1. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Mental Health Preparedness

2. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Randal D. Beaton, Ph.D., EMT Research Professor Dept. of Psychosocial and Community Health School of Nursing University of Washington

3. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Mental Health: Are we ready?

4. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Learning Objectives Describe both adaptive and maladaptive behavioral health outcomes in disaster survivors By the end of this session, participants should be able to:

5. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org NDMS drill (May 13, 2004) Anneleen – portraying Spanish speaking victim

6. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Learning Objectives continued List the elements of an integrated mental health disaster plan designed to promote community resilience By the end of this session, participants should be able to:

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

8. Learning Objectives continued Identify the components of an integrated mental health disaster plan designed to prevent and mitigate maladaptive behavioral health outcomes in survivors By the end of this session, participants should be able to:

9. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Triage at UWMC NDMS drill (May 13, 2004)

10. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org What is the most common behavioral health reaction observed in the aftermath of most disasters? A.An acute reaction of distress followed by recovery B.The onset and persistence of PTSD C.Delayed onset PTSD D.Resilience

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

12. Resilience  Differs from recovery  Individuals “thrive”  Relatively stable trajectory

13. Northwest Center for Public Health Practice University of Washington School of Public Health and Community Medicine http://nwcphp.org Acute Distress and Recovery days, weeks, or a few months Post-disaster recovery usually occurs within:

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

15. Acute/Chronic Distress and/or Lasting Maladaptive Health Behavior Outcomes

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

17. Delayed Onset Distress

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

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