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Kansas All-Hazards Behavioral Health Program Preparedness, Response, and Recovery For Kansas Communities KAHBH Personnel Dr. Briana S. Nelson Goff, KSU/Family Studies & Human Services Charlie Griffin, KSU/Family Studies & Human Services Becky Rinehart , SRS Mental Health, Topeka

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Kansas all hazards behavioral health program l.jpg
Kansas All-Hazards Behavioral Health Program

Preparedness, Response,

and Recovery For

Kansas Communities


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KAHBH Personnel

  • Dr. Briana S. Nelson Goff, KSU/Family Studies & Human Services

  • Charlie Griffin, KSU/Family Studies & Human Services

  • Becky Rinehart, SRS Mental Health, Topeka

  • Stephanie Wick, FSHS MS Student

  • Anthony Walker, FSHS MS Student

  • Michael Smith, Psychology Undergraduate Student

  • Lizette Vargas, BRIDGES & DSP Undergraduate Student


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“Behavioral Health”

Mental Health + Substance Abuse


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“It is important to remember that mental health intervention is a prompt and effective medical response to a bioterrorism attack. Early detection, successful management of casualties, and effective treatments bolster the public’s sense of safety and increase confidence in our institutions. Because the overriding goal of terrorism is to change people’s beliefs, sense of safety, and behaviors, mental health experts are an essential part of planning and responding.”

Statement from the Conference Transcript:

Responding to Bioterrorism: Individual and Community Needs,

October 19-21, 2001


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intervention is a prompt and effective medical response to a bioterrorism attack. Early detection, successful management of casualties, and effective treatments bolster the public’s sense of safety and increase confidence in our institutions. Because the overriding goal of terrorism is to change people’s beliefs, sense of safety, and behaviors, mental health experts are an essential part of planning and responding.”Mental Health is the linchpin to an effective response.“

Statement from April 2005

TOPOFF 3 Exercise


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All-Hazards = All-Hazards intervention is a prompt and effective medical response to a bioterrorism attack. Early detection, successful management of casualties, and effective treatments bolster the public’s sense of safety and increase confidence in our institutions. Because the overriding goal of terrorism is to change people’s beliefs, sense of safety, and behaviors, mental health experts are an essential part of planning and responding.”

Disasters

Bioterrorism

Major Community Crises


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State-Level Role of KAHBH intervention is a prompt and effective medical response to a bioterrorism attack. Early detection, successful management of casualties, and effective treatments bolster the public’s sense of safety and increase confidence in our institutions. Because the overriding goal of terrorism is to change people’s beliefs, sense of safety, and behaviors, mental health experts are an essential part of planning and responding.”

  • During a disaster in Kansas, the Kansas Mental Health Authority through SRS collaborates with the Kansas Department of Emergency Management, Local Community Mental Health Centers, and FEMA in a Presidentially declared disaster

  • FEMA has required each State to develop a crisis response plan in meeting the mental health and substance abuse needs at state and local levels, which are formally integrated into the State Emergency Operations Plan


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  • KDHE established a contract with KMHA to provide funds for 1 year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

    • 2nd year began 1/06

  • In January 2005, Kansas Department of Social and Rehabilitation Services, Mental Health Authority, subcontracted with Kansas State University, School of Family Studies and Human Services

  • The Kansas All-Hazards Behavioral Health (KAHBH) Project was developed through the subcontract


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Behavioral Health Response to year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

Presidentially Declared Disaster

Sources of Information

-Red Cros

-KEMA

-Adjutant General’s Office

-Cities

- Newspapers

- New Releases

To Collect Data Per County

-Casualties

-Injured

-Business

-Schools

-Homes

-Homeless

-Power

-Food

-Water

-------------------------------------------

-Budget

-Staff

Event

9 Months

If needed apply for

Regular Services

Program (RSP)

City Response

County Response

60 Days

1) On-Site Command

2) Local Outreach workers

3) Supplies

State Response

KDEM Application

National Disaster

KMHA has 14 Days

to Apply for

Immediate Services

Project (ISP)

Presidentially

Declared Disaster


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FEMA/SAMHSA year to coordinate the development and implementation of the All-Hazards Behavioral Health PlanCrisis Counseling Assistance and Training Program


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FEMA Crisis Counseling year to coordinate the development and implementation of the All-Hazards Behavioral Health PlanAssistance and Training Program

  • Robert T. Stafford Disaster Assistance and Emergency Relief Act (P.L. 93-288 as amended)

  • Interagency Federal Partnership

  • Federal-State-Local Partnership


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Organizational Partners year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan in Crisis Counseling Program

  • Community Mental Health Agencies

  • State Mental Health Authority

  • State Emergency Management Agency

  • Federal Emergency Management Agency (Region and Headquarters)

  • Center for Mental Health Services


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Administrative year to coordinate the development and implementation of the All-Hazards Behavioral Health PlanStaff

  • Community Program Managers

  • State Disaster Mental Health Coordinator

  • Governor’s Authorized Representative

  • FEMA Crisis Counseling Coordinator

  • FEMA Human Services Officer

  • Federal Coordinating Officer

  • FEMA Headquarters Crisis Counseling Coordinator

  • CMHS Project Officer


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Disaster Operations Structure year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan


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CCP Organizational Chart: year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

Small Provider


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CCP Organizational Chart: year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

Large Provider


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Examples of Crisis year to coordinate the development and implementation of the All-Hazards Behavioral Health PlanCounseling Program Services

  • Outreach

  • Screening and Assessment

  • Counseling

  • Information and Referral

  • Public Education


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Program year to coordinate the development and implementation of the All-Hazards Behavioral Health PlanLimitations

  • Medications

  • Hospitalization

  • Long-term Therapy

  • Providing Childcare or Transportation

  • Fundraising activities

  • Advocacy

  • Case Management


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Primarily Office-Based year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

Focus on Diagnosis & Treatment of Mental Illness

Attempt to Impact Personality & Functioning

Examines Content

Encourages Insight into Past Experiences & Influence on Current Problems

Psychotherapeutic Focus

Primarily Home & Community Based

Assessment of Strengths, Adaptation & Coping Skills

Seeks to Restore Pre-Disaster Functioning

Accepts Content at Face Value

Validates Appropriateness of Reactions and Normalizes Experience

Psycho-educational focus

Crisis Counseling and “Traditional” Behavioral Health Practice

“Traditional” Practice

Crisis Counseling

Source: ESDRB Program Guidance, December, 1996


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FEMA/CMHS year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

Crisis Counseling ProgramFY 2004 Grant Sites

FEMA 1492 MD (Hurricane Isabel))

FEMA 1391 NY

9/11 Terrorism

FEMA 1474 WV

(Floods)

FEMA 1506 SA (Cyclone)

FEMA 1491 VA (Hurricane Isabel)

FEMA 1498-CA

(Fires)

FEMA 1475 KY

(Severe Storms)

FEMA 1501 PR

(Storms & Flooding)

FEMA 1322 AL (Tornado)

FEMA 1437 LA

(Flooding)

FEMA 1479 TX

(Hurricane Claudette)


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Summary year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

  • The FEMA/CMHS Crisis Counseling Program works in conjunction with a number of organizational partners and administrative staff to provide services during disasters that differ from traditional mental health services


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KAHBH Purpose year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

  • KAHBH provides State-wide organization and coordination for behavioral health response to disaster and other all-hazards events

  • Responsibilities of the KAHBH Project are outlined in 7 Primary Tasks


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Key KAHBH Tasks year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

  • Resource identification and collection

  • Training and education

  • Development of Annex to KEOP, KAHBH Plan, and Standard Operating Procedures

  • State-wide network recruitment and coordination

  • Preparedness, response, and recovery activities


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KAHBH Trainings year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

  • Core Behavioral Health Training

    • Began Dec 2005

    • Based on SAMHSA/CMHS Training Manual

    • 1.5 day training

      • DAY 1 (approx. 8 hours)

      • For all participants without CISM or ARC DMH training within the last 5 years (Mental health and paraprofessionals)

        • Module 1: Disaster Classifications and Phases

        • Module 2: Traumatic Reactions to Disasters

        • Module 3: Providing Support During Disasters

        • Module 4: Considerations for Special Populations, Cultural Competence, and Ethical Issues

      • Day 2 (approx. 4)

      • For ALL KAHBH Network members

        • Module 5: The FEMA/SAMHSA CMHS Crisis Counseling Assistance and Training Program

        • Module 6: The KAHBH Program: Preparedness, Response, and Recovery for Kansas Communities

        • Module 7: Behavioral Health and Crisis Response Interventions

        • Module 8: KAHBH Community Outreach Teams: Structure, Procedures, and Documents


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  • Paraprofessional Training year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

    • All nonbehavioral health members/paraprofessionals

    • 4 hours training on basic helping skills in crisis counseling

      • The Role of the Helper

      • Professional and personal boundaries

      • Ethics, confidentiality, and dual relationships

      • Communication Skills

      • Challenges in Helping

      • Diversity and multicultural awareness as a helper

      • Helping in Crisis and Grief Situations


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  • Future Specialty Trainings year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

    • To be based on each community’s needs

    • All non-mental health members will receive additional ½ day (4 hours) training on basic helping skills in crisis counseling

    • At least 2 members (1 MH and 1 NMH) from each area will receive specialized training in the following areas (to be provided online in 2-4 hour trainings):

      • Children (under age 18)

      • Frail Elderly

      • Developmentally and physically disabled

      • Severe Mental Illness and People in active Substance Abuse Treatment

      • People in Correctional Institutions

      • College Students in dorms/away from home/Families/individuals relocated

      • People with high traumatic exposure

      • People in poverty and homeless

      • Roles of women in community (e.g. new moms, multiple caregivers)

      • Men and Women

      • Emergency responders involved in rescue/recovery

      • Multicultural issues

      • Farmers/Ranchers/Agricultural Workers/Rural Populations


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Other Training year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

  • 2005 All-Hazards Behavioral Health Symposium: Preparedness, Response, and Recovery in Kansas

    • October 6-7, 2005

    • Kansas Highway Patrol Academy in Salina, KS


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KAHBH Network year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

  • 10 staff

  • 15 Stakeholders

  • 12 SRS Field Staff

  • 29 CMHC Coordinators

  • Goal: 200+ KAHBH Network members


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KAHBH Stakeholder year to coordinate the development and implementation of the All-Hazards Behavioral Health PlanSupporting Agencies

  • Kansas Department of Health & Environment, Office of Local & Rural Health, Topeka

  • SRS Mental Health Authority, Topeka

  • SRS Health Care Policy, Addiction & Rehabilitation Services, Topeka

  • Kansas State University, School of Family Studies and Human Services, Manhattan

  • University of Kansas School of Medicine, Department of Preventive Medicine & Public Health, Wichita

  • Lawrence Therapy Services, Lawrence

  • Mental Health Center of East Central Kansas, Emporia

  • Regional Prevention Center, Olathe

  • Mid-America Addiction Technology Transfer Center, Kansas City

  • COMCARE, Wichita

  • American Red Cross, Midway Kansas Chapter, Wichita

  • Wyandot Center, Kansas City

  • Association of Community Mental Health Centers of Kansas, Inc., Topeka

  • Center for Counseling & Consultation, Great Bend

  • Prairie View Behavioral & Mental Health Care, Newton **

  • Heartland Assessment Center, Roeland Park, KS **

    **Resigned due to accepting positions in other states


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KAHBH Plan and Standard Operating Procedures year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

  • The initial Kansas All-Hazards Behavioral Health Annex has been drafted and submitted to the Kansas Department of Emergency Management (KDEM) to be reviewed and accepted into the Kansas Emergency Operations Plan.

    • KDEM acceptance currently is pending

  • The State Plan will provide a detailed description of the behavioral health preparedness, response, and recovery in Kansas

  • Preliminary drafts of the KAHBH Standard Operating Procedures have been developed and are to be reviewed by the SRS Contract Manager.


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Preparedness Activities year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

Response Activities

Recovery Activities


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The goal of KAHBH is to collaborate and work to coordinate year to coordinate the development and implementation of the All-Hazards Behavioral Health Planall behavioral health services before, during, and after an all-hazards event in Kansas.


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Organizations Involved in year to coordinate the development and implementation of the All-Hazards Behavioral Health PlanDisaster Response

  • Federal

    • SAMHSA—Substance Abuse Mental Health Services Administration &CMHS—Center for Mental Health Services

    • FEMA—Federal Emergency Management Agency

  • State

    • KDHE—Kansas Dept. of Health and Environment

      • KDEM—Kansas Division of Emergency Management

        • SRS—Kansas Dept. of Social and Rehabilitation Services

  • Local

    • Local emergency management agencies

    • CMHC—Community Mental Health Centers

    • Local professionals and para-professionals (substance abuse professionals, clergy, doctors/nurses, fire/police department, volunteers, etc.)


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Role of KAHBH year to coordinate the development and implementation of the All-Hazards Behavioral Health PlanNetwork Members

  • SAMHSA/CMHC Model

  • Professionals and paraprofessionals working in teams

  • Based on SRS CMHC Regions

    • 27 total areas in Kansas


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KAHBH is not: year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

  • American Red Cross Disaster Mental Health Services

  • Critical Incident Stress Debriefing


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Network members year to coordinate the development and implementation of the All-Hazards Behavioral Health Planshould be:

  • Indigenous to the communities they serve

  • Possess varied experience

  • Non-traditional methods

  • Sensitive to cultural issues


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

KDEM

State

Plan

KS Citizens


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

KAHBH

KDEM

State

Plan

KS Citizens


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

State Stakeholders

KAHBH

KDEM

State

Plan

KS Citizens


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

State Stakeholders

KAHBH

KDEM

State

Plan

American Red Cross

KS Citizens


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

State Stakeholders

KAHBH

KDEM

State

Plan

Education: Trainings, Universities, Conferences

American Red Cross

KS Citizens


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

State Stakeholders

KAHBH

KDEM

State

Plan

Education: Trainings, Universities, Conferences

Governor’s Bioterrorism Coordinating Council

(SRS Mental Health Authority rep joined 4/04

American Red Cross

KS Citizens


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

State Stakeholders

County Data Bank

KAHBH

KDEM

State

Plan

Education: Trainings, Universities, Conferences

Governor’s Bioterrorism Coordinating Council

(SRS Mental Health Authority rep joined 4/04

American Red Cross

KS Citizens


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

State Stakeholders

County Data Bank

KAHBH

KDEM

State

Plan

Education: Trainings, Universities, Conferences

KS Train

Governor’s Bioterrorism Coordinating Council

(SRS Mental Health Authority rep joined 4/04

American Red Cross

KS Citizens


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

State Stakeholders

Disaster Exercises

County Data Bank

KAHBH

KDEM

State

Plan

Education: Trainings, Universities, Conferences

KS Train

Governor’s Bioterrorism Coordinating Council

(SRS Mental Health Authority rep joined 4/04

American Red Cross

KS Citizens


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

State Stakeholders

Disaster Exercises

County Data Bank

KAHBH

KDEM

State

Plan

Education: Trainings, Universities, Conferences

KS Train

1st responders/ Critical Incident Stress Management

Governor’s Bioterrorism Coordinating Council

(SRS Mental Health Authority rep joined 4/04

American Red Cross

KS Citizens


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KS Citizens year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan

State Stakeholders

Disaster Exercises

County Data Bank

KAHBH

KDEM

State

Plan

Education: Trainings, Universities, Conferences

KS Train

1st responders/ Critical Incident Stress Management

Governor’s Bioterrorism Coordinating Council

(SRS Mental Health Authority rep joined 4/04

American Red Cross

KS Citizens


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