Geriatric Mental Health Disaster and Emergency Preparedness

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Foreword With the increase in the number and complexity of disaster events, there is one factor that remains constant in determining the effectiveness of disaster mental health response and recovery—that is, preparedness. Evidence shows that disaster mental health programs for older persons are most effective when there is an existing plan for the rapid mobilization, response, and service implementation of mental health providers. However, this is rarely the case. Older victims of disasters are often neglected and left alone in their despair, as was the case in the aftermaths of September 11, 2001, and Hurricane Katrina. Ageism, a term I first coined in 1969, refers to the denial on a societal level of the special needs of a large segment of the population. This is particularly true regarding the emotional /mental health needs of older persons during times of crises, such as disasters. After the September 11 World Trade Center attacks, many older persons and people with disabilities living near the disaster area were left stranded in their homes without assistance. In response, the International Longevity Center-USA, of which I am president and chief executive officer, contacted local and citywide organizations that serve older people to find out how they had dealt with the emergency and to discover what resources were available to aid these vulnerable sectors of the city in the event of a future emergency. We were frankly shocked to find an overwhelming lack of plans and systems to care for vulnerable populations such as the elderly and impaired. In particular, we noted the critical shortage of mental health practitioners experienced in working with older clients and a lack of general knowledge about how mental health problems are manifested in older persons. With better awareness of the symptoms, practitioners can intervene more quickly and appropriately to sustain the best possible quality of life for the older person during and subsequent to a disaster or emergency. xvii
xviii Foreword This volume provides the first-ever comprehensive overview of the essential information everyone working with older persons should know about the mental health effects of disasters on the elderly. It emphasizes the essential role that choice and choosing play in maintaining quality of life for older persons affected by disasters and emergencies. It also gives key evidence-based and interdisciplinary approaches for identifying and classifying mental health disorders, such as PTSD, depression, and substance abuse, to which older persons are particularly vulnerable. This is a must-read book for clinicians, service providers, policy makers, program planners, and teachers in the fields of mental health, aging, and emergency preparedness. Robert N. Butler, MD
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Page 6 and 7: Dedicated to Flo Aaroe, who personi
Page 8 and 9: Contributors xi Foreword by Robert
Page 10: 14 Geriatric Assessment for Differe
Page 13 and 14: xii Contributors Terry Fulmer, PhD,
Page 15 and 16: xiv Contributors Douglas M. Sanders
Page 20 and 21: Preface The rage you feel does more
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Page 26: Acknowledgments In connection with
Page 30 and 31: 1 A Primer for Disaster and Emergen
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Page 62 and 63: NORMAL CHANGES WITH AGING ORGANS/SY
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Chapter 2 Older Persons in Disaster
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48 Geriatric Mental Health Disaster
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Table 3.3 GEC GEPR COLLABORATIVE PR
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Table 3.3 GEC GEPR COLLABORATIVE PR
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Community Response to the Needs of
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6 Supervision and Facilitated Refl
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Chapter 6 Supervision and Facilitat
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INTERNATIONAL TREATIES Team Respons
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120 Geriatric Mental Health Disaste
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8 Self-Help Tools for Older Persons
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Chapter 8 Self-Help Tools for Older
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9 Volunteers: Who Are They and What
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Chapter 9 Volunteers 159 munity com
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Chapter 9 Volunteers 161 RECRUITING
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Chapter 9 Volunteers 163 et al.). O
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Chapter 9 Volunteers 165 cial effor
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Chapter 9 Volunteers 167 nizations
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VOLUNTEERS PROVIDING AND RECEIVING
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Chapter 9 Volunteers 171 Gibson, M.
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Clinical Response to the Needs of O
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Table 10.1 PRE-DISASTER/BASELINE DO
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Table 10.2 DURING-DISASTER SYMPTOM
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Table 10.3 POSTDISASTER SYMPTOM DOM
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Table 10.5 POSSIBLE BENEFITS OF SEL
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12 Complementary and Alternative Ap
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Chapter 12 Complementary and Altern
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Where to Find a Therapist Chapter 1
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Self-Care Chapter 12 Complementary
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13 The Interdisciplinary Treatment
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Chapter 13 The Interdisciplinary Tr
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Choose solutions Review literature
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14 This chapter focuses on the ment
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Chapter 14 Geriatric Assessment for
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15 Bereavement and Grief: What Is N
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Chapter 15 Bereavement and Grief 29
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The Length of Mourning Chapter 15 B
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16 The Experience of Vulnerability
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17 Alzheimer’s Disease and Relate
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n Do your best to remain calm. The
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380 Appendix I A Guide to Developin
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390 Appendix II Glossary of Terms C
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A AAGP. See American Association fo
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community initiatives/lessons learn
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depression v., 287 during disasters
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Emergency preparedness, gaps in tra
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adverse reactions to, 226 conclusio
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health care provider training on, 7
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physical changes/resultant weakness
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supervisor component of, 110 -113,
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Spirituality of African Americans/A
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Geriatric Mental Health Disaster and Emergency Preparedness

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