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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.
This book provides a collection of ten protocols for conducting rapid health assessments in the immediate aftermath of different types of emergencies. Noting the vital importance of rapid and accurate information in the earliest stage of an emergency, the protocols respond to the urgent need for common standardized technical tools for assessing damage, gauging health risks, and gathering the information immediately needed by decision-makers at the national and international level. The protocols were prepared by WHO in collaboration with a large number of international agencies and experts with broad experience in the field of emergency management. Although all protocols follow a common format, each is specific to the circumstances, potential hazards, and immediate information needs that characterize a distinct type of emergency. Emphasis is placed on the exact information needed, the best sources of data and methods for rapid collection, and the specific questions that need to be answered in order to draw initial conclusions and direct immediate actions. Although the advantages of using experienced assessments teams are stressed, the book also explains how the protocols can be used to train general health workers as part of emergency preparedness. The book opens with an introductory protocol covering the aims and methods, responsibilities, complexities, and inherent difficulties of rapid health assessments. Addressed to health authorities as well as assessment teams, the chapter also includes abundant advice on preparedness for emergencies. Details range from the comparative need for speed in different types of emergencies, through a suggested format for presenting the results of assessments, to a list of common logistic, organizational, and technical errors. Advice on the best working practices, including ways to avoid being an "emergency tourist", is also provided. Against this background, the additional nine protocols are presented according to a common format which covers the purpose of the assessment, preparedness, the steps to follow during the assessment, assessing the impact on health, assessing local response capacity and immediate needs, and presenting results. A general protocol on epidemics of infectious origin is followed by protocols specific to meningitis outbreaks, outbreaks of viral haemorrhagic fever, including yellow fever, and outbreaks of acute diarrhoeal disease, with information specific to dysentery and cholera. Sudden-impact natural disasters are covered in the next protocol, which includes a day-by-day list of information priorities for different stages of the disaster. A protocol dealing with sudden population displacements offers guidelines for conducting rapid health assessments in all emergencies caused by sudden displacement of refugees or population groups within a country. Included are a sample checklist for rapid assessments and a sample form for weekly reports on morbidity and mortality. Subsequent protocols deal with the special situations of nutritional emergencies and chemical emergencies, including those caused by food contaminated with chemicals or toxins. The final protocol addresses the difficult task of conducting assessments in complex emergencies in which the cause of the emergency, as well as the assistance to the afflicted, is complicated by intense levels of political considerations. The protocol includes a form which has recently been used for rapid health assessment at local level in Bosnia and Herzegovnia. The book concludes with a brief summary of survey techniques, followed by a tabular presentation of reference values for assessing needs, hazards, and logistic requirements in developing countries.
It is becoming increasingly common for psychiatrists to be among the first responders when disaster strikes. More than 800 psychiatrists are believed to have responded to the 9/11 attacks. The first clinical manual on the best practices for helping those affected by disaster, Disaster Psychiatry: Readiness, Evaluation, and Treatment offers an explicit and practical discussion of the evidence base for recommendations for psychiatric evaluation and interventions for disaster survivors. Disaster is defined by the World Health Organization as a severe disruption, ecological and psychosocial, that greatly exceeds a community's capacity to cope. This manual takes an "all-hazards" approach to disasters and has application to natural occurrences such as earthquakes and hurricanes; accidental technological events such as airplane crashes; and willful human acts such as terrorism. The field of disaster psychiatry is more important than ever, in response to disasters such as the Deepwater Horizon oil spill in the Gulf of Mexico and the 2010 earthquake in Haiti. Today, disaster psychiatry encompasses a wide spectrum of clinical interests, ranging from public health preparations and early psychological interventions to psychiatric consultation to surgical units and psychotherapeutic interventions to alleviate stress in children and families after school shootings, hurricanes, or civil conflict. Although disaster mental health is still a young field, research is gradually yielding methods for accurately identifying valid relationships among preexisting risk factors, postdisaster mental health problems, and effective interventions. With its practical approach to readiness, response, and intervention and its focus on evidence-based recommendations for psychiatric evaluation and interventions, Disaster Psychiatry: Readiness, Evaluation, and Treatment is an invaluable manual for educator and student alike. The manual draws on a variety of sources, including the peer-reviewed scientific literature, the clinical wisdom imparted by front-line psychiatrists and other mental health professionals, and the experiences of those who have organized disaster mental health services, including the American Psychiatric Association and Disaster Psychiatry Outreach. Each chapter provides clear and concise information and in-depth review, followed by helpful study questions and answers. This book has been developed to give professionals the knowledge they need to respond swiftly and appropriately when disaster strikes.
Integrating Emergency Management and Disaster Behavioral Health identifies the most critical areas of integration between the profession of emergency management and the specialty of disaster behavioral health, providing perspectives from both of these critical areas, and also including very practical advice and examples on how to address key topics. Each chapter features primary text written by a subject matter expert from a related field that is accompanied by a comment by another profession that is then illustrated with a case study of, or a suggested method for, collaboration. - Addresses the current state of the collaboration between the emergency management and disaster behavioral health communities as presented from pioneers in their respective fields - Focuses on practical examples of what works and what doesn't - Stresses both legal and ethical considerations and the public-private partnerships that are important for leadership in disaster situations - Covers Emergency Operations Centers (EOCs) and risk communication
Disaster Mental Health Community Planning is a step-by-step guide to developing mental health disaster plans, assisting communities to act on long-term resilience and recovery. As disasters continue to increase in severity and number, with 16% of survivors identified as potential PTSD victims if they don't promptly receive care, this book is a critical read. Chapters outline how to prepare, develop, and implement a trauma-informed collaborative process that prioritizes lasting emotional wellbeing along with survivors’ short-term needs. The manual demonstrates how to form this partnership through effective communication, assess those individuals at greatest risk of distress, and deliver trauma-specific treatment. Readers will appreciate the book’s practical, user-friendly approach, including case studies, checklists, and follow-up questions to better define goals. Cutting-edge treatment interventions are included along with basic information on trauma's impact on the brain and the types and effects of human-caused and natural disasters to help readers make sound planning decisions. Accessible to mental-health providers, community leaders, organizations, and individuals alike, Disaster Mental Health Community Planning is a Road Map for anyone interested in delivering a trauma-informed mental health supplement to their community's medical disaster preparedness and response plan.
This text assists mental health clinicians and traumatologists in 'making the bridge' between their clinical knowledge and skills and the unique, complex, chaotic and highly political field of disaster. It combines information from prior research with the authors' practical experience in the field.
A resource for public officials on the basic tenets of effective communications generally and on working with the news media specifically. Focuses on providing public officials with a brief orientation and perspective on the media and how they think and work, and on the public as the end-recipient of info.; concise presentations of techniques for responding to and cooperating with the media in conveying info. and delivering messages, before, during, and after a public health crisis; a practical guide to the tools of the trade of media relations and public communications; and strategies and tactics for addressing the probable opportunities and the possible challenges that are likely to arise as a consequence of such communication initiatives. Ill.
Disaster mental health is a growing field of practice designed to help victims and relief workers learn to effectively cope with the extreme stresses they will face in the aftermath of a disaster. The goal of disaster mental health is to prevent the development of long-term, negative psychological consequences, such as PTSD. This book assists clinicians and traumatologists in "making the bridge" between their clinical knowledge and skills and the unique, complex, chaotic, and highly political field of disaster. It combines information from a vast reservoir of prior research and literature with the authors' practical and pragmatic experience in providing disaster mental health services in a wide variety of disasters.
Grounded in the best science available, this essential volume presents practical guidelines for effective clinical intervention in the immediate, intermediate, and long-term aftermath of large-scale traumatic events. Vital lessons learned from a variety of mass traumas and natural disasters are incorporated into the book's thorough review of strategies for helping specific victim and survivor populations. The editors and authors include over 40 leading experts in disaster mental health. Of crucial importance, they clearly summarize the empirical evidence supporting each intervention and provide other guidance based on experience and consensus recommendations.