1.  Chapter Seventeen: Disaster Response

2. Natural Disasters with a Significant Impact on Disaster Response  San Fernando, CA, earthquake of 1971 “Quake-proofing kids”  Severe Flooding in 1972: Rapid City, South Dakota Wilkes-Barre, Pennsylvania Operation Outreach Logan County, West Virginia  Hurricane Katrina, 2005 FEMA

3. Worldwide Disaster Mental Health  The European Network for Traumatic Stress (TENTS) Funded by the European Union Provides services, expertise, and support to areas of the Union that lack resources and availability of trained personnel  United Nations’ Inter-Agency Standing Committee (IASC) Published IASC Guidelines on Mental Health and Psychosocial Input Support in Emergency Situations

4. International Terrorism and Human-Made Disasters  September 11, 2001 Homeland Security Act  Murrah Federal Building in Oklahoma City  Violence in Schools: Columbine, CO Virginia Tech University  International Events: Suicide bombs in Israel Hostage situation in a Russian theatre and school Drug related guerrilla warfare in Mexico  Hyper-vigilance  Repetitive and Graphic Media Coverage

5. Ecosystemic Crises  An ecosystemic crisis is any disruptive or destructive event that occurs at a rate and magnitude beyond the ability of the normal social process to control it. Impacts an entire community, region, nation, or the entire world Sudden Slow buildup Human-made Natural disaster One intense episode Several compounding incidents

6. Principles of a Crisis Intervention Ecosystem  Multiple/financial interventions are needed  The process is cooperative, collaborative, and consultative  There is a full range of targeted interventions aimed at individuals, institutions, communities, and nationals  The service characteristics of credibility, acceptability, accessibility, proactivity, continuance, and confidentiality should be adopted as “cast in stone” goals for service delivery in disaster-stricken areas

7. Response Teams  National Crisis Response Teams Development of Crisis Response Teams (CRTs) National Organization for Victim Assistance (NOVA) CRTs The Red Cross Federal Emergency Management Agency (FEMA) National Institute of Mental Health (NIMH)  Professional Organizations  Constructing an Outreach Team

8. Local Emergency Management Systems  Vertically and Horizontally Integrated Local Emergency Management Systems Role of Local EMA Directors Background and Training What Do Emergency Managers Do? Planning for Disasters  Mental Health Components of Local EMAs Personnel Transdisaster (0–14 Days) Postdisaster (15–365 Days)

9. What Happened With Katrina?  Lack of efficient communication  Poor coordination plans  Ambiguous authority relationships  Who’s in charge? Everyone shifts the blame  Counterterrorism versus all-hazards response  Ambiguous training standards and lack of preparation  Where is the “learning” in lessons learned?  Performance assessment was not integrated into the process  The geography of poverty  Rumor and chaos  Personal and community preparedness  Disaster mental health and the role of mental health professionals

10. Psychological First Aid  Psychological First Aid and Psychosocial Support as Applied to Disaster Survivors Make initial contact in a respectful manner Gather and provide information regarding immediate physical and safety concerns Provide and direct people in regard to practical assistance needed Provide for their safety and comfort by linking them with social services Teach them basic coping skills if requested Get information and help that will connect them to social supports

11. Focus on the Worker  Debriefing An intervention designed to assist workers and survivors in dealing with intense thoughts, feelings, and reactions that occur after a traumatic event, and to decrease their impact and facilitate the recovery of normal people having normal reactions to abnormal events  Debriefing Emergency Workers Critical Incident Stress Debriefing (CISD) Informal Defusing Formal Debriefing  Debriefing Crisis Workers The Need for Debriefing Precautions Dynamics of Debriefing Confidentiality Understanding