The recent
terrorist attacks on the United States have affected all Americans
either covertly or overtly. Sept. 11, 2001, will be forever etched
in our minds as we remember where we were and what we were doing
when the attacks occurred.
Living in
Washington, D.C., I witnessed the effects of the disaster on our
nation's capital. For security reasons, federal workers were dismissed
from their jobs immediately. This created chaos in the city because
the streets that were not blocked to protect federal agencies
and buildings were jam-packed, making it difficult for emergency
vehicles.
All district
and federal law enforcement agencies were in full force on the
streets. Local residents were fearful of what devastation and
terror were to follow. The city was in a state of heightened security;
several hospitals were preparing to receive casualties from the
Pentagon disaster and potential casualties of whatever possibly
was to occur next. It was a city of tension and action.
My reaction
was disbelief, shock and then, "What can I do to help?''
Within hours, I found a volunteer position on the Red Cross mental
health team. (I have Red Cross disaster mental health training
and experience.) My first assignment the morning after the disaster
was to relieve counselors who had been at the disaster site all
night.
Because many
streets were closed, driving was a nightmare, so I took a train
and then a bus to get across town to the Arlington Red Cross chapter.
There, a group of psychologists and nurses with Red Cross disaster
mental health training waited for assignments. After our credentials
were checked, paperwork done and a briefing completed, we were
shuttled in a van to the Pentagon to begin work.
The field
around the area of the Pentagon that had been damaged was busy
with firefighters, search-and-rescue workers, military personnel,
including chaplains, federal law enforcement personnel from various
agencies, FEMA personnel, structural engineers, construction workers,
Red Cross and Salvation Army personnel, and many trucks and tents.
It truly was a city within a city.
The atmosphere
was filled with apprehension, frustration and a general sense
of camaraderie as people worked in unison toward the common goal
of rescuing anyone who might be trapped in the building.
The Red Cross
and The Salvation Army set up areas to provide refreshments, food,
clean socks and comfort items for the people involved in the "mission."
The mental health team's slice of the mission was to provide comfort
and support, listen for signs of emotional stress when conversing
with workers, look for signs of exhaustion and offer the level
of care necessary.
Our mental
health team worked in various strategic areas of the disaster
field. The medical clinic inside the Pentagon was operational
and offered medical and psychological care. The military services
and the Red Cross also set up medical emergency tents in the field.
Many small
fires occurred inside the building during the first few days after
the attack, as well as bomb threats that hindered and frustrated
many rescue workers. The most terrifying event occurred Sept.
13, when an unidentified plane flew over the Pentagon.
The warning
buzzer that indicated danger blasted. Firefighters stationed on
the roof scurried down the ladder, as the legions of people in
the field quickly left to a marked safe area. This lasted about
15 minutes until the plane was identified as "friendly."
This also
was the day when everyone stopped what they were doing as a flag
was unfurled from the top of the building down the side near where
the plane struck. A tremendous sense of patriotism filled the
air and everyone applauded the brave flagbearers. It was a moment
of unity, purpose and fortification of our common mission.
Although the
days after the attack provided no rescued victims, the mission
of recovery and preservation of evidence continued with the hope
of rescuing a trapped victim. Many rescue, recovery and evidence
collectors were experienced in working horrific disasters and
were disappointed at not finding any viable victims in the rubble.
Young armed
forces reservists who had been activated on a few hours' notice
were trying to adjust to the abrupt change in their lives. The
law enforcement agencies had people in various tasks from security
to evidence collection. Several of the people working had been
on the site when the plane hit the Pentagon and had either seen
the impact or were involved in rescuing victims after the impact.
Many were
working 12-hour shifts, seven days a week, and could not foresee
any change in the work pattern. There also were construction workers
to shore up the structure of the building and structural engineers
who had never been involved in a disaster situation.
The multistress,
multidisciplinary, multijurisdictional situation was a potential
breeding ground for post-traumatic stress disorder. It is important
to have trained personnel at disaster sites to assess and intervene
when they notice workers experiencing maladaptive adjustment behaviors.
There were
several mental health teams at the Pentagon site, including the
Red Cross and The Salvation Army, that offered mental health services.
Teams that often brought counselors with them included search-and-rescue
teams, firefighting agencies, some federal law enforcement agencies,
the armed forces and Army chaplains.
At the Pentagon
site, counseling was made available to the cadre of multidisciplinary
men and women, an important facet in maintaining the disaster
operations by helping workers stay healthy and focused.
As a final
note on my experience, I will share a comment made to me by a
firefighting search-and-rescue worker after he had been in the
building fighting a fire. I asked him if he would like some water
or something to eat. He looked at me and said, "If you do
nothing else for me other than the smile you just gave me, I would
be happy."