Geriatric Mental Health Disaster and Emergency Preparedness

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Preface xxiii as key to the preparation for and delivery of interdisciplinary services to older persons in disasters. Chapters 7, 8, and 9 complete the section by providing public health guidelines for developing community mental health disaster preparedness plans. Each chapter presents examples of self-help programs that have been used successfully to promote optimal health, promote quality of life, assess the likelihood of recurrence of disease, and manage disease (an explanation of these programs is contained in chapter 7). These tools, as outlined in chapter 8, are designed to help individuals better control fear levels, minimize disruption in their quality of life, increase personal safety, provide peace of mind, deliver culturally and ethnically appropriate information, and improve coping with posttraumatic stress. Chapter 9 concludes that first responders cannot meet the overwhelming demands subsequent to catastrophic events, so it is incumbent on community leaders to develop disaster preparedness plans that involve volunteers, including older persons themselves. The three subsequent chapters comprise the Clinical Response section and focus on state-of-the-art evidence-based clinical practices relevant to treating the mental health needs of older persons during disasters. Chapter 10 examines psychosocial and pharmacological interventions for older persons during disasters with a special focus on the major domains of mental health symptoms experienced by older persons in disasters and the identification of mediating and buffering factors that promote resilience and quality of life. The authors also specify interventions that integrate and are sensitive to both common symptoms as well as idiosyncratic responses to disaster. Chapter 11 provides an overview of the important role of case management in assisting older persons with mental disorders or troubling emotional reactions in the aftermath of a disaster. The authors point out, however, that while there has been considerable research about the effectiveness of case management with older adults, the literature related to the effectiveness of case management with older persons experiencing mental, emotional, or substance abuse issues in the aftermath of a disaster is extremely limited. Chapter 12 reviews a number of complementary and alternative medicine (CAM) interventions, which are designed to enhance the ability of older persons and their caregivers to respond to the mental and physical stressors of disaster. The chapter describes the general reasons that CAM might be effective for older persons and describes in detail several specific treatments, applications, and recommendations that promote quality of life. Three additional chapters expand upon the scope of the Clinical Response section and comprise the section titled Identifying and Classifying
xxiv Preface Mental and Related Health Problems . Chapter 13 examines the interdisciplinary treatment team as a resource for identifying and classifying mental health and related problems in older persons during disasters and describes evidence-based interdisciplinary teamwork methods that have been incorporated into a model interdisciplinary team training program and applied to geriatric mental health disaster preparedness. This chapter also describes strategies for team training in geriatric mental health and disaster preparedness and applications of the choice and choosing model of quality of life to interdisciplinary teamwork. Chapter 14 uses a case study approach to emphasize the risk factors for psychological distress in older persons including the nature and severity of the disaster, the vulnerability of the older patient /client before and during the disaster, threat to life, previous history of psychological disturbances, past treatment efficacy, and current access to mental health services. The authors provide an in-depth review of evidence-based geriatric assessment for the recognition and differential diagnosis of mental health problems, including the systematic assessment of quality of life. The concluding chapter in this section probes the normal versus pathological aspects of bereavement and grief. The author introduces strategies for determining if the symptoms of grief—agitation and weeping, disbelief, hallucinations, panic attacks, phobias, anger, and depression—are normal or part of a mental health disease process such as PTSD, for example. The final section of the book, Special Populations , is devoted to three chapters that address the special needs of specific subgroups of older persons who are particularly vulnerable to developing new mental health symptoms and /or experiencing exacerbation of existing mental health problems. These three groups are the following: veterans (chapter 16), older persons suffering from Alzheimer’s disease and related disorders (chapter 17), and older persons who are mistreated and/or abused during disasters and emergencies (chapter 18). John A. Toner , EdD, PhD
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Page 6 and 7: Dedicated to Flo Aaroe, who personi
Page 8 and 9: Contributors xi Foreword by Robert
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Page 13 and 14: xii Contributors Terry Fulmer, PhD,
Page 15 and 16: xiv Contributors Douglas M. Sanders
Page 18 and 19: Foreword With the increase in the n
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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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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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5 National and Cross-National Model
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Chapter 5 National and Cross-Nation
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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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Chapter 16 The Experience of Vulner
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17 Alzheimer’s Disease and Relate
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Chapter 17 Alzheimer’s Disease an
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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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