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Topic 10:

Topic 10:. Principles of Psychological Needs Assessment Post-disaster Nature – Psychological Typology of Disasters, Scope and severity of the disaster. Topic 10: Principles of Psychological Needs Assessment Post-disaster. Types of Disasters.

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Topic 10:

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  1. Topic 10: Principles of Psychological Needs Assessment Post-disaster • Nature – Psychological Typology of Disasters, • Scope and severity of the disaster

  2. Topic 10:Principles of Psychological Needs Assessment Post-disaster Types of Disasters

  3. Topic 10: Principles of Psychological Needs Assessment Post-disaster (continued) DeWolf’s “Bulls-eye” Exposure Model

  4. Topic 10: Principles of Psychological Needs Assessment Post-disaster DeWolfe, see SAMHSA publication

  5. Topic 10: Principles of Psychological Needs Assessment Post-disaster (continued) DeWolfe: A - C • Seriously injured victims  bereaved family members • Victims with high exposure to trauma  victims evacuated from the disaster zone • 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

  6. Topic 11: Vulnerable populations • Current psychiatric patients • Prior psychological disorders • Prior traumatic exposures • The very young • The elderly • Chronically ill • Native American tribes

  7. Supporting Children at Times of Disaster Hot Topics in Preparedness archive by David J. Schonfeld, MD, Head of Developmental-Behavioral PediatricsYale University School of Medicine Online at URL: http://www.nwcphp.org/htip/20040913/

  8. 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/All-HazGuide.pdf

  9. 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.

  10. Topic 13: Basic Principles of Post-Disaster Approaches to Mental Health NORMALIZE – most psych/behavioral reactions are “normal” and transient

  11. Topic 13: Basic Principles of Post-Disaster Approaches to Mental Health What are Normal Reactions to Disasters? • Shock/recoil/denial – momentary • Derealization – not real/feels surreal • Depersonalization – “out of body” • Difficulties concentrating, staying on task • “Some” anxiety and apprehension

  12. 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

  13. Topic 14: Basic principles of early interventions – PIE: proximity, immediacy, expectancy

  14. Topic 15: Psychological “First Aid” Traumatic Incident Stress: Information for Emergency Workers:NIOSH Guidelineshttp://www.cdc.gov/niosh/unp-trinstrs.html

  15. Topic 15: Psychological “First Aid” • Support and presence • Screen/refer • Keep families together

  16. Topic 16: Rural Mental Health Preparedness versus Urban Settings

  17. 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

  18. Topic 17: • Benefits of Training and Drills for First Responders and Disaster Personnel

  19. Pre-training 4 mo. Post-training Topic 17: Benefits ofTraining and Drills for First Responders and Disaster Personnel Results of Domestic Preparedness QuestionnaireFrom Beaton & Johnson (2002) Total DPQ Score DP Trained?

  20. Pre-training 4 mo. Post-training Topic 17: Benefits ofTraining and Drills for First Responders and Disaster Personnel Results of Domestic Preparedness QuestionnaireFrom Beaton & Johnson (2002) Perceived Competency to Respond to Biological Disaster DP Trained?

  21. Topic 18: Multiple Unexplained Physical Symptoms (MUPS) in the Aftermath of Trauma and Disaster

  22. Idaho Health Districts District-Specific Training Needs?

  23. Any Other Topics?

  24. 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

  25. 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

  26. Thank You!

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