Professional Documents
Culture Documents
Peace Corps Volunteer Safety Council, 1/97
1. INTRODUCTION
A crisis is any significant event with potentially severe consequences that requires immediate
action or response. For the purposes of this Handbook the focus will be on crises of a regional or
national scope. The types of regional or national crises posts may encounter include:
• Accidents
• Natural Disasters
• Civil Unrest
• Political Uprisings
• Environmental Catastrophes
• They usually cause significant emotional stress to the individuals involved, resulting
in predictable cognitive, physical and behavioral reactions.
Crisis management is the process of preparing for, mitigating, responding to and recovering
from a crisis situation. It requires (1) an organized plan to ensure the safety and survival of self
and community, and (2) an understanding of the human response to stress. Crisis management is
a dynamic process that begins well before the critical event and extends beyond its conclusion.
As you in the field know, there are all kinds of crises, from natural disasters to accidents and
injuries to civil unrest, riots, and military coups. Each stage before, during and after a crisis
presents special challenges and requires different strategies for effective management.
The Peace Corps Program in each country is charged with ensuring the safety and well-being of
all Volunteers. To that end, Peace Corps will do whatever is necessary and possible in a crisis to
protect Volunteers. This responsibility may, at times, appear to conflict with the Peace Corps
value of respect for the Volunteer's individual autonomy and independence. In matters relating to
personal safety, the authority of the governing body (e.g., the State Department, Country Director,
Embassy, national policy) will supersede the individual wishes of Volunteers. While each of us
responds to and deals with crisis uniquely, there is little time "in the heat of the moment" to
negotiate the handling of a crisis. Volunteers must quickly heed all orders to respond. Therefore,
they need to understand the reality of "autonomy vs. authority" before an emergency occurs so
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they are prepared to follow the procedures designed to help them (see OSS Crisis Management
module).
Experience has taught us that preparation, communication and certain administrative procedures
are essential in managing a crisis. The same experience has also highlighted the importance of
creativity, innovation and the exercise of sound judgment in the face of chaos, absurdity and
human frailty. This handbook provides crisis management guidance based on considerable
research and decades of Peace Corps experience. It is intended as a resource for you, Country
Directors, and your staff to augment your decision-making and management skills. The core of
the Handbook is presented in three chapters, titled Before, During, and After the Crisis.
The first chapter, Before the Crisis, will provide strategies to help you:
The second chapter, During the Crisis, will discuss how to:
The third chapter, After the Crisis, will give advice on how to:
A number of barriers may arise to challenge your preparedness efforts. Some of these follow.
There is often a general apathy toward emergency preparedness. Lack of public awareness of
the threat and a tendency to underestimate the risks involved are major contributors to apathy
about preparedness. Competing priorities with daily demands, lack of confidence in the
effectiveness of preparatory actions, and ambiguity about who is responsible for preparing also
contribute.
Disasters and crises are different from routine emergencies. Personnel are assigned new and
unfamiliar duties in a crisis. Everyday procedures and priorities are altered, as are divisions of
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labor and resources. In addition, different agencies are required to work together in ways not
previously required.
Good communication is essential and almost always a problem. The amount and types of
information people need before, during and after a crisis increases significantly from the norm.
Lack of standard terminology and every day "people problems" can lead to misunderstandings,
inaccurate information, and misinterpretations.
The "Paper Plan Syndrome" can give people a false sense of security. The Emergency Action
Plan is an illusion of preparedness unless accompanied by training and practice.
Overseas staffs with crisis experience have suggested some strategies that can be effective in
overcoming these barriers to preparedness.
Plan for the most likely hazards or crises. Use recent experience to fight apathy. Preparation for
more common crises is more likely to receive public support and be cost-effective. People pay
attention to what they see as relevant. Preparing for likely hazards also provides a training ground
for dealing with other emergencies.
Develop a basic Emergency Action Plan with response requirements that would be applicable
in any situation. While we cannot prepare for all the possible contingencies, basic steps must be
taken in all emergencies that can be practiced and perfected. Examples are communications,
health concerns, information management, transportation, prioritization and coordination, and
food and water resources. Key roles must also be defined and assigned to specific individuals or
groups.
Develop a flexible Emergency Action Plan that progresses in stages with clear indicators for
progression from one stage to another.
Involve the users of the emergency action plan in its development and implementation. Users
of the plan are not limited to the people in the parent organization (i.e., Peace Corps) but also
other agencies, local government officials, and anyone who might have a role or responsibility in
carrying out some part of the plan. The importance of a coordinated process in developing the
plan cannot be over-emphasized. It facilitates coordination in the crisis itself.
The Emergency Action Plan must look at the big picture. The Emergency Action Plan must
take into account all the organizations and persons involved in coping with a crisis. These might
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include the US Embassy, host country governments, police and military, airport officials,
telecommunications, travel agents, news media, missionaries, local hospitals and clinics, etc., and
of course, Peace Corps/Washington. This is the time to look at the effect of an evacuation on host
country nationals and contractors, so that they can be aware of what Peace Corps can and cannot
do for them, and plan accordingly.
In summary, emergency action planning and crisis management are processes involving an entire
system of people and organizations.
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The EAP is usually a single document that contains 1) an introduction, 2) the basic plan itself, 3)
modular extensions or "pull-out" sheets, and 4) any supporting documents or reference materials.
There are four basic steps to creating a plan. These are:
While the Country Director has the ultimate responsibility for developing, updating and
implementing an Emergency Action Plan (EAP), the plan is part of a larger system that includes
the US Embassy, the Regional Security Officer (RSO), and the larger community (see Manual
Section 350). It is therefore most effective to coordinate emergency planning efforts with the
Embassy and RSO as key team members.
The emergency action planning team should include the users of the plan and representatives from
each group or organization that would have a critical role in its implementation. Key members
should include at least the following:
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Any document produced, however, should be given broad staff and Volunteer review. This will
help to ensure that all factors are taken into account, and enable staff and Volunteers to consider
their own contingencies.
The primary task of each member of the planning team is to define his/her respective role and
responsibilities in carrying out the EAP, including coordination with the US Embassy,
PC/Washington, host country government and other agencies and resources. The planning team
will also need to define clear lines of authority and their responsibilities to each other in
implementing a coordinated effort.
To the extent possible, planning team members could also be members of the task force that
responds to the crisis. They will already be familiar with the EAP and will have had experience
working as an effective team.
The next step toward creating an EAP involves gathering information about probable emergencies
and environmental hazards, and assessing the current capabilities of the system to respond. The
following tasks will help you decide what information should be included in the EAP.
1. Review the country's history of recent experiences and identify the potential hazards and
emergencies, and where appropriate , when they are likely to occur, in the following areas:
• Natural disasters (hurricanes, typhoons, earthquakes, floods, fires, etc.)
• Environmental (nuclear hazards, pollution, water and air contaminants)
• Medical (accidents, injuries, epidemics)
• Technical (communications system failures, power failures)
• Socio-political (civil and political unrest, riots and demonstrations, military coups)
2. Review Agency policy and any relevant post documents, such as:
• Medical emergencies and evacuations (MS 264)
• Family emergencies (MS 284)
• Safety and security precautions (MS 614 and MS 682)
• Country evacuations (MS 341)
• Emergency travel and allowances (MS 220)
• Insurance and reimbursement for property damage or loss (MS 341)
• Emergency Action Planning (MS 350)
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A fine example of a completed EAP has been developed by PC/Senegal and is included in the
document Volunteer Safety -- Best Practices (1996). Following is a suggested format outline to
guide you through the process of drafting your Emergency Action Plan.
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2.2.1 Introduction
The EAP is usually a single document that contains an introduction, the basic plan itself,
modular extensions about specific crises, and any necessary supporting documents. The
introduction should:
The EAP should be formatted in such a way that footers are included that indicate the most
current review date. Pagination allows for accuracy if the plan is being discussed with PC/W or
others and/or portions need to be referenced or faxed. Pages should correspond with table of
contents.
To guide you through the process of developing and writing your EAP, the Emergency Action
Plan Checklist is included in this section. The checklist is also used by the Regions to review
the EAPs as they are revised and submitted each year.
The following are only suggestions for the basic content of an Emergency Action Plan. Each
country must choose the most relevant information to present and the best way to present it.
a. Types of Emergencies Covered. The EAP can cover a range of emergency situations
including medical emergencies and evacuation, family crises, accidents and injuries, physical
and sexual assaults, natural disasters, environmental hazards, civil unrest and political uprisings,
or country evacuations. These emergencies can affect single individuals or the entire Peace
Corps community.
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the US Embassy, Chief of Mission and Peace Corps/Washington in responding to a crisis. The
functions and responsibilities of each Peace Corps staff member should be clearly defined. It is
most useful to refer to positions rather than individuals in defining roles and responsibilities.
A Crisis Task Force (often composed of, but not limited to, the members of the EAP planning
team) should be established at this point. The task force can help process information, develop
contingency plans and provide:
Finally, the Volunteers need to know what is expected of them as individuals and as members of
a team (e.g., area coordinators, PCVLs, wardens).
Explore all possible methods of communication, using local and national resources.
It is not unusual for telephones to malfunction during a number of crisis scenarios.
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Radio stations and government radio networks can be very helpful. Whatever information is
provided in the EAP should be complete, specific (who, what, how) and up-to date.
An agreed upon time and schedule for radio or telephone contact should also be established and
maintained. The frequency of contact will depend on the acuity of the situation and developing
circumstances. It is not only important to determine who, where and how communications
should take place but what kind of information is needed and the relative urgency of the
message. Establishing a series of precise neutral-sounding statements that when transmitted
over public airwaves informs the PCVs to proceed to a particular stage of alertness, may prove
useful. Checking to see if the message was received accurately is also very important, especially
under conditions of stress. Having the person repeat the message and write it down assures
better accuracy and reliability (Attachment I).
The responsibility of communicating with the families of Volunteers lies with the Office of
Special Services (OSS). As soon as the evacuation order is confirmed, the families of all
Volunteers are contacted by OSS. Special Service Officers maintain regular contact with
Volunteers’ families throughout the crisis, apprising them of developments as they occur and
providing appropriate support (see Evacuation Support Guide).
d. Travel and Transportation. Information on travel methods and routes must also be
as specific as possible (overland, air, sea, private, commercial, military). Maps demarcating
pick-up points, potential landing sites for aircraft and/or helicopter, and estimated travel times
under normal circumstances should also be included. Guidance about border crossing should
also be provided, indicating when it should occur, where it is safe to cross, and the procedures
for crossing and making contact with appropriate authorities in third country. Most importantly,
alternative methods of travel and routes must be presented and prioritized in the event that the
usual routes are no longer safe or feasible. PCV and staff sites should be clearly located on the
maps.
e. Safety and Health Concerns. The EAP should address basic safety and health
precautions, including information about:
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g. Contingencies. Even the best laid plans cannot factor in all possible contingencies.
Yet probable scenarios that impact on communications (no telephone lines), transportation
(public transport strike), or coordination (capital city destabilized) should be addressed.
Most Peace Corps programs use a three stage model to identify alert status based on the standard
established by the US Embassy. Stages should be clearly defined, along with the criteria for
progression to the next stage in coordination with the RSO. Specific action plans should be
developed for each stage so that Volunteers know what to do and what to expect at each step.
• How Volunteers will be notified of what stage is in effect and when it changes (specific
language that can be transmitted over public airwaves that alerts the Volunteer without
creating further panic)
• What they must do (or not do) at each stage
• What to bring, what to leave behind (no pets)
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These could be prepared as separate pages or "pull-outs" to cover different types of emergencies
or disasters such as:
“Pull-outs" have the advantage of being readily accessible and containing situation-specific
information and action plans. Countries that are at high risk for certain types of natural disasters
(hurricanes, earthquakes, nuclear accidents) should consult the appropriate local department for
emergency preparedness and obtain technical assistance in preparing for and responding to these
hazards.
2.2.5 Checklists
Checklists are invaluable in planning and implementing an Emergency Action Plan. They assure
completeness and greatly increase efficiency. The following checklists were found to be
essential or very helpful by Peace Corps countries.
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• Maps, travel routes and modes of transportation from each site to assembly points and
capital or evacuation point
• Communication networks (telephone numbers, radio locations, frequencies, operators,
hours of operation, etc.)
• Emergency telephone numbers for local police, fire, hospital, mission, etc.
• List of other agencies, missionaries, government offices, private citizens who could be a
resource during an emergency (including names, addresses, telephones)
• Locators for all PC staff (addresses, telephone numbers, maps)
• List of food/water/emergency supplies to be kept in Volunteer homes, assembly sites and
safe havens.
• List of essential items to include in an emergency evacuation pack
• "To do" list if Volunteer has to leave home in a hurry
• Schedules for testing and updating EAP
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Supporting Documents
Volunteer rosters and locators, passport
numbers
Maps
Emergency telephone numbers and radio
frequencies and locations
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Ski Doroski, IA
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Operationalizing the plan involves more than implementing it at the time of the crisis. It includes:
2.3.1 Training
In order to avoid the "paper plan syndrome" the Emergency Action Plan must be put to use
through training and periodic testing. Everyone involved will require some sort of training on the
Emergency Action Plan, but one person or committee should be given the responsibility for
planning, implementing and evaluating the training program.
• Whom to contact
• How to make contact
• What to do
• Where to go
• What is expected of them
Staff training should occur at all levels, with both American and foreign service personnel.
American staff can begin their training during the Overseas Development Seminar and take
advantage of the many training opportunities offered by the Department of State on safety,
security and emergency planning. Once in country or on-site, staff needs to develop specific
knowledge and familiarity with people, equipment, geography and procedures in order to
implement the plan.
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Volunteer training most often is initiated in Pre-Service Training (PST) and reviewed at each In-
Service Training (IST). However, each program needs to determine who receives the training,
who does the training, when and where it should occur, and how to best get the information
across.
There are a few basic concepts that might prove helpful in designing effective training (training
officers will be extremely helpful here):
Testing and rehearsal serve a training purpose as well as a check on the appropriateness and
efficacy of the EAP. It can range from a simple review of procedures to a full scale exercise.
While conducting a full scale exercise may often prove impractical, many countries have
implemented a system of testing certain components of the EAP such as:
Regardless of how the testing is done, the important thing is to DO IT! The results should be
documented and used to revise, update or reinforce the existing EAP.
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When a crisis occurs, the adrenaline begins to pump and energy levels mount. It is important to
channel this energy into constructive courses so as to avoid conflict and confusion. Delegating
functions and tasks into which staff members and Volunteers can channel energy include:
• Gate keeping - ensuring orderly access to crisis management team
• Material support - ensuring food, water, stationery, etc. are on hand
• Emotional support - providing relief and support to crisis workers as stress
increases
• Recording - maintaining a daily log and updates as the crisis develops
The optimum leadership style will be determined by the personal characteristics of the team
leader and what the crisis dictates. Successful crisis team leaders have been those who have been
open, supportive, flexible and still decisive and directive when the moment warrants. The ability
to manage varying levels of conflict -- among staff and Volunteers, with the media, and demands
from PC/Washington -- will be essential. The Evacuation Support Guide (1993) incorporates the
input from the experiences of the many Peace Corps offices and posts that have been involved in
emergency evacuations. It is “intended to serve as a general source of information for Peace
Corps staff when Volunteers must be evacuated from Peace Corps overseas posts.”
3.1 EVACUATION
As a crisis develops, the country staff will constantly assess the nature and extent of the
emergency. If withdrawal appears imminent, the Country Director must devote more attention to
ensuring the safety of Volunteers, staff, and dependents. Guidance and policies set forth in
Manual Section 341 and the Evacuation Support Guide (1993), indicate that staff should :
• Inform the Regional Director and the Director of the Office of Special Services daily by
cable regarding the crisis situation and Trainee and Volunteer safety and whereabouts.
The initial cable should include general comments as to the safety factor, plus specifics as
to Volunteer whereabouts. For those Volunteers away from their posts, the following cable
format is suggested:
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• Communicate specific instructions to Volunteers and staff (in writing where appropriate);
• Coordinate planning and travel arrangements to safe haven countries with US Embassy
and Region;
As groups of Volunteers leave the intermediate gathering points, the Country Director should
notify personnel at the next destination, the Regional Director, and Office of Special Services
Director that they are en route.
As Volunteers depart for the safe haven country, the following information about each Volunteer
should be transmitted to the evacuation support team in that country:
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• Volunteer close of service (COS) health packet, medical reports and necessary medical
supplies;
• Full name, passport number, place and date of passport issuance; and
The respective roles and responsibilities of the various PC Washington offices are set forth in the
Evacuation Support Guide (1993)
If, as a crisis develops and withdrawal of Volunteers appears imminent, the Country Director
should attempt to complete as many of the responsibilities in Manual Section 341.3
(Administrative Guidelines), as possible. When Peace Corps withdraws from a country under
imposed time frames and under physical duress, such as might be created during civil unrest or
natural disaster, the Country Director may request the US Embassy to conduct ongoing Peace
Corps business until the emergency passes and other arrangements can be made. If time and
circumstances permit, the Country Director should:
• Turn over classified documents and imprest fund cash and vouchers to the Embassy
Administrative Officer. If this is not possible the imprest fund should be carried by an
authorized staff member to a safe haven country.
• Secure Peace Corps buildings and leave the keys with the Embassy GSO.
• Provide the Embassy with a list of current leases/contracts. (The Embassy B&F
Officer should already have a copy of each for payment purposes.)
- Turn over all cash and vouchers from the imprest fund to the Embassy
cashier for liquidation;
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- Secure housing and leave keys with the support agency; and
• Arrange for termination medical examination in safe haven country, if possible. The
Medical Officer shall carry sealed Volunteer medical records to a safe haven country.
To minimize the delay and administrative burden in processing the large number and variety of
claims for losses incurred during an evacuation, the Peace Corps will reimburse evacuated V/Ts
for up to $1,500 of their total property loss, without engaging in detailed evaluation of the items
and amounts claimed, and up to $750 of the cash they had in Peace Corps custody. The policy
and procedures for reimbursement for lost or damaged personal property associated with an
evacuation is set forth in MS 235.
During an emergency, crisis task force members and crisis workers function at high intensity for
long hours. Symptoms of mental and physical fatigue may go unnoticed until people reach
exhaustion. Foreign service national staff, concerned for their families, the effects of the crisis on
their country, and the prospect of perhaps losing their jobs, in addition to the increased stress of
coping with Volunteer support matters during a crisis, are at particularly high risk.
• "Flameout" is a rapid onset of mental and physical exhaustion resulting from long hours of
intense activity. Work efficiency, judgment and efficacy are all negatively affected. Rest and
temporary relief from duty will usually bring recovery.
• "Burnout" occurs with prolonged stress and results in chronic fatigue, apathy, changes in
attitudes, a loss in self-esteem and depression. Removal from the crisis scene and extended
emotional support is often necessary for full recovery.
In addition to the physical and mental stress of crisis work, the crisis worker may be subjected to
a number of other stresses:
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During the operation of a crisis task force, a number of strategies can be used to minimize
flameout or burnout.
• A "buddy system" in which peers monitor each other's stress reactions for early warning
signs and provide support;
• Close adherence to a schedule of shifts;
• Scheduled periods of rest, food and exercise, and light recreation;
• Any overriding personal concerns (such as whereabouts of family) must be addressed and
if necessary, the person should be relieved from duty to take care of these concerns; and
• If the symptoms persist or increase, removal from the crisis scene and professional
counseling may be necessary.
The US. Department of State has an excellent video titled Crisis Work -- Crisis Worker. It offers a
useful discussion about the special problems of the crisis worker and gives very specific
guidelines on remedial or preventive strategies. A copy of the video should be available through
the US Embassy.
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Regardless of the nature and extent of a crisis, it usually has an impact on everyone in the Peace
Corps community. The Volunteers and staff in the country are profoundly affected by every
tragedy, emergency and unforeseen crisis that occurs to one of their number. The host country
nationals and counterparts who work with the Volunteers and staff are just as deeply touched by
the events and will require emotional support and stress relief. The Peace Corps staff in
Washington, other Volunteers, and family members and friends are all part of the larger
community affected by a crisis. All these connections will need continued attention as you return
to normal after a crisis. The timely support to Volunteers and staff in the immediate
aftermath of a crisis is critical.
4.1 DEBRIEFING
Some form of debriefing is absolutely necessary for the Volunteers and staff after relief from duty
or at the conclusion of the crisis event. Critical Incident Stress Debriefing (CISD) is an organized
approach to managing stress responses in those who have experienced a crisis situation. It can be
used with individuals or groups and consists of three basic components:
• Helping crisis survivors vent feelings and assess the intensity of the stress response;
• Instruction, support and reassurance by the facilitator and/or other survivors; and
• Mobilization of resources and return to normal roles with a plan for further assistance if
needed.
There are four types of CISD. Each has its own applications but the common goal is to provide
support and minimize the development of abnormal stress in emergency or crisis survivors.
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4.1.2 The Initial Defusing is a group process (30-45 mins.) provided immediately after a
traumatic event, once the individuals involved are disengaged from the on-scene operations.
The defusing process may provide the necessary support to groups or individuals, however it may
happen that the defusing will reveal the need for further support. Indicators that additional
support may be necessary include:
• Intense emotions, unusual behavior
• Unfinished business
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4.1.3 The Formal CISD is a guided group discussion (2-3 hrs.) of a traumatic event occurring
48-72 hrs after the event that aims to:
• Prevent stress dysfunction
• Screen and prioritize individual needs
• Identify areas for follow-up support and referrals
The CISD process is delineated into seven distinct stages. It is important to follow all the stages
in order to realize optimal effectiveness. The CISD moves the participants from the cognitive
level (less threatening to express) through the emotional level (essential to explore and address)
and back to the cognitive level (where the participants find comfort). A skilled facilitator or
mental health professional is necessary because of the intensity of the emotional content that is
often elicited. This debriefing might be incorporated into a COS conference. The seven stages of
the CISD process are as follows:
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The issues likely to emerge for Volunteers and staff in the aftermath of an evacuation or program
suspension are:
The following actions have proven useful to Volunteers who have survived a crisis or had to
terminate Peace Corps service prematurely:
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• Share the experience and feelings generated by the crisis to help with the healing process
and prevent delayed stress symptoms. This sharing has proven most effective when it
takes place shortly after the event.
• Focus on the contributions the Volunteers made while in country, rather than dwelling on
unfinished projects.
• Realize that even if they are fortunate enough to return to post, much may have changed.
Accordingly, the Volunteers may have to establish new goals and accept the fact that
another major disruption is possible.
• Acknowledge that the recovery process is hard work and takes time. Everyone will
progress at his/her own pace.
• Turn to family and friends for support over the long haul.
• Focus on the third goal of the Peace Corps experience: establishing the Volunteer’s
identity as a Returned Peace Corps Volunteer.
4.1.4 The Follow-up CISD is often not necessary but can occur several weeks or months after
the event to help with closure and re-entry. This process focuses on achieving closure, attending
to unfinished business and looking ahead to a return to “normalcy” for Volunteers and staff.
Once a crisis event (evacuation, program suspension) has passed, the decision whether to return to
post may arise. Despite the appearance that a critical situation has returned to normal, the crisis
may have precipitated many changes, including:
• How host country nationals view the United States, the Peace Corps or individual staff
members or Volunteers;
• The level of functioning of essential services (water, electricity, public transport, etc.);
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A re-assessment of the post environment and general conditions should be undertaken by the post
management team. A determination of the current post status can be made through general
observations and discussions with the RSO, local officials, counterpart agencies, and
missionaries. The decision to return or not to return and the reasoning that supports that decision
should be made clear to Volunteers and staff, with ample opportunity to discuss concerns and
possible consequences.
While getting back to everyday duties and routine tasks are important steps in the return to
“normality”, one should expect and prepare for symptomatic reactions to the post-crisis reality.
Some reactions to watch out for are:
• Depression
• Anxiety
• Emotional letdown
• Lassitude
• Task dysfunction
A re-entry IST that provides a supportive forum for staff and Volunteers shortly after a return to
post should provide a forum to discuss and resolve program and adjustment issues.
In cases where Volunteers opt to transfer to another program, procedures set forth in Manual
Section 282 provide guidance.
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ATTACHMENT I
In the event of a crisis or emergency, all Volunteers/Trainees are advised to tune into the
national/local radio station. The following public radio messages for sensitive communication
will be broadcast at regular intervals. When you receive any of these messages refer immediately
to your Emergency Action Plan summary for guidance and direction.
Message Meaning
When sending an emergency message through a third party, keep the following in mind:
◊ Please Remember ◊
1. Your name
2. Where you are
3. Nature of the emergency
4. Tel. number and where Duty Officer may contact you
5. Until when/for how long
6. When you will call back if you have not been called
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ATTACHMENT II
Shoes Chairs
Sandals Tables
Skirts Mattresses
Sweaters Sofas
Sweatshirts Rugs
Jackets Desks
T-shirts
Underwear
Jeans
Shirts
Pants
Handkerchiefs
Sleeping Bag
Camera
Radio
Misc.
MOTORCYCLE: BICYCLE:
Make, Model:_________________ Make, Model:___________________
Engine #:____________________ Owner:________________________
Registration #:________________ PC Inventory #__________________
Owner: _____________________ Left in custody of:_________________
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ATTACHMENT III
__2. If APCMO agrees medevac is necessary or if unable to contact APCMO, contact OMS. Present case and obtain
concurrence for medevac.
OMS/ Africa 202-606-3445
Med Eyes fax 202-606-3015
Nights or weekends 202-638-2574
__4. If patient will need care in Paris, contact US Embassy Nurse in Paris- or Am Embassy in Paris to make arrangements.
Patty Beith (b) (6) (H)
US Embassy Paris 331-42-96-1202
__7. Give TA and fiscal coding to APCD Admin. and have Admin. arrange tickets for next available flight and travel advance.
__9. Ensure that patient has passport and visa needed for departure from Chad and entry into USA or country enroute. If
passport is unavailable, contact US Embassy consul to make another passport or arrange for proper documentation.
__10 When patient's travel schedule is obtained from admin., follow-up and inform OMS of patient's schedule by fax or cable.
Inform OMS if patient wants parents notified.
__11. Brief patient about medevac procedure going over medevac checklist and reviewing standard medevac handout with
volunteer.
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__12. Prepare patient's OHJ for departure making sure that cogent synopsis of case is present in chart and that all results or
consults are translated into English. Put OHJ into sealed envelope marked with address of OMS, Peace Corps, 1990 K
St. NW. Washington, DC 20526 attn. Medevac Nurse Africa Region. Attach medevac handout to OHJ and instruct
patient to carry OHJ in hand luggage. Include any X-rays or lab results with OHJ.
__13. Make sure patient has any necessary medications or supplies s/he will need along the way including malarial
prophylaxis.
__14. If patient is traveling alone and will need to overnight in Paris or other city en route, remind patient that airline is usually
responsible for providing food and lodging while patient is en route to Washington. Have patient check at airline desk
when arriving in Paris for lodging voucher.
__15. If patient is traveling with accompaniment, determine if patient will need to go directly to hospital when arriving in
Washington or will check into Virginian Hotel first.
__16. If direct hospital evaluation/admission will be needed, call PC medevac nurse while enroute to determine which hospital
and consultants will be used and go there directly from airport.
c. If all of above fail, cable the American Embassy GENEVA NIACT - Immediate and ask them to contact SOS. Be
sure to give all information needed (see 2).
a. Access ID no. Peace Corps: A-01-262 (no. always the same, so use it even if card in office
outdated).
b Patient name
c. Age
d. Citizenship
e. Medical problem
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a. Type of plane
b. Plane tail sign___________ and call sign_______________
c. Names of the crew and nationalities
d. Will SOS need to refuel locally
4. They will send a telex approximately 1 hour later stating their arrival time and the information you requested.
5. Tell the Embassy phone operator to keep the line open for return calls.
6. While medical staff is giving date to the SOS, contact the Duty Officer/Embassy to assist in receiving
government permission to land, informing airport with flight info. (3)
7. Check with SOS to see if they need to refuel. It costs more than 3,000 USD to refill small LEAR JET 55
ambulance version.
8. There is a landing fee of approx. 80,000 CFA to pay for the lights and the land crew. SOS pays this. You may need
to exchange Swiss Francs or travelers checks for them to CFA at the airport.
9. If blood needed call people from Peace Corps or Embassy who have same blood type as patient. Do cross
matching with French military hospital. Check for HIV.
10. The plane takes approx. 6-7 hours after leaving Geneva. You must plan for 1-2 hours on the ground.
11. For Paris: Arrange either with American Hospital, Paris 33-1-4641-2525 or if a Direct Hire Official American, call
the American Embassy, Paris to arrange for the admission: Patty Beith (Embassy Nurse), Embassy Health Unit (b)
(6), (H) (b)(6) Inform SOS if bed already booked at hospital. Telex same info as on phone.
12. For Germany: Call the American Consulate, Frankfort, Phyllis Harris, (b) (6), who will take care of admission to
the US military Hospital 97th General Hospital or Wiesbaden Air Force Hospital. Follow-up with same info in
cable, include that SOS has been contacted. And tell SOS that arrangements for admission have been made.
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13. Do a follow-up cable with all the pertinent info. to American Embassy/Paris or American Consulate/Frankfort with
copy to M/VS/MS (RMO/Brazzaville and Secstate WashDC, if State Dept. patient).
14. Remember only official Americans including PCVs and PCTs can be admitted to US Military Hospitals. If one
must go there who isn't an official American, special permission must be requested by our Ambassador and or AID
Director and the American Consulate/Frankfort. Request must be in writing and cable.
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ATTACHMENT IV
Village/Region:__________________________________________________
Nearest PCV/village:_______________________________________________
_____________________________________________________________
Special contacts & phone #'s (i.e. boutiques, missionaries, gas stations):
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
NGOs with whom you collaborate, locations, names of contacts & phone #'s
_____________________________________________________________
_____________________________________________________________
Nearest hospital:_________________________________________________
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Village/town/city:________________________________________________
Exact site location (i.e.: 2 doors east of dispensary, compound just north of water well)
_____________________________________________________________
_____________________________________________________________
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