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DBHRT ANNUAL CONFERENCE

Origins of DBHRT. SAMHSA GrantAttitude towards DBH in NH and past BH responsesOur

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DBHRT ANNUAL CONFERENCE

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    1. DBHRT ANNUAL CONFERENCE MAY 14, 2010

    2. Origins of DBHRT SAMHSA Grant Attitude towards DBH in NH and past BH responses Our “Great Expectations” Disaster Behavioral Health Advisory Committee Appeal to NH BH professionals Early trainings

    3. The Good, the Bad and the Ugly

    4. The Good Interest in becoming a DBHRT member Sufficient response to requests - always Requests from schools and NHNG Commitment of Liaisons Support from Leadership Relationship with Response Partners Trainings

    5. Trainings Provided PFA DBHRT Basic Understanding Military Culture Mass Casualty - Family Assistance Mandated Reporting Community Resilience CISM – Group Suicide Postvention Needs of Deaf and Hard of Hearing Ministry in Times of Disaster

    6. The Bad and the Ugly We get called, when something bad has happened Suicides/Murders Funerals and memorial services How one death can impact so many

    7. DBHRT ORGANIZATION COORDINATOR LIAISONS (2) TEAM LEADERS (14) SQUAD BOSSES TEAM MEMBERS (700)

    8. Where DBHRT Fits Into ICS Org.

    9. DBHRT SERVICES – A Review Training Consultation Initial Community Needs Assessment Psychological First Aid Crisis Intervention Outreach and information dissemination Critical Incident Stress Management Screening and Referral  

    10. REQUESTING DBHRT SERVICES DBHRT requested through “single point of contact” HSEM (800) 852-3792 DBHRT does not “self-deploy” Coordinator gathers preliminary information Coordinator assigns Liaison to conduct I.C.N.A. Coordination with other BH responders I.C.N.A. determines initial deployment needs

    11. Service Delivery Sites – A Review Schools National Guard Shelters PODs Community Settings Hospitals Field Decontamination Staging Areas Feeding Locations Family Assistance Centers

    12. RESPONSES TO ACTUAL EVENTS HEP A H1N1 Mont Vernon School Incidents Ice Storm - 2008 NH Floods- 05, 06 and 07 NH National Guard Katrina Evacuees

    13. October, 2003 – Lincoln - Missing child December 9, 2003 – Deerfield - Murder/suicide February 28, 2004 – Derry - Hep A clinic August 4-9, 2004 – Sandwich - Death of camper December 8, 2004 – Concord - Death of student December 20, 2004 – Hanover - Flu Vaccination Clinic March, 2005 - NG Natural Helper Workshops March, 2006 - Whitefield suicide May 3-6th - Concord death of NHTI student October 2005 - Statewide Floods March 2006 - Wilton Suicide May 2006 - Statewide Floods June 2006 - Deerfield death of 7th grade student August 2006 - Cornish failed rescue attempt

    14. August 2006 - Conway MH office staff suicide August 2006 - Animal Hospital Suicide September, 2006 - Woodsville Elem. School Faculty spouse death October, 2006 - Manchester death of Officer Briggs November 2006 - Keene suicide at Residential Substance Abuse Program December 2, 2006 - Portsmouth Parade accident- Greenland School December 8, 2006 – Portsmouth Crossroads Shelter- sudden death of a resident January, 2007 - Berlin Fire February, 2007 - Wolfeboro, Huggins Hospital – death of colleague

    15. April, 2007 - New Hampton Prep – death of student May, 2007 – Franconia double murder including line of duty death of police officer August, 2007 - NHNG Reunion and Reintegration with children October, 2007 - McIntosh College Death of Student October 29, 2007 - Pelham Fire Dept Nov 3, 2007 - Annual Flu Shot POD Dec 9, 2007 - NHNG reintegration discussion Dec 11, 2007 - Nottingham, Fatal fire Jan 2008 - Epping Pre-School, death of 2 students January, 2008 – Moultonborough – community support for number of suicides Feb 2008 - Operation Flood Recovery debriefing March, 2008 - Balsams Ski worker injured by machine April, 2008 -Franklin Fire – death of Mother and 2 school age children

    16. April, 2008 - Greenland School – sudden death of 7th grade student April, 2008 - Allenstown – double auto fatality May, 2008 - Timberlane High School – debriefing after teacher coded May, 2008 - Franconia State Park – Visitor killed by falling rock June, 2008 - NHNG reintegration discussion July, 2008 - NHNG reintegration discussion August, 2008 - NHNG Phase I Reintegration August, 2008 - Operation Military Kids Camp September, 2008 - Groveton suicide October, 2008 – death of NHNG soldier November, 2008 – Chichester School – death of student

    17. November, 2008 – suicide death of soldier November, 2008 – NHNG Family support staff stress November, 2008 - NHNG Drill weekend November, 2008 – Hillsboro-Deering - death of teacher Dec 2008 – Statewide – response to ice storm February, 2009 – Hampton Falls –suicide Feb 2009 – Meredith - Ph I Reintegration for children May, 2009 – Milford H.S. student deaths May, 2009 – Timberlane H.S. – student death May, 2009 – Wolfboro – death of school nurse June, 2009 – Pittsfield fatal house fire

    18. August, 2009 – NH Employment Security request for emotional support October, 2009 – Mont Vernon murder October, 2009 – Post-deployment workshop with military kids October, 2009 – POD Exercises October, 2009 – Allenstown Tornado Exercise November, 2009 – Rindge, NH - stabilization for officers who responded to fatal shooting December, 2009 – H1N1 Clinics January, 2010 – suicide death of student January, 2010 –Crossroads shelter suicide death of resident February, 2010 –debriefing/post deployment check for CNO following death of NH soldier February, 2010 – Pre-Deployment activities with military kids

    19. March, 2010 – Epping Schools - death of 8th grade student March, 2010 – Dover H.S. – electric shock of student March, 2010 – Epping H.S. - student suicide ideation and attempt March, 2010 – Debriefing sudden death of a teacher March, 2010 – Pre-Deployment activities with military kids April, 2010 – Pre-Deployment activities with military kids April, 2010 – Cardigan Mountain School –suicide death of student April, 2010 – the suicide death of Boy Scout

    20. Lessons Learned From: DBHRT members Victims & survivors Response partners After Action Review Comments

    21. What Makes a Good Team Member? FLEXIBLE EMPATHETIC SENSITIVE CREATIVE POSITIVE NON-TRADITIONAL COMFORTABLE IN CHAOS ENERGETIC FOCUSED TEAM PLAYER SELF-STARTER COMFORTABLE WITH SURVIVORS COMMITTED AVAILABLE

    22. Challenges A Mass Casualty Event in NH Needing to do more with less Matching the response to the need Risk of compassion fatigue Maintaining DBHRT Database Maintaining DBHRT Volunteers Individual and Family Preparedness

    24. What will the Future Bring? Increased requests from school Post War Readjustment and demand for services New Trainings New Threats? The unknown ??????????????????????

    25. CONTACT INFORMATION Paul Deignan (C)419-0074, (W) 800-852-3792 OR 223-3621 Paul.Deignan@hsem.nh.gov Mark Lindberg (c) 991-3366 (w) 444-5358 mlindberg@northernhs.org Joan Haskell (c) 566-3523 x 3480 889-6147 HaskellJ@GNMHC.org WEB SITE www.nhoem.state.nh.us

    26. DBHRT Regional Breakout Groups Hazards, vulnerabilities, risks Culture and demographics Past critical incidents & disasters BH responses BH assets Opportunities Challenges

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