Principles of Psychological Needs Assessment Post-disaster

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Topic 10

• Principles of Psychological Needs Assessment
  Post-disaster
• Nature Psychological Typology of Disasters,
• Scope and severity of the disaster

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Topic 10 Principles of Psychological Needs
Assessment Post-disaster
Types of Disasters
Natural Man-made Technological Biological
Unintentional Floods, Hurricanes, Earthquakes, etc. e.g., Bhopal, Haz-Mat, Nuclear Power plant accident Epidemic e.g., 1918 Influenza Pandemic
Intentional Act of God Chemical, Nuclear, Radiological, Explosion, Acts of Terrorism Bioterrorism
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Topic 10 Principles of Psychological Needs
Assessment Post-disaster (continued)
DeWolfs Bulls-eye Exposure Model
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Topic 10 Principles of Psychological Needs
Assessment Post-disaster
DeWolfe, see SAMHSA publication
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Topic 10 Principles of Psychological Needs
Assessment Post-disaster (continued)
DeWolfe A - C

1. Seriously injured victims ? bereaved family
   members
2. Victims with high exposure to trauma ? victims
   evacuated from the disaster zone
3. Bereaved extended family members and friends ?
   rescue and recovery workers with prolonged
   exposure ? medical examiners office staff ?
   service providers directly involved with death
   notification and bereaved families

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Topic 11 Vulnerable populations

1. Current psychiatric patients
2. Prior psychological disorders
3. Prior traumatic exposures
4. The very young
5. The elderly
6. Chronically ill
7. Native American tribes

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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
/
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Topic 12

• What are the goals of an All-Hazards Mental
  Health State Disaster Plan
• Reference URL http//media.shs.net/ken/pdf/SMA0
  3-3829/All-HazGuide.pdf

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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.

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Topic 13 Basic Principles of Post-Disaster
Approaches to Mental Health

• NORMALIZE most psych/behavioral reactions are
  normal and transient

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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

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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

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Topic 14

• Basic principles of early interventions PIE
  proximity, immediacy, expectancy

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Traumatic Incident Stress Information for
Emergency WorkersNIOSH Guidelineshttp//www.cdc
.gov/niosh/unp-trinstrs.html
Topic 15 Psychological First Aid
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Topic 15 Psychological First Aid

1. Support and presence
2. Screen/refer
3. Keep families together

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Topic 16

• Rural Mental Health Preparedness versus Urban
  Settings

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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

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Topic 17

• Benefits of Training and Drills for First
  Responders and Disaster Personnel

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Topic 17 Benefits of Training and Drills for
First Responders and Disaster Personnel
Results of Domestic Preparedness
QuestionnaireFrom Beaton Johnson (2002)
Total DPQ Score
DP Trained?
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Topic 17 Benefits of Training 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?
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Topic 18

• Multiple Unexplained Physical Symptoms (MUPS) in
  the Aftermath of Trauma and Disaster

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Idaho Health Districts
District-Specific Training Needs?
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Any Other Topics?
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Please evaluate todays 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

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Wrap-Up Next Steps

• Anonymous results of todays 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

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• Thank You!