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Disaster Mental Health Strategies for a Radiation Emergency
Bridging the Gaps: Public Health and Radiation Emergency Preparedness Summit 3.22.11 - 3.24.11Atlanta, Georgia
Rob Yin, LISWManager, Disaster Mental Health
National American Red Cross
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American Red Cross Disaster Relief Humanitarian and independent organization w/
Congressional charter to provide disaster preparedness, response and recovery
Volunteers in 600 chapters respond to 70,000 disasters every year
Disaster mental health (DMH) cadre = 4,000 independently-licensed, master’s level (or higher)
DMH provides crisis intervention, triage, assessment, mental health surveillance, public MH messaging and psychological first aid
NTSB MOU with Red Cross to provide support to families after transportation disasters (1996 Aviation Disaster Family Assistance Act)
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Radiation Event: Unique Stressors and Challenges
Fear, uncertainty and anxiety over short- and long-term health effects Increased levels of depression, anxiety & somatic symptoms Demand for physical & mental health services exceeds capacity
Surge in medically unexplained physical symptoms (MUPS; “worried well”)
Critical safety info (e.g., exposure) is difficult to understand and ever-changing
Family members and children are separated Routines and community support networks are significantly disrupted Communication systems are overwhelmed Large number of self-evacuees make movement of response assets difficult Responders face difficult situations & decisions (helping others vs. own long
term health) Exposed population experiences social stigma
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Resilience, PFA, Surveillance & Force Health Protection
DISASTER MENTAL HEALTH
ALL DISASTER RESPONDERS
COMMUNITY MEMBERS
STATE AND LOCAL HEALTH & MENTAL HEALTH ASSETS
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COMMUNITY MEMBERS
Planning Phase Community members taught “neighbor-to-neighbor”
PFA and resilience skills New Red Cross course: Coping in Today’s World:
Psychological First Aid and Resilience for Families, Friends & Neighbors
– Pilots in the Gulf region and CA– Curriculum for school personnel in development
Response/Recovery Increased resilience and support provided to adults
and children during response and recovery Continued community PFA and resilience training Family members reconnect via Safe & Well Linking
website (www.redcross.org)
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ALL DISASTER RESPONDERSPlanning Phase Disaster PFA training w/ PsySTART triage for all responders
– Emotional support and triage “force multiplier”– Exposure-based risk factors (“Saw/heard death or serious
injury”)– Highly predictive, especially in contrast to transient symptoms
Force health protection (FHP):– FHP training for workers, supervisors & leaders – Coping & resilience-building brochures & messaging– Pre-deployment screening tool (in development)– Post-deployment support-guidance and screening tool– “Just-in-time” stress inoculation training (in development)
Response/Recovery Increased resilience and quality of work resulting from FHP Increased PFA support (in-person and telephonic) Evidence-based triage used for rapid and prioritized
referrals
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DISASTER MENTAL HEALTH Planning Phase PFA and resilience training for community members Disaster PFA (w/ PsySTART triage) training for responders MH surveillance planning with all MH response partners Force Health Protection activities (pre-deployment) Embed w/ media teams & promote broad public MH
messaging– All-hazards (coping with shelter-in-place emergencies)– Templates for event-specific messaging for later use
Response/Recovery Just-in-time stress inoculation training (event specific) Standardized MH surveillance for “common operating
picture” Support reception & post-decontamination sites (cold zone) PFA & resilience training for community members Force Health Protection (deployment and post-deployment) Promote event-specific public MH messaging (social media)
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STATE & LOCAL HEALTH & MENTAL HEALTH ASSETS
Planning Phase Engage in mental health surveillance planning and
exercising Train crisis response teams in Disaster PFA and triage Promote public MH messaging (social media) Support community PFA and resilience training
Response/Recovery Mental health surveillance = common operating picture
= efficient allocation of MH resources MH providers receive rapid referrals for those at
greatest risk Public MH messages help people cope & build resilience Ongoing community PFA and resilience training assists
with disaster recovery efforts
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Resilience, PFA, Surveillance & Force Health Protection
DISASTER MENTAL HEALTH Promote Force Health
Protection PsySTART triage/referral MH surveillance PFA & resilience training Embed w/ Public Affairs
teams ALL DISASTER RESPONDERS Provide PFA, triage & rapid referral (“force multiplier”) Increased resilience via force health protection
COMMUNITY MEMBERS Increased resilience “Neighbor-to-Neighbor PFA
support
STATE & LOCAL HEALTH AND MENTAL HEALTH ASSETS
Participate in MH surveillance Receive rapid referrals of high risk clients Promote timely and appropriate public MH messaging Support community PFA & resilience training
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Neighbor-to-Neighbor PFA & Resilience
Disaster PFA
Psychological First Aid: Helping Others in Times of Stress
Military FamiliesPFA & Resilience
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For More Information:
Rob Yin, LISWManager, Disaster Mental Health
National American Red Cross
[email protected](202) – 303 - 4036
Find your local Red Cross chapter:https://www.redcross.org