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Geriatric Mental Health Disaster and Emergency Preparedness

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Chapter 4 Coordinating Services 79<br />

that incorporated the big picture scope of disaster along with more nuanced<br />

training in specific, individualized intervention strategies to promote<br />

recovery from disaster. This model first covered the macroscopic aspects<br />

of disaster—including the definition of disaster, classification of subtypes<br />

of disaster, <strong>and</strong> planning <strong>and</strong> response phases of disaster planning—before<br />

focusing on typical <strong>and</strong> atypical human responses to disaster <strong>and</strong> disaster<br />

management. While comprehensive, the curriculum was not overly technical,<br />

allowing the information to be disseminated by instructors who<br />

received 3 days of intensive training in the material <strong>and</strong> manual. These<br />

trained instructors were expected to reach across the state <strong>and</strong> re-perform<br />

2 days of training for those deemed disaster mental health responders<br />

in the event of significant disaster <strong>and</strong> deployment. This model has the<br />

distinct advantage of including a detailed registry, periodically updated<br />

to ensure adequate responder resources.<br />

As this training model highlights, there is a need for disaster mental<br />

health responders who are aware of <strong>and</strong> know how to utilize <strong>and</strong> participate<br />

in large-scale, systemic responses to disaster. While this macroscopic<br />

viewpoint is critical, it is also essential to acknowledge that individual nuance,<br />

family <strong>and</strong> cultural background, previous mental health history, <strong>and</strong><br />

prior disaster exposure or experience will all color an individual’s response<br />

to disaster, as well as their response to intervention efforts. This highlights<br />

the critical <strong>and</strong> instrumental nature of the helping relationship/process,<br />

the bedrock of all successful disaster mental health response.<br />

REFERENCES<br />

AARP. (2006). <strong>Emergency</strong> preparedness, develop a disaster plan for older, distant relatives.<br />

Retrieved July 7, 2009, from http://www.aarp.org/family/housing/articles/pre<br />

paring_for_emergencies.html<br />

Aldrich, N., & Benson, W. F. (2008). <strong>Disaster</strong> preparedness <strong>and</strong> the chronic disease needs<br />

of vulnerable older adults. Preventing Chronic Disease, 5, A27.<br />

Baylor College of Medicine <strong>and</strong> the American Medical Association. (n.d.). Recommendations<br />

for best practices in the management of elderly disaster victims. Retrieved<br />

September 2, 2009, from http://www.bcm.edu/pdf/bestpractices.pdf<br />

Bonanno, G. A., Galea, S., Bucciarelli, A., & Vlahov, D. (2007). What predicts psychological<br />

resilience after disaster? The role of demographics, resources, <strong>and</strong> life stress.<br />

Journal of Consulting <strong>and</strong> Clinical Psychology , 75(5), 671–682.<br />

Castle, N. G. (2008). Nursing home evacuation plans. American Journal of Public <strong>Health</strong>,<br />

98, 1235–1240.<br />

Cherniack, E. P., S<strong>and</strong>als, L., Brook, L., & Mintze, M. J. (2008) Trial of a survey instrument<br />

to establish the hurricane preparedness of <strong>and</strong> medical impact on a vulnerable,<br />

older population. Prehospital <strong>Disaster</strong> Medicine, 23, 242–249.

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