SAMOA OCTOBER 15 - 21, 2009. INITIAL ASSESSMENT OF THE PSYCHO-SOCIAL IMPACT OF TRAUMA AND GRIEF ON THE AFFECTED POPULATION IN THE AFTERMATH OF THE 29/09 TSUNAMI IN SAMOA.On October 8th I received an email from Dr. William Grut, director of AMDA Canada and RoseCharities New Zealand and Canada with the initial question whether I would be available to respond to a request from the Samoan government for counselors to come to Samoa to assist in the aftermath of the tsunami. William had been corresponding with Ms. Adimaimalaga Tufuna'i, Executive Director of Women in Business Development Inc. (WIBDI) based in Apia, Samoa. From there on communication started with AMDA Headquarters Tokyo and Dr. Rasalingam from AMDA New Zealand.
On Thursday October 15th I met Mr. Nithian Veeravagu from AMDA headquarters and Reverend Kyosuke Hirano at the Airport in Auckland NZ. They were delivering a huge amount of medical supplies to Samoa. Air New Zealand at the check in counter generously waived all fees for excess baggage. Two women from WIBDI picked us up from the airport in Apia. From thereon the team of WIBDI has gone out of their way to accommodate me and their commitment to their work is incredible.
On Thursday 15th October Nithian, Hirano and myself were taken to the disaster zone by Tina from WIBDI. The devastation is huge and has left enormous scars in the landscape. The people of the villages affected by the tsunami have all moved to higher ground along the Plantation Roads where we witnessed firsthand the impact of the tsunami on the families in their temporary shelters.
The emergency relief agencies have been working very hard providing shelter, food and sanitation etc. I was struck by the expression on some of the faces, several times I witnessed the expression-less flat affect associated with shock and trauma.
The next 3 days- Friday, Saturday and Sunday, were filled with one on one counseling sessions at the request of Women in Business Development Inc. WIBDI. Most of the people who equested session time were staff of WIBDI and staff of Faataua le Ola(FLO) the lifeline counseling service in Samoa.
Since the tsunami the staff of these organisations have been working overtime in the disaster area assisting survivors and providing support to families. It became very clear that these professional carers have been affected both personally in their own families as well as are being vicariously traumatised by working constantly with, witnessing and hearing the suffering of families and individuals in deep shock and grief.
I conducted the sessions where-ever people felt comfortable or as safe as possible and we worked together in a home or office setting or in the special counseling room at the FLO office.
From these three days of hearing the stories of these people working in the fieldwork it has become quite clear to me that there is a strong need for ongoing follow up debriefing, support and training of professional staff in order for them to function well and be able to continue their field work effectively.
I was asked to conduct a workshop on the Monday for staff of the NGO,s mentioned above. FLO generously provided the workshop space. The topics were training in basic counseling skills and recognising the effects of trauma, grief and loss. The participants were all working professionally in the field in one form or another, eg. social work, counseling, pastoral care, fieldwork and management of NGO's. We covered topics like listening skills, gaining trust, recognizing signs of stress, what blocks trust and open communication etc.
Halfway through the workshop there was another earthquake. I witnessed firsthand the trauma reaction in the group. After every-one had checked whether family was ok and heard there was no tsunami warning, this amazing group of people came back together in the workshop and the rest of the time was spent in a talking circle where they shared some of their traumatic experiences.
I want to express my heartfelt thank you to this group for trusting me with their stories of loss and grief as well as showing their incredible resilience and courage.
From sitting with some of the Samoan people and hearing their trauma and grief, I would strongly recommend regular ongoing training workshops, debriefing and support. Not only for the families affected, but also particularly for the health-care professionals. The impact of this disaster will continue to be experienced over a long time, years rather then weeks or months.
Finally I would like to express my heartfelt thanks to William Grut from RoseCharities New Zealand, Nithian Veeravagu Dr. Rasalingam and Reverend Kyosuke Hirano from AMDA, Ms. Adimaimalaga Tufuna'I and her wonderful staff from WIBDI for generously giving me this opportunity to work in Samoa. Your care and attention has been wonderful.
Liese Groot-Alberts
Grief-Therapist MNZAC
Cairnhill Medical Centre
95 Mountain Road
Epsom, Auckland 1023
New Zealand.
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