Afet Sonrası Psikososyal Destek Hizmetlerine Yönelik Kuramsal Bir Model

Abstract

6 Şubat 2023’te Kahramanmaraş merkezli 11 ili vuran depremler, Türkiye’de milyonlarca insanı etkileyen biyopsikososyal, manevi ve ekonomik sonuçlar doğurmuş; afetten doğrudan etkilenen bölgelerdeki gençlerin psikososyal gereksinimlerini artırmıştır. Afet sonrası psikososyal destek hizmetlerinin planlanmasına rehberlik edecek, kuramsal olarak temellendirilmiş bütüncül modellerin sınırlı olduğu görülmektedir. Bu çalışma, söz konusu kuramsal boşluğu gidermek amacıyla Ekolojik Sistemler Teorisi (EST) ile Topluluk Temelli Katılımlı Araştırma (TeTKA) yaklaşımını bütünleştiren bir kuramsal model önermektedir. Modelin geliştirilmesi sürecinde afet sonrası psikososyal destek, travma, dayanıklılık, gençlik ruh sağlığı ve toplum temelli müdahalelere ilişkin ilgili alan yazından faydalanılmıştır. Önerilen model; travma ve stres yönetimi, baş etme becerileri, duygu düzenleme, öz şefkat, farkındalık, medya ve bağımlılık farkındalığı, güçlü yönlerin geliştirilmesi ve kimlik gelişimini destekleyen psikoeğitim bileşenlerini, gerektiğinde bireysel psikolojik danışmanlık ve psikiyatrik yönlendirme süreçleriyle bütünleştirmektedir.  

Keywords

• Afet
• psikososyal destek
• Topluluk Temelli Katılımlı Eylem Araştırma
• Ekolojik Sistemler Teorisi

Ethical Statement

Etik beyan bildirim dosyası eklenmiştir. Bu teorik makale, 01 Mart 2025- 31 Ekim 2025 tarihleri arasında Gençlik ve Spor Bakanlığı (GSB) Afetten Etkilenen Gençlerin Güçlendirilmesi Destek Programı kapsamında bakanlığa İyilikhane Derneği ‘Birlikteyiz’ projesi başlığında önerilen proje ana metninden hazırlanmıştır.

A Theoretical Model For Post-Disaster Psychosocial Support Services

Abstract

The earthquakes centered in Kahramanmaraş on February 6th 2023 affected 11 provinces 
and resulted in biopsychosocial, spiritual, and economic consequences across Türkiye, substantially increasing the psychosocial needs of young people living in the disaster-affected regions. Despite this pressing need, theoretically grounded and comprehensive models capable of guiding the planning of post-disaster psychosocial support services remain limited. To address this theoretical gap, the present study proposes a theoretical model that integrates Ecological Systems Theory and the Community-Based Participatory Research (CBPR) approach. The proposed model was developed through a theoretical synthesis of the related literature on post-disaster psychosocial support, trauma, resilience, youth mental health, and community-based interventions. The model incorporates psychoeducational components focusing on trauma and stress management, coping skills, emotion regulation, self-compassion, mindfulness, media literacy and addiction awareness, strengths development, and identity development, while also integrating individual psychological counseling and psychiatric referral services when needed. The proposed model aims to provide a theoretical framework to guide the planning and implementation of post-disaster psychosocial support services for practitioners and policymakers, while establishing a testable conceptual foundation for future empirical research and intervention programs. This framework has been submitted to the Ministry of Youth and Sports of the Republic of Türkiye as an implementable project proposal.
 

Keywords

• Disaster
• psychosocial support
• Community-Based Participatory Research
• Ecological Systems Theory

References

1. Afet ve Acil Durum Yönetimi Başkanlığı. (2023). 2023 Pazarcık-Elbistan (Kahramanmaraş) Mw: 7.7 - Mw: 7.6 depremleri raporu. https://deprem.afad.gov.tr/assets/pdf/Kahramanmara%C5%9F%20Depremi%20%20Raporu_02.06.2023.pdf
2. Armiya'u, A. Y., Yıldırım, M., Muhammad, A., Tanhan, A., & Young, J. S. (2024). Mental health facilitators and barriers during COVID-19 in Nigeria. Journal of Asian and African Studies, 59(2), 354–376. https://doi.org/10.1177/00219096221111354
3. Aydın, M. & Şen, H. (2024). Afet sonrası çocuklarla psikolojik ilk yardım ve yüz yüze müdahale teknikleri. Nobel Akademik Yayıncılık.
4. Babahan, A., & Güler, Z. (2024). A phenomenological investigation of earthquake experiences: The case of the February 6, 2023 Maraş earthquake. Sosyoloji Dergisi, 48(1),194-214. https://doi.org/10.59572/sosder.1555301
5. Barnett, P., Steare, T., Dedat, Z., Pilling, S., McCrone, P., Knapp, M., ... & Lloyd-Evans, B. (2022). Interventions to improve social circumstances of people with mental health conditions: A rapid evidence synthesis. BMC psychiatry, 22(1), 302-324. https://doi.org/10.1186/s12888-022-03864-9
6. Bermen, F. (2020). Cultural trauma and identity. Oxford University Press.
7. Bozkurt, V. (2023). Depremin toplumsal boyutu. Avrasya Dosyası, 14(1), 77-99.
8. brief cognitive-behavioral therapy in reducing post-traumatic stress disorder

9. Bronfenbrenner, U. (1979). The ecology of human development: Experiments by nature and design. Harvard University Press.
10. Bronfenbrenner, U. (1986). Ecology of the family as a context for human development: Research perspectives. Developmental Psychology, 22(6), 723–742. https://doi.org/10.1037/0012-1649.22.6.723
11. Bronfenbrenner, U. (1989). Ecological systems theory. In R. Vasta (Ed.), Annals of child development: Vol. 6. Six theories of child development: Revised formulations and current issues (pp. 187–249). JAI Press.
12. Çapar, H., & Yelboğa, N. (2025). The impact of earthquake anxiety on quality of life: the case of Türkiye. Discover Public Health, 22(3), 1-14. https://doi.org/10.1186/s12982-025-00390-3
13. Cargo, M., & Mercer, S.L. (2008). The value and challenges of participatory research: Strengthening its practice. Annual Review of Public Health, 29, 325–350.
14. Çınaroğlu, M., Yılmazer, E., Alpuğan, Z., & Sayar, G. H. (2024). From ruins to recovery: Navigating psychological impacts of Turkey’s 2023 earthquakes. Preprint, Research Square. https://doi.org/10.21203/rs.3.rs-4776194/v1
15. Cruwys, T., Macleod, E., Heffernan, T., Walker, I., Stanley, S. K., Kurz, T., Greenwood, L.-M., Evans, O., & Calear, A. L. (2024). Social group connections support mental health following wildfire. Social Psychiatry and Psychiatric Epidemiology, 59(6), 957-967. https://doi.org/10.1007/s00127-023-02519-8
16. Dari, T., Fox, C., Laux, J. M., & Speedlin Gonzalez, S. (2023). The development and validation of the community-based participatory research knowledge self-assessment scale (CBPR-KSAS): A Rasch analysis. Measurement and Evaluation in Counseling and Development, 56(1), 64-79. https://doi.org/10.1080/07481756.2022.2034478
17. Dari, T., Nolan, E., & Thomas, T. (2025). Addressing mental health and wellbeing among older adults in communities of color: A scoping review of community-based participatory research approaches. Journal of Happiness and Health, 5(2), 48–56. https://doi.org/10.47602/johah.v5i2.96
18. Demirtaş, Z. & Özen, Ş. (2023). Depremlerin Çocuk ve Ergenlerin Ruh Sağlığı Üzerindeki Etkileri: Sistematik Bir Derleme. Türk Psikoloji Yazıları, 26, (Özel Sayı), 45-62.
19. Doyumğaç, İ., Tanhan, A., & Kıymaz, M. S., (2021). Understanding the most important facilitators and barriers for online education during COVID-19 through online photovoice methodology. International Journal of Higher Education, 10(1), 166-190. https://doi.org/10.5430/ijhe.v10n1p166
20. Duncan, F., Baskin, C., McGrath, M., Coker, J. F., Lee, C., Dykxhoorn, J., ... & Oliver, E. J. (2021). Community interventions for improving adult mental health: Mapping local policy and practice in England. BMC Public Health, 21, 1691, 1–14. https://doi.org/10.1186/s12889-021-11741-5
21. Erdik, M. (2013). Earthquake risk in Turkey. Science, 341(6147), 724–725.
22. Ergin, B. B., Demiray, G., & Ekuklu, G. (2024). 2023 Kahramanmaraş depremini yaşayanlarda depremden etkilenme düzeyleri: Hatay örneği. Namık Kemal Medical Journal, 12(4), 318-325. https://doi.org/10.4274/nkmj.galenos.2024.37233
23. Fallou, L., Marti, M., Dallo, I., & Corradini, M. (2022). How to fight earthquake misinformation: A communication guide. Seismological Research Letters, 93(5), 2418–2422. https://doi.org/10.1785/0220220086
24. Galea, S., Merchant, R. M., & Lurie, N. (2020). The mental health consequences of COVID-19 and physical distancing: the need for prevention and early intervention. JAMA Internal Medicine, 180(6), 817-818.
25. Genc, E., Tanhan, A., & Kose, O. (2023). Exploring the facilitators and barriers to maintaining intimate relationships during covid-19 through online photovoice methodology. Journal of Family Issues, 44(1), 2870-2889. http://dx.doi.org/10.1177/0192513X221113855
26. Hobfoll, S. E., Watson, P., Bell, C. C., Bryant, R. A., Brymer, M. J., Friedman, M. J., ... & Ursano, R. J. (2007). Five essential elements of immediate and mid–term mass trauma intervention: Empirical evidence. Psychiatry: Interpersonal and Biological Processes, 70(4), 283–315. https://doi.org/10.1521/psyc.2007.70.4.283
27. Inter-Agency Standing Committee. (2007). IASC guidelines on mental health and psychosocial support in emergency settings. https://www.who.int/docs/default-source/mental-health/iasc-guidelines-on-mental-health-and-psychosocial-support-in-emergency-settings.pdf
28. Işık, Y., & Toprak, T. B. (2025). “Worship is not merely about form”: Religiously integrated cognitive behavioral therapy in a case of scrupulosity. International Journal of Cognitive Behavioral Therapy, 18(4), 609-638. https://doi.org/10.1007/s41811-025-00262-3
29. İyilikhane Çocuk Derneği. (2025). Birlikteyiz Projesi. https://iyilikhane.org.tr/ne-yapiyoruz/psikososyal-destek-calismalari/birlikteyiz-projesi/
30. Jiang, Y., Cheng, X., Tanhan, A., Francisco, V. T., Ulus, İ. Ç., Hauber-Özer, M., & Zou, R. (2026). Mental Health during COVID-19 through Online Photovoice (OPV) in China. Frontiers in Public Health, 14, Article 1773369. https://doi.org/10.3389/fpubh.2026.1773369
31. Johnson, T. L. (2015). Cultural trauma and the politics of identity: Indigeneity, race, and belonging in the United States. Routledge. Journal of Cognitive Behavioral Therapy, 18(2), 359-380.
32. Kalkan, İ. (2025). Online Sesli Foto yöntemi ile 2023 Kahramanmaraş depremlerinde sorgulanan dinî/fıkhî sorular üzerine bir değerlendirme. İslam Hukuku Araştırmaları Dergisi, 46, 589-629.
33. Karanci, A. N., Aksit, B., & Dirik, G. (2005). Impact of a community disaster awareness training program in Turkey: Does it influence hazard-related cognitions and preparedness behaviors. Social Behavior and Personality: An International Journal, 33(3), 243-258.
34. Karataş, Z., & Tüccar, E. (2024). Unveiling the healing power of spirituality: Exploring the impact on post-earthquake trauma among Türkiye survivors. Spiritual Psychology and Counseling, 9(2), 145-168. https://doi.org/10.37898/spiritualpc.1393636
35. Katmer, A. N., & Asıcı, E. (2025). 6 Şubat Kahramanmaraş depremlerinden sonra ergenlerde ruhsal belirtiler ve travma sonrası büyümenin incelenmesi. Ege Eğitim Dergisi, 26(1), 16-32. https://doi.org/10.12984/egeefd.1493515
36. Kılıç, C., & Ulusoy, M. (2003). Psychological effects of the November 1999 earthquake in Turkey: an epidemiological study. Acta Psychiatrica Scandinavica, 108(3), 232-238.
37. Killaspy, H., Harvey, C., Brasier, C., Brophy, L., Ennals, P., Fletcher, J., & Hamilton, B. (2022). Community‐based social interventions for people with severe mental illness: A systematic review and narrative synthesis of recent evidence. World Psychiatry, 21(1), 96-123.
38. Koç Koca, A. (2024). Investigation of secondary school mathematics teacher candidates’ technological pedagogical content knowledge and information technology use through online photovoice method. Base for Electronic Educational Sciences, 5(2), 97-118. https://doi.org/10.29329/bedu.2024.1064.6
39. Lancet Global Mental Health Group. (2007). Scale up services for mental disorders: A call for action. The Lancet, 370(9594), 1241–1252. https://doi.org/10.1016/S0140-6736(07)61242-2
40. Lucas, E. L., & Brown, L. M. (2021). Evidence-based treatment for mental health care post-disaster. In K. E. Cherry & A. Gibson (Eds.), The intersection of trauma and disaster behavioral health (pp. 215-240). Springer. https://doi.org/10.1007/978-3-030-51525-6_11
41. Merzel, C., & D’Afflitti, J. (2003). Reconsidering community-based health promotion: Promise, performance, and potential. American Journal of Public Health, 93(4), 557–574
42. Neal, J. W., & Neal, Z. P. (2013). Nested or networked? Future directions for ecological systems theory. Social Development, 22(4), 722–737.
43. Neria, Y., Nandi, A., & Galea, S. (2008). Post-traumatic stress disorder following disasters: A systematic review. Psychological Medicine, 38(4), 467–480.
44. Norris, F. H., Friedman, M. J., & Watson, P. J. (2002). 60,000 disaster victims speak: Part II. Summary and implications of the disaster mental health research. Psychiatry: Interpersonal and Biological Processes, 65(3), 240–260.
45. Otanga, H., Tanhan, A., Musili, P. M., Arslan, G., & Buluş, M. (2022). Exploring college students’ biopsychosocial spiritual wellbeing and problems during COVID-19 through a contextual and comprehensive framework. International Journal of Mental Health and Addiction, 20(1), 619-638. https://doi.org/10.1007/s11469-021-00687-9
46. Özer, E., Şen, Y. Ç., Güler, D. S., & Güvenç, G. (2025). Experiences of women relocated due to the February 2023 earthquake in Turkey: A qualitative study. BMC Women’s Health, 25(1), 1-14. https://doi.org/10.1186/s12905-025-03554-0
47. Özkan, N., & Tanhan, A. (2023). Kadınların cinselliğe bakışının online seslifoto ile incelenmesi [Women’s perspectives of sexuality through Online Photovoice (OPV)]. Eskişehir Osmangazi Üniversitesi Sosyal Bilimler Dergisi, 24(2), 194-229. https://doi.org/10.17494/ogusbd.1110733
48. Randall, P. S., Oyesanya, T. O., Bailey Jr, D. E., Corneli, A., Koppel, P. D., Brooks, K. R., & De Gagne, J. C. (2025). Experiences of resilience among newly graduated nurses transitioning to practice: A nationwide longitudinal qualitative study. Nurse Educator, 50(5), 236-241. https://doi.org/10.1097/NNE.0000000000001874
49. Santos-Reyes, J., Santos-Reyes, G., Gouzeva, T., & Velazquez-Martinez, D. (2017). Schoolchildren’s earthquake knowledge, preparedness, and risk perception of a seismic-prone region of Mexico. Human and Ecological Risk Assessment: An International Journal, 23(3), 494-507. https://doi.org/10.1080/10807039.2016.1188368
50. Sarıkoç, M., & Uğur, E. (2025). Post-traumatic growth, psychological inflexibility, and the mediating role of intolerance of uncertainty in adolescents affected by the Kahramanmaraş earthquake. Scientific Reports, 15(1), 36179.  https://doi.org/10.1038/s41598-025-19935-2
51. Shaw, A., Joseph, S., & Linley, P. A. (2005). Religion, spirituality, and posttraumatic growth: A systematic review. Mental Health, Religion & Culture, 8(1), 1-11. https://doi.org/10.1080/1367467032000157981
52. Subasi, Y. (2023). College belonging among university students during COVID-19: An Online Interpretative Phenomenological (OIPA) Perspective. Journal of Happiness and Health, 3(2), 109-126. https://doi.org/10.47602/johah.v3i2.52
53. Şam, M., Sever, G., Yildiz Yüksel, H., & Aliyev, R. (2025). Earthquake effects on youth: Understanding psychological challenges and support needs. BMC Psychology, 13(1), 72. https://doi.org/10.1186/s40359-025-02373-0
54. Tanhan, A. (2019). Acceptance and commitment therapy with ecological systems theory: Addressing Muslim mental health issues and wellbeing. Journal of Positive Psychology and Wellbeing, 3(2), 197-219. https://journalppw.com/index.php/jppw/article/view/53
55. Tanhan, A. (2020). COVID-19 sürecinde online seslifoto (OSF) yöntemiyle biyopsikososyal manevi ve ekonomik meseleleri ve genel iyi oluş düzeyini ele almak: OSF’nin Türkçeye uyarlanması. [Utilizing online photo voice (OPV) methodology to address biopsychosocial spiritual economic issues and wellbeing during COVID-19: Adapting OPV to Turkish.] Turkish Studies, 15(4), 1029-1086. https://dx.doi.org/10.7827/TurkishStudies.44451
56. Tanhan, A., & Erin, A., (2023). Online Seslifoto (OSF) yöntemiyle üniversite öğrencilerinin tasavvuf anlayışını keşfetmek [Exploring college students’ perception of tasawwuf through Online Photovoice (OPV) methodology]. Iğdır Üniversitesi Sosyal Bilimler Dergisi, 34, 246-273, https://doi.org/10.54600/igdirsosbilder.1310350
57. Tanhan, A., & Francisco, V. T. (2019). Muslims and mental health concerns: A social ecological model perspective. Journal of Community Psychology, 47(4), 964-978. https://onlinelibrary.wiley.com/doi/full/10.1002/jcop.22166
58. Tanhan, A., & Strack, R. W. (2020). Online photovoice to explore and advocate for Muslim biopsychosocial spiritual wellbeing and issues: Ecological systems theory and ally development. Current Psychology, 39(6), 2010-2025. https://doi.org/10.1007/s12144-020-00692-6
59. Tanhan, A., Arslan, G., Yavuz, K. F., Young, J. S., Çiçek, İ., Akkurt, M. N., Ulus, İ. Ç., Görünmek, E. T., Demir, R., Kürker, F., Çelik, C., Akça, M. Ş., Ünverdi, B., Ertürk, H., & Allen, K. (2021). A constructive understanding of mental health facilitators and barriers through Online Photovoice (OPV) during COVID-19. ESAM Ekonomik ve Sosyal Araştırmalar Dergisi, 2(2), 214-249. https://dergipark.org.tr/en/pub/esamdergisi/issue/64932/956618
60. Tanhan, A., Terzioğlu, M., Nalbant, A., Ozturk, I., Doyumğaç, İ., Uğur, E., Ulusoy, S., Yavuz, F., Oyucu, S., & Arslan, G. (2026). Deprem sürecinde kapsamlı bağlamsal ruh sağlığı hizmetleri: kuramsal bir çerçeve önerisi. Artuklu Health, 14, 42-57. https://doi.org/10.58252/artukluhealth.1860062
61. Tanhan, A., Yavuz, K. F., Young, J. S., Nalbant, A., Arslan, G., Yıldırım, M., Ulusoy, S., Genç, E., Uğur, E., & Çiçek, İ. (2020). A proposed framework based on literature review of online contextual mental health services to enhance wellbeing and address psychopathology during COVID-19. Electronic Journal of General Medicine, 17(6), em254. https://doi.org/10.29333/ejgm/8316
62. T.C. Cumhurbaşkanlığı Strateji ve Bütçe Başkanlığı. (2023). 2023 Kahramanmaraş ve Hatay depremleri raporu. https://www.sbb.gov.tr/2023-kahramanmaras-ve-hatay-depremleri-raporu/
63. Toprak, T. B., Özçelik, H. N., & Işık, H. R. (2025). Effectiveness of religiously adapted brief cognitive-behavioral therapy in reducing post-traumatic stress disorder symptoms after an earthquake: a quasi-experimental study. International Journal of Cognitive Behavioral Therapy, 18(2), 359-380. https://doi.org/10.1007/s41811-025-00232-9
64. Tudge, J. R. H., Mokrova, I., Hatfield, B. E., & Karnik, R. B. (2009). Uses and misuses of Bronfenbrenner’s bioecological theory of human development. Journal of Family Theory & Review, 1(4), 198–210.
65. Tümkaya, S., Kuşdemir Kayiran, B., Tanhan, A., & Arslan, Ü. (2021). Using Online Photovoice (OPV) to understand youths’ perceptions of distance education during COVID-19. International Journal of Education and Literacy Studies, 9(4), 45-60.
66. Türk Kızılay. (2024). 2023 faaliyet raporu. https://www.kizilay.org.tr/Upload/Dokuman/Dosya/turkiye-kizilay-dernegi-2023-yili-faaliyet-raporu--24052024-30-05-2024-99286421.pdf.
67. Uçar, A., Sertakan, İ., & Uygur, A. (2024). Psychologıcal effects of earthquakes and study of earthquake awareness through Manisa Celal Bayar Unıversıty students. ASSAM Uluslararası Hakemli Dergi, (25), 136-152. https://doi.org/10.58724/assam.1550430
68. Ünsal Seydooğulları, S. (2023). University students’ wellbeing and mental health during covid-19: An Online Photovoice (OPV) approach. Journal of Happiness and Health. 3(2), 139-156. https://doi.org/10.47602/johah.v3i2.60
69. Waalkes, P. L., Mizutani, Y., Kim, S. R., Napitupulu, A., Thompson, J., Leiva, A. N., Tanhan, A., & Moore, M. (2025). Professional identity development of counselor educators with international backgrounds through online photovoice. International Journal for the Advancement of Counselling, 47, 150-170. https://doi.org/10.1007/s10447-024-09582-z
70. Wallerstein, N., & Duran, B. (2006). Using community-based participatory research to address health disparities. Health Promotion Practice, 7(3), 312–323. https://doi.org/10.1177/1524839906289376
71. Wind, T. R., Rijkeboer, M., Andersson, G., & Riper, H. (2020). The COVID-19 pandemic: The ‘black swan’ for mental health care and a turning point for e-health. Internet Interventions, 20, 100317. https://doi.org/10.1016/j.invent.2020.100317
72. World Health Organization. (2022). World mental health report: Transforming mental health for all. https://www.who.int/publications/i/item/9789240049338
73. World Health Organization Regional Office for Europe. (2023). Türkiye earthquake: External situation report no. 4: 6-12 March 2023 (Report No. WHO/EURO:2023-7145-46911-68727). World Health Organization. https://www.who.int/europe/publications/i/item/WHO-EURO-2023-7145-46911-68727.
74. Yanardağ, R., Toper, F., & Yağar, F. (2025). 6 Şubat 2023 Kahramanmaraş merkezli depremlerin psikososyal ve ekonomik etkilerinin keşfedilmesine ilişkin nitel bir çalışma. Sosyoekonomi, 33(63), 551-573.
75. Zhou, X., Snoswell, C. L., Harding, L. E., Bambling, M., Edirippulige, S., Bai, X., & Smith, A. C. (2020). The role of telehealth in reducing the mental health burden from COVID-19. Telemedicine and e-Health, 26(4), 377–379. https://doi.org/10.1089/tmj.2020.0068