Northwest%20Center%20for%20Public%20Health%20Practice%20University%20of%20Washington%20School%20of%20Public%20Health%20and%20Community%20Medicine%20http://nwcphp.org

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Mental Health Preparedness
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Randal D. Beaton, Ph.D., EMT Research
ProfessorDept. of Psychosocial and Community
HealthSchool of NursingUniversity of Washington
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Mental Health Are we ready?
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Learning Objectives
By the end of this session, participants should
be able to

• Describe both adaptive and maladaptive
  behavioral health outcomes in disaster survivors

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NDMS drill (May 13, 2004)
Anneleen portraying Spanish speaking victim
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Learning Objectives continued
By the end of this session, participants should
be able to

• List the elements of an integrated mental health
  disaster plan designed to promote community
  resilience

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Learning Objectives continued
By the end of this session, participants should
be able to

• Identify the components of an integrated mental
  health disaster plan designed to prevent and
  mitigate maladaptive behavioral health outcomes
  in survivors

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NDMS drill (May 13, 2004)
Triage at UWMC
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What is the most common behavioral health
reaction observed in the aftermath of most
disasters?

1. An acute reaction of distress followed by
   recovery
2. The onset and persistence of PTSD
3. Delayed onset PTSD
4. Resilience

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Resilience

• Differs from recovery
• Individuals thrive
• Relatively stable trajectory

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Acute Distress and Recovery
Post-disaster recovery usually occurs within

• days,
• weeks, or
• a few months

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Acute/Chronic Distress and/or Lasting Maladaptive
Health Behavior Outcomes
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Delayed Onset Distress
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