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Psychosocial Support to Tsunami victims
Report: Kollam District
Dr. Jayaprakashan. K.PSenior Lecturer in Psychiatry,Medical College, Trivandrum.
Technical Nodal Person, Kollam District
Alappad Panchayath- The most affected area in Kerala
• Death -143• Serious injury>1000• 40,000 in camps• 14,000 prolonged
stay• Houses completely
damaged- 2500
2500 Houses Completely damaged
270
167
334
312
428
241
90
50
173
50
61
203
82
Wards Number of fully damaged houses
1 270
II 161
III 334
IV 428
V 241
VI 312
VII 90
VIII 50
IX 61
X 50
XI 173
XII 203
XIII 82
Deaths
• Only in six wards
• Maximum number of death in 3 and 4 wards (more than 2/3)
9
1
40
65
21
0
7
Temporary shelters
• Half of those who lost houses are in Govt. temporary shelters
• Other half in shelters of NGOs- relatives
Death- More females and children
• Only 25 males died
• Men : Women :children =1:2:3
• For every man’s death there was death of 2 women and 3 children
District level committee
• District Collector - Patron
• D.M.O. - Secretary
• Members– District Social Welfare Officer – The Elected members of the Block– Panchayat and Grama Panchayat– Technical Nodal persons
Selection of Volunteers
• Volunteers of literacy mission
• Members of affiliated Libraries and reading rooms
• Youth Clubs
• Karayogams
• Interview on 21st May
Activities of CLWs
• Visited 500 houses
• Around 3000 persons
• Referred cases
• Arranged group meetings
Meetings and Reporting
• Conducted 2 meetings
• Field work monitored by psychologist and PSW
• Keeping diary
• North and south- meeting for convenience
• Monthly meeting and reporting
Problems identified
• PTSD Symptoms– Very common – Most does not come for formal consultation– 22 severe cases with severe symptoms
treated with SSRIs– Relaxation training, desensitisation
Depression
• Many had previous history suggestive of depression or anxiety disorder
• 12 cases needed treatment
Other psychiatric syndromes
• BPMD
• Alcohol dependence
• Schizophrenia
• Mental retardation with behavioural problems
• Seizure disorder
Pre-existing / aggravation / new rarely
Training for school teachers
• Young children more affected
• More than 60 children died
• Death of friends and classmates
• Few reports of leaving for schools in other places
Reaching the unreached
• Reaching to all disaster affected
• More community education
• Self help groups