Sandra Shields - Academia.edu (original) (raw)
Papers by Sandra Shields
Art Therapy, 1989
ABSTRACT This article describes the experiences of three recent graduates of an Art Therapy Maste... more ABSTRACT This article describes the experiences of three recent graduates of an Art Therapy Master's Degree Program as they participated in a postgraduate supervision group. The group offered the participants a context for exploring and developing their emerging identity as clinicians by sharing and confronting their clinical work with one another. The six most important themes that emerged are discussed by the participants: 1) Beginning treatment/assessing clients; 2) Establishing goals; 3) Therapists' techniques; 4) What is psychotherapy anyway?; 5) Understanding transference; and 6) Clinical style.
American journal of disaster medicine
The increasing prevalence of disasters worldwide highlights the need for established and universa... more The increasing prevalence of disasters worldwide highlights the need for established and universal disaster preparedness plans. The devastating events of September 11 and Hurricane Katrina have spurred the development of some disaster response systems. These systems, however, are predominantly focused on medical needs and largely overlook mental health considerations. Negative outcomes of disasters include physical damage as well as psychological harm. Mental health needs should be considered throughout the entire disaster response process, especially when caring for children, adolescents, and their families. To provide an overview and recommendations for the integration of mental health considerations into pediatric disaster preparedness and response in the medical setting. Recommendations were developed by a panel of disaster preparedness and mental health experts during the Childrens Hospital Los Angeles Pediatric Disaster Resource and Training Center: Workshop on Family Reunific...
Disaster Medicine and Public Health Preparedness, 2011
While information for the medical aspects of disaster surge is increasingly available, there is l... more While information for the medical aspects of disaster surge is increasingly available, there is little guidance for health care facilities on how to manage the psychological aspects of large-scale disasters that might involve a surge of psychological casualties. In addition, no models are available to guide the development of training curricula to address these needs. This article describes 2 conceptual frameworks to guide hospitals and clinics in managing such consequences. One framework was developed to understand the antecedents of psychological effects or "psychological triggers" (restricted movement, limited resources, limited information, trauma exposure, and perceived personal or family risk) that cause the emotional, behavioral, and cognitive reactions following large-scale disasters. Another framework, adapted from the Donabedian quality of care model, was developed to guide appropriate disaster response by health care facilities in addressing the consequences of reactions to psychological triggers. This framework specifies structural components (internal organizational structure and chain of command, resources and infrastructure, and knowledge and skills) that should be in place before an event to minimize consequences. The framework also specifies process components (coordination with external organizations, risk assessment and monitoring, psychological support, and communication and information sharing) to support evidence-informed interventions.
Prehospital and Disaster Medicine, 2010
Although information is available to guide hospitals and clinics on the medical aspects of disast... more Although information is available to guide hospitals and clinics on the medical aspects of disaster surge, there is little guidance on how to manage the expected surge of persons needing psychological assessment and response after a catastrophic event. This neglected area of disaster medicine is addressed by presenting a novel and practical quality improvement tool for hospitals and clinics to use in planning for and responding to the psychological consequences of catastrophic events that create a surge of psychological casualties presenting for health care. Industrial quality improvement processes, already widely adopted in the healthcare sector, translate well when applied to disaster medicine and public health preparedness. This paper describes the development of the tool, presents data on facility preparedness from 31 hospitals and clinics in Los Angeles County, and discusses how the tool can be used as a benchmark for targeting improvement. The tool can serve to increase facility awareness of which components of disaster preparedness and response must be addressed through hospitals' and clinics' existing quality improvement programs. It also can provide information for periodic assessment and evaluation of progress over time. Meredith LS, Zazzali JL, Shields S, Eisenman DP, Alsabagh H: Psychological effects of patient surge in large-scale emergencies: A quality improvement tool for hospital and clinic capacity planning and response. Prehosp Disaster Med 2010;25(2):107-114.
Clinical Pediatric Emergency Medicine, 2014
Art Therapy, 1989
ABSTRACT This article describes the experiences of three recent graduates of an Art Therapy Maste... more ABSTRACT This article describes the experiences of three recent graduates of an Art Therapy Master's Degree Program as they participated in a postgraduate supervision group. The group offered the participants a context for exploring and developing their emerging identity as clinicians by sharing and confronting their clinical work with one another. The six most important themes that emerged are discussed by the participants: 1) Beginning treatment/assessing clients; 2) Establishing goals; 3) Therapists' techniques; 4) What is psychotherapy anyway?; 5) Understanding transference; and 6) Clinical style.
American journal of disaster medicine
The increasing prevalence of disasters worldwide highlights the need for established and universa... more The increasing prevalence of disasters worldwide highlights the need for established and universal disaster preparedness plans. The devastating events of September 11 and Hurricane Katrina have spurred the development of some disaster response systems. These systems, however, are predominantly focused on medical needs and largely overlook mental health considerations. Negative outcomes of disasters include physical damage as well as psychological harm. Mental health needs should be considered throughout the entire disaster response process, especially when caring for children, adolescents, and their families. To provide an overview and recommendations for the integration of mental health considerations into pediatric disaster preparedness and response in the medical setting. Recommendations were developed by a panel of disaster preparedness and mental health experts during the Childrens Hospital Los Angeles Pediatric Disaster Resource and Training Center: Workshop on Family Reunific...
Disaster Medicine and Public Health Preparedness, 2011
While information for the medical aspects of disaster surge is increasingly available, there is l... more While information for the medical aspects of disaster surge is increasingly available, there is little guidance for health care facilities on how to manage the psychological aspects of large-scale disasters that might involve a surge of psychological casualties. In addition, no models are available to guide the development of training curricula to address these needs. This article describes 2 conceptual frameworks to guide hospitals and clinics in managing such consequences. One framework was developed to understand the antecedents of psychological effects or "psychological triggers" (restricted movement, limited resources, limited information, trauma exposure, and perceived personal or family risk) that cause the emotional, behavioral, and cognitive reactions following large-scale disasters. Another framework, adapted from the Donabedian quality of care model, was developed to guide appropriate disaster response by health care facilities in addressing the consequences of reactions to psychological triggers. This framework specifies structural components (internal organizational structure and chain of command, resources and infrastructure, and knowledge and skills) that should be in place before an event to minimize consequences. The framework also specifies process components (coordination with external organizations, risk assessment and monitoring, psychological support, and communication and information sharing) to support evidence-informed interventions.
Prehospital and Disaster Medicine, 2010
Although information is available to guide hospitals and clinics on the medical aspects of disast... more Although information is available to guide hospitals and clinics on the medical aspects of disaster surge, there is little guidance on how to manage the expected surge of persons needing psychological assessment and response after a catastrophic event. This neglected area of disaster medicine is addressed by presenting a novel and practical quality improvement tool for hospitals and clinics to use in planning for and responding to the psychological consequences of catastrophic events that create a surge of psychological casualties presenting for health care. Industrial quality improvement processes, already widely adopted in the healthcare sector, translate well when applied to disaster medicine and public health preparedness. This paper describes the development of the tool, presents data on facility preparedness from 31 hospitals and clinics in Los Angeles County, and discusses how the tool can be used as a benchmark for targeting improvement. The tool can serve to increase facility awareness of which components of disaster preparedness and response must be addressed through hospitals' and clinics' existing quality improvement programs. It also can provide information for periodic assessment and evaluation of progress over time. Meredith LS, Zazzali JL, Shields S, Eisenman DP, Alsabagh H: Psychological effects of patient surge in large-scale emergencies: A quality improvement tool for hospital and clinic capacity planning and response. Prehosp Disaster Med 2010;25(2):107-114.
Clinical Pediatric Emergency Medicine, 2014