Idaho Public Health - PowerPoint PPT Presentation

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Idaho Public Health

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Mental Health: Are we ready? Public Health Preparedness Competencies ... Several Thousand American Red Cross Counselors are available. Serve as a support Agency ... – PowerPoint PPT presentation

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Title: Idaho Public Health


1
Idaho Public Health Health CareMental Health
Preparedness Needs Assessment
  • Randal Beaton, PhD, EMT
  • NWCPHP Faculty

2
Overarching Goal
  • Enhance the networking capacity and training of
    State of Idaho healthcare professionals to
    recognize, treat and coordinate care related to
    behavioral health consequences of bioterrorism
    and other public health emergencies.
  • HRSA critical benchmark 2-8

3
Overview and Caveats
  • This session will repeat
  • some of the material covered
  • in the June 2004
  • Hot Topics presentation
  • Mental Health Are We Ready?

Archived at URL http//www.nwcphp.org/htip/2004
0623/
4
A bite of approach
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9
Overview and Caveats (continued)
  • This session will help guide later iLinc
    trainings to be offered on a district-by-district
    basis
  • This and subsequent trainings are not designed to
    give participants disaster mental health
    counseling skills.

10
Specific objectives of these trainings
  • To facilitate the integration of
    behavioral/mental health with overall disaster
    preparedness and response

11
Specific objectives of these trainings
  • To facilitate the integration of
    behavioral/mental health with overall disaster
    preparedness and response
  • To assist ID state health professionals in
    planning for individual and community mental and
    behavioral reactions to disasters

12
Specific objectives of these trainings
  • To facilitate the integration of
    behavioral/mental health with overall disaster
    preparedness and response
  • To assist ID state health professionals in
    planning for individual and community mental and
    behavioral reactions to disasters
  • To identify partners and resources for public
    health, EMS and hospital responders in ID for
    disaster mental health preparedness and response

13
References mentioned today
  • Reference List is online at
  • www.nwcphp.org/edu/idaho_mh_prep.html
  • most reference materials are from online sources

14
Mental Health Are we ready?
15
Public Health Preparedness Competencies
Links to competency sets at www.nwcphp.org/comps
16
Public Health Preparedness Competencies
  • Columbia Public Health Competency 7 indirectly
    addresses mental health preparedness---
  • Identify limits to own knowledge/skill/authority
    and identify key systems resources for referring
    matters that exceed these limits

17
Mental Health Preparedness Competencies
  • Competencies for mental health preparedness and
    response for health professionals have not been
    defined at the national level to date
  • A CDC Mental health exemplar group is likely to
    address this deficit over the coming year

18
Some Training Issues to Consider
  • Training needs of Public Health Workers, EMS, and
    Hospital Personnel are likely to be
    (considerably) different
  • Educational and experiential backgrounds of
    participants in this content arena are also
    likely to differ.
  • I have elected to initially cover some basic
    material for all trainees.

19
iLinc QA tool using the following definitions
for a 4 point response
How well collect your feedback
  • High Topic should definitely be included
  • Medium Topic could be included, but lower
    priority
  • Low Topic is relevant, but need not high
  • None Topic not relevant

20
Polling Results
  • We will display the aggregate results for all
    participants anonymously
  • But Dr. Beaton will know who (i.e. which
    district) votes for each answer so that he can
    customize future trainings for the needs of each
    Idaho health district

21
After collecting feedback on the prepared list of
topics, a whiteboard will be used to create a
list of any additional training needs any
district-specific needs
Using the Whiteboard
22
Training Topics
23
Topic 1 Psychological Phases of a Disaster
From Zunin Myers (2000)
24
Topic 1 Psychological Phases of a
Disaster(continued)
  • Pre-disaster threat/warning
  • Impact shock and recoil
  • Rescue heroic (lasts days)
  • Early recovery honeymoon (lasts 1 to 2 weeks)

25
Topic 1 Psychological Phases of a
Disaster(continued)
  • Mid-term recovery disillusionment (weeks to
    months)
  • Working through grief grief/set-backs
    (months to years)
  • Reconstruction (years)

26
Topic 2 Temporal Patterns of Mental/Behavioral
Responses to Disaster
27
Topic 3 Resilience
  • Definition ability to maintain relatively
    stable physical and psychological functioning
    (not the same as recovery)
  • Risk factors that deter Job loss and economic
    hardship, loss of sense of safety, loss of sense
    of control, loss of symbolic or community
    structure

28
Topic 3 Resilience (continued)
  • Protective factors that promote social support
    and core ties, sense of self-efficacy, problem
    solving approaches to coping, positive belief
    system and successful search for meaning

29
Topic 4 Signs and symptoms of Disaster Victims
(and Rescue Personnel) who need a psychological
evaluation
  • Suicidal or homicidal thoughts or plan(s)
  • Inability to care for self
  • Signs of psychotic mental illness hearing
    voices, delusional thinking, extreme agitation

30
Topic 4 Signs and symptoms of Disaster
Victims(and Rescue Personnel) who need a
psychological evaluation (continued)
  • Problematic use of alcohol or drugs
  • Marital problems, domestic violence
  • Hypersomnia or insomnia
  • Disorientation dazed, not oriented X 3

31
Topic 5
  • Mental Health Risks of Disaster workers including
    EMS and Rescue personnel

32
Topic 5 Exemplar PTSD Rates
Modified from Corneil Beaton, 1999
33
Symptoms of stress that may be experienced during
or after a traumatic incident(from NIOSH
Publication 2002 107)
Topic 6
34
Physical
Topic 6 Symptoms of stress that may
be experienced during or after a traumatic
incident
  • Chest pain
  • Difficulty Breathing
  • Shock symptoms
  • Fatigue
  • Seek medical attention immediately

35
Topic 7
  • What are CISM and CISD? What are the risks and
    benefits?

36
Topic 7 Critical Incident Stress Management
(CISM)
  • A multipart program that works to decrease the
    effects of Critical Incident Stress such as that
    stemming from a disaster
  • CISMs benefits
  • emergency service peer-driven process
  • monitored by mental health professionals
  • Peers and mental health professionals are
    cross-trained

37
Topic 7 Critical Incident Stress Debriefing
(CISD)
  • Debriefing
  • Debriefing is a complex process led by specially
    trained personnel and typically occurs 2-14 days
    after the event
  • Debriefing takes approximately 2-3 hours
  • This peer-driven process focuses on psychological
    and emotional aspects of the event.

38
Topic 8
  • Role of the Red Cross in Disaster Mental Health

39
American Red Cross
  • American Red Cross Counselors do not provide
    treatment
  • Make Mental Health referrals
  • Several Thousand American Red Cross Counselors
    are available
  • Serve as a support Agency

40
Topic 9 Federal Response for MentalHealth
Support
  • Captain Andy Stevermer
  • Emergency Coordinator
  • Office of Emergency Preparedness
  • U.S. Public Health Service, Region X

41
Topic 9 Federal Response for Mental Health
SupportBlueprint for Disaster Response
Declares a federal disaster
42
Contact for Federal Response Mental Health
Support
Captain Andrew C. StevermerEmergency
Coordinator CDCRegion X ATSDR1200 Sixth
AvenueRoom 1930 (ATS-197)Seattle, WA
98101 Telephone (206) 553 1698Cell (206) 396
1180Fax (206) 553 2142E-mail
stevermer.andrew_at_epa.gov
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