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Disaster Behavioral Health
Response: Orlando Mass
Shooting
NASMHPD
2016 Annual Commissioners Meeting
Mass Shooting at
Pulse Nightclub
Orlando, Florida - 6/12/16
• 50 dead; 53 injured.
• Deadliest mass shooting in U.S. history.
• Worst act of terrorism on American soil since 9/11/01.
• Over 90% of 49 victims of Hispanic origin; one half of those of Puerto Rican descent.
• 90% were Florida residents.
3
Disaster Event Timeline
• Began at 0200 hours (2:00am) with more than 300 people in Pulse night club at the time.
• An officer working at Pulse responded to shots fired, and the incident quickly became a hostage situation.
• Orlando Police Department (OPD) breeched the building from the rear to gain entry.
• SWAT teams entered the club at 0500 hours (5:00am) to attempt hostage rescue.
• The shooter was killed.
4
Response Efforts Timeline
• Aspire Health Partners notified by OPD.
• Central Florida Cares Health System (CFCHS), DCF
Central Region Office and Orange County Government
coordinated efforts.
• First effort: Centralize all behavioral health services
information dissemination and responses.
• Family Reunification Center opened June 12 (Day 1), at
2:30 p.m.
• By 11:59 p.m. of June 12 (Day1), Orange County
Medical Examiner’s Office had removed all the victims
from the night club.
• Within 48 hours all victims’ families were notified.
5
Response Efforts Timeline
(continued)
Day 1 Sunday, June 12, 2016:
Orange County Emergency Management Services (EMS) and Mental Health Responses were immediate.
Aspire Health Partners at the Hampton Inn (Family Reunification Center).
Days 2 and 3, Monday and Tuesday, June 13 and 14, 2016:
Beardall Senior Center – Orange County Response with Providers and CFCHS, the Department’s Managing Entity for the Central Region.
Days 4 to 10, beginning Wednesday, June 15, 2016:
Family Assistance Center (FAC) – Camping World
3rd Floor - Behavioral Health/Compassionate Support.
6
Response Efforts Timeline
(continued)
• Days 11 to Present
Orlando United Assistance Center (OUAC)
• Community Agencies Donated
Food and Water
Gift Cards
Teddy Bears
Navigation/Compassionate Assistance
Furnishings and remodel provided by Disney
7
Coordinated Response
• City of Orlando – Leadership on the ground at Pulse
and at Camping World Stadium.
• Orange County – Emergency Management Service,
Mental Health Response, Crisis Assistance.
• Central Florida Cares Health System -
Network/Statewide Mental Health Response.
• Aspire Health Partners, Inc. – Crisis Response and
deployment of staff to various sites.
• Florida Crisis Emergency Response Team (CERT).
• American Red Cross.
8
FAC Resources Available
• Department of Children
and Families - Access
program (food stamps,
benefits)
• Attorney General
• Social Security
Administration
• FBI/ATF/LEO
• Child Care Services
• Legal Services
• Red Cross
• LGBTQ organizations:
Zebra Coalition/The Center
• Victim Services Center
• Immigration Consulate
(Mexico, Columbia,
Dominican Republic, Cuba,
Ecuador, El Salvador)
• 211 Heart of United Way
I&R/Spirit Project data
system
• Funeral Businesses
• Airlines
• Pet Alliance; Dog Therapy
9
Florida’s Disaster
Experience
Natural disasters: tropical storms, floods, hurricanes, Haiti’s earthquake.
• 1992 Hurricane Andrew – 15 direct deaths in Florida.
• 2000 – 2015: 32 named hurricanes; total 82 direct deaths in Florida.
• 2010 earthquake in Haiti – Florida’s response
10
Florida’s Response to the
Earthquake in Haiti
• Florida provided aid in Haiti and in Florida.
• DCF provided services; later received SERG awards. – 3,300 outreach/public education events to
204,000 persons. – Generated 2,364 assessment referrals. – 1,420 enrolled individuals accepted
counseling services.
11
Florida’s Response
to the
Earthquake in Haiti (continued)
• About 66% served were Florida residents who experienced traumatic losses among extended family and social circles.
• About 29% served were repatriated from Haiti to South Florida through international disaster response activity.
• About 9% served were medical trauma patients evacuated from the island under conditions of humanitarian parole.
12
• Florida’s track record responding to natural
disasters.
• Federal agencies prepared to respond.
• Orlando’s/Orange County’s experience with
natural disasters.
• Readiness and responsiveness of community
mental health agencies.
Florida’s Experience with
this Man-Made Disaster
13
• CFCHS, the Central Region Managing Entity, was
able to access the appropriate licensed and
experienced counselors from across the state to
deploy to Orlando to assist.
• The Managing Entity structure allows for
management of services at a region/local level.
This structure contributed to immediately
accessing the professionals needed to respond.
14
Response differences from
our natural disasters:
• Florida Department of Law Enforcement.
• Response work with crime related agencies: FBI, U. S. Department of Justice, U.S. Department of Homeland Security, and the Florida Attorney General.
17
Issues After the
Mass Shooting:
• Families not being informed of loved ones status.
• No money, no accommodations.
• Not being able to provide them with credible
information.
• Media relentless with needing to photograph
grieving families. (Angel Wings group helped with
this).
• Food donations.
• Verification of staff.
18
Our Substance Abuse and Mental
Health (SAMH) Service Delivery
Relationship with Orlando
• The Central Region’s SAMH Receiving
System is a trendsetter in Florida.
• Law Enforcement have Crisis Intervention
Team trained officers.
• The System of Care Grant.
• The Criminal Justice Reinvestment Grant.
19
Orlando’s Needs As a Result
of the Mass Shooting:
• Increase in demand for outpatient services.
• Need to reach those impacted but not
seeking services at assistance centers.
• Increase in trauma treatment capacity.
• Increase capacity of local LGBTQ
organizations to meet the needs of this
target population.
20
Orlando Mass Shooting
•Community united.
•Community rallied around the families.
https://www.youtube.com/watch?v=jLGjINTavpw&index=2&list=PLK
GEX7EuJlHaJSLKfbhTBjsG3DbZ_IeVX
Credit: Orlando Sentinel YouTube Channel
21
Recommendations
• Do not expect that being prepared prepares you for the emotional impact across all agencies involved. Counselors, first responders, medical examiners, hospital staff, victim advocates, etc., are impacted emotionally.
• Debriefing is critical with counselors, first responders, medical examiners, hospital staff, victim advocates.
• Be prepared for the ripple effect…in Florida you can travel 1-2 hours anywhere. We are seeing persons seeking services across the state.
25
Recommendations (continued)
• Disaster still fresh.
• Increase Disaster Preparedness staff.
• Contact Federal agencies for information and resources.
• Federal funding resources:– SERG
– Antiterrorism Emergency Assistance Program
• Training on assisting with family notification.
• Social media use important.
• Such disasters are impacting more communities.
26
How Do We Define Success?
• Relatively easy to define success with natural disasters:
– The timeliness to restore services.
– Disaster relief sites, Disaster Resource Centers (DRCs)
demobilize.
– Housing of Victims no longer needed.
– There comes a time to return homes, buildings, beaches,
and roads to normalcy.
• We have few in-house measures for success for this type of
disaster.
− How can we measure restoration?
− How can we measure the return to normalcy?
− What is the new normal?
27