weaving connections: disaster behavioral health planning summit 1 missouri’s 2011 disaster...

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WEAVING CONNECTIONS:

DISASTER BEHAVIORAL HEALTH

PLANNING SUMMIT

Missouri’s 2011 Disaster Experience

Arizona, 2014

2Arizona, 2014

Before

After

Joplin, MissouriMay 22, 2012

When a catastrophic disaster this size happens in your state…

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SO WHAT HAPPENS WHEN YOU HAVE AN EF5 TORNADO?

Deadliest tornado since Weather Service started tracking tornadoes in 1950. 8th deadliest in U.S. History

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THAT TAKES OUT… THE MEDICAL COMMUNITY

St. John’s Mercy Hospital

Greenbriar Nursing Home

Autism Center

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PREPAREDNESS VS. RESPONSE

Red Cross

Relationshi

ps VOAD

RoleDefinition

Exercises

CCP

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WHERE THE RUBBER MEETS THE ROAD

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AND DID I TELL YOU THAT…

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What wasn’t in the planning…

Original Federal Declaration: FEMA 1980 DR-MO, May 9, 2011

– flooding in Southeast Missouri

May 23: Added EF 5 tornado to Existing Declaration:

DAY 0: for CCP ISP Development; Due June 6, 2011

Search and Rescue still underway

1 week into timeframe before correct numbers for CCP formulas

MO awarded ISP Joplin addendum June 30

Still ends at the same time as original CCP ISP: July 7

Answered ISP conditions and amended ISP; June 7

Joplin conditions response, June 15.

Requested ISP Extension July 1, 2012

Began work on RSP and submitted it July 7, 2011.

It takes a TEAM! Request funding for key people to write the CCP grant and formulate the budget.

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THE RESPONSE

Initial Response: CMHCs – Volunteers: 73

DMH Staff Liaison

ISP: Healing Joplin: Team of 46 C.C. 6 T.L.

RSP: Healing Joplin: Team of 60 C.C. 10 T.L.

Click icon to add picture

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Types of Disaster Reactions: Collective Reactions

Typical Phases of Disaster

EmotionalHighs

EmotionalLows

Setback

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CC & REFERRAL MONTHLY AVERAGES

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• Communications

• DMH Liaison

Team approach

Liaison Checklist

Linkage with MO National Guard

• Family Assistance Center

• FEMA CCP – Healing Joplin

Hiring and Laying off considerations

• Formalizing relationships –

Letters of agreement

LESSONS LEARNED

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LESSONS LEARNED

• Anticipated that referred would have their trauma-related behavioral health needs successfully resolved and terminate services in one year or less. – Incorrect for majority– Reasonable assumption if no previous significant trauma – 84% had at least one traumatic event prior to the tornado. – Previous traumas created complex dynamics and longer treatment

needs– Only 23 of 204 had completed by end of grant

• Tele-health - significant role – University of Missouri, School Of Psychiatry– Very popular - lower no-show rate

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PLAN FOR RECOVERY

Substance Abuse

Treatment Services

Services for the

Developmentally

Disabled

Will’s PlaceChildren’s Services

Psychiatric Services

Adult TreatmentServices(SERG)Community

Care Program

Local Resources

AutismServices

Housing/Placement

Access Crisis

Intervention Team

CCP Healing Joplin Team

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BEST PRACTICES

Hiring Practices

Grid/Map areas of service

Planning calls: children and seniors

Additional training: Skills for Psychological Recovery,

children and seniors

www.nctsn.com

Daily meetings; weekly trainings

Planning areas: travel, identification, access and functional needs

Partnerships: FEMA Case Management Services; DOC partnership; Meals on Wheels;

Using the FEMA List

http://dmh.mo.gov/docs/opla/StoriesfromHealingJoplin.pdf

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DON’T LET ONE DISASTER LEAD TO ANOTHER

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CONTACT INFORMATION

Jenny Wiley

Missouri Department of Mental Health

Office: 573-751-4730

Personal: 573-418-3477

Jenny.wiley@dmh.mo.gov