Transcript Using the NWCPHP Template

Topic 10:
Principles of Psychological
Needs Assessment Post-disaster
i.
ii.
Nature – Psychological Typology of Disasters,
Scope and severity of the disaster
Topic 10: Principles of Psychological
Needs Assessment Post-disaster
Types of Disasters
Natural
Unintentional
Intentional
Man-made
Technological
Biological
Floods,
Hurricanes,
Earthquakes,
etc.
e.g., Bhopal,
Haz-Mat,
Nuclear Power
plant accident
Epidemic
e.g., 1918
Influenza
Pandemic
“Act of God”
Chemical,
Nuclear,
Radiological,
Explosion, Acts
of Terrorism
Bioterrorism
Topic 10: Principles of Psychological Needs
Assessment Post-disaster (continued)
DeWolf’s “Bulls-eye”
Exposure Model
Topic 10: Principles of Psychological
Needs Assessment Post-disaster
DeWolfe, see SAMHSA publication
Topic 10: Principles of Psychological
Needs Assessment Post-disaster (continued)
DeWolfe: A - C
A. Seriously injured victims  bereaved family
members
B. Victims with high exposure to trauma 
victims evacuated from the disaster zone
C. Bereaved extended family members and
friends  rescue and recovery workers with
prolonged exposure  medical examiner’s
office staff  service providers directly
involved with death notification and
bereaved families
Topic 11: Vulnerable populations
i.
ii.
iii.
iv.
v.
vi.
vii.
Current psychiatric patients
Prior psychological disorders
Prior traumatic exposures
The very young
The elderly
Chronically ill
Native American tribes
Supporting Children at Times of Disaster
Hot Topics in
Preparedness archive
by David J. Schonfeld, MD,
Head of DevelopmentalBehavioral Pediatrics
Yale University School of
Medicine
Online at URL:
http://www.nwcphp.org/htip/20040913/
Topic 12:
What are the goals of an All-Hazards
Mental Health State Disaster Plan
Reference URL:
http://media.shs.net/ken/pdf/SMA03-3829/AllHazGuide.pdf
Topic 12: Goals of an All-Hazards State
Mental Health Disaster Plan?
 Serve
as the basis for effective response
to any hazard that threatens any
jurisdiction;
 Facilitate the integration of mitigation into
response and recovery activities
 Facilitate coordination with the federal
government during catastrophic disaster
situations.
Topic 13: Basic Principles of Post-Disaster
Approaches to Mental Health
NORMALIZE – most psych/behavioral
reactions are “normal” and transient
Topic 13: Basic Principles of Post-Disaster
Approaches to Mental Health
What are Normal Reactions to Disasters?
– momentary
 Derealization – not real/feels surreal
 Depersonalization – “out of body”
 Difficulties concentrating, staying on task
 “Some” anxiety and apprehension
 Shock/recoil/denial
Topic 13: Basic Principles of Post-Disaster
Approaches to Mental Health
What are Normal Reactions to Disasters?
(continued)
 “Some”
distress and dysthemia
 “Some” anger
 Temporary increase in “Achilles heel”
medical stress symptoms, e.g. headache,
GI
 Posttraumatic reactions – re-experiencing
and staying away from reminders
Topic 14:
Basic principles of early interventions –
PIE: proximity, immediacy, expectancy
Topic 15: Psychological “First Aid”
Traumatic Incident Stress:
Information for Emergency Workers:
NIOSH Guidelines
http://www.cdc.gov/niosh/unp-trinstrs.html
Topic 15: Psychological “First Aid”
i.
ii.
iii.
Support and presence
Screen/refer
Keep families together
Topic 16:
Rural Mental Health Preparedness
versus Urban Settings
Topic 16: Rural Mental Health Preparedness
 Lower
perceived risk of BT (vs. rural areas
are the perfect demonstration project for a
terrorist incident)
 Evacuation issues
 Potential for terror induction may be greater
Topic 17:
Benefits
of Training and Drills for
First Responders
and Disaster Personnel
Topic 17: Benefits of Training and Drills for
First Responders and Disaster Personnel
18
Results of Domestic Preparedness Questionnaire
From Beaton & Johnson (2002)
Total DPQ Score
17
16
15
14
Pre-training
13
4 mo. Post-training
12
Pre-training
11
10
4mo. Post-tra ining
No
Yes
DP
Traine d?
DP
Trained?
Perceived Competency to Respond
to Biological Disaster
Topic 17: Benefits of Training and Drills for
First Responders and Disaster Personnel
Results of Domestic Preparedness Questionnaire
From Beaton & Johnson (2002)
30
20
Pre-training
4 mo. Post-training
10
Pre-training
0
4mo. Post-training
No
Yes
DP
DPTrained?
Traine d?
Topic 18:
Multiple Unexplained Physical
Symptoms (MUPS) in the Aftermath
of Trauma and Disaster
Idaho Health Districts
District-Specific
Training Needs?
Any Other Topics?
Please evaluate today’s session
Please complete an online evaluation of this
session – go to web page below & look for
“Online Evaluation”
www.nwcphp.org/edu/idaho_mh_prep.html
Wrap-Up & Next Steps
Anonymous results of today’s needs
assessment survey will be shared with
all health districts
 Dr. Beaton will use these results and
work with local health districts to plan a
series of Mental Health & Preparedness
trainings in first part of 2005

Thank You!