Title: Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org
1Anticipated Controversies
- Critical Incident Stress Debriefing (CISD) and
efficacy of early intervention - Rural Mental Health Preparedness
2Rural Mental Health Preparedness
- Lower perceived risk of BT (vs. we are the
perfect demonstration project for a terrorist
incident) - Evacuation issues coming and going
- Potential for terror induction may be greater
3- HOW DO YOU DEVELOP RESILIENT COMMUNITIES?
- Treat the public as a capable ally (pre-event)
- Education Public Service announcements
- Risk Communication (post-event)
- Provide training/drills/education for First
Responders
4First Responder and Provider Disaster
Training/Drills/Education enhances knowledge and
confidence.
Good News
5You can observe a lot by watching (Berra, 1998)
6NDMS drill (May 13, 2004)
Dress rehearsal at Harborview
7NDMS drill (May 13, 2004)
DeCon at Harborview
8DOD Preparedness Training for First Responders
9From Beaton Johnson (2002)
10From Beaton Johnson (2002)
11Systems Issues
- Currently may not be able to meet community
psychological needs in the event of a disaster - Gaps include
- Training and preparedness of mental health
providers - Coordination of agencies and services
12Systems Issues continued
- Identification of mental health preparedness
competencies - Knowledge and evidence based services
13Relationships are primary, all the rest is
derivative.(David, 2000)
- Interagency
- Cooperation
- Coordination
- Communication
- Collaboration
14And Planning
15Level 1 Disaster
Localized disaster, the effects of which can be
managed within existing resources (lt20 referrals)
Caller referred to current provider or
appropriate resource -walk-in appt -next day
appt -outreach
Red Cross responds notifies Crisis Services
Red Cross provides services victims referral
information
Victim calls Crisis Clinic
Teams of 2-3 people dispatched to identified sites
Needs Assessment -numbers? -walk-ins? -on site
response? -phone support?
Resource information communicated to Crisis Clinic
16Level 2 Disaster
MH needs exceed existing MH resourcesPresidential
Disaster Declaration, FEMA grants
State MHD collects info on scope of disaster
needed response
Data collected MH infrastructure damage of
people served or visits provided Types of
referrals
Multi-county disaster, EOC activated
Needs assessment via EOC, Red Cross, State MH,
etc
Providers mobilized, response teams assembled
Are out-of facility services needed?
Teams dispatched to identified sites-shelters,
recovery centers, churches, clinics, schools
Services provided at designated provider sites
(1-3 visit model)
17And Drills
18TopOff 2
- State-Local-Federal Coordination
- Law Enforcement vs. Human Services Response
- Risk/Benefit Analysis
19TopOff 2
20A View from the Bottom