HURRICANE SANDY: Integrating Clinical and Spiritual Care

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 $14 Million 17 Million Long Island Synagogues New York City Agencies Westchester Day Schools 281,000 meals HUNGER ISOLATION 270,000 bottles of water POVERTY Cash assistance for 2,000 people Supplies for 30,000 people LOSS OF POWER Social work support for 25,500people INSTABILITY DISPLACEMENT Cleanup for 4,000homes

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

6. ONE YEAR LATER:Ongoing Needs confusion anger panic loss frustration anxiety depression pain loneliness stress fear 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 confusion anger panic loss frustration anxiety depression pain loneliness stress fear 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 Jewish Communal Institutions (JCCs, Synagogues, etc.) Rabbis, teachers, and other leaders Social Workers Client Case Managers Mental Health and Spiritual Care Providers Program Directors

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

13. Thank you!