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Geriatric Mental Health Disaster and Emergency Preparedness

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VOLUNTEERS PROVIDING AND RECEIVING<br />

MENTAL HEALTH SERVICES<br />

Chapter 9 Volunteers 169<br />

An important area of consideration is providing mental health services to<br />

survivors as well as to volunteers following a disaster. The ability of social<br />

supports to protect mental health has been demonstrated repeatedly<br />

(Somasundaram et al., 2005). Because disasters affect entire networks,<br />

the need for mental health support may simply exceed its availability as<br />

support networks become saturated (Somasundaram et al.). Therefore,<br />

it is necessary to recruit social workers <strong>and</strong> psychologists to provide such<br />

services <strong>and</strong> to ensure there will be enough professional volunteers ready<br />

to mobilize when a disaster strikes.<br />

Volunteers may also need mental health counseling. Even though<br />

volunteers should receive training prior to a disaster, it is difficult to truly<br />

underst<strong>and</strong> how one will react when a crisis actually happens. <strong>Disaster</strong>s<br />

create an emotional experience <strong>and</strong> intense environment that is challenging<br />

for some individuals, <strong>and</strong> so it is necessary to plan for mental<br />

health assistance for volunteers (Novotney, 2008). As the weeks pass after<br />

a disaster, many generous professional <strong>and</strong> volunteer helpers will still be<br />

on the front lines. Unfortunately, during a crisis the emotional <strong>and</strong> physical<br />

needs of those who help others are often forgotten (Center for Volunteer<br />

<strong>and</strong> Nonprofit Leadership of Marin County, 1999).<br />

The initially heightened level of helping <strong>and</strong> concern seldom lasts for<br />

the full length of the recovery process (Somasundaram et al., 2005).<br />

Perhaps the most important lesson learned from the research is that<br />

the stress precipitated by catastrophic disasters is often long lasting<br />

(Somasundaram et al.). Thus, the response to a disaster must include<br />

ongoing attention to the psychological aspects of the event as part of the<br />

overall emergency response (Somasundaram et al.).<br />

When communities devise emergency plans, it is essential to ensure<br />

there is a cadre of volunteer therapists who can provide mental health<br />

services to the residents as well as to professionals <strong>and</strong> volunteers during<br />

<strong>and</strong> after the crisis.<br />

VOLUNTEERS AND POSTDISASTER WORK<br />

The aftermath of a disaster may be when volunteers can be most useful.<br />

Helping behavior <strong>and</strong> community cohesion are abundant initially, but

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