{"id":236162,"date":"2022-04-18T13:08:19","date_gmt":"2022-04-18T19:08:19","guid":{"rendered":"https:\/\/traumahealing.org\/?p=236162"},"modified":"2026-04-13T09:24:25","modified_gmt":"2026-04-13T15:24:25","slug":"from-the-indian-ocean-to-indiana-to-ukraine-using-se-in-disaster-and-humanitarian-response","status":"publish","type":"post","link":"https:\/\/traumahealing.org\/from-the-indian-ocean-to-indiana-to-ukraine-using-se-in-disaster-and-humanitarian-response\/","title":{"rendered":"From the Indian Ocean to Indiana to Ukraine; Using SE In Disaster and Humanitarian Response"},"content":{"rendered":"\n<div class=\"et_pb_section_0 et_pb_section et_section_regular et_block_section\"><div class=\"et_pb_row_0 et_pb_row et_block_row\"><div class=\"et_pb_column_0 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_0 et_pb_image et_pb_module et_block_module\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE.jpg\" width=\"1296\" height=\"554\" srcset=\"https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE.jpg 1296w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1280x547.jpg 1280w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-980x419.jpg 980w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-480x205.jpg 480w\" sizes=\"(min-width: 0px) and (max-width: 480px) 480px, (min-width: 481px) and (max-width: 980px) 980px, (min-width: 981px) and (max-width: 1280px) 1280px, (min-width: 1281px) 1296px, 100vw\" class=\"wp-image-236213\" title=\"FROM THE INDIAN OCEAN TO INDIANA TO UKRAINE USING SE IN DISASTER AND HUMANITARIAN RESPONSE\" \/><\/span><\/div><\/div><\/div><div class=\"et_pb_row_1 et_pb_row et_block_row\"><div class=\"et_pb_column_1 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_0 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><h4 style=\"text-align: center;\"><span style=\"color: #6c1d45;\"><strong><em>\u201cAlong the way I developed a spiritual world view that allowed me to accept suffering as a part of life. It\u2019s how we respond to it that\u2019s so important.\u201d<\/em><\/strong><\/span><\/h4>\n<p>&nbsp;<\/p>\n<p>In September 2021, refugees from Afghanistan began arriving in Indiana, a state that calls itself \u201cthe crossroads of America.\u201d Eventually, 7,200 would come, beginning the process of a new life in America. They started at Camp Atterbury, an Indiana National Guard base designated as one of eight nationwide \u201csafe haven\u201d sites for Afghan refugees. In the early days of arrivals, from 80 to 200 evacuees arrived every hour, getting medical screenings and a stack of paperwork to complete. The refugees lived in 68 single-story barracks spread throughout the camp\u2019s 36,000 acres. Lisa LaDue, LCSW, SEP, was there to help them, serving as the behavioral health team lead, supervising a team of 11 licensed clinical social workers and licensed professional counselors providing culturally appropriate behavioral health services. The team\u2019s work included trauma co-regulation, mindfulness, and somatic-based stabilization and skills training.<\/p>\n<p>\u201cDespite what I saw in my previous work, especially at the Pentagon after 9\/11 and the 2004 tsunami in the Indian Ocean, this was the worst loss I\u2019ve witnessed and shared,\u201d says Lisa. \u201cThe refugees from Afghanistan lost everything \u2013 their homes, their country, their identities, their family members in many cases. Some of them even lost the luggage they left with. They were totally displaced halfway around the world.\u201d<\/p>\n<p>Many were single men who had worked with the U.S. military and were told to get to the airport and leave immediately, without their families. Some received pictures of family members killed by the Taliban \u2013 \u201cto make sure these men knew what had happened.\u201d Others received desperate messages from their wives and children saying they had no food and no way to get it. \u201cThe most important thing we did was just sit with them and listen to their stories. They needed to know that they were seen and heard by another human being who cared.\u201d<\/p>\n<p>At first, addressing basic needs was haphazard \u2013 and improvised. Lisa traced children\u2019s feet and took the tracings to the warehouse of donated goods looking for shoes that would fit. Ongoing needs had to be addressed by understanding cultural differences \u2013 men often spoke for the women or were physically in front of them (\u201cWe had to remember that they came from an environment where the men literally shield their families from harm by stepping in front of them\u201d) and in culturally sensitive ways. \u201cJust because we SE practitioners are trained to use touch doesn\u2019t mean that\u2019s welcome by all,\u201d says Lisa. \u201cWe were very careful to ask permission and to train other staff to be careful about even casual touch, such as touching someone\u2019s arm. In many cases, I was considered an \u2018elder,\u2019 which made the touch permissible to the men. Women, on the other hand, wanted hugs and to cry in our arms.\u201d<\/p>\n<\/div><\/div><\/div><\/div><div class=\"et_pb_row_2 et_pb_row et_block_row\"><div class=\"et_pb_column_2 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_image_1 et_pb_image et_pb_module et_block_module\"><span class=\"et_pb_image_wrap\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1080-\u00d7-675-px.png\" title=\"FROM THE INDIAN OCEAN TO INDIANA TO UKRAINE USING SE IN DISASTER AND HUMANITARIAN RESPONSE (1080 \u00d7 675 px)\" width=\"1080\" height=\"675\" srcset=\"https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1080-\u00d7-675-px.png 1080w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1080-\u00d7-675-px-300x188.png 300w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1080-\u00d7-675-px-1024x640.png 1024w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1080-\u00d7-675-px-150x94.png 150w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1080-\u00d7-675-px-768x480.png 768w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1080-\u00d7-675-px-400x250.png 400w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1080-\u00d7-675-px-980x613.png 980w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1080-\u00d7-675-px-480x300.png 480w, https:\/\/traumahealing.org\/wp-content\/uploads\/2022\/04\/FROM-THE-INDIAN-OCEAN-TO-INDIANA-TO-UKRAINE-USING-SE-IN-DISASTER-AND-HUMANITARIAN-RESPONSE-1080-\u00d7-675-px-600x375.png 600w\" sizes=\"(max-width: 1080px) 100vw, 1080px\" class=\"wp-image-236172\" \/><\/span><\/div><\/div><\/div><div class=\"et_pb_row_3 et_pb_row et_block_row\"><div class=\"et_pb_column_3 et_pb_column et_pb_column_4_4 et-last-child et_block_column et_pb_css_mix_blend_mode_passthrough\"><div class=\"et_pb_text_1 et_pb_text et_pb_bg_layout_light et_pb_module et_block_module\"><div class=\"et_pb_text_inner\"><h4 style=\"text-align: center;\"><\/h4>\n<h4><span style=\"color: #9d432c;\"><strong>On to Ukraine: Bomb Shelters and Hugs<\/strong><\/span><\/h4>\n<p>By the end of January, five months after Lisa arrived, all the Afghan refugees had been resettled, including 450 who made Indiana their home. In early March, Lisa was on to her next stop in 30 years of disaster and humanitarian work \u2013 in Ukraine. As a member of Team Rubicon\u2019s International Team, Lisa provided mental health services for the team and Ukrainian refugees and internally displaced people (IDP), first in Poland and then in and around Lviv, Ukraine. It was like no other experience in her disaster response experiences. During the team\u2019s 3-week deployment to provide medical and mental health care for Ukrainians affected by the war, the team provided care for people at temporary and more permanent shelters. Their days and nights were filled with intermittent air raid sirens, sending everyone to bomb shelters and creating constant underlying physical and mental fatigue.<\/p>\n<p>Olga, a 70-year-old Ukrainian widow, cried as she talked about being alone, recovering from cancer, and now leaving her home because of heavy shelling in her hometown. When asked about a resource, Olga told Lisa she loved her plants, especially her favorite flowers, dahlias. She and Lisa agreed that they would each think of the other whenever they see a beautiful dahlia from then on. Her blood pressure, high enough to concern the team\u2019s doctors, dropped more than 20 points after her talk (and hugs) with Lisa. The medical team soon openly embraced the use of somatic techniques with patients suffering from anxiety, fear, and the lack of a sense of safety.<\/p>\n<p>Lisa started her career as a licensed clinical social worker after getting her bachelor\u2019s and master\u2019s degree in social work from the University of Iowa and working at several hospitals (she has been licensed as an LCSW in four states). Eventually, Lisa moved from Iowa to California, working as an LCSW in two hospitals and two tribal health clinics that served Native Americans, providing mental health and substance abuse services. While working at one hospital in California, she realized that her favorite place to be in a hospital was in the Emergency Room. \u201cIt surprised me to acknowledge this, because I was a very phobic child \u2013 I was scared of everything, especially ambulances that went by. I also had a huge phobia about dying and one of my first assignments as a hospital social worker was in oncology. I finally concluded that the universe was always putting me exactly where I <em>needed<\/em> to be, regardless of my wishes.\u201d \u00a0<\/p>\n<p>The hospital set up a disaster response committee for the ER and Lisa became intrigued. When the Oklahoma City bombing happened, \u201cI desperately wished to be there. Shortly after, I moved back to Iowa, completed a disaster mental health volunteer class with the Red Cross, and two weeks later I was in Puerto Rico for my first disaster response assignment, supporting Red Cross volunteers after Hurricane Hortense. I knew from the minute I arrived that this was what I\u2019d been preparing for all along.\u201d<\/p>\n<p>Then came 9\/11. Because of her previous roles with the Red Cross, Lisa was certain she\u2019d get a call. \u201cIn fact, when I saw the plane hit the second tower, I started doing laundry and packing. I don\u2019t like big cities, but there wasn\u2019t a question of whether I\u2019d go or not.\u201d<\/p>\n<p>She was assigned to brief and debrief disaster mental health volunteers going directly to the Pentagon, assisted with the employee assistance program for the Department of Defense (DOD) at the Pentagon, and created a critical incident stress team to respond to requests from the community. Finally, she was assigned to work at the Pentagon Family Assistance Center, supervising the disaster mental health services in coordination with the DOD. After a month in Washington and a month back home, Lisa spent two weeks in New York, supervising the disaster mental health services on Long Island.<\/p>\n<p>Within a few months after these deployments, Lisa realized she was likely suffering from post-traumatic stress herself. A picture of the Pentagon brought back the smell of the burned structure and brought on immediate tears. She couldn\u2019t sleep, she experienced tunnel vision in crowds, she thought her career might be over. \u201cI didn\u2019t understand what was happening and thought that all my cognitive therapy training was worth nothing and that it meant nothing for all the people I\u2019d tried to help, people who needed something for trauma. Because of my failure to manage my own post-trauma symptoms, I knew I had to find something that would help. I went to a conference in San Diego and heard Peter Levine talk about Somatic Experiencing and said to myself, \u2018That stuff \u2013 that\u2019s it, that\u2019s what I need.\u2019\u201d<\/p>\n<p>Lisa started her SE training almost immediately after and completed it in 2005. When the Indian Ocean earthquake and tsunami hit, she went with a small team of SE-trained therapists in response to a call from Peter Levine\u2019s brother-in-law, who was a psychologist in Thailand. A primary focus was working with children who had been orphaned by the tsunami and training teachers how to help children. Maggie Kline, SEP, a SEI faculty member, and Ale\u2019 Duarte, SEP, led the counselors in play that helped the children release incomplete survival responses and regulate their systems. \u201cThere was just an ocean, pardon the pun, of need,\u201d says Lisa. \u201cLike at the Pentagon, the fear and the grief were palpable, and very heavy.\u201d<\/p>\n<h4><span style=\"color: #9d432c;\"><strong>Suffering as a Part of Life <\/strong><\/span><\/h4>\n<p>Lisa has now developed disaster training programs or worked in disaster response using SE in Ukraine, Germany, Austria, Nepal (multiple times), Guam, Thailand, India, and China, and in the U.S. in Puerto Rico (multiple times), California, Oregon, Iowa, Louisiana, Mississippi, and Indiana. As the director of the National Mass Fatalities Institute, developed with a colleague in Iowa in 2000, Lisa is considered a subject matter expert in mass fatalities management and has provided training for more than 20 jurisdictions around the country and in Nepal.<\/p>\n<p>For eight years, as part of her life of relative solitude in the mountains, Lisa served as a volunteer firefighter for Glacier View Fire Protection District in Livermore, Colorado. \u201cI thought I was pretty well prepared to be a first responder since I had so much disaster response experience. But there is nothing like being a first responder to structure fires, wildland fires, crumbled vehicles and people experiencing medical emergencies. I learned and grew a lot, often being challenged to use SE and all I know about trauma to regain my own balance and stability.\u201d\u00a0 During this period, she created Lion Path International, developing trauma intervention training programs. She has a private psychotherapy practice in Fort Collins focused on somatic interventions, has lectured in the graduate school of professional psychology at the University of Denver, was on the faculty of the Colorado State University School of Social Work, and has written articles, curricula, or book chapters on disaster response, mass fatalities, pandemics, mental health during national tragedies, and bioterrorism response.<\/p>\n<p>Lisa has a simple message for other SEPs, students, assistants, or others involved in mental health when the question to her is, \u201cI\u2019d like to be involved in disaster and humanitarian response, but where do I start?\u201d<\/p>\n<p>The first place to start, says Lisa, is locally \u2013 \u201cThere are always needs, such as food banks, shelters, and local disasters. If you\u2019re willing to invest some time, you\u2019ll find plenty of places to help. Eventually you might find yourself in a state far away or even another country. And, most importantly, you may find that this kind of volunteer work is <em>not<\/em> for you. And that\u2019s okay. Disaster response and humanitarian work requires significant sacrifice, a commitment to self-care, and a monitoring of your own motives and agendas. For myself, along the way I developed a spiritual world view that allowed me to accept suffering as a part of life. It\u2019s how we respond to it that\u2019s so important. Using SE has helped me assist others without causing more harm and has given me the tools to process and release the trauma to which I\u2019m exposed. SE definitely saved my career, and it may have saved my life \u2013 I believe making it the foundation for my practice has saved others, too.\u201d<\/p>\n<p>&nbsp;<\/p>\n<p><em>More information on Team Rubicon, a veteran-founded disaster response organization: <\/em><a href=\"https:\/\/teamrubiconusa.org\/story\/\"><em>https:\/\/teamrubiconusa.org\/story\/<\/em><\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Lisa LaDue is an SEP that is leading humanitarian efforts worldwide.<\/p>\n","protected":false},"author":3800,"featured_media":236172,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"two_page_speed":[],"footnotes":""},"categories":[537],"tags":[],"formats":[],"class_list":["post-236162","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-featured-stories"],"acf":[],"dsm_author":{"name":"SEI 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