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RECOVERY PROJECT FEMA DR 1909 TN
RECOVERY PROJECT
FEMA DR 1909 TN
IntroductionBecky Stoll, LCSW
Centerstone - Vice President, Crisis & Disaster Management
State of TN Disaster Mental Health Committee - Chair
Nashville Fire Department - Clinical Director, CISM Team Middle Tennessee CISM Team - Clinical Director
The 1,000 Year Tennessee Flood
Some Background
May 2-3, 2010, areas in Tennessee received over 13 inches of rainfall in less than 48 hours
This became the worst Natural Disaster in TN history
It is second only to Hurricane Katrina as the worst disaster in Region IV (TN, KY, AL, MS, NC, SC, & FL) history
46 out of the 95 Counties in Tennessee were declared Federal Disaster Areas
Over 67,000 FEMA applications for disaster assistance had been received as of August 9, 2010
Rescue Efforts Depended Upon Everyone
What is Tennessee Recovery Project?
The Tennessee Recovery Project (TRP) is a program created through a FEMA grant to provide free emotional outreach services to persons affected by the recent Tennessee floods. TRP’s purpose is to support the emotional well being of flood survivors by increasing resiliency while decreasing chronic mental health diseases related to the flooding event.
Centerstone, along with 4 other mental health agencies, are working together at TRP in all of the counties that were declared Federal Disaster Areas under FEMA DR 1909 TN.
Tennessee Recovery Project
The Tennessee Recovery Project (TRP) is being administered via FEMA’s Immediate Services Program (ISP) (first 90 days post event) and Regular Services Program (RSP) (subsequent nine months to the anniversary date of the event).
Phases of the Response
Search and RescueRecoveryAssessment of Need Strategic PlanningProvision of post event services
After Action Planning
DISASTERSACCESS & FUNCTIONAL
NEEDS SERIOUSLY MENTALLY
ILL
Name Change“Access & Functional
Need”2010
TERM FORMERLY KNOW AS “SPECIAL NEEDS” WAS REPLACED WITH “ACCESS AND SPECIAL NEEDS”
FEMA FELT “ACCESS & FUNCTIONAL NEEDS” WAS MORE INCLUSIVE
TERM “SPECIAL NEEDS” DID NOT WORK IN EMERGENCY PLANNING BECAUSE IT DOES NOT PROVIDE THE GUIDANCE TO OPERATIONALIZE THE TASKS NEEDED
“Access & Functional Need”
2010
ANOTHER PROBLEM WITH “SPECIAL NEEDS” WAS IT LEAD TO SEGREGATION AND UNEQUAL SERVICE FOR PEOPLE WITH DISABILITIES
NO ONE WANTS TO BE “SPECIAL” DURING AN EMERGENCY, THEY WANT TO RECEIVE THE SAME SERVICES AS EVERYONE ELSE.
TERM “ACCESS & FUNCTIONAL NEEDS” IS MORE USEFUL AS A DESCRIPTION OF EVERYONE WHO MAY REQUIRE ACCOMMODATIONS THROUGHOUT A DISASTER
FEMA’s New Philosophy
The “special needs” approach should be eliminated from
emergency planning because accommodations for people with
access and functional needs should always be incorporated
throughout all plans.
FEMA Definition“Access & Functional
Need”“THOSE ACTIONS, SERVICES,
ACCOMMODATIONS, AND PROGRAMMATIC, ARCHITECTURAL, AND COMMUNICATION
MODIFICATIONS THAT A COVERED ENTITY MUST UNDERTAKE OR PROVIDE TO AFFORD
INDIVIDUALS WITH DISABILITIES A FULL AND EQUAL OPPORTUNITY TO USE AND ENJOY
PROGRAMS, SERVICES, ACTIVITIES, GOODS, FACILITIES, PRIVILEGES, ADVANTAGES, AND
ACCOMMODATIONS IN THE MOST INTEGRATED SETTING……”
“Access & Functional Need”
These include:EldersPhysical Sensory Mental health Pregnant womenCognitive/intellectual Language/communication Others who must be identified locally
Functional Needs Support Services
Services that enable individuals to maintain their independence in a general population shelter
Reasonable modifications to P&PsDurable medical equipmentConsumable medical suppliesPersonal assistance servicesOther goods and services as needed
During a Disaster Seriously Mentally Ill
DURING A DISASTER THOSE DIAGNOSED WITH A SERIOUS MENTAL ILLNESS OFTEN:
FUNCTIONAL VERY WELL
RISE TO THE OCCASION
ASSIST OTHERS
Post Disaster Seriously Mentally Ill
THIS IS A VERY VULNERABLE GROUP WHO CAN BE GREATLY IMPACTED BY THE SOCIAL DISRUPTION OF A POST-DISASTER WORLD.
Post DisasterSeriously Mentally Ill
LESS PREPARED:LESS LIKELY TO HAVE SUPPLIES OR AN EMERGENCY PLANDEPENDENT ON OTHERS TO TAKE PRECAUTIONS/EVACUATE
NEW/RECURRENT SYMPTOMSMORE LIKELY TO DEVELOP STRESS-RELATED SYMPTOMSRELAPSE OF PRIOR SYMPTOMSDISRUPTION OF SOCIAL SITUATIONPRIOR DX. OF PTSD MORE VULNERABLE
Disrupted Mental Health Care System
LOSS OF CARETAKERFAMILY/FRIENDS MAY BE DEAD, INJURED, DISPLACEDCARETAKERS FOCUSING ENERGY ON RECOVERY
MENTAL HEALTH SERVICES DISRUPTEDPROVIDERS ARE CLOSEDPHARMACY/MEDICATION ACCESSTRANSPORTATION
INCREASED DEMAND FOR MENTAL HEALTH SERVICESINCREASE AFTER A DISASTERDIVERSION OF RESOURCES
Preparation Seriously Mentally ill
DISASTER PREPAREDNESS/PLANNINGEMERGENCY CONTACTSMEDICATIONCONTACT WITH EMA
SPECIAL CARE/SERVICESPSYCHOLOGICAL FIRST AID (PFA)DO NOT ISOLATE/STIGMATIZEPSYCHIATRIC MEDICATION
RESPONDERS TRAINEDTRAIN ON RECOGNIZING MENTAL ILLNESSKNOW WHERE TO ACCESS ASSISTANCE
State of TENNESSEE DISASTER MENTAL HEALTH RESPONSE
PLAN
(DMHRP)
DMHRP Development2011
AMERICAN RED CROSSCENTERSTONE MENTAL HEALTH COOPERATIVE METRO NASHVILLE PUBLIC HEALTH
DEPARTMENT TENNESSEE DEPARTMENT OF MENTAL
HEALTH TENNESSEE EMERGENCY MANAGEMENT
AGENCY TENNESSEE ASSOCIATION OF MENTAL
HEALTH ORGANIZATIONS TENNESSEE DEPARTMENT OF HEALTH VOLUNTEER BEHAVIORAL HEALTH CARE
SYSTEM
INITIAL RESPONSE
FEMA CRISIS COUNSELING
PROGRAM
RESOURCE ALLOCATION
HIGHLIGHTS OF THE DMHRPMISSION
Facilitate coordinated state, regional, and local mental health planning, intervention, and response efforts relative to disasters of any type
Maintain quality care, safety, and security for survivors, their families, disaster responders, and volunteers.
HIGHLIGHTS OF THE DMHRP State Committee
TEMATennessee Department of Mental
Health and Substance Abuse Services
Tennessee Department of HealthAmerican Red CrossEach of the Regional Disaster Mental
Health Committees
HIGHLIGHTS OF THE DMHRP Regional Committees (7)
– TN Department of Mental Health and Substance Abuse Services Regions
– Representatives of:EMA’sMental Health Centers County Health DepartmentsDepartment of Mental HealthRed Cross Others as appropriate
Highlights of the DMHRP The plan does not supersede any current
Disaster Mental Health Plans that local communities may have established.
Needs Assessments– Red Cross– Community Mental Health Center or Health
Department
Rosters of available disaster mental health response professionals maintained
HIGHLIGHTS OF THE DMHRP
Response Phases After Action Reviews Agencies deploying their
Disaster Mental Health Teams and ARC Disaster Mental Health volunteers are provided as pro bono services.
DMHRP STATUS June 2012
Presented on FEMA’s Think Tank Conference Call on 06/28/12.
July 2012 The DMHRP Annexed to the State of Tennessee’s
All Hazards Response Plan, and Tennessee Department of Mental Health and
Substance Abuse Services (TDMHSAS) to assume responsibility for the Disaster Mental Health Response Plan.
August 2012 State Committee concurs with recommendations
and TDMHSAS assumes leadership for DMHRP
DMHRP STATUS
Educate stakeholders in key disaster response capacities such as hospitals, local EMA’s and local public health emergency preparedness programs in the concepts of disaster mental health and the strategies for response that are outlined in the DMHRP.
Exercise plan in a large scale exercise with other interdisciplinary agencies.
Becky Stoll, LCSW
Centerstone
1101 6th Avenue North
Nashville, TN 37208
(615) 460-4481
