder and executive
director (Dr. Jamie Aten), HDI has two senior fellows, three core
faculty fellows, and five faculty affiliates, as well as a managing
director and communications specialist. This community of Wheaton
College faculty and staff is comprised of people who have expertise in a
variety of disciplines, such as psychology, theology, church leadership,
intercultural studies, anthropology, and environmental studies. In
addition, HDI has numerous contributing scholars--psychologists and
counselors who work at other u.s. institutions and collaborate with HDI
on research projects ("Humanitarian Disaster Institute,"
n.d.).
Within Wheaton College, HDI is situated within the Psychology
Department. In that department, HDI has had a research team of
approximately 20 graduate and undergraduate students each year. Most of
these research team members are doctoral psychology trainees in the
Wheaton PsyD program, an APA-accredited doctoral program in clinical
psychology. Each year, there are some master's students (in
Clinical Mental Health Counseling) and undergraduate psychology students
on the research team too.
Training Philosophy
HDI is guided by a practitioner-scholar training philosophy, partly
because it is housed within the Wheaton College PsyD program, which also
is guided by a practitioner-scholar training philosophy. Consequently,
HDI's training places a strong emphasis on the intersections of
science and practice (e.g., on using science to inform practice and on
using practice-relevant/applied questions to drive research). HDI is
also distinctly Christian in its training, with a commitment to training
mental health professionals to provide competent, culturally responsive,
and effective disaster spiritual and emotional care services to people,
including Christian integrative services as appropriate and indicated.
HDI's training philosophy is inherently interdisciplinary and
collaborative in its focus, given how interdisciplinary and
collaborative disaster mental health service delivery is (Koenig, 2006;
Rodriguez, Donner, & Trainor, 2018). In addition, it is infused with
many elements of community psychology theory and practice, such as (a) a
focus on community needs, processes, and resources; (b) a recognition of
how disaster survivors' responses are embedded within community
systems that reciprocally influence each other; and (c) that there is a
need for psychologists to engage in advocacy work (e.g., on behalf of
disaster-affected individuals, families, and communities) and to address
disparities in access and utilization of services. Lastly, HDI's
training philosophy is undergirded by a commitment to experiential
learning. Stated differently, trainees gain knowledge by taking classes,
reading the scholarly literature, and attending supplemental didactic
trainings; however, their training and education also includes a heavy
emphasis on experiential learning (i.e., learning through doing and
experiencing), via several of the training opportunities described
below.
Training Objectives
HDI's training objectives focus on developing trainees
knowledge, skills, and attitudes in several key areas. For instance,
trainees develop their knowledge of (a) how disasters psychologically
and spiritually affect individuals, families, and communities; (b) what
the most evidence-informed approaches to disaster spiritual and
emotional care are (e.g., Psychological First Aid [Brymer et al.,
2006a]; see Schruba et al., 2018b [this issue]); and (c) which ethical
issues are especially pertinent to engaging in clinical practice or
scientific research in a disaster context. Likewise, trainees develop
their skills in (a) assessing R/S factors that are relevant to providing
disaster spiritual and emotional care services (e.g., R/S beliefs,
practices, and support); (b) differentiating adaptive versus maladaptive
ways survivors use religion to cope (e.g., positive vs. negative
religious coping); (c) delivering competent, culturally responsive, and
effective disaster spiritual and emotional care (including spiritually
oriented interventions and spiritually integrated forms of
evidence-based psychosocial disaster interventions; e.g., Aten, McMinn,
& Worthington, 2011; Brymer et al., 2006b); (d) practicing good
self-care; and (e) collaborating with religious professionals and
organizations to provide disaster spiritual and emotional care (e.g.,
Aten et al., 2012; Curtis et al., 2017). Lastly, trainees develop
important attitudes, such as attitudes of (a) approaching R/S issues
with professionalism and scientific mindedness; (b) self-awareness and
self-reflectivity when it comes to one's own R/S beliefs, views,
and biases and how those may be impacting one's work; and (c)
commitment to offering disaster spiritual and emotional care in a
culturally respectful, responsive, and humble way (Hathaway, 2013; Hook,
Davis, Owen, & DeBlaere, 2017).
Training Opportunities
HDI offers a wide variety of training opportunities for psychology
trainees to develop competencies in these and related areas. The main
training opportunities HDI offers are: (a) formal coursework, (b)
lecture series, (c) seminars and workshops, (d) conferences, (d)
fieldwork, (e) student research, and (f) student mentoring. Next, we
describe each of these training opportunities in more detail.
Formal Coursework
HDI currently offers formal coursework in two Wheaton College
graduate programs in the Psychology Department--the Wheaton PsyD program
and the Wheaton Clinical Mental Health Counseling program. These courses
are typically offered as electives, and they consistently involve both
didactic and experiential learning opportunities. For example, students
participate in a large-scale shelter simulation in which they provide
Psychological First Aid (Brymer et al, 2006a, 2006b) in a role-playing
situation.
Because HDI is so well-integrated within the Psychology Department
at Wheaton College, disasters are frequently a topic that gets discussed
in other courses, albeit in a less structured and formal way. This type
of informal incorporation of disaster-related topics into coursework
happens at the undergraduate level and at the graduate level in each of
Wheaton's three graduate programs in the department (the PsyD
program, Clinical Mental Health Counseling program, and Marriage and
Family Therapy program).
Lecture Series
HDI also offers a wide range of lecture series on the Wheaton
College campus. These lecture series are available for Wheaton College
students, faculty, and staff to attend. Interested members of the local
community are welcome to attend as well. Some examples of the lectures
HDI has offered recently as a part of this series are (a) panel
discussions on disasters and mass traumas and (b) lectures on global
relief and development. Moreover, because HDI is housed within a liberal
arts college that values interdisciplinary dialogue and programming, HDI
often partners with other Wheaton College faculty, departments, and
academic centers, co-sponsoring lectures on topics in which disasters
intersect with some other area of faith, learning, or practice.
Seminars and Workshops
HDI regularly offers seminars and workshops too. For example,
continuing education seminars are offered for mental health
professionals interested in further training in addressing
disaster-related and humanitarian challenges they see in their work.
These continuing education seminars are usually one day long and address
such topics as complex trauma, disaster mental health, church
preparedness, disaster spiritual and emotional care, and best practices
in humanitarian aid work. Such seminars meet the continuing education
needs of professionals, and they offer supplemental training
opportunities for students, faculty, and interested community members to
participate in as well.
In the same way, HDI periodically sponsors multiple-day workshops
in which professionals and other interested persons can obtain more
extensive training in spiritually oriented disaster psychology. For
instance, HDI has led a multiple-day workshop on church-focused disaster
preparedness, which was attended mainly by religious and community
leaders. The primary aim of this workshop was to equip pastors and
church leaders to be able to lead their congregations in developing
effective disaster ministries. Workshop participants learned about (a)
how churches can make their members and communities more disaster
resilient; (b) some of the theology behind church engagement in
disasters; (c) a few of the resources, plans, and programs that can help
their church become more prepared for disasters and more effective in
responding to disasters; and (d) some global models of church-based
disaster resilience.
More recently, HDi has offered workshops in the wake of recent
devastating disasters. For example, following the 2016 Louisiana flood
and Hurricane Harvey (2017), HDI provided workshops for members of the
respectively affected communities. These workshops were on the topic of
spiritual First Aid, and most attendees were helping professionals
(e.g., religious, mental health, and educational professionals).
Conferences
In addition, HDI regularly sponsors or cosponsors conferences.
These conferences are designed for a variety of purposes and audiences.
For example, HDI's annual Disaster Ministry Conference is a large
conference that is aimed at equipping church and lay leaders, disaster
researchers, and professionals in emergency management, disaster relief,
and humanitarian aid. Participants gain new knowledge, skills, and
networks for effectively engaging and responding to disasters and the
justice issues that surround them.
HDI has co-sponsored conferences with other faith-based
organizations (e.g., the Red Cross) and with government organizations
(e.g., the U.S. Department of Homeland Security). Furthermore, HDI has
not only sponsored or co-sponsored numerous conferences in the U.S., but
HDI has offered some conferences internationally as well (e.g., the
solidarity in Disaster Ministry Conference, which was offered in the
Philippines and attended by over 250 participants from across southeast
Asia).
Fieldwork
HDI provides numerous opportunities for students, staff, faculty,
and collaborators to engage in fieldwork following disasters. For
example, following the 2016 Louisiana flood, HDI led a team of 19
students and faculty who spent a week in the field, offering the
aforementioned workshops on Spiritual First Aid and conducting research
with survivors of the disaster. HDI students, staff, and faculty often
travel internationally to engage in disaster research and relief efforts
as well. Such HDI-sponsored fieldwork has occurred in response to
disasters that include the 2011 Japanese earthquake/tsunami, the 2010
Haiti earthquake, and the 2013 Philippines Typhoon Haiyan. It has also
occurred in response to humanitarian aid crises, such as fieldwork of
disaster relief and research that HDI has conducted in the Kakuma
Refugee Camp in Kenya.
Student Research
HDI believes that research training is an important part of student
education. HDI students engage actively in conducting scientific
research, writing scholarly manuscripts, presenting at professional
conferences, and developing tools and resources that translate
scientific findings into lay-accessible resources (e.g., disaster
spiritual and emotional care tip sheets). The following are the two ways
that students tend to engage in HDI research:
* Dissertation research projects: HDI supports dissertations
conducted on the topic of disasters or humanitarian aid. These
dissertations often focus on disaster resilience, disaster spiritual and
emotional care, spirituality and trauma in a disaster or humanitarian
context, or the role of faith-based organizations in fostering
individual or community resilience following disasters.
* HDI grants and contracts: HDI is actively engaged in obtaining
grants and contracts to fund scientific research on disasters and
humanitarian aid. Students are routinely incorporated into these funded
projects, sometimes as a part of their dissertation research. These
projects create opportunities for students to develop their skills in
varied areas (e.g., research, consultation, interdisciplinary work, and
program development and evaluation), and students can use these skills
to address real-world problems and help people who are suffering.
Student Mentoring
HDI places a high emphasis on student mentoring as well. This
mentoring takes place across every training opportunity we have
described. Stated differently, mentoring of HDI students occurs formally
and informally, in the classroom and in the field, in research-oriented
tasks and practice-oriented ones, and in individual and group mentoring
formats. The HDI faculty, fellows, and staff are extremely committed to
providing high-quality student mentoring, and this mentoring is
comprehensive in its scope. That is, student mentoring through HDI is
dedicated to students' development professionally, personally, and
spiritually. In fact, mentoring is a key aspect of HDI's overall
culture, and it is integrated across all HDI activities.
Conclusion
The purpose of this article was to describe HDI's training
model. We hope that doing so will encourage other graduate psychology
and counseling programs--especially faith-based programs--to explore
ways they can expand their training of students in disaster mental
health and in the provision of disaster spiritual and emotional care
(Aten et al., 2012; Bowman & Roysircar, 2011; Yutrzenka &
Naifeh, 2008).
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Jamie D. Aten
Wheaton College
David Boan
World Evangelical Alliance
Edward B. Davis
Alice N. Schruba
Wheaton College
This publication was made possible through the support of a grant
from the John Templeton Foundation (Grant #44040). The opinions
expressed in this publication are those of the authors and do not
necessarily reflect the views of the John Templeton Foundation.
Correspondence concerning this article should be addressed to Jamie D.
Aten, Humanitarian Disaster Institute, Wheaton College, 501 College Ave,
Billy Graham Center, Wheaton, IL; jamie.aten@wheaton.edu
Authors
Jamie D. Aten (Ph.D. in Counseling Psychology, Indiana State
University) is the Dr. Arthur P. Rech and Mrs. Jean May Rech Associate
Professor of Psychology and the Founder and Executive Director of the
Humanitarian Disaster Institute at Wheaton College. Dr. Aten's
primary professional interests include the psychology of
religion/spirituality and disasters, spiritually oriented disaster
psychology, and psychology in disaster ministry.
David Boan (Ph.D. in Clinical Psychology, Biola University) is the
Director for Humanitarian Advocacy for the World Evangelical Alliance.
He is a graduate of the Rosemead Graduate School at Biola University and
an adjunct faculty member at Wheaton College (IL) and Northwest Nazarene
University (ID).
Edward B. Davis (Psy.D, Regent University) is an Associate
Professor of Psychology at Wheaton College (IL). His research focuses on
the psychology of religion and spirituality, especially relational
spirituality, God representations, disasters, and positive psychology.
Alice Schruba (Psy.D, Wheaton College) is a postdoctoral fellow at
Alexian Brothers Behavioral Health Hospital. Dr. Schruba's
professional interests focus on the integration of psychological science
and spiritual care within acute contexts, including hospital and
disaster settings.
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