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Weaving Connections: Disaster Behavioral Health Planning Summit. Missouri’s 2011 Disaster Experience. Arizona, 2014. Before. Joplin, Missouri May 22, 2012. After. When a catastrophic disaster this size happens in your state…. Arizona, 2014. So What Happens when you have an EF5 tornado?.
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Weaving Connections:Disaster Behavioral Health Planning Summit Missouri’s 2011 Disaster Experience Arizona, 2014
Before Joplin, Missouri May 22, 2012 After When a catastrophic disaster this size happens in your state… Arizona, 2014
So What Happens when you have an EF5 tornado? Deadliest tornado since Weather Service started tracking tornadoes in 1950. 8th deadliest in U.S. History
That takes out… the Medical Community St. John’s Mercy Hospital Greenbriar Nursing Home Autism Center
Preparedness VS. Response Red Cross Relationships VOAD CCP Role Definition Exercises
What wasn’t in the planning… Original Federal Declaration: FEMA 1980 DR-MO, May 9, 2011 – flooding in Southeast Missouri May 23: Added EF 5 tornado to Existing Declaration: DAY 0: for CCP ISP Development; Due June 6, 2011 Search and Rescue still underway 1 week into timeframe before correct numbers for CCP formulas MO awarded ISP Joplin addendum June 30 Still ends at the same time as original CCP ISP: July 7 Answered ISP conditions and amended ISP; June 7 Joplin conditions response, June 15. Requested ISP Extension July 1, 2012 Began work on RSP and submitted it July 7, 2011. It takes a TEAM! Request funding for key people to write the CCP grant and formulate the budget.
The Response Initial Response: CMHCs – Volunteers: 73 DMH Staff Liaison ISP: Healing Joplin: Team of 46 C.C. 6 T.L. RSP: Healing Joplin: Team of 60 C.C. 10 T.L.
Types of Disaster Reactions: Collective ReactionsTypical Phases of Disaster
Lessons Learned Communications DMH Liaison Team approach Liaison Checklist Linkage with MO National Guard Family Assistance Center FEMA CCP – Healing Joplin Hiring and Laying off considerations Formalizing relationships – Letters of agreement
Lessons Learned • Anticipated that referred would have their trauma-related behavioral health needs successfully resolved and terminate services in one year or less. • Incorrect for majority • Reasonable assumption if no previous significant trauma • 84% had at least one traumatic event prior to the tornado. • Previous traumas created complex dynamics and longer treatment needs • Only 23 of 204 had completed by end of grant • Tele-health - significant role • University of Missouri, School Of Psychiatry • Very popular - lower no-show rate
Substance Abuse Treatment Services Access Crisis Intervention Team Services for the Developmentally Disabled Will’s Place Children’s Services Housing/ Placement CCP Healing Joplin Team Psychiatric Services Autism Services Adult Treatment Services (SERG) Local Resources Community Care Program plan for recovery
Best practices Hiring Practices Grid/Map areas of service Planning calls: children and seniors Additional training: Skills for Psychological Recovery, children and seniors www.nctsn.com Daily meetings; weekly trainings Planning areas: travel, identification, access and functional needs Partnerships: FEMA Case Management Services; DOC partnership; Meals on Wheels; Using the FEMA List http://dmh.mo.gov/docs/opla/StoriesfromHealingJoplin.pdf
Contact information Jenny Wiley Missouri Department of Mental Health Office: 573-751-4730 Personal: 573-418-3477 Jenny.wiley@dmh.mo.gov