Geriatric Mental Health Disaster and Emergency Preparedness

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APPENDIX I A Guide to Developing Training Programs for Disaster Preparedness for Older Persons JUDITH L. HOWE, ANNETTE M. ATANOUS, AND JOHN A.TONER Since 2003, the GEPR Collaborative of the federal HRSA-funded GECs has addressed the needs of older persons in emergencies through the development, dissemination, and evaluation of education and training programs. Six GECs, located in California, New York, Kentucky, Texas, Missouri, and Ohio, and Mathers LifeWays in Illinois form this successful collaborative. Specifically, the CNYGEC received funding in 2005 to develop a curriculum on the mental health effects of disasters on older adults as discussed in Chapter 3. The CNYGEC curriculum was intended for distribution throughout the GEC network, area health education centers, area agencies on aging, health professional schools, local and state public health agencies, and community agencies serving older people and their families. This book was conceptualized by the editors to serve as an evidencebased guide for professionals working with older adults at risk for suffering mental health issues in the face of emergencies and disasters. These events include earthquakes, floods, tornadoes, heat waves, flu outbreaks, and fires in addition to man-made disasters such as terrorist attacks. Training on preparedness, and specifically the mental health effects of these events, increases the chance of survival among older persons and makes communities more resilient. The editors also hope this book provides a framework for the development of training programs in disaster 379
380 Appendix I A Guide to Developing Training Programs preparedness. Training programs can vary and may include face-to-face, Web-based, and self-study modalities, among others. It is crucial that health care agencies throughout the country begin creating and implementing training programs in geriatric emergency preparedness in an effort to meet the special needs of a growing older population. According to the U.S. Department of Health and Human Services Administration on Aging, the population of individuals 65 and older will increase from 35 million in 2000 to 40 million in 2010, a 15% increase, and then to 55 million in 2020, a 36% increase for that decade. By 2030, there will be about 72.1 million older persons, almost twice as many as in 2007. People 65 years old and older made up 12.6% of the population in 2007 but are projected to be 19.3% of the population by 2030. The 85-and-older population is expected to increase from 5.5 million in 2007 to 5.8 million in 2010 and then to 6.6 million in 2020 (Administration on Aging, 2008). All health care professionals need to be prepared in the event they are called upon to assist older persons during or after an emergency. Historically, older people have been overlooked in emergencies and disasters as many of this book’s chapters have underscored. Disasters in the United States such as September 11, 2001, Hurricane Katrina, and Hurricane Rita are just a few examples of major emergencies both unforeseen and extremely difficult to control afterward. Older persons and other vulnerable groups, such as the disabled, often fell between the cracks during and after these disasters in part because health care providers and other emergency responders were not prepared to address their unique needs. STEPS IN SETTING UP A TRAINING PROGRAM Several important steps will help assure success when setting up a training program in geriatric emergency preparedness. While there may be variations to procedures due to the size and purpose of a particular program, certain measures should be followed by any organization. If a training program already is developed and in place, it is vital that the agency review how it is currently managed and evaluated. If no programs are in place, the following suggestions may be useful when setting up a training program within your organization ( Versitas Corporation, 2006). Management Approval One of the first steps in creating an emergency preparedness training program is to receive proper management approval. Permission to create
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Geriatric Mental Health Disaster an
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Geriatric Mental Health Disaster an
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Dedicated to Flo Aaroe, who personi
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Contributors xi Foreword by Robert
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14 Geriatric Assessment for Differe
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xii Contributors Terry Fulmer, PhD,
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xiv Contributors Douglas M. Sanders
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Foreword With the increase in the n
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Preface The rage you feel does more
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Preface xxi and (3) influence the d
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Preface xxiii as key to the prepara
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Acknowledgments In connection with
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1 A Primer for Disaster and Emergen
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Chapter 1 A Primer for Disaster and
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2 Older Persons in Disasters and Em
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Chapter 2 Older Persons in Disaster
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NORMAL CHANGES WITH AGING ORGANS/SY
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Immune Function Laboratory Tests Em
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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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