1. HURRICANE SANDY: Integrating Clinical and Spiritual Care Melanie Goldberg, LMSW Planning Associate, Caring Commission UJA-Federation of New York

2. TAKE-AWAYS: Themes of Presentation Trauma as spiritual opener Trauma as multi-dimensional Trauma as community-based

3. SETTING THE STAGE: A City in Crisis

4. SETTING THE STAGE: Initial Needs and Response 17 Million Long IslandWestchesterNew York City HUNGERISOLATIONPOVERTY LOSS OF POWERINSTABILITYDISPLACEMENT $14 Million SynagoguesDay SchoolsAgencies 281,000 meals 270,000 bottles of water Cash assistance for 2,000 people Supplies for 30,000 people Social work support for 25,500 people Cleanup for 4,000 homes

5. ONE YEAR LATER: Post-Traumatic Stress Disorder (PTSD) Red = High Exposure/Displacement Purple = Low Exposure Levels of PTSD following a Natural Disaster Neria, Y., Nandi, A., & Galea, S. (2007). Post-traumatic stress disorder following disasters: A systematic review. Psychological Medicine. pp. 1-14 22% 9% 6-12 Months 19% 3% 12-36 Months

6. ONE YEAR LATER: Ongoing Needs fear anxiety loss depression loneliness frustration anger panic stress confusion pain helplessness

7. ONE YEAR LATER: Case Example “Everyone tells me I should be happy to have a new dishwasher, a new sofa… but I want to be able to open my kitchen drawer and pull out my favorite spoon to cook with; it had an olive wood handle; I got it from Israel and it meant so much to me.”

8. ONE YEAR LATER: Case Example fear anxiety loss depression loneliness frustration anger panic stress confusion pain helplessness

9. A TRADITIONAL DIVIDE: Mental Health and Spiritual Care Mental Health Spirituality

10. THE CASE FOR COHESION: Clinical and Spiritual Care Spirituality and Social Work, Dialogue and Universalism, 2006 Spirituality and Psychiatry [book], 2009 Introducing Spirituality, Religion, and Culture Curricula in the Psychiatry Residence Program, Medical Humanities, 2010 Practitioners’ Understandings of Spirituality: Implications for Social Work Education, Journal of Social Work Education, 2010 Training and Education in Religion/Spirituality within APA-Accredited Clinical Psychology Programs: 8 Years Later, Journal of Religion and Health, 2011 Spirituality in Social Work and Education: Theory, Practice, and Pedagogies, Social Work Education: The International Journal, 2013 Religion and Spirituality in Psychiatry [book], 2009

11. OUR APPROACH: Holistic Community-Based Care Mental Health and Spiritual Care Providers Client Case Managers Social Workers Program Directors Rabbis, teachers, and other leaders

12. TAKE-AWAYS: Themes of Presentation Trauma as spiritual opener Trauma as multi-dimensional Trauma as community-based Illness as spiritual opener Illness as multi-dimensional Illness as community-based Stress as spiritual opener Stress as multi-dimensional Stress as community-based Divorce as spiritual opener Divorce as multi-dimensional Divorce as community-based

13. Thank you!