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From Crisis to Care: Community Training in Psychological First Aid

from-crisis-to-care-community-training-in-psychological-first-aid

In a society that sometimes feels like it’s constantly falling from one catastrophe to the next, one thing is clear: people need emotional support immediately after, not days or weeks later, when professional help could arrive. Without a doubt, mental health professionals play an essential role. However, they can’t be present everywhere at once. This is exactly why Psychological First Aid (PFA) is so important.

It is a practical, human-centred strategy that anybody can learn to help people feel safe, heard, and supported during the earliest stages of trauma. In addition, the more people who understand this, the better equipped our homes, workplaces, and schools will be for handling the situation with kindness rather than doing nothing. 

Read More: Psychological First Aid (PFA): An Immediate Assistance to Deal Trauma

What Exactly Is Psychological First Aid? 

Consider Psychological First Aid to be emotional treatment. This is not counselling. It’s not about looking into someone’s background or diagnosing anything. Instead, it’s about offering humble, sympathetic support when someone needs it most, following a shock, loss, or other emotionally overwhelming circumstances. This is what PFA does: 

  • Calms stressed issues in the present. 
  • Reduces the immediate emotional suffering. 
  • Connects individuals with additional support and resources. 

Imagine being with a coworker right after something bad happened, like they saw a tragic accident during their lunch break. They are very upset, can’t stop crying, and can hardly speak. You’re not a therapist, but you sit with them, offer tissues and silence, gently ask what they need, and help them connect to their partner or workplace support program. That’s PFA in action. 

Read More: Importance of Psychological First Aid

Why Everyday People Matter in Crisis Response

You don’t need to be an expert to help someone in pain. Most people needing help would first approach someone they know and trust—a teacher, employer, friend, or neighbour—before they even ask for professional help. The following is why teaching non-experts in PFA is so important: 

1. First to arrive at the scene

Not a therapist, the teacher in the classroom is the one who is present when a high school student gets a terrifying phone call concerning a family emergency. Similarly, a shift manager might watch a worker suddenly start to cry while at work. The sooner someone intervenes with compassion and composure, the better the outcome. 

2. They are active in the areas where emergencies take place

Campuses, community centres, and commercial establishments already have non-clinicians. The process of teaching them involves incorporating mental health responses into daily routines. 

3. Rapid action may prevent future, more significant issues

Early kindness can help ease symptoms and lower the risk of long-lasting mental health issues such as PTSD or anxiety. 

4. It normalises emotional assistance

When everyone has a few basic strategies for dealing with emotional discomfort, it reduces the negative perception of seeking help. You are not “weak”; you’re human. 

5. It strengthens communities

Just as CPR makes public spaces safer, PFA makes them more emotionally resilient. The more people who understand how to handle situations calmly and sensitively in an emergency, the more secure everyone is. 

Read More: How to Provide Psychological First Aid? 

How It Works: The “Look, Listen, Link” Model 

At the heart of Psychological First Aid is a three-step method that’s easy to remember but powerful in action: LOOK, LISTEN, LINK. 

1. LOOK: Scan the scene and the person

Observe the person and their surroundings. 

  1. Are they physically safe?
  2. Do they appear dizzy, confused, or stressed? 
  3. Do they have any immediate need, such as a blanket, food, or water? 

This phase looks like taking a rapid “wellness scan” with your eyes and intuition. No medical degree is required. 

2. LISTEN: Be present and open

Approach gently. You might ask: 

  1. “Would you like to talk or just sit for a minute?” 
  2. “I’m here for you—what do you need right now?” 
  3. Let them share at their own pace. No pressure. And remember: Avoid saying things like “It could be worse” or “At least…” 
  4. Don’t hijack the moment by jumping into your own story 
  5. Just hold space. That’s often the most powerful thing you can do.

3. LINK: Connect them to the next step

  1. Maybe they need a ride, a phone call made, or help getting to their family. Maybe it’s connecting them to counselling or a hotline. Or just helping them figure out what comes next. 
  2. Offer breathing exercises, grounding tips, or even something as simple as a snack. Small things make a big difference when someone’s world has been turned upside down. 

Foundational Principles of Psychological First Aid 

  • Safety First: Never assume it’s safe physically or emotionally. Check in and protect your well-being, too. 
  • Do No Harm: Don’t push people to recount traumatic events. Let them lead.
  • Respect Boundaries: Know when to step back or refer to trained professionals.
  • Cultural Awareness: Understand that reactions vary by background, culture, and beliefs. 
  • Self-Care for Helpers: You can’t pour from an empty cup. Make sure you’re tending to your emotional health, especially after supporting others. 

Read More: Self Care: What It Is And What It Isn’t

Bringing PFA Training to Life: What It Looks Like

So, how do we spread PFA effectively in communities? Here’s what successful programs do: 

  1. Train the right people: Start with teachers, managers, first responders, community volunteers, youth mentors—anyone who regularly connects with others. 
  2. Make it hands-on: Workshops with real-life scenarios, role-plays, and group discussions help trainees build real confidence, not just book smarts. 
  3. Keep it short and sweet: One-day or modular training options are much easier to fit into busy schedules. 
  4. Create ongoing support: Think refresher courses, digital resources, and peer groups. Learning doesn’t stop at the end of a workshop. 
  5. Measure success: Many programs use pre- and post-training assessments to show real improvements in people’s knowledge and comfort level. In Sierra Leone, even a short training led to significantly better preparedness among healthcare workers (Sijbrandij et al., 2020). 

Read More: Ethical Dilemmas in Psychological Testing

Does It Work? Here’s What the Research Says 

A 2022 systematic review looked at 12 studies with over 1,400 participants. The findings? Most people who received or gave PFA reported: 

  • Less anxiety and stress 
  • Improved mood and emotional stability 
  • A greater sense of safety and control 
  • It’s not a magic bullet, but it’s a very good start. 

Historical context helps, too. After World War II and again after 9/11, PFA emerged as a key part of the disaster mental health response. It’s now recommended in global guidelines, including by the WHO. And the benefits extend even to those doing the helping: in Korea, school counsellors who took a single PFA training reported feeling much more equipped to support their students afterwards.

Read More: One School Counsellor, Hundreds of Minds – Is It Enough for an Entire School 

Common Concerns—and Reassurances 

“But I’m not a therapist!” 

Exactly. You’re not supposed to be. PFA isn’t about fixing someone. It’s about showing up with presence and care. 

“What if I say the wrong thing?” 

That’s what training is for. You’ll learn what helps, what doesn’t, and how to hold space without overstepping. 

“I don’t want to make it worse.” 

PFA emphasises not harming. It teaches you to listen more than talk, support more than solve. 

A Kinder, Stronger Future—One Listener at a Time 

The more people trained in Psychological First Aid, the stronger and more compassionate our communities become. Imagine workplaces, schools, and streets where no one faces emotional pain alone. PFA is about showing up. It’s about listening without judgment. It’s about helping people take that first step from chaos back toward calm. We don’t all have to be therapists. But we can all be human. 

Read More: The Unseen Burden of Being the “Therapist Friend” 

FAQs 

1. What exactly is Psychological First Aid (PFA)? 

PFA is an evidence-informed approach that provides immediate emotional and practical support to people affected by trauma or crisis. It’s not therapy—it’s about helping someone feel safe, heard, and supported during a difficult moment. 

2. Who can provide PFA? 

Anyone can. You don’t need to be a psychologist or counsellor. Teachers, volunteers, colleagues, first responders, and even friends can all offer PFA after proper training. It’s designed to be used by everyday people in everyday settings. 

3. When should I use PFA?

PFA is most effective right after a distressing event, such as a natural disaster, accident, or emotional shock. It’s meant to stabilise and comfort people before long-term help kicks in. 

4. How is PFA different from therapy or counselling? 

Therapy involves long-term, clinical care. PFA is short-term and focuses on basic human needs—listening, reassuring, and guiding someone to further support if needed. You’re not treating trauma—you’re being present and kind. 

5. What if I’m afraid of saying the wrong thing? 

That’s a common concern. PFA training teaches you what to say—and what not to say. The key is to listen without judgment, avoid giving advice, and never force someone to talk about what happened. 

6. What does the “Look, Listen, Link” model mean? 

It’s a simple 3-step approach: 

  • LOOK for safety and signs of distress 
  • LISTEN with patience and compassion 
  • LINK the person to helpful resources like loved ones, shelter, food, or professional care 
7. Why is PFA important for communities? 

Training regular people in PFA makes communities more compassionate, connected, and resilient. When everyone knows how to support each other emotionally, no one has to face a crisis alone. 

References + 

1. World Health Organisation. (2013). Psychological First Aid: Facilitator’s Manual for Orienting Field Workers. Geneva: WHO. Available at: https://iris.who.int/bitstream/handle/10665/102380/9789241548618_eng.pdf?sequen ce=1 

2. Sijbrandij, M., Horn, R., Esliker, R., O’May, F., Reiffers, R., Ruttenberg, L., Stam, K., de Jong, J., & Ager, A. (2020). The effect of psychological first aid training on knowledge and understanding about psychosocial support principles: A cluster-randomised controlled trial. International Journal of Environmental Research and Public Health, 17(2), Article 484. https://doi.org/10.3390/ijerph17020484 

3. Everly, G. S., Jr., & Lating, J. M. (2017). The Johns Hopkins guide to psychological first aid. Johns Hopkins University Press. (Provides foundational framework and rationale behind PFA; see also WHO manual.) 

4. Brymer, M., Jacobs, A., Layne, C., et al. (2006). Psychological First Aid Field Operations Guide (2nd ed.). National Child Traumatic Stress Network & National Center for PTSD. Available via NCTSN (2006). 

5. Tucker, P., Jacobs, A., & Smalley, J. (2007). Psychological First Aid for Children and Adolescents in Disasters. Save the Children. (Provides child-specific guidance). 

6. Ozbay, F., et al. (2023). Effectiveness of Psychological First Aid E‑learning on competence and empathy of nurses in disaster settings: Randomised controlled trial. Disaster Medicine and Public Health Preparedness. https://www.cambridge.org/core/journals/disaster-medicine-and-public-health-prep aredness/article/effectiveness-of-psychological-first-aid-elearning-on-the-competen ce-and-empathy-of-nurses-in-disasters-a-randomized-controlled-trial/B9C92261339 9190553EBA2714FEB2334 

7. Lee, C., & Smith, D. (2024). Psychological first aid training: A scoping review of its application, adaptations, and evaluation. International Journal of Environmental Research and Public Health, 18(9), 4594. https://doi.org/10.3390/ijerph18094594

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