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Psychological first aid — field handbook

You do not need to be a specialist. Psychological first aid is standing beside someone properly in the hours after a hard event: making them safe, listening, linking them to what they need. This handbook is written for volunteers.

Field handbook 15 min read Pre-training reading CC BY-NC 4.0

This page does not replace training. Reading it is not enough to take a field role. TAKDER volunteers do not work directly with affected people without practical training and supervision. For the training calendar see the training page.

What it is

Psychological first aid is

  • Practical care and support that does no harm
  • Assessing needs and concerns
  • Helping people meet basic needs: water, food, blankets, information
  • Listening without pressing
  • Comforting people and helping them feel calm
  • Linking people to information, services and social support
  • Protecting people from further harm

What it is not

Psychological first aid is not

  • Therapy or a professional mental health intervention
  • Having someone narrate the event in detail
  • Analysing what happened or putting it in sequence
  • Pressing someone to talk or to share feelings
  • Something only professionals can do
  • Diagnosing, or recommending medication

The distinction matters in practice: the well-meant question "so tell me exactly what happened" can pull someone back into a memory they are not ready for, and cause harm. In psychological first aid, whoever wants to talk is listened to; whoever does not is left in peace.

Framework

Three action principles: Look — Listen — Link

Every contact in the field runs through these three steps, and the order matters: you cannot listen before you have looked, or link before you have listened.

1

Look

Read the situation before you approach. Rushing in puts both you and the other person at risk.

  • Safety: buildings, rubble, traffic, gas, electricity. Your own safety comes first; an injured volunteer helps nobody.
  • People with urgent needs: serious injuries, people in acute distress, unaccompanied children. Medical urgency always takes priority.
  • Signs of severe distress: being still and unresponsive, extreme agitation, risk of self-harm.

2

Listen

Approach, introduce yourself, ask permission. Listening is the heart of this work, and what is often said is silence.

  • Approach: "I'm Ali, from TAKDER. May I sit with you?" Give your name and organisation, and ask permission.
  • Ask, then wait: "What do you need most right now?" Then stop talking. Do not fill the pause.
  • Help them settle: keep your voice low and slow, breathe alongside them, move them away from crowds and from the sight of the damage.

3

Link

The lasting effect comes not from the half hour you spend but from the connection you make. Skip this step and the help is unfinished.

  • Basic needs: water, food, a blanket, a toilet, somewhere warm, a charger. Practical help is the best psychological support there is.
  • Accurate information: pass on only what has been confirmed. If you do not know, say "I don't know, I'll find out and come back" — and come back.
  • People and services: family tracing, health, legal aid, mental health. Explain concretely where, how and with whom.

Language

What is said in the field, and what never is

  • Do not say"I understand, the same thing happened to me."

    Say"I can't imagine how hard this is. I'm here." — The conversation must not turn into your story.

  • Do not say"You're lucky, at least you're alive."

    SayNothing. Standing quietly beside someone helps more than trying to console them.

  • Do not say"Everything will be fine, don't worry."

    Say"You're safe right now. In the next hour, this is what will happen…" — concrete, short-term information you can stand behind.

  • Do not say"Tell me what happened, from the beginning."

    Say"I'll listen if you want to talk; if you don't, we can just sit here." — Telling is the person's choice.

  • Do not say"Don't cry, calm down."

    Say"You can cry. I'm right here." — The feeling needs to move, not to be stopped.

  • Do not sayPassing on unconfirmed news: "I hear help is on its way."

    Say"I don't know that. I'll find out and come back to you." — Bad information destroys trust in the field faster than anything else.

Particular situations

How to approach whom

Children

Get down to eye level. Keep them with their caregiver where possible; if separation is unavoidable, record in writing who they were handed to. Speak simply and honestly, and keep drawing and play materials to hand.

Unaccompanied children

Never leave them alone and never take them anywhere by yourself. Record their name, the place and the time; two adults accompany them; notify the protection team immediately. Do not share their photograph.

Older people

Speak slowly and clearly without shouting. Ask whether hearing aids, glasses, a walking stick or medication have been lost. They may be disoriented; calmly repeat where they are and what has happened.

Disabled people

Talk to the person, not their companion. Ask how they want to be helped before helping. Do not touch their equipment, chair or guide dog without permission.

Survivors of sexual violence

Ask no questions and request no details. Provide privacy and, where possible, a worker of the same gender. Refer to a specialised service only with the person's consent. Tell no one else.

Severe agitation

Stay calm, keep your arms open, do not block your own exit. Do not argue. Move onlookers away. If there is risk to the person or others, call health and security staff; do not intervene alone.

Limits

Situations you must refer

The following are not a volunteer's job. Identify them, hand over to a specialist or medical team without leaving the person alone, and record the handover.

  • Risk of harm to self or others
  • Loss of contact with reality, not knowing who or where they are
  • Hours of unresponsiveness, not speaking, not moving
  • A known serious mental illness left without medication
  • Signs of alcohol or substance withdrawal
  • Risk of neglect, abuse or abduction of a child

Principles

Five rules that hold in every contact

  • Do no harm. If you are not sure, do not do it; sometimes doing nothing is right.
  • Ask permission. To sit, to touch, to help — all of it with consent.
  • Protect privacy. Names, addresses, photographs and what was said are not shared. Do not take photographs.
  • Give information, not promises. Never make a promise you cannot keep.
  • Know your limit. Hand over when you are tired; that is professionalism, not weakness.

Printable

Field card — fits in a pocket

Look

  • Safety: building, gas, electricity, traffic
  • Anyone with an urgent medical need
  • Any unaccompanied child
  • Any sign of severe distress

Listen

  • Introduce: name, organisation, permission
  • "What do you need right now?" — then stop
  • Lower your voice, follow their pace
  • No pressure, no asking for details

Link

  • Water, food, blanket, somewhere warm
  • Confirmed information only
  • Family and social connection
  • A concrete referral to a service

End of shift

Before you leave the site, run the 20-minute decompression sequence: bring the body down · list the facts · one sentence each · close tomorrow. Details in Secondary trauma for field workers.

Emergency: 112 · Police: 155 · Civil Defence: 101

Training

Let us train your team

Psychological first aid works when it is taught through role play and field scenarios. We run a one-day practical programme for organisations, schools and volunteer teams.

Request training Volunteer with us

References

Where the information on this page comes from

The Look–Listen–Link framework and the principles are adapted directly from the guides below. The example phrases and the field card layout are TAKDER's adaptation and are not literal translations of the source texts.

Core framework
World Health Organization, War Trauma Foundation & World Vision International (2011). Psychological First Aid: Guide for Field Workers. Geneva: WHO. who.int
Field operations guide
National Child Traumatic Stress Network & National Center for PTSD (2006). Psychological First Aid: Field Operations Guide, 2nd edition. nctsn.org
Child protection and unaccompanied children
The Alliance for Child Protection in Humanitarian Action (2019). Minimum Standards for Child Protection in Humanitarian Action. alliancecpha.org
Layers of service
Inter-Agency Standing Committee (2007). IASC Guidelines on MHPSS in Emergency Settings — the intervention pyramid. interagencystandingcommittee.org
Accountability and protection
CHS Alliance (2014). Core Humanitarian Standard on Quality and Accountability. corehumanitarianstandard.org

Links go to the publisher; last accessed 11 September 2026. If you spot an error in a citation, tell us and we will correct it.