This chapter discusses the psychosocial influences of environmental and natural disasters on individuals and communities. Environmental and natural disasters are envirobiopsychosocial by nature. Many times there are contributing factors involving substantial interaction effects between the person and the environment with which he or she lives. Thus, it is of paramount importance for mental health professionals to recognize that disaster survivors do in fact have some degree of control and responsibility over their internal and external environment for healing traumatic experiences. The chapter addresses commonly occurring environmental and natural disasters and offers disaster mental health counselor’s important issues for consideration based on the typology of each disaster. Four major events are discussed: earthquakes, floods, hurricanes, and tornadoes. Mental health counselors may best serve clients involved in environmental and natural disasters by being culturally attuned.

There are significant mental health challenges for individuals who have acquired a medical–physical disability during a disaster or trauma experience. This chapter discusses some of the more major prevalent medical conditions that are acquired from exposure to person-made and natural disasters. These conditions include traumatic brain injury (TBI), blast wounds, amputation, spinal cord injury (SCI), and musculoskeletal and chronic pain conditions. The chapter describes and discusses the major health conditions that are most prevalent and have the greatest challenges for individuals who have acquired an acute medical–physical injury during extraordinary stressful and traumatic events. It highlights the fact that acquired medical-physical disability, as a direct result of trauma and disaster, has a pervasive effect on the individual, which imposes chronic and persistent mental health conditions. The medical aspects of chronic illness and disability are critical to address clinically during a disaster mental health response.

This chapter reviews the current scope of practice in rehabilitation counseling and the impact that counselor licensure legislation has on the field concerning eligibility for counselor licensure and becoming an independent rehabilitation practitioner. It defines the foundational skills and scope of practice required for effective, competent, and ethical rehabilitation counseling practice. The chapter explains a psychosocial model for rehabilitation counselors (RCs) who want to structure therapeutic interactions with clients who have chronic illnesses and disabilities. The counselor uses the counseling relationship to help clients draw from their personal history, knowledge, coping abilities, resiliency skills, and overall life experiences to derive meaning. Counselors across a variety of work settings and theoretical orientations must be proficient, competent, and ethical in working with a range of people with disabilities who may be culturally different. There are both universal and specific counseling approaches, programs, and services used during therapeutic interactions for people with disabilities.

In this chapter, the book’s editors, Marini and Stebnicki presents a compelling and provocative reflection on the counseling profession. They summarize salient aspects of dealing with culture and disability that reflect how services are provided in an evidence-based practice environment. Each editor offers opinions and considerations for counseling professionals in the 21st century. Together, they hypothesize an inconvenient and potentially frightening future for Americans, particularly those of lower socioeconomic status, many of whom are minorities with disabilities. The chapter explores the ramifications of social class and classism, whereby social injustice perpetuates and exacerbates classism. In particular, Marini and Stebnicki call on counselors and related helping professionals to take a more active role in advocating beyond their traditional narrowly focused job duties of working almost exclusively with the client to adapt and survive in an able-bodied world.

This chapter offers (a) a description of the empathy fatigue construct as it relates to other professional fatigue syndromes, (b) a recently developed tool (Global Assessment of Empathy Fatigue [GAEF]) that may be useful for screening and identifying professionals who may be experiencing empathy fatigue, and (c) resources for self-care of empathy fatigue and building resiliency. The chapter’s author hypothesizes that empathy fatigue may be different from other types of counselor impairment and fatigue syndromes. The experience of empathy fatigue is both similar and different from other types of counselor impairment or professional fatigue syndromes. Thus, it is hypothesized that the cumulative effects of multiple client sessions throughout the week may lead to a deterioration of the counselor’s resiliency or coping abilities. Developing a clearer understanding of the risk factors associated with empathy fatigue is pivotal in developing self-care strategies for the professional counselor.

This chapter discusses some of unique differences as they relate to the assessment, diagnosis, and treatment in military counseling and related services. It addresses some of salient issues for professional counselors who must assess, diagnose, and treat active duty and veterans. Overall, understanding psychosocial adjustment issues related to chronic illness and disability as well as working with clients that have psychiatric, substance abuse, and mental health issues are essential in healing traumatic experiences. The chapter assists professionals in building a rapport with the intent of establishing a strong working alliance within the military culture. It provides an excellent and comprehensive resource for helping professional counselors understand the difficult challenges that military personnel must navigate during various stages of their deployment cycle. A great deal of counselor education and research has been developed that focuses on preparing professional counselors in understanding the unique cultural attributes of a diversity of cultural groups.

This chapter offers a practical approach for facilitating disaster mental health and stress debriefing groups using a combination of crisis response models; specific guidelines for structuring such interventions and responding to individuals and groups; and resources to assist in personal and professional growth in the specialty area of disaster mental health response. Additionally, three case scenarios are provided at the end of the chapter for the purpose of practicing the skills of disaster mental health and stress debriefing interventions. Initially, the preintervention and planning stage is critical in assessing, coordinating, and communicating with others on the disaster team concerning the trauma survivors’ psychological, spiritual, and medical/physical level of functioning. The ethical and competent disaster mental health practitioner knows that he or she should never force emotions or shame individuals for not disclosing, especially early on in the grieving and healing process.

This chapter offers guidelines and resources that will assist therapists to integrate traditional talk therapies with indigenous health and healing practices. Additionally, it offers foundational principles, thoughts, beliefs, ancient wisdom, and philosophies on mind, body, and spiritual wellness. The comprehensive foundational resources at the end of the chapter explore the literature in counseling, psychology, theology, spirituality, and complementary and integrated medicine. Each of these resources honors the tradition of various culturally relevant indigenous practices that integrate the mind, body, and spirit. In many ways, person-centered counseling and psychotherapy are ritualistic in their form, structure, and practice. Likewise, indigenous healing practices also maintain a form, structure, and ritualistic system for health and healing. The author makes an attempt to objectively state 30 specific foundational cultural beliefs through an extensive literature base in psychology; theology; spirituality; and complementary, alternative, and integrated medicine.

This chapter offers a description of the empathy fatigue construct as it relates to other professional fatigue syndromes, a recently developed tool that may be useful for screening and identifying professionals who may be experiencing empathy fatigue, and resources for self-care of empathy fatigue and building resiliency. Many counselors spend a tremendous amount of time and energy acting in compassionate and empathic ways searching for the meaning of their clients’ mind, body, and spirit that has been lost to trauma, incest, addictions, and other stressors that prompt questions concerning the meaning of their lives. As the professional counselor engages in therapeutic interactions, this may predispose the counselor to experience an empathy fatigue reaction that ranges on a continuum of low, moderate, and high. However, there are multiple risk factors that should be considered as identified in the Global Assessment of Empathy Fatigue (GAEF).

We are in the midst of a paradigm shift in the helping professions as a result of new extraordinary stressful and traumatic events that have accelerated globally. While medical professionals, police, and other first responders prepare for the medical-physical rescue in a host of disaster scenarios, professional counselors are also called on to provide the mental health rescue. The disaster scenarios that take place on the global media stage add another dimension of reality that negatively fuels our experience of empathy fatigue. Overall, the epidemiological significance of global disaster rehabilitation means that we must be in a constant state of “mission readiness” for service to assist others that may be affected locally, regionally, or nationally. Counselor empathy and insight in acknowledging that oppressed minorities’ daily lives may include food insufficiency and the need to deal with these basic survival necessities must take precedence before any mental health counseling can occur.

The U.S. Citizenship and Immigration Services (USCIS; 2016c) under the U.S. Department of Homeland Security delineates the complex law and path to citizenship as it relates to immigrants, refugees, and asylum seekers. The etiology of the worldwide epidemic of immigrants, refugees, and asylum seekers is clear. It is war that is at the foundation of all human suffering as millions are forced to relocate geographically. This epidemic of person-made disaster points to the overall lack of respect and empathy for human life perpetrated by brutal governments, religious zealots, and other indigenous tribal warring groups. Disaster mental health responders who commit to work with specific indigenous populations of global cultures require a much different approach to provide culturally sensitive interventions and strategies. This chapter offers some guidelines to mental health professionals to begin working globally with the new culture of immigrants, refugees, and asylum seekers.

The skills of working with the psychosocial aspects of grief, death, dying, and loss are essential, particularly in working with persons who have acquired chronic illness and disability. This chapter helps elucidate important psychosocial issues in death and dying as it relates to how individuals experience and express grief within the context of the person’s physical, psychological, cognitive, emotional, social, cultural, and spiritual well-being. Recognition in the new Diagnostic and Statistical Manual of Mental Disorders (DSM- 5) of the Persistent Complex Bereavement Disorder diagnostic category provides legitimacy for the individual’s sense of loss and mourning based on multiple events related to death and dying. It is essential that counselors address such psychosocial concerns clients because of the added therapeutic value and ethical obligation to guide the individual and his or her family in important decisions regarding death and dying.