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Geriatric Mental Health Disaster and Emergency Preparedness

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260 <strong>Geriatric</strong> <strong>Mental</strong> <strong>Health</strong> <strong>Disaster</strong> <strong>and</strong> <strong>Emergency</strong> <strong>Preparedness</strong><br />

PROBLEM-SOLVING SIMULATIONS:<br />

DISASTER PREP SCENARIOS<br />

Overview<br />

The following section presents a sample problem-solving simulation<br />

for disaster preparedness. The section also includes a guide for team<br />

leaders or facilitators to illustrate useful methods for implementing the<br />

simulations with the team. The <strong>Disaster</strong> Prep Scenarios are role-playing<br />

exercises that are easy to use by the interdisciplinary treatment team <strong>and</strong><br />

easy to facilitate. Each <strong>Disaster</strong> Prep Scenario takes approximately 45 minutes<br />

to 1 hour <strong>and</strong> should be followed by a discussion period of at least<br />

30 minutes.<br />

The <strong>Disaster</strong> Prep Scenarios are problem-solving exercises that represent<br />

common clinical management challenges experienced during disasters<br />

by health care staff <strong>and</strong> teams in long-term-care facilities <strong>and</strong><br />

community-based services. The scenarios are easily adapted for use by the<br />

interdisciplinary team during team meetings. Each scenario includes roles<br />

for older residents/patients, family members or significant others, <strong>and</strong> interdisciplinary<br />

team members. The format of the <strong>Disaster</strong> Prep Scenarios<br />

is flexible, so one group of interdisciplinary team members can role-play<br />

while the remaining team members observe or numerous groups of team<br />

members can role-play the <strong>Disaster</strong> Prep Scenarios simultaneously.<br />

Procedures<br />

Participants are divided into teams of as many members as are indicated<br />

in each script. Each team sits in a circle <strong>and</strong> a bag of role cards is<br />

passed around to all members. The team leader/facilitator instructs each<br />

team member to pick a role card at r<strong>and</strong>om. The cards identify the character<br />

each team member will role-play in the exercise <strong>and</strong> the specific concerns<br />

or issues of that character. Participants are instructed not to tell<br />

their character’s private information to the other people in the group; they<br />

will reveal their hidden agendas during the discussion period after the<br />

role-play.<br />

The team members are given 5 minutes to read their role cards silently<br />

<strong>and</strong> a few minutes to introduce themselves to each other. Subsequently,<br />

the team leader/facilitator h<strong>and</strong>s a script to the participants. The script<br />

tells the disaster story the participants will enact during the role-play. The<br />

team leader/facilitator reads the script out loud while the team members

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