Because of the diversity of the NGO community, it is not useful to make simplistic prescriptions, but it may be useful to examine current military policies and programs for heuristic guidance. The outward differences in the goals and methods of NGOs and military organizations should not obscure the potentials for cross-fertilization in problem solving. For example, the US Army s Combat Stress Control Program is based on doctrine that has been tested and revised in the field in diverse complex environments. In the program, written regulations and directives document the value of worker support and eliminate confusion over standards of care. Stress control training modules contain easy to understand decision trees to help identify those in need and how to intervene effectively.
Efforts focus on early intervention techniques for self-care, buddy care, and command support.
Training modules address such topics as the development of critical incident stress management teams, suicide awareness, practical stress management, and mental health resources. Before the event It is important to remember that meaningful mental health support is not just post-vention. It is unfortunate that the commitment to others and high standards of conduct that impel workers to enter the humanitarian aid field can also leave them vulnerable to feelings of shame or failure in the face of disturbing but normal emotional upsets. Training should focus on heightening awareness if the need for self-care and collegial support. Content should include typical signs and symptoms of excessive stress, methods of coping, and the need and value of formal and informal debriefing activities.