Montgomery County 2019 Tornados: A Combined Public Health ... · The FAC concept was born out of...

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Montgomery County 2019 Tornados:

A Combined Public Health & Behavioral Health

Response

• P ublic He alth and ADAMHS role s in e m e rge ncy re sponse

• What we nt we ll and what didn’t

• Le ssons le arne d

OBJECTIVES

A Public Health Perspective

2019 TORNADO RESPONSE

TORNADO RESPONSE

2019

EMERGENCY PREPAREDNESS Images Courtesy:

TORNADO RESPONSE

2019


TORNADO RESPONSE

2019


TORNADO RESPONSE

2019


TORNADO RESPONSE

2019

EMERGENCY PREPAREDNESS

TORNADO RESPONSE

2019


PUBLIC HEALTH INCIDENT COMMAND SYSTEM STRUCTURE

FAMILY ASSISTANCE CENTER • ADAMHS reached out to ESF

#8 and of fered assistance

• PHDMC and ADAHMS reached out to Clark Co EMA to set up FAC

• ADAMHS & Public Health (ESF 8) joint ly set up & operated center

• 1st day of Operat ion – June 5

TIMELINE

4 Tornadoes touchdown in Montgomery

County

May 27 10:41 PM

May 27 11:55 PM

Montgomery County

Commission declares

emergency

May 28 2:58 PM

State of Ohio Issues Disaster

Declaration

May 28 2:10 PM

Public Health Emergency

Preparedness Responds to EOC

June 4

Mobile Unit Outreach Begins

June 5

Family Assistance Center Opens

June 28

Family Assistance Center Closes

This should have happened earlier!

TORNADO RESPONSE

2019


EMPLOYEES RESPONDING

125+

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BIRTH CERTIFICATES

1,320

TORNADO RESPONSE

2019


CRIBS DISTRIBUTED

211

TORNADO RESPONSE

2019


SHOT RECORDS

155 Individual Records

TORNADO RESPONSE

2019


VACCINATIONS

77 Hep A

33 Tdap

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FAMILY ASSISTANCE CENTER

• Provides a compassionate, safe, protected and support ive environment for individuals and families to gather and receive informat ion. • Plays a crit ical role in coordinat ion of resources • Part of a Mass Fatality Plan • Natural Disasters, Structural Collapses,

Mass Shoot ings, Bombing and Terrorism

Presenter

Presentation Notes

The FAC concept was born out of the experiences of families of aviation disasters and terrorist attacks. Learned from survivors and families in early events was there is a need for survivors and family members to have a central location, close to the disaster site, where people can gather to receive official factual information Learned that a safe and supportive environment is needed for survivors and family members, which include crisis services for those who are experiencing intense reactions from the tragedy that has occurred. The FAC also provides a centralized location for responding agencies to coordinate and offer the needed resources to survivors and families through a safe and supportive environment. The Family Assistance Center model is a framework that is usually part of the mass fatality plans But the model has been used for many events, not just mass fatalities and is scalable depending on the event. FAC are supposed to be short term LTR Recovery Efforts.

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2019



Mental health and disaster recovery center • “One Stop Shop” for residents with 20+ service,

non prof it , and government agencies onsite • Ohio Crisis Response Team (OCRT) provided

Nat ional Off ice of Vict im Assistance (NOVA) t rained family companions

• Operated f rom June 5 - June 28, 2019.

Presenter

Presentation Notes

Began operation on June 5 and operated until June 28. 3/12 weeks Monday through Saturday, Sunday closed b/c of church services 8:00 to 8:00 PM first week 10:00 to 6:00 10:00 to 4;00 Point out that it is important to include mental health services. Emergency Planning – basic needs Acute symptoms related to the event – Most people will recover Complex trauma symptoms prior to the event

FAC ICS Family Assistance Center Group

Supe rvisor

Fam ily Manage m e nt Unit

Volunte e r Manage me nt

Re ce pt ion Ce nte r Re gis t ra t ion

Fam ily Com panion Te am

Childcare Te am

He alth and Hum an Se rvice s Unit

Social Se rvice P rovide rs

Me ntal He alth Se rvice s

Logis t ics Unit

Facilit ie s

Supplie s

Finance /Adm inis t ra t ion Unit

P ublic Inform at ion Office r Liaison Office r

Presenter

Presentation Notes

The Family Assistance Group Supervisor – PHDMC/ADAMHS Most of the operations positions were filled by PHDMC and ADAMHS staff Volunteer management – Sinclair Operated with 12 volunteers per shift – shifts were 4 to 6 hours Entered into the FAC – Greeters and directing people Registration- Name, address and cell phone Family Companion – Ohio Crisis Response Team – NOVA – Used to responding to large incidents Child Care Team -Southern Baptist Disaster Relief (KY and OH) Social Service Provider Agencies set up tables and families were visit each table to obtain resources. Check Out – Ensure needs were met and escorted them to the exit. Mental health services available from Red Cross and from other Behavioral healthcare organizations for those who need further assistance – suicidal, dv incident, presented with psychosis and several individuals who were under the influence. Facilities, Supplies, etc. – PHDMC, ADAMHS and Church staff.

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FAMILY ASSISTANCE CENTER: Location

Church of Jesus Christ of Lat t er Day Saint s

Benef its: • Large gymnasium • Numerous small

classrooms • Centralized lobby • Kitchen area • Large parking lot • On bus line

Challenges: • Coffee not

permit ted on premise • No Sunday operat ions

Presenter

Presentation Notes

Found location through Facebook. A former public health employee reached out

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2019


FAMILY ASSISTANCE CENTER: ICS Staffing

• Clark Co. EMA (for the f irst 1.5 weeks) and provided googledocs folder with all needed regist rat ion documents, reports, etc.

• ADAMHS provided 3 employees to serve as FAC site supervisor daily plus access to 5 other staf f as needed

• PHDMC provided addit ional staf f ing as needed daily

Presenter

Presentation Notes

Found location through Facebook. A former public health employee reached out

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2019


FAMILY ASSISTANCE CENTER Family Mgmt. Unit

• Family Companion & Reception Center Registration Team - OH Crisis Response Team

• Volunteer Management - Sinclair Community College

• Childcare – • Children’s Disaster Services - Childcare • Southern Baptist Disaster Relief (KY and

OH) – Childcare • Transportation – Regional Transit Authority • The Salvation Army Dayton Kroc Center

• Operated a 2nd location for 1 week in North Dayton

Presenter

Presentation Notes

Had a lot of outreach from other health departments and organizations that wanted to help I couldn’t asked for better cooperation and collaboration. Clark county EMA – assisted us with the planning and standing up the FAC.

FAMILY ASSISTANCE CENTER Health & Human Svcs Providers

• Ohio BMV • Public Health – Dayton/Montgomery

County – Immunizations including Hep A

and Tdap – Shot records – Birth certificate replacement – Cribs for Kids

• Sinclair Community College – Crisis Cleanup

• Social Security Administration • St. Vincent de Paul • United Way 211

• ABLE Legal Aid • ADAMHS contracted behavioral

health treatment agencies • American Red Cross • Community Action Partnership • Good Neighbor House • Greater Dayton Premier Management • Miami Valley Pet Therapy Association • Montgomery County Auditor • Montgomery County Job & Family

Services • Montgomery County Sheriff’s Office • Montgomery County Workforce

Development

Presenter

Presentation Notes

Immunizations were not well utilized. – workers coming in to get Tdap shots Mobile birth certificates. Cribs – big – lady giving birth. Housing, St. Vincents and Red Cross – give cards. Pet therapy dogs.

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1,651 Households Served

TORNADO RESPONSE

2019



163 CHILDREN

638 VOLUNTEERS

732 SOCIAL SERVICE STAFF

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FAMILY ASSISTANCE CENTER: By the Numbers

Social Security Cards 60

Drive r’s Lice ns e s 9 4

Me ntal He alth Re s ource s 73

Sche dule d Cle anup Se rvice s 19

JFS (Me dica id, SNAP , P RC) 3 8

Tax Re duct ion 4 8

Im m unizat ions 3 2

Shot Re cords Re place d 125

Cribs for Kids 170

Birth Ce rt ifica te s 10 6 6

St . Vince nt de P aul - Food As s is tance

$10 ,0 0 0 +

Presenter

Presentation Notes

Went well Lessons learned.

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LIVES CHANGED AND

LESSONS LEARNED

Presenter

Presentation Notes

Major Strengths The major strengths identified during this incident are as follows: Strong collaboration and coordination among agencies. Clark County EOC very helpful with the planning and set up. Participants were open to suggestions and ideas. Sinclair faculty did a great job in volunteer positions and having volunteers work several days. It was very helpful to have Ohio Crisis Response Team to provide family companions. Having childcare available. Just in Time training went well. Logistics went very well. Problem solving was done quickly and adjustments were made without an issue. Distinct hierarchy and ICS was established in the beginning. Roles and responsibilities were defined clearly. Location was in the central area of Trotwood that was hit hardest. Coloring books, backpacks and stuffed animals that were available for kids. Coordination and change in command went well. Helpful to have Google Docs file set up with daily situation status reports and numbers served. People were not vetted for services. Anyone who walked in was served. Four hours shifts went well. Primary Areas for Improvement Throughout the 2019 Tornado Response, Family Assistance Center, several opportunities for improvement in Montgomery County’s ability to respond to the incident were identified. The primary areas for improvement are as follows: An FAC plan has not been developed for Montgomery County. This should be included in the mass fatality plan, but the incident should not have be include a mass fatality to be organized. Individuals needed several forms of identification to access services from some of the organizations. Organizations should be part of future planning efforts and exercises. Provide security on site and request law enforcement to complete a safety walk through before opening. Improved communication from agencies was needed. Create a briefing for each agency present offering services and include a list of roles and responsibilities. During opening and closing, consider police presence during these time. Have a daily list of what services each organization is providing for that day as resources offered changed. Follow up with American Red Cross to increase collaboration in the future. Follow up with Montgomery County EOC to improve communication and improve understanding of how resources are requested in the future. Define better the EOC’s role in an FAC. Requests for resources need to be under one entity or structure. Position descriptions need to be clarified. There was no overlap in shifts. Consider overlap to allow for debriefing and training of next group of volunteers and key individuals in charge. Some agencies had staff walking out right at closing or before closing hours, and still had individuals waiting. This needs to be added to the roles that individuals will need to adjust work hours to accommodate the need. Clarify each agency criteria, as there were long lines for some of the agency services and plan for long wait times if that is necessary. Develop a facility checklist and include housekeeping. Collect email addresses and phone numbers from all the volunteers and people working. Create a survey for the volunteers and those who accessed the site.

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Lessons Learned & Tips FAC for any kind of community impact disaster • Mass Destruction • Mass Casualty • Mass Fatality USE LOGISTICS SECTION • Single point of contact • Daily supplies check

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Lessons Learned & Tips • OH Crisis Response Team

responders/companions are the lifeblood of the FAC

• Need more locally NOVA trained OCRT companions

• Recommend 4-5 OCRT companions per shift to run optimally

• OCRT handled their own schedule; efficiencies could be gained by having them coordinated with other volunteer scheduling

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2019


• FAC plans should be regional • Unaffected counties are a huge asset • Public Health and ADAMHS set up and staffed this FAC, with help from Clark Co EMA • Plans need to have triggers for set

up and staffing of FACs • Plan for onsite security

Contact Information Tracy Clare - Public Health Dayton/Montgomery County Emergency Preparedness: Planning & Training Specialist [email protected] 937.225.5713 Jodi Long –Alcohol, Drug Addiction & Mental Health Services of Montgomery County (ADAMHS) Associate Director, Member of Ohio Crisis Response Team [email protected] 937.853.4331

mailto:[email protected]

mailto:[email protected]

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