Table 1.
Intervention | Purpose | Certainty of Positive Net Impact Based on Available Evidence |
---|---|---|
EAPs | Strategic guidance, support, and consultation offered internally to an organization or through an external provider to assist with personal or family issues | Moderate |
Short-term counseling | Brief, solution-focused counseling to address general conditions of living and issues specific to the individual, such as stress management, adjustment challenges (e.g., reassignment, geographical moves), interpersonal problems, financial or employment issues, and grief and loss | Low-moderate |
Self-care | Activities to nurture the self and promote well-being, such as meditation, mindfulness practice, moderate exercise, journaling, taking deliberate breaks from work or home tasks, participating in meaningful activities, or limiting unnecessary exposure to trauma | Low |
Resilience training | Intervention before a problem appears, including educational programming or training on risk, strategies to manage stress and other risk factors, and recognizing warning signs of a developing problem | Low overall but moderate for commercial training programs for civilian populations |
Peer support | Peer-based intervention to help individuals respond to stress, including training for peer supporters to connect affected individual with resources or to provide case management support, education, or counseling | Low |
Critical incident stress management | Acute crisis response, sometimes including pre-crisis and post-crisis components | Low |
Critical incident stress debriefing | Structured, small-group acute crisis debriefing, either formal or informal, within 72 hours of event | Low; contraindicated |
Psychological first aid | Response to individual psychological needs resulting from a disaster or traumatic event | Moderate |
Stress first aid | Response to individual psychological needs resulting from job-related stress or traumatic events | Low |
Mental health first aid | Response to individual needs of a person developing a mental health condition or having a mental health crisis | Moderate |