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