Mental Health & Emergency Preparedness Strategies & Organizational Roles KEY: DEM = Emergency Mgmt; CISM = Critical Incident Stress Mgmt; P = Primary Role; S = Supporting Key Role; U = Universal Role State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services State & Local DEM & Public Safety Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics Health Plans Media Educational Systems U U U U U U U U U U U U ↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓ Nonprofit Orgs & Faith Communities WORK SITES 1) Assess staff preincident awareness and readiness re: emergency mental health impact/needs; 2) identify training and consultation resources on pre-incident awareness, stress prevention & management, debriefing protocols, etc; 3) provide and arrange for training and cotraining on above; 4) define staff roles and procedures in an emergency at each work site (include monitoring staff productivity, self-care, staff rotation, accessing external mental health resources, etc.). State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services State & Local DEM & Public Safety ↓ ↓ ↓ Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics Health Plans Media Educational Systems ↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓ Nonprofit Orgs & Faith Communities ↓ State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services State & Local DEM & Public Safety S P ↓ Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics Health Plans Media Educational Systems S S S S S S S S S S P ↓ ↓ ↓ ↓ ↓ ↓ ↓ Nonprofit Orgs & Faith Communities PLANNING 1) Convene coalition to develop state & community mental health crisis plan and needs assessment; 2) practice disaster exercises that include addressing mental health impact on responders and the public; 3) identify special health need, disability, P ↓ ↓ ↓ ↓ multicultural, high density housing and non-resident populations; integrate outreach plan with mental health crisis plan above; 4) integrate above assessing & planning with: a. community health boards, b. emergency response, c. mass care planning d. schools’ crisis plans. State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services State & Local DEM & Public Safety ↓ ↓ ↓ Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics Health Plans Media Educational Systems ↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓ Nonprofit Orgs & Faith Communities ↓ State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services State & Local DEM & Public Safety P P P Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics Health Plans Media Educational Systems S S S S S S S S Nonprofit Orgs & Faith Communities NETWORKS 1) Identify traditional & nontraditional mental health partners, rapid response teams/ emergency responders, college students, community resources, professional networks, communication vehicles (i.e., listservs, radio), professional registries, key contacts, community S leaders, spiritual counselors and faith leaders; 2) identify and coordinate protocols for mental health-related requests, referrals, dispatch to isolated populations, debriefing; 3) organize and train/cotrain partners above, ongoing. State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services State & Local DEM & Public Safety ↓ ↓ ↓ Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics Health Plans Media Educational Systems ↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓ Nonprofit Orgs & Faith Communities ↓ ACCESS TO MENTAL HEALTH RESOURCES 1) Assess supply and access to effective and appropriate child and adult mental health services and providers; 2) address barriers to access: a. costs, b. transportation, c. disabilities, d. language, e. provider training. State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services S P ↓ ↓ State & Local DEM & Public Safety Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Nonprofit Orgs & Faith Communities Community Mental Health Orgs Hospitals & Clinics Health Plans S S S S S ↓ ↓ ↓ ↓ ↓ Media Educational Systems State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services State & Local DEM & Public Safety P P S Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics Health Plans Media Educational Systems S S S S S S S S Nonprofit Orgs & Faith Communities PUBLIC ED 1) Conform to FCC guidelines; mass disseminate disabilityand culturespecific mental health information pre-, during, post-event on: a. symptoms of stress through grief; b. self-care, stress management, help-seeking; c. services, hotlines, drop-in centers; S d. public info contacts specific to health threat; e. “consumer beware” info; f. family disaster planning. 2) Identify risk communication spokespersons, messages and strategies specific to health threat; conform to FCC guidelines. 3) link with MDH Health Alert Network; State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services State & Local DEM & Public Safety ↓ ↓ ↓ Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics Health Plans Media Educational Systems ↓ ↓ ↓ ↓ ↓ ↓ ↓ ↓ Nonprofit Orgs & Faith Communities ↓ State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services P P State & Local DEM & Public Safety Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics S S Health Plans Media Educational Systems MENTAL HEALTH STATUS MONITORING 1) Assess, monitor and report early and postevent longitudinal changes in: a. population mental health data (i.e., suicide attempts and deaths, PTSD, stress related symptoms, students’ learning and behavior problems); S S Nonprofit Orgs & Faith Communities b. community mental health indicators (i.e., family violence, increased substance use, homelessness, anecdotal reports from providers). State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services ↓ S State & Local DEM & Public Safety MN Voluntary Orgs Active in Disasters Community Mental Health Orgs Hospitals & Clinics Health Plans ↓ ↓ ↓ ↓ S S S Red Cross in MN MN Consort. of CISM Teams Media Educational Systems Nonprofit Orgs & Faith Communities ↓ EDUCATIONAL SYSTEMS 1) Recognize potential mental health impact and needs from emergencies (pre-, during, & post-event) of educational P S institutions of all levels (i.e., administrators, educators, students, parents); 2) identify training needs and resources (co-train with city/county), including preventive programs; 3) plan for students, parents, teachers, administrators, etc.: a. individual and group interventions; b. supportive State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services ↓ ↓ State & Local DEM & Public Safety Red Cross in MN MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics ↓ ↓ Health Plans Media Educational Systems ↓ Nonprofit Orgs & Faith Communities ↓ services; c. access to community providers; State, County, City, Tribal Public Health Agencies State, County, Tribal Human/Social Services ↓ ↓ State & Local DEM & Public Safety Red Cross in MN 4) integrate above with schools’ crisis plans; 5) integrate above with community emergency operations plans. Office of Emergency Preparedness 625 Robert Street N. P.O. Box 64975 St. Paul, MN 55164-0975 www.health.state.mn.us MN Voluntary Orgs Active in Disasters MN Consort. of CISM Teams Community Mental Health Orgs Hospitals & Clinics ↓ ↓ Health Plans Media Educational Systems ↓ Nonprofit Orgs & Faith Communities ↓
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