Table 4.
Agreement | Practice | |||||||||||||||
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European Union | Netherlands | European Union | Netherlands | |||||||||||||
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N | No | ? | Yes | N | No | ? | Yes | N | No | ? | Yes | N | No | ? | Yes | |
Information is offered to those affected consisting of: | ||||||||||||||||
(a) nothing (no information is given)a | 27 | 96 | 4 | 0 | 86 | 83 | 1 | 16 | 26 | 81 | 12 | 8 | 73 | 71 | 12 | 16 |
(b) a reassuring explanation about normal reactions | 27 | 4 | 4 | 93 | 88 | 1 | 0 | 99 | 26 | 4 | 12 | 85 | 75 | 4 | 8 | 88 |
(c) explaining when to seek help | 27 | 4 | 4 | 93 | 86 | 5 | 2 | 93 | 26 | 8 | 8 | 85 | 73 | 6 | 16 | 78 |
(d) advising to resume their everyday routine | 27 | 4 | 4 | 93 | 84 | 4 | 2 | 94 | 26 | 27 | 19 | 54 | 70 | 9 | 19 | 73 |
(e) preventive psycho-educationa | 26 | 15 | 8 | 77 | 78 | 6 | 9 | 85 | 25 | 24 | 32 | 44 | 68 | 15 | 24 | 62 |
Relief workers engage in psychological triage (identification of victims with psychological disorders and/or serious clinical symptoms that need diagnosis and/or treatment) | 24 | 8 | 4 | 88 | 83 | 2 | 4 | 94 | 23 | 35 | 9 | 57 | 73 | 10 | 15 | 75 |
In psychological triage, a distinction is made between (a) victims without mental disorders and/or serious clinical symptoms, (b) victims with regard to whom there is some doubt as to whether they have a psychological disorder and/or serious clinical symptoms (c) victims with mental disorders and/or serious clinical symptoms | 27 | 7 | 7 | 85 | 78 | 1 | 9 | 90 | 26 | 27 | 19 | 54 | 63 | 10 | 33 | 57 |
Peer support is provided | 27 | 4 | 4 | 93 | 85 | 5 | 4 | 92 | 26 | 39 | 12 | 50 | 73 | 8 | 10 | 82 |
To prevent PTSD and other serious disorders in victims, psychological “debriefing” takes placea | 27 | 56 | 15 | 30 | 83 | 84 | 8 | 7 | 26 | 58 | 19 | 23 | 69 | 75 | 17 | 7 |
To prevent PTSD and other serious disorders in relief workers, psychological “debriefing” takes placea | 27 | 37 | 4 | 59 | 82 | 63 | 17 | 20 | 26 | 62 | 4 | 35 | 70 | 59 | 29 | 13 |
Psychological debriefing is also given to childrena | 25 | 48 | 20 | 32 | 77 | 78 | 16 | 7 | 24 | 67 | 21 | 13 | 69 | 62 | 28 | 10 |
Negatively formulated recommendations: these items are inconsistent with the Dutch guidelines.