Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org - PowerPoint PPT Presentation

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Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org

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Knowledge and evidence based services. Northwest Center for Public Health Practice ... Resource information communicated to Crisis Clinic ... – PowerPoint PPT presentation

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Title: Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org


1
Anticipated Controversies
  • Critical Incident Stress Debriefing (CISD) and
    efficacy of early intervention
  • Rural Mental Health Preparedness

2
Rural 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

4
First Responder and Provider Disaster
Training/Drills/Education enhances knowledge and
confidence.
Good News
5
You can observe a lot by watching (Berra, 1998)
6
NDMS drill (May 13, 2004)
Dress rehearsal at Harborview
7
NDMS drill (May 13, 2004)
DeCon at Harborview
8
DOD Preparedness Training for First Responders
9
From Beaton Johnson (2002)
10
From Beaton Johnson (2002)
11
Systems 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

12
Systems Issues continued
  • Identification of mental health preparedness
    competencies
  • Knowledge and evidence based services

13
Relationships are primary, all the rest is
derivative.(David, 2000)
  • Interagency
  • Cooperation
  • Coordination
  • Communication
  • Collaboration

14
And Planning
15
Level 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
16
Level 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)
17
And Drills
18
TopOff 2
  • State-Local-Federal Coordination
  • Law Enforcement vs. Human Services Response
  • Risk/Benefit Analysis

19
TopOff 2
20
A View from the Bottom
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