The Integration of Mental and Behavioral Health Into Disaster Preparedness, Response, and Recovery

2012 ◽  
Vol 6 (1) ◽  
pp. 60-66 ◽  
Author(s):  
Betty Pfefferbaum ◽  
Brian W. Flynn ◽  
David Schonfeld ◽  
Lisa M. Brown ◽  
Gerard A. Jacobs ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Behavioral Health ◽  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
National Policy ◽  
Policy And Practice ◽  
Department Of Health ◽  
Medical Response ◽  
Response And Recovery

ABSTRACTThe close interplay between mental health and physical health makes it critical to integrate mental and behavioral health considerations into all aspects of public health and medical disaster management. Therefore, the National Biodefense Science Board (NBSB) convened the Disaster Mental Health Subcommittee to assess the progress of the US Department of Health and Human Services (HHS) in integrating mental and behavioral health into disaster and emergency preparedness and response activities. One vital opportunity to improve integration is the development of clear and directive national policy to firmly establish the role of mental and behavioral health as part of a unified public health and medical response to disasters. Integration of mental and behavioral health into disaster preparedness, response, and recovery requires it to be incorporated in assessments and services, addressed in education and training, and founded on and advanced through research. Integration must be supported in underlying policies and administration with clear lines of responsibility for formulating and implementing policy and practice.(Disaster Med Public Health Preparedness. 2012;6:60–66)

scholarly journals Exploring experiences and impact of the COVID-19 pandemic on young racially minoritised people in the United Kingdom: A Qualitative Study

2021 ◽  
Author(s):  
Rochelle Ann Burgess ◽  
Nancy Kanu ◽  
Tanya Matthews ◽  
Owen Mukotekwa ◽  
Amina Smith-Gul ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Young People ◽  
Survival Strategies ◽  
Emotional Wellbeing ◽  
Policy And Practice ◽  
Public Health Response ◽  
Significant Research ◽  
The Impact

Within high-income-countries, the COVID-19 pandemic has disproportionately impacted people from racially minoritised backgrounds. There has been significant research interrogating the disparate impact of the virus, and recently, interest in the long-term implications of the global crisis on young people’s mental health and wellbeing. However, less work explores the experiences of young people from racialised backgrounds as they navigate the pandemic, and the specific consequences this has for their mental health. Forty young people (age 16-25) from black, mixed and other minority backgrounds and living in London, participated in consecutive focus group discussions over a two-month period, to explore the impact of the pandemic on their lives and emotional wellbeing. Thematic analysis identified seven categories describing the impact of the pandemic, indicating: deepening of existing socioeconomic and emotional challenges; efforts to navigate racism and difference within the response; and survival strategies drawing on communal and individual resources. Young people also articulated visions for a future public health response which addressed gaps in current strategies. Findings point to the need to contextualize public health responses to the pandemic in line with the lived experiences of racialised young people. We specifically note the importance of long-term culturally and socio-politically relevant support interventions. Implications for policy and practice are discussed

Variations in Disaster Preparedness by Mental Health, Perceived General Health, and Disability Status

2009 ◽  
Vol 3 (1) ◽  
pp. 33-41 ◽  
Author(s):  
David P. Eisenman ◽  
Qiong Zhou ◽  
Michael Ong ◽  
Steven Asch ◽  
Deborah Glik ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Mental Illness ◽  
Serious Mental Illness ◽  
Disaster Preparedness ◽  
General Health ◽  
Emergency Plan ◽  
Communication Plan ◽  
Disability Status ◽  
Fair Poor

ABSTRACTObjectives: Chronic medical and mental illness and disability increase vulnerability to disasters. National efforts have focused on preparing people with disabilities, and studies find them to be increasingly prepared, but less is known about people with chronic mental and medical illnesses. We examined the relation between health status (mental health, perceived general health, and disability) and disaster preparedness (home disaster supplies and family communication plan).Methods: A random-digit-dial telephone survey of the Los Angeles County population was conducted October 2004 to January 2005 in 6 languages. Separate multivariate regressions modeled determinants of disaster preparedness, adjusting for sociodemographic covariates then sociodemographic variables and health status variables.Results: Only 40.7% of people who rated their health as fair/poor have disaster supplies compared with 53.1% of those who rate their health as excellent (P < 0.001). Only 34.8% of people who rated their health as fair/poor have an emergency plan compared with 44.8% of those who rate their health as excellent (P < 0.01). Only 29.5% of people who have a serious mental illness have disaster supplies compared with 49.2% of those who do not have a serious mental illness (P < 0.001). People with fair/poor health remained less likely to have disaster supplies (adjusted odds ratio [AOR] 0.69, 95% confidence interval [CI] 0.50–0.96) and less likely to have an emergency plan (AOR 0.68, 95% CI 0.51–0.92) compared with those who rate their health as excellent, after adjusting for the sociodemographic covariates. People with serious mental illness remained less likely to have disaster supplies after adjusting for the sociodemographic covariates (AOR 0.67, 95% CI 0.48–0.93). Disability status was not associated with lower rates of disaster supplies or emergency communication plans in bivariate or multivariate analyses. Finally, adjusting for the sociodemographic and other health variables, people with fair/poor health remained less likely to have an emergency plan (AOR 0.66, 95% CI 0.48–0.92) and people with serious mental illness remained less likely to have disaster supplies (AOR 0.67, 95% CI 0.47–0.95).Conclusions: People who report fair/poor general health and probable serious mental illness are less likely to report household disaster preparedness and an emergency communication plan. Our results could add to our understanding of why people with preexisting health problems suffer disproportionately from disasters. Public health may consider collaborating with community partners and health services providers to improve preparedness among people with chronic illness and people who are mentally ill. (Disaster Med Public Health Preparedness. 2009;3:33–41)

Substance Use in the Life Cycle of a Disaster: A Research Agenda and Methodological Considerations

2020 ◽  
Vol 64 (8) ◽  
pp. 1095-1110 ◽  
Author(s):  
Albert M. Kopak ◽  
Bethany Van Brown
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Life Cycle ◽  
Substance Use Disorders ◽  
Disaster Preparedness ◽  
Research Agenda ◽  
Prior Work ◽  
Prevention And Treatment ◽  
Response And Recovery ◽  
Methodological Considerations

Considering the increasing frequency and magnitude of natural and human-made disasters, it is becoming more important to understand human responses to these events, including the ways they influence substance use. The Substance Abuse and Mental Health Service Administration has recently acknowledged that the prevention and treatment of substance use disorders must be incorporated into disaster preparedness, response, and recovery, but there is a scarcity of empirical information related to how these approaches should be undertaken. This article provides an overview of prior work in this area to inform a broad, but nuanced research agenda. That agenda is organized according to key findings and various strategies that can identify, measure, and assess substance use in various stages of the life cycle of a disaster. We conclude with recommendations for policies that can enhance the research in this area while also informing the development of practices to monitor substance use disorders related to various disasters.

scholarly journals Predicting Dissemination of a Disaster Mental Health “Train-the-Trainer” Program

2010 ◽  
Vol 4 (4) ◽  
pp. 339-343 ◽  
Author(s):  
Wendi Cross ◽  
Catherine Cerulli ◽  
Heidi Richards ◽  
Hua He ◽  
Jack Herrmann
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Disaster Preparedness ◽  
Training Programs ◽  
Secondary Analysis ◽  
Cost Effective ◽  
Self Report ◽  
Disaster Mental Health ◽  
Health Providers ◽  
Train The Trainer

ABSTRACTObjective: Disaster mental health (DMH) is vital to comprehensive disaster preparedness for communities. A train-the-trainer (TTT) model is frequently used in public health to disseminate knowledge and skills to communities, although few studies have examined its success. We report on the development and implementation of a DMH TTT program and examine variables that predict dissemination.Methods: This secondary analysis examines 140 community-based mental health providers' participation in a TTT DMH program in 2005–2006. Instructors' dissemination of the training was followed for 12 months. Bivariate and multivariate analyses were conducted to predict dissemination of the training program.Results: Sixty percent of the trainees in the DMH TTT program conducted training programs in the 12-month period following being trained. The likelihood of conducting training programs was predicted by a self-report measure of perceptions of transfer of training. The number of individuals subsequently trained (559) was predicted by prior DMH training and sex. No other variables predicted dissemination of DMH training.Conclusions: The TTT model was moderately successful in disseminating DMH training. Intervention at the organizational and individual level, as well as training modifications, may increase cost-effective dissemination of DMH training.(Disaster Med Public Health Preparedness. 2010;4:339-343)

Building a National Model of Public Mental Health Preparedness and Community Resilience: Validation of a Dual-Intervention, Systems-Based Approach

2014 ◽  
Vol 8 (6) ◽  
pp. 511-526 ◽  
Author(s):  
O. Lee McCabe ◽  
Natalie L. Semon ◽  
Carol B. Thompson ◽  
Jeffrey M. Lating ◽  
George S. Everly ◽  
...  
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Emergency Preparedness ◽  
Health Planning ◽  
Public Mental Health ◽  
Community Resilience ◽  
The United States ◽  
Local Health ◽  
Health Departments ◽  
Preparedness Planning

AbstractObjectiveWorking within a series of partnerships among an academic health center, local health departments (LHDs), and faith-based organizations (FBOs), we validated companion interventions to address community mental health planning and response challenges in public health emergency preparedness.MethodsWe implemented the project within the framework of an enhanced logic model and employed a multi-cohort, pre-test/post-test design to assess the outcomes of 1-day workshops in psychological first aid (PFA) and guided preparedness planning (GPP). The workshops were delivered to urban and rural communities in eastern and midwestern regions of the United States. Intervention effectiveness was based on changes in relevant knowledge, skills, and attitudes (KSAs) and on several behavioral indexes.ResultsSignificant improvements were observed in self-reported and objectively measured KSAs across all cohorts. Additionally, GPP teams proved capable of producing quality drafts of basic community disaster plans in 1 day, and PFA trainees confirmed upon follow-up that their training proved useful in real-world trauma contexts. We documented examples of policy and practice changes at the levels of local and state health departments.ConclusionsGiven appropriate guidance, LHDs and FBOs can implement an effective and potentially scalable model for promoting disaster mental health preparedness and community resilience, with implications for positive translational impact.(Disaster Med Public Health Preparedness. 2014;8:511-526)

Equity in mental health

2006 ◽  
Vol 15 (4) ◽  
pp. 260-266 ◽  
Author(s):  
Roshni Mangalore ◽  
Martin Knapp
Keyword(s):  
Mental Health ◽  
Empirical Analysis ◽  
Psychiatric Morbidity ◽  
Mental Health Policy ◽  
Policy And Practice ◽  
Department Of Health ◽  
Use Of Services ◽  
Health Policy And Practice ◽  
The Empirical Analysis ◽  
Equity Principles

SummaryAim– The aim of this paper is to discuss the study of equity in mental health contexts.Methods– We review major principles and theories of distributive justice, covering various disciplines such as ethics, philosophy, economics, medicine and sociology. Recent literature on empirical analysis of inequalities in the mental health field is also reviewed.Results– The review of literature reveals a general lack of debate on equity principles in relation to mental health. Robust empirical evidence on inequalities in the field is also scarce.Conclusions– There is need for better exposition of the relevance of different equity principles for mental health policy and practice. There is also a need for developing standardised methods for the empirical analysis of equity, to examine the distribution of psychiatric morbidity and use of services by income, socioeconomic group, ethnicity, gender and place of residence, and, of course, to examine how equity can be promoted.Declaration of Interest: This work was funded by the Department of Health programme grant to the PSSRU.

Nongovernmental Resources to Support Disaster Preparedness, Response, and Recovery

2013 ◽  
Vol 7 (4) ◽  
pp. 348-353 ◽  
Author(s):  
Joie D. Acosta ◽  
Anita Chandra ◽  
Jeanne S. Ringel
Keyword(s):  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Vital Role ◽  
Just In Time ◽  
Control And Prevention ◽  
Response And Recovery ◽  
State And Local ◽  
Disaster Preparedness And Response ◽  
Local Levels

AbstractObjectiveAlthough recent emergencies or disasters have underscored the vital role of nongovernmental (NGO) resources, they remain not well understood or leveraged. We intended to develop an assets framework that identifies relevant NGO resources for disaster preparedness and response that can be used to assess their availability at state and local levels.MethodsWe conducted a search of peer-reviewed publications to identify existing asset frameworks, and reviewed policy documents and gray literature to identify roles of NGOs in emergency preparedness, response, and recovery. A standardized data abstraction form was used to organize the results by NGO sector.ResultsWe organized NGO assets into 5 categories: competencies, money, infrastructure or equipment, services, relationships, and data for each of the 11 sectors designated by the Centers for Disease Control and Prevention in the 2011 preparedness capabilities.ConclusionsOur findings showed that the capacity of each sector to capture data on each asset type needs strengthening so that data can be merged for just-in-time analysis to indicate where additional relief is needed. (Disaster Med Public Health Preparedness. 2013;0:1–6)

In Preparation or Response: Examining Health Care Coalitions Amid a Changing Economic and Political Landscape

2015 ◽  
Vol 9 (6) ◽  
pp. 698-703 ◽  
Author(s):  
Mark E. Dornauer
Keyword(s):  
Public Health ◽  
Health Care ◽  
Emergency Preparedness ◽  
Community Health Centers ◽  
Large Scale ◽  
Adverse Health Effects ◽  
Public Health Emergencies ◽  
Political Landscape ◽  
Department Of Health ◽  
Operations Capabilities

ABSTRACTThe Office of the Assistant Secretary for Preparedness and Response within the US Department of Health and Human Services leads the nation in preparing for, responding to, and recovering from the adverse health effects of public health emergencies, in part through formal collaborations between hospitals, health systems, community health centers, public health departments, and community organizations via health care coalitions (HCCs). HCCs endeavor to meet the medical surge demands inherent to disasters and to improve health outcomes before, during, and after public health emergencies. Nevertheless, significant changes in health economics and policy can impact the operations, capabilities, and scope of HCCs. Specifically, hospital consolidation and the Affordable Care Act (ACA) are altering the national health care landscape, as well as the emergency preparedness sector, and are challenging HCCs to adapt to large-scale, industry-wide transformations. This article examines HCCs in the context of the developments of hospital consolidation and the ACA in order to facilitate future discourse regarding the strategy and policy of HCCs amid a changing economic and political landscape. (Disaster Med Public Health Preparedness. 2015;9:698–703)

Communicating Public Health Preparedness Information to Pregnant and Postpartum Women: An Assessment of Centers for Disease Control and Prevention Web Pages

2015 ◽  
Vol 9 (2) ◽  
pp. 134-137
Author(s):  
Brianna McDonough ◽  
Elizabeth Felter ◽  
Amia Downes ◽  
Jeanette Trauth
Keyword(s):  
Public Health ◽  
Disease Control ◽  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Postpartum Women ◽  
Web Pages ◽  
Low Literacy ◽  
Public Health Preparedness ◽  
Control And Prevention ◽  
Centers For Disease Control

AbstractPregnant and postpartum women have special needs during public health emergencies but often have inadequate levels of disaster preparedness. Thus, improving maternal emergency preparedness is a public health priority. More research is needed to identify the strengths and weaknesses of various approaches to how preparedness information is communicated to these women. A sample of web pages from the Centers for Disease Control and Prevention intended to address the preparedness needs of pregnant and postpartum populations was examined for suitability for this audience. Five of the 7 web pages examined were considered adequate. One web page was considered not suitable and one the raters split between not suitable and adequate. None of the resources examined were considered superior. If these resources are considered some of the best available to pregnant and postpartum women, more work is needed to improve the suitability of educational resources, especially for audiences with low literacy and low incomes. (Disaster Med Public Health Preparedness. 2015;9:134-137)

A Consensus Process on the Use of Exercises and After Action Reports to Assess and Improve Public Health Emergency Preparedness and Response

2013 ◽  
Vol 28 (3) ◽  
pp. 305-308 ◽  
Author(s):  
Elena Savoia ◽  
Jessica Preston ◽  
Paul D. Biddinger
Keyword(s):  
Public Health ◽  
Emergency Preparedness ◽  
Disaster Preparedness ◽  
Public Health Emergency ◽  
Nominal Group ◽  
Evaluation Methodology ◽  
Consensus Process ◽  
Disaster Victims ◽  
Emergency Preparedness And Response ◽  
Public Health Emergency Preparedness

AbstractIntroductionThe objective of disaster preparedness is to ensure that appropriate systems, procedures, and resources are in place to provide prompt, effective assistance to disaster victims, thus facilitating relief measures and rehabilitation of services. Disaster preparedness efforts include the identification of possible health scenarios based on the probability of hazards and vulnerability of the population as a basis for creating a disaster plan. Exercises that simulate emergency response, involving the health and other sectors, have been suggested as useful tools to test the plans on a regular basis and measure preparedness efforts; the absence of actual testing is likely to negate even the best of abstract plans.ProblemExercises and after action reports (AARs) are used to document preparedness activities. However, to date, limited analysis has been performed on what makes an exercise an effective tool to assess public health emergency preparedness (PHEP), and how AARs can be developed and used to support PHEP improvement efforts. The scope of this project was to achieve consensus on: (1) what makes an exercise an effective tool to assess PHEP; and (2) what makes an AAR an effective tool to guide PHEP improvement efforts.MethodsSixty-one PHEP experts were convened by the use of Nominal Group Techniques to achieve consensus on a series of characteristics that exercises should have when designed to assess PHEP and on the recommendations for developing high-quality AARs.ResultsThe panelists achieved consensus on a list of recommendations to improve the use of exercises and AARs in PHEP improvement efforts. Such recommendations ranged from the characteristics of the exercise audience to the evaluation methodology being used and the characteristics of the produced AAR such as its structure and content.ConclusionsThe characteristics of the exercise audience, scenario and scope are among the most important attributes to the effectiveness of an exercise conducted for PHEP evaluation purposes. The evaluation instruments used to gather observations need an appropriate matching between exercise objectives and the response capabilities tested during the exercise, to build the base for the production of a good AAR. Improvements in the design and creation of exercises and AARs could facilitate better reporting and measurement of preparedness outcomes.SavoiaE, PrestonJ, BiddingerPD. A consensus process on the use of exercises and after action reports to assess and improve public health emergency preparedness and response. Prehosp Disaster Med. 2013;28(3):1-4.

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