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Geriatric Mental Health Disaster and Emergency Preparedness

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

n Ohio Valley/Appalachia GEC: Develop Internet GEPR database,<br />

create curriculum training modules, conduct community focus<br />

groups, <strong>and</strong> provide interdisciplinary distance <strong>and</strong> traditional learning<br />

opportunities ( Johnson et al., 2006)<br />

n Gateway GEC of Missouri <strong>and</strong> Illinois: Provide interdisciplinary<br />

modules to train health care providers to care for frail older<br />

people in emergencies<br />

n Texas Consortium of GECs: Develop consensus on what needs to<br />

be taught to front-line health care workers regarding bioterrorism<br />

<strong>and</strong> aging <strong>and</strong> conduct continuing education programs<br />

n Stanford GEC: Provide ethnogeriatric training on mental health<br />

aspects <strong>and</strong> special needs of older ethnic minorities with diabetes<br />

<strong>and</strong> sensory impairment<br />

Developing Consensus<br />

In January 2004, a few months after the HRSA funding was granted, a<br />

Consensus Conference was convened by the Miami Area GEC. The 2-day<br />

conference, attended by representatives from the six funded GECs, resulted<br />

in an outline of a White Paper on Bioterrorism <strong>and</strong> <strong>Emergency</strong><br />

<strong>Preparedness</strong> <strong>and</strong> the focus of the national GEPR curriculum. The Consensus<br />

Conference participants identified the necessary information that<br />

interdisciplinary health care providers needed to know about bioterrorism<br />

<strong>and</strong> emergency preparedness, which included the following: (1) knowledge<br />

of potential threats for older persons <strong>and</strong> how they may respond differently<br />

in a disaster; (2) basic geriatric considerations, such as the unique<br />

needs of older persons <strong>and</strong> common mental health problems; (3) identifying<br />

<strong>and</strong> mobilizing resources, such as coordination between community<br />

<strong>and</strong> health care organizations, including family <strong>and</strong> friends; (4) communications,<br />

such as communicating with non-English-speaking older persons<br />

<strong>and</strong> those with sensory impairments; (5) mental health issues, such<br />

as identifying risk factors, knowledge of referral systems, screening <strong>and</strong><br />

treatment methods, <strong>and</strong> self-care; (6) ethics, such as the role of ageism<br />

<strong>and</strong> other discriminatory practices, triage, abuse, <strong>and</strong> neglect; <strong>and</strong> (7) ethnicity,<br />

including special considerations related to ethnicity, race, <strong>and</strong> class.<br />

The group also discussed the most effective means of developing training<br />

materials <strong>and</strong> disseminating those materials for maximum impact. It was<br />

decided that the GEPR Collaborative should present at national <strong>and</strong> regional<br />

meetings, publish in various venues, conduct continuing education<br />

sessions, partner with groups such as the AARP, <strong>and</strong> integrate material

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