Instructor: Mary Spalding, MA, MLIS Medical Librarian, Western Maryland Area Health Education Center (AHEC)

1. Locating Reliable Disaster Health Resources on the Internet: For Social WorkersJuly 8, 2013Washington County Social Work CaucusDepartment of Social Services Instructor: Mary Spalding, MA, MLIS Medical Librarian, Western Maryland Area Health Education Center (AHEC) Thisprogram is sponsored in whole or in part by the National Library of Medicine

2. Description • The number of disaster health resources on the World Wide Web is staggering, but few health professionals and first responders have hours available to wade through these to locate the ones that are most reliable, useful, and specific for a particular locale or population. During this one-hour course, the instructor (a medical librarian) will demonstrate national and local Internet-based resources for disaster preparation and management, such as those based on evidence from previous disasters and/or developed as best practices by government, academic, and other reliable sources. Resources designed for a specific population, such as rural seniors, may be designated as a focus, but general resources will be introduced for all audiences. This training program is sponsored in whole or in part by the National Library of Medicine.

3. Objectives Upon completion of this training, participants should be able to: • Identify reliable Internet-based local and national disaster health resources for health professionals, particularly social workers; • Describe disaster preparedness for health professionals, particularly as it relates to senior citizens.

4. Instructor Mary Spalding, MA, MLIS Western Maryland AHEC Program Coordinator and Medical Librarian • Master’s Degree in Library and Information Science from University of South Carolina; Master’s Degree in English from West Virginia University with additional PhD course work; • Medical Librarian for WMAHEC since 1999; • Serve as medical library consultant for Western Maryland Health System, Somerset Hospital, and Meritus Health, Inc.; • Writer, coordinator, and/or project investigator for numerous federal grants and contracts involving health care and library services, including the National Library of Medicine, National Network of Libraries of Medicine, U.S. Health Resources and Services Administration, Appalachian Regional Commission. She wrote and served as project investigator of a 1999 National Leadership Grant from the U.S. Institute of Museum & Library Services(IMLS) that provided training in emerging library technologies for rural librarians in three states.

5. "Safe Seniors: Appalachian Disaster and Emergency Health Information Outreach" Western Maryland Area Health Education Center Learning Resource Center in partnership with: Allegany College of Maryland Health Continuing Education DepartmentAllegany County Health DepartmentEmergency Preparedness Caucus, WMAHECFrostburg State University Pre-Medical SocietyGarrett County Health DepartmentMeritus Health Medical Library and Education DepartmentSocial Work Caucus - Allegany/Garrett Counties, WMAHECSocial Work Caucus - Washington County, WMAHECWashington County Health DepartmentWestern Maryland Health System Parish Nurse and Health Minister ProgramThe goal of Safe Seniors: Appalachian Disaster and Emergency Health Information Outreach is to improve disaster medicine and public health information access for health professionals, first responders and others (paid or volunteer) who play a role in health-related disaster preparedness, response, and recovery in three rural Appalachian counties in Maryland, with a focus on the elderly population. 

6. Housekeeping …. • Please! • Be sure to complete the WMAHEC Participant Information Form and course pre-test and turn them into Joy Taylor from WMAHEC. • Sign in on the sign-in sheet. • After the course, complete a course evaluation and post-test found in your packet and turn it in to Joy as well. • THANK YOU! These materials help WMAHEC assess this program and plan for future programs!

7. If you must have best/promising practices and/or peer-reviewed literature on health topics, including disaster health, will a Google search suffice? NO!

8. Not to worry! • The National Library of Medicine has • located those resources, • evaluated them for quality and reliability, and • organized those selected for easy retrieval by health professionals, public health officials, first responders, and others with a role in disaster preparation and management. • http://sis.nlm.nih.gov/dimrc.html

9. Peer-reviewed literature is available at DIMRC (as you might expect from NLM), but there is much more! • Disaster preparation and management toolkits • Disaster plan samples • Resources for counselors and others on coping with disasters • Free online continuing education and training opportunities • Free educational videos • Apps for mobile phones and computers on hazardous materials and other topics, • Even resources on preparing for . . .

10. Worst-case Scenarios http://www.remm.nlm.gov/NuclearDetonationPreparedness.pdf

11. National Library of Medicine – Disaster Information Management Research Center (DIMRC) (Our Sponsor) The core purpose of the Disaster Information Management Research Center (DIMRC) is to develop and provide access to health information resources and technology for disaster preparedness, response, and recovery. Our intent is to connect people to quality disaster health information and foster a culture of community resiliency.

12. Let’s start with an overview of the site, and then we’ll go to resources specifically useful for social workers working with a variety of populations.

13. http://sis.nlm.nih.gov/dimrc.html

14. http://sis.nlm.nih.gov/dimrc.html Disaster Types and Topics—Directory with links to Web resources evaluated by medical librarians for quality and reliability Resource Guide— Search public health, disaster medicine, and related information available on the Web Search PubMed for Peer-Reviewed Disaster Health Literature; Register as Loansome Doc user to order articles through WMAHEC!

15. Selection Guidelines for Non-National Library of Medicine Resources http://disaster.nlm.nih.gov/enviro/envirohealthlinkscriteria.html Accessibility for persons with disabilities (visual or other) is a core considera-tion in creation of NLM sites and selected links. • Selection Guidelines • U.S. Government and non-U.S. Government sites meeting evaluation criteria, including: • Clearly stated relevant purpose; • Authority, Credibility, and Affiliation • Content, Coverage, and Currency • Point of View • Access, Navigation, and Availability • Language

16. Disaster Types Disaster Types

17. Disaster-Related Topics • Animals in Disasters • Disaster Apps and Mobile Optimized Web Pages • Community Preparedness • Coping with Disasters, Violence, and Traumatic Stress • Disaster Recovery • Ethics in Disaster Medicine and Public Health • Personal Preparedness • Mass Gatherings • Special Populations • Disaster-Related Competencies for Healthcare Providers • Sources of Emergency and Disaster Information from the U.S. Government

18. Each Disaster topic ends with links to PubMed/ MEDLINE citations on that topic with the search already done for you! • Contact Mary Spalding, Instructor and Librarian, for information on obtaining freecopies until September 15

19. National Library of Medicine’s PubMed/MEDLINE and Loansome Doc(For Access to Professional Literature) • MEDLINEcontains up-to-date citations and abstracts of articles published in professional medical journals published in this country and abroad. • PUBMED (www.pubmed.gov) allows you to search MEDLINE using keywords and MeSH (Medical Subject Headings) – I recommend using both; tutorials are available on the sites to help you—they are excellent; PubMed links to free full text of articles on the Web; if full text is not available, you may ORDER the articles using Loansome Doc.

20. Free literature through PubMed/MEDLINE under WMAHEC’s contract with NLM through September 16! • Loansome Doc – An integrated tool that allows users to order articles unavailable in full text from their designated libraries – Register for free and choose Western Maryland AHEC as your primary access library—your requests will come directly to us. To register for Loansome Doc, go to http://www.nlm.nih.gov/loansomedoc/loansome_home.html • How to Order Articles in PubMed/Loansome Doc: In PubMed, select an article you want (or send as many as you’d like to the Clipboard using the “Send To” pull-down menu). When you are ready, use “Send To” pull-down menu and choose “Order.” This will take you to Loansome Doc; Register and choose WMAHEC as your primary access library; remember your username and password for next time. Your search will be sent directly to WMAHEC once you send it, and your articles should be available within a day or two in most cases. • FREE UNTIL SEPTEMBER 16!Our contract with the National Library of Medicine for this training also provides funds to cover the cost of retrieving full text articles from libraries that charge. They are usually sent in full text to your email as a PDF document. • After September 16, small fees may be charged for articles requested through Loansome Doc, but you designate how much, if anything, you are willing to be pay before the order is processed. These fees differ depending on the library that owns the journal and fills the request. All requests go through WMAHEC first.

21. Free Disaster and Emergency Response Tools from the National Library of Medicine Wireless Information System for Emergency Responders (WISER) - A system to help emergency responders identify hazardous materials and respond to chemical emergencies. Contains information on over 400 chemicals and radiologic agents. Radiation Emergency Medical Management (REMM) - Guidance on the clinical diagnosis and treatment of mass casualty radiological/nuclear events for health care providers. http://sis.nlm.nih.gov/dimrc.html Chemical Hazards Emergency Medical Management (CHEMM)- Guidance on planning, response and recovery related to chemical mass casualty incidents Excellent tutorials walk you through using all NLM tools!

22. WISER (found on DIMRC Home page)

23. Searchable Resource Guide (Found on Home Page)— This search returned resources for ruralpreparedness.

24. Now, specifically for social workers . . . NLM’s DIMRC provides links to numerous resources, far more than I can demonstrate here. I’ve selected a few to share with you today, but I hope you’ll spend some time at the site looking for materials relevant to you and your place of work.

25. Resources About Coping with Disasters, Violence, and Traumatic Events – Including For the Health Professional

26. And for specific ones! • Overview • Lead Organizations • Mental Health and Emotional Response to Traumatic Events • Intervention and Treatment • Substance Abuse Issues • Pre-Existing Behavioral Health and Mental Health Conditions • For Emergency Responders, Healthcare Workers, Journalists, and Volunteers • For Professionals, Teachers, Parents, and Others Working with Children • For the Public • Apps and Widgets • Training Courses and Instructional Materials • Multi-Language Resources • Disclaimer

27. Competencies and Online Courses for Health Professionals, many with CEUs

28. Resources, courses, etc., for multiple disciplines

29. Monthly Disaster Information Webinars (1 hour) • Can be “attended” by anyone • Past Webinars can be watched at any time by going to archive at http://sis.nlm.nih.gov/dimrc/dismeetings.html • Just one excellent example: • 2013 March 21Disability Inclusive Emergency ManagementMarcie Roth, Senior Advisor on Disability Issues for FEMA, spoke about integrating the needs of the whole community into all aspects of emergency preparedness and disaster response, recovery and mitigation efforts. 

30. Following are a few examples of resources and materials to be found at DIMRC from a variety of reliable sources, according to the medical librarians at the National Library of Medicine.

31. Addressing the Needs of the Seriously Mentally Ill in Disaster • Center for the Study of Traumatic Stress • Free download: http://www.cstsonline.org/addressing-the-needs-of-the-seriously-mentally-ill-in-disaster/ • Includes A Guide to Managing Stress in Crisis Response Professionals

32. Very good presenter! Bloomberg School of Public Health, Johns Hopkins University— Very good presentations on public mental health issues, including disastershttp://www.jhsph.edu/research/centers-and-institutes/johns-hopkins-center-for-public-health-preparedness/training/online/consequences_of_disaster.html Free registration required Also accessed at NLM DIMRC under Coping with Traumatic Events, Training Courses and Instructional Resources: Mental Health Consequences of Disaster

33. And especially for those working in hospitals …. Communications During Emergencies • Patient Information Management • Information Access During Disaster Response

34. SAMHSA’s Disaster Kit: http://store.samhsa.gov/product/SMA11-DISASTER • Order this free resource—or download all sections from the Web site

35. National Institutes of Mental Health – http://www.nimh.nih.gov/health/publications/ptsd-listing.shtml • Publications About PTSD and other disorders • Educational Resources about the Brain • And more!

36. The latest research with videos! • Mice Give New Clues to Origins of OCD: Findings Could Help Identify New Treatment Approaches • Columbia Psychiatry, June 7, 2013 • http://newsroom.cumc.columbia.edu/2013/06/07/mice-give-new-clues-to-origins-of-ocd/?utm_source=rss&utm_medium=rss&utm_campaign=mice-give-new-clues-to-origins-of-ocd

37. And for kids, teens, and the young at heart who want to know what to do in a disaster. . .

38. While you wait for that, though, you could try: From FEMA: www.disasterhero.com

39. www.disasterhero.com/resources/kids

40. And for seniors and other vulnerable populations. . .

41. Accessed under Disaster Topics in DIMRC. Direct url: http://sis.nlm.nih.gov/outreach/specialpopulationsanddisasters.html

42. http://www.redcross.org/images/MEDIA_CustomProductCatalog/m4640086_Disaster_Preparedness_for_Srs-English.revised_7-09.pdfhttp://www.redcross.org/images/MEDIA_CustomProductCatalog/m4640086_Disaster_Preparedness_for_Srs-English.revised_7-09.pdf

43. State and Local Resources

44. Don’t forget, seniors do not want to evacuate in an emergency without their pets . . . • Go to DIMRC / Disaster Topics / Animals in Disasters - http://sis.nlm.nih.gov/enviro/animals.html • Many resources are available there (including a free FEMA course on the topic) to help your clients plan for their pets in case of emergency – before, not after, an event! • Information on handling farm animals in disaster is also provided.

45. Search for state agencies and organizations (or for organizations devoted to a particular purpose) on DIMRC home page

46. Maryland Office of Preparedness and Response (DHMH) http://preparedness.dhmh.maryland.gov/SitePages/Home.aspx

47. MEMA • DO screen shot Maryland Emergency Management Agency (MEMA) http://mema.maryland.gov/Pages/default.aspx

48. State of Maryland Resources • DHMH Maryland Responds--Medical Reserve Corps)(MRC): The MD Responds team consists of health care professionals and community members ready to assist with disaster and emergency response and recovery during a declared emergency. MD Responds coordinates the recruitment, training, activation, and retention of practicing and retired physicians, nurses, other health professionals, as well as citizens who are eager to address their community's ongoing public health needs and to help during large-scale emergencies.  http://mdr.dhmh.maryland.gov/ SitePages/Home.aspx

49. Washington County Resources • Wash. Co. Basic Emergency Response Plan - http://www.washco-md.net/public_info/Washington%20County%20Basic%20Emergency%20Response%20Plan.pdf • Wash. Co. Emergency Preparedness - http://www.washco-md.net/EmergencyServices/eman_prep.shtm - For the public; preparedness quiz, preparedness tips, disaster kit list, links to other resources, etc. • Wash. Co. Emergency Mapbook – Password protected, for emergency personnel only • Wash. Co. Emergency Medical Services - http://www.washco-md.net/EmergencyServices/ems_home.shtm • Wash. Co. Community Emergency Response Training “C E R T“ (Volunteer training) - http://www.washco-md.net/EmergencyServices/eman_CERT.shtm

50. Thank you! … And please …. • Complete your post-test and evaluation form and return to instructor today. • Be sure you turned in your Participant Information Form. • Contact Mary Spalding with any additional resources you’d recommendand/or with requests for literature or searching assistance. • Mary Spalding – mspalding@wmahec.org – 301-777-9150, Ext. 116