Integrating Mental Health And Disability Into Public Health Disaster Preparedness And Response

Integrating Mental Health and Disability into Public Health Disaster Preparedness and Response brings together the fields of mental/behavioral health, law, human rights, and medicine as they relate to disaster planning and response for people with disabilities, mental and behavioral health conditions and chronic illness. Children and adults with disabilities, mental/behavioral health conditions and chronic illness remain more vulnerable to the negative effects of emergencies and disasters than the general population. This book addresses the effects of emotional trauma, personal growth and resilience, the impact on physical health and systems of care, and legal compliance and advocacy. Following a philosophy of whole community emergency planning, inclusive of people with disabilities, the book advocates for considering and addressing these issues together in an effort to ultimately lead to greater resilience for individuals with disabilities and the whole community. Provides a public health framework on the phases of disasters, integrating mental health and disability into planning, responding to disasters, and recovering post disaster Offers solutions for disability and disaster needs, as well as planning and systems for service delivery at multiple levels, including individual, local, state and federal Provides global examples of real world tools, best practices and legal principles, allowing the reader to think about the role that disability and mental health play in disaster planning, response and recovery across the world Reflects the best thinking about disaster planning and response and disability-related issues and demonstrates new and creative ways of bringing together these fields to strengthen communities

In the devastation that follows a major disaster, there is a need for multiple sectors to unite and devote new resources to support the rebuilding of infrastructure, the provision of health and social services, the restoration of care delivery systems, and other critical recovery needs. In some cases, billions of dollars from public, private and charitable sources are invested to help communities recover. National rhetoric often characterizes these efforts as a "return to normal." But for many American communities, pre-disaster conditions are far from optimal. Large segments of the U.S. population suffer from preventable health problems, experience inequitable access to services, and rely on overburdened health systems. A return to pre-event conditions in such cases may be short-sighted given the high costs - both economic and social - of poor health. Instead, it is important to understand that the disaster recovery process offers a series of unique and valuable opportunities to improve on the status quo. Capitalizing on these opportunities can advance the long-term health, resilience, and sustainability of communities - thereby better preparing them for future challenges. Healthy, Resilient, and Sustainable Communities After Disasters identifies and recommends recovery practices and novel programs most likely to impact overall community public health and contribute to resiliency for future incidents. This book makes the case that disaster recovery should be guided by a healthy community vision, where health considerations are integrated into all aspects of recovery planning before and after a disaster, and funding streams are leveraged in a coordinated manner and applied to health improvement priorities in order to meet human recovery needs and create healthy built and natural environments. The conceptual framework presented in Healthy, Resilient, and Sustainable Communities After Disasters lays the groundwork to achieve this goal and provides operational guidance for multiple sectors involved in community planning and disaster recovery. Healthy, Resilient, and Sustainable Communities After Disasters calls for actions at multiple levels to facilitate recovery strategies that optimize community health. With a shared healthy community vision, strategic planning that prioritizes health, and coordinated implementation, disaster recovery can result in a communities that are healthier, more livable places for current and future generations to grow and thrive - communities that are better prepared for future adversities.

Since the attacks of September 11, 2001, disaster preparedness and response has developed into a discrete subspecialty in medicine, and the paramount health care initiative of the US Government. The mental health component of disaster response is a serious subject of study, as trauma is associated with a substantial and long-lasting psychologic burden, both on an individual and community level. The psychopathologies associated with disaster are also quite broad, varying from several different types of post-traumatic stress and anxiety disorders to acute variations of grief-associated depression. This book is the definitive reference on mental health and disasters, focused on the assessment and treatment of the full spectrum of psychopathologies associated with many different types of individual disasters. The logistics for utilizing pre-existing community-based mental health services, as well as the development of new programs, are covered in depth. Case studies and perspectives for improving care, incorporating lessons from Hurricane Katrina and 9/11, are included in detail.

As large-scale emergencies continue to pose a threat to U.S. populations at the local, state, and national levels, the public and private sectors are demanding improved public health preparedness, response, and cooperation for such events. Emergency Public Health provides readers with important information and analysis of key public health crises threatening our local, state, and national jurisdictions. As the first text of its kind in the emerging field of emergency public health, it provides a framework for public health professionals, policy makers, first responders, and emergency healthcare providers to plan and implement effective measures to protect the public health of civilian populations during times of emergencies. Written by experts with both emergency healthcare and public health backgrounds, the case-based chapters provide valuable information on the preparedness, response, and mitigation of emergency public health topics. In addition, Emergency Public Health contains timely information of key areas such as public health law and the interactions among government jurisdictions. Each chapter also includes online resources for the reader to pursue additional web-based resources. Important features: - Chapters written by emergency physicians with public health degrees - Case-based chapters - Web resources provided - Covers large-scale issues such as public health law, government jurisdictions, NGO’s, - Chapter devoted to specific needs of children - Chapter on mental health issues in times of public health emergencies - Specific chapters on public health tools such as surveillance and rapid needs assessment - Each chapter follows a consistent structure to maintain clarity and continuity throughout the text: A. Introduction B. Historical perspectives C. Preparedness D. Response E. Case study F. On-line resources Competitive features: - Covers natural emergencies - Covers key topics in terrorism - Covers primary topics for disaster medicine Questions for instructors - What are the key topics in your course? - How do you like to prepare your students for public health emergencies? - What management principles are addressed in your course? - Do you teach special issues such as children and mental health issues during emergencies?

From extreme weather events such as Superstorm Sandy, man-made tragedies like the Madrid train bombings, the threat of bioterrorism, and emerging infections such as the H1N1 pandemic flu, disasters are creating increasingly profound threats to health of populations around the globe. Through a presentation of 16 case studies of events from natural disasters to pandemic infection, the authors examine the broad range of public health scenarios through the lens of emergency preparedness and planning. This text demonstrates the application of public health preparedness competencies established by the Association of Schools of Public Health (ASPH). It is designed for students across a wide spectrum of health and safety disciplines, and makes an ideal complement to any text on disaster preparedness or public health leadership, or can be used as a standalone text. --

This contributed volume examines the intersection of trauma and disaster behavioral health from a lifespan perspective, filling a critical gap in the literature on disaster mental health research. In the chapters, the contributors evaluate behavioral data of adults exposed to various environmental events in both the United States (i.e., the 2017 Hurricanes Irma in Florida and Harvey in Houston) and abroad (i.e., missile fire in the 2014 Israel-Gaza conflict). Contributors also suggest future directions, practices, and policies for trauma and disaster response. The three parts of the book provide an overview of disaster behavioral health across the lifespan, propose practical applications of research theories to psychosocial problems resulting from disasters and trauma, and evaluate disaster and trauma interventions from a macro-level perspective. Topics explored among the chapters include: Integrating Trauma-Informed Principles into Disaster Behavioral Health Targeting Older Adults Cultural Competence and Disaster Mental Health When Disasters Strike: Navigating the Challenges of “Sudden Science” Frameworks of Recovery: Health Caught at the Intersection of Housing, Education, and Employment Opportunities After Hurricane Katrina Substance Use Issues and Behavioral Health After a Disaster Psychosocial Recovery After Natural Disaster: International Advocacy, Policy, and Recommendations The Intersection of Trauma and Disaster Behavioral Health is a vital resource for researchers whose expertise covers the domains of trauma, health and wellness, and natural and technological disasters. The book also is a useful supplement to graduate courses in psychology, sociology, social work, disaster science, human ecology, and public health.

Preparedness, Response and Recovery Considerations for Children and Families is the summary of a workshop convened in June, 2013 by the Institute of Medicine Forum on Medical and Public Health Preparedness for Catastrophic Events to discuss disaster preparedness, response, and resilience relative to the needs of children and families, including children with special health care needs. Traditional and non-traditional medical and public health stakeholders from across federal, state, and local government health care coalitions, community organizations, school districts, child care providers, hospitals, private health care providers, insurers, academia, and other partners in municipal planning met to review existing tools and frameworks that can be modified to include children's needs; identify child-serving partners and organizations that can be leveraged in planning to improve outcomes for children; highlight best practices in resilience and recovery strategies for children; and raise awareness of the need to integrate children's considerations throughout local and state emergency plans. Communities across the United States face the threat of emergencies and disasters almost every day, natural and man-made, urban and rural, large and small. Although children represent nearly 25 percent of the U.S. population, current state and local disaster preparedness plans often do not include specific considerations for children and families. The preparedness and resilience of communities related to children will require a systems framework for disaster preparedness across traditional and non-traditional medical and public health stakeholders, including community organizations, schools, and other partners in municipal planning. This report examines resilience strategies that lead to successful recovery in children after a disaster and discusses current approaches and interventions to improve recovery in children.

Older people have often been overlooked in disasters and conflicts, and their concerns have rarely been addressed by emergency programs or planners. This analysis seeks to highlight factors that particularly affect older people in emergencies, especially health-related concerns, propose a strategy to raise awareness about older people in emergencies and recommend policies and practices to address these considerations. Until recently, older people's needs in disasters and conflicts were addressed only by broader adult health and humanitarian programs. This has changed as several recent emergencies highlighted this population's vulnerabilities. Of the 14 800 deaths in France during the 2003 heat wave, 70% were of people over 75 years. Of the estimated 1330 people who died in the wake of Hurricane Katrina, most were older persons. In Louisiana, 71% of those who died were older than 60 years; 47% of this group were over 77 years old. Worldwide, the UNHCR has estimated that older persons make up 8.5% of the overall refugee population, and in some cases comprise more than 30% of caseloads. In 2005, approximately 2.7 million people over the age of 60 were living as refugees or internally displaced persons. Globally, the proportion of older people is growing faster than any other age group. In 2000 one in ten, or about 600 million, people were 60 years or older. By 2025, this figure is expected to reach 1.2 billion people, and in 2050 around 1.9 billion. In developing countries, where 80% of older people live, the proportion of those over 60 years old in 2025 will increase from 7% to 12%. The increasing population of older people has drawn attention to the need to revise humanitarian policies to adequately serve this group s basic living and health requirements. From a health perspective, it is important to recognize the needs of older persons and to develop appropriate policies to promote emergency health care. Yet it is equally critical to assess and prepare for demographic and health trends that determine the shape of future emergencies. By 2050, the prevalence of disability in some developing countries is projected to rise by 400% as the population ages. At the same time, it is important to observe that the older population as a whole is neither helpless nor dependent. Most older people are capable of coping and adapting, despite increasing poor health and frailty as they age. Older people contribute immeasurably to their families and communities in various roles, and commonly sacrifice their well being to help their children and grandchildren. In Africa, the HIV/AIDS epidemic has seen older persons assume responsibility for raising many thousands of orphaned grandchildren and other children in need. Finally, older people contribute to their communities their decades of accumulated experience, knowledge and understanding. This insight makes them an essential resource and potential partner in developing emergency preparedness and response programmes.