1. Disaster Behavioral Health Resources in the Commonwealth
Phil Miskovic
Virginia Department of Behavioral Health and Developmental Services
Understand audience:
--Local
--State
--Private
--Know what DBH is
--Include DBH in plans
--Established relationships and partnerships with local DBH providers

2. What are Disaster Behavioral Health (DBH) Services?
636,120
The mitigation of emotional, psychological, and physical effects of a disaster, natural or man-made, impacting survivors and responders
Examples:
Physical needs (water, food)
Social support (lend an ear, solve issues)
Referrals
--Does anyone know the significance of 636,120?
--Who knows what the DSM-5 is? (classification of mental health disorders used by MH professionals)
--According to the DSM-5, there are 636,120 in which a patient can present with PTSD
--DBH services are services that contribute to the mitigation of emotional, psychological, and physical effects of a disaster, natural or man-made, impacting survivors and responders
--Examples include physical needs like water or food
--one study suggests that drinking water can reduce the risk of PTSD by a significant percent (car story)
--Social support—survivors need someone to talk to, help solve logistics issues
Individual in shelter, just lost home, thrown into a new situation, ambiguity leads to frustration. . .helping to mitigate that frustration
--Observing for possible referral to behavioral health providers

3. Why is this Important?

4. --Every disaster, whether natural or manmade, has victims, both direct and vicarious
--Victims are impacted in a variety of ways
--(VT as example. . .everyone in Virginia had some sort of a VT connection)
--Media
--Disruption to class
--The degree to which someone is impacted strictly individualized
--We can’t know how an event will impact the way a person recovers emotionally; but we can provide the resources to help mitigate the impact

5. --Don’t forget about first responders
--Dallas
--VT

6. What You Can Do Acknowledge the need Include DBH services in your plan
Establish partnerships with CSBs and private providers
Include DBH services in exercises
--Acknowledge the need
--You are a self-selected group. . .could be down the hall learning about VDEM grants or legal concerns
--Small, rural county
--”Old school,” suck it up mentality
--Include DBH services in your plan, whether as an annex or integrated throughout
--Establish partnerships with CSBs and private providers
--Include DBH services in exercises

7. State-level Resources Available
Disaster Behavioral Health Advisory Committee (DBHAC)
VA VOAD
Crisis Counseling Program Grant (federal)
Samhsa.gov/dtac
Supplemental guidance
Webinars and podcasts
Trainings
--DBHAC
--The purpose of DBHAC is to be a multi-disciplinary group to serve as a resource for Virginia emergency support agencies to assist with the incorporation of Disaster Behavioral Health into plans, response, and recovery. 
--Inter-agency coordination
--Planning
--The CCP is a short-term disaster relief grant for states, U.S. territories, and federally recognized tribes. CCP grants are awarded after a presidential disaster declaration. CCP funding supports community-based outreach, counseling, and other mental health services to survivors of natural and human-caused disasters.
--The ISP funds immediate, short-term disaster relief and crisis counseling services
--The Regular Services Program (RSP) provides funding for ongoing counseling services and support. Applicants must show a continuing need for services when applying for the RSP.
--Samhsa.gov/dtac
Supplemental guidance
Webinars and podcasts
Trainings