Disaster Behavioral Health Training and Technical Assistance Services

1. Disaster Behavioral Health Training and Technical Assistance Services Presented by Amy R. Mack, Psy.D., Project Director and Michael Lodato, Ph.D. May 11, 2011 Tribal Assistance Coordination Group Conference

2. Overview Define disaster behavioral health Provide overview of the SAMHSA Disaster Technical Assistance Center (SAMHSA DTAC) services and resources Describe a Federal disaster behavioral health response grant Discuss needs assessment survey efforts

3. What is Disaster Behavioral Health? After a natural, human caused, or technological disaster, there are emotional, physical, cognitive, and behavioral reactions. Behavioral health encompasses mental health and substance abuse issues

4. About SAMHSA DTAC Established by the Substance Abuse and Mental Health Services Administration (SAMHSA), the Disaster Technical Assistance Center (DTAC) supports SAMHSA's efforts to prepare States, Territories, and Tribes to deliver an effective behavioral health (mental health and substance abuse) response to disasters.

5. SAMHSA DTAC Services Include… Consultation and trainings on disaster behavioral health topics including disaster preparedness and response, acute interventions, promising practices, and special populations. Dedicated training and technical assistance for disaster behavioral health response grants such as the Federal Emergency Management Agency's (FEMA) Crisis Counseling Assistance and Training Program (CCP). Identifying and promoting best practices in disaster preparedness and planning, as well as, integrating disaster behavioral health within the emergency management and public health fields.

6. SAMHSA DTAC Resources Include… Disaster Behavioral Health Information Series (DBHIS) Contains themed resources and toolkits about: • Disaster behavioral health preparedness and/ or response • Specific disasters • Specific populations

7. DBHIS Installment and Toolkit Topics • Installments • Children and Youth • Deployed Military Personnel and Their Families • Immediate Disaster Response • Older Adults • Pandemic Influenza • Public Safety Workers • Rural Populations • Toolkits • CCP Application Toolkit • CCP Trainer’s Toolkit • Disaster Template Toolkit (in development)

8. New DBHIS Installment Topics • Disaster Specific—Behavioral health and response/recovery issues specific to disasters such as floods, fire, or terrorism • Tribal Organizations—Cultural considerations and outreach strategies • Languages Other Than English—Disaster preparedness and response materials and behavioral health information in a variety of languages • Persons with Functional and Access Needs—Disaster preparedness and response challenges and tips, behavioral health impact, and outreach strategies

9. Tribal Organizations Installment Further development of this installment involves a workgroup tasked with finding and developing new materials. If you have materials you would like us to consider including in this installment, please email Amy Mack (Amack@icfi.com).

10. SAMHSA DTAC e-Communications • SAMHSA DTAC Bulletin, a monthly newsletter of resources and events. To subscribe, email: DTAC@samhsa.hhs.gov • The Dialogue, a quarterly journal of articles written by disaster behavioral health professionals in the field. To subscribe, visit www.samhsa.gov enter your email in the Mailing List box on the right and select the box for the SAMHSA DTAC newsletter, “The Dialogue”. • SAMHSA DTAC Discussion Board, post resources and ask questions of the field. To subscribe, register at http://dtac-discussion.samhsa.gov/register.aspx

11. Customer Satisfaction Survey • Anticipated launch in 2 months (OMB) • Participants: • Anyone who requested training or technical assistance • Anyone who subscribes to SAMHSA DTAC e-communications • Data will be collected on an ongoing basis • Will inform new product development and ensure quality of services

12. Crisis Counseling Assistance and Training Program (CCP) Interagency Agreement between the Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, Emergency Mental Health and Traumatic Stress Services Branch And Federal Emergency Management Agency, Disaster Assistance Directorate, Community Services Unit

13. What is a CCP Grant? • Authorized under the Robert T. Stafford Disaster Relief and Emergency Assistance Act • Comprised of two grant programs: • Immediate Services Program (60 days duration) • Regular Services Program (9 months duration) • Culturally competent, respectful and sensitive to the cultural makeup of communities served

14. What are the Goals of the CCP? Reach large numbers of disaster survivors Assess the emotional needs of survivors and make referrals when necessary Link survivor to community resources and disaster relief services Provide emotional support, education, and basic crisis counseling (by paraprofessionals)

15. What are the Goals of the CCP? Train and educate CCP and community staff about disaster reactions and interventions Develop partnerships with local disaster and other organizations Work with local stakeholders to promote community resilience and recovery Collect and evaluate data to ensure quality services and justify program efforts

16. Key Principles of the CCP Model Strength based Services delivered in nontraditional settings Designed to strengthen existing community support systems Anonymous Outreach oriented

17. CCP Trainings • Grants Training—Provides States/Territories/Federally-recognized Tribes the opportunity to send staff to learn the CCP application and how to submit a successful one. • Training of Trainers—Provides States/Territories/Federally-recognized Tribes the opportunity to send staff to learn the five training modules that are a part of the CCP and become trainers for new grantees.

18. SAMHSA DTAC Needs Assessment Surveys • Two initial surveys: • State/Territory Disaster Behavioral Health Coordinators • Local Level Providers • Anticipated launch within 2 months (OMB)

19. SAMHSA DTAC Needs Assessment Surveys • Data will inform: • What the needs are for integrating disaster behavioral health into their All-hazards plans • What trainings are needed to build capacity • What products/tools are needed for successful integration

20. SAMHSA DTAC Tribal Needs Assessment • SAMHSA DTAC is in the beginning stages of developing a needs assessment of Tribal communities about disaster behavioral health • Goals: • Better understand DBH needs and challenges • Identify topics and methods of training • Gain a better understanding of the intersection between Tribal, State, and Federal Governments in DBH preparedness and response

21. SAMHSA DTAC Tribal Needs Assessment • Need input on next steps; points of contact, focus groups, etc. • Completed literature review • Interviewing Emergency Management and Behavioral Health experts from Tribal communities and States • Input will help us develop a methodology for assessing the DBH needs of Tribes in 2012

22. Contact Us Dr. Amy Mack, Project Director SAMHSA DTAC Phone (direct): 240-744-7090 Email: AMack@icfi.com Dr. Michael Lodato ICF International Phone (direct): 703-934-3794 Email: MLodato@icfi.com For Training and Technical Assistance Inquiries: Toll-Free Phone: 1-800-308-3515 Email: DTAC@samhsa.hhs.gov Website: www.samhsa.gov/dtac

23. Thank You and Questions