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Geriatric Mental Health Disaster and Emergency Preparedness

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

workers, covered the following topics: Recognizing Stress in the Age of<br />

Terrorism: Effects on Older Adults, the Personal <strong>and</strong> Professional Impact<br />

of Trauma on Caregivers, the Effect of Aging on Posttraumatic Stress Disorder,<br />

Training Volunteers to Help Elderly Deal with Stress, <strong>and</strong> Spirituality<br />

<strong>and</strong> the Elderly in Stressful Times.<br />

In 2004, the CNYGEC, VA GRECC, <strong>and</strong> DFTA once again sponsored<br />

a multi-site videoconference on the topic of disaster preparedness,<br />

<strong>Geriatric</strong> <strong>Mental</strong> <strong>Health</strong> <strong>and</strong> <strong>Disaster</strong> <strong>Preparedness</strong>: <strong>Mental</strong> <strong>Health</strong> Interventions<br />

<strong>and</strong> Treatment Plans. Larger in reach than the previous year’s<br />

conference with 186 attendees, it was broadcast to 20 VA facilities <strong>and</strong> cosponsored<br />

by the Western Reserve <strong>Geriatric</strong> Education Center, a BTEPA<br />

Collaborative partner at the time. This videoconference was keynoted by<br />

Daniel A. Nigro, retired chief of the New York City Fire Department,<br />

who survived the collapses of the Twin Towers <strong>and</strong> became incident comm<strong>and</strong>er<br />

upon the death of Chief of Department Peter J. Ganci, Jr. He<br />

spoke on <strong>Disaster</strong> <strong>Preparedness</strong>—Prepare for the Worst by Being at Your<br />

Best, followed by presentations on developing emergency plans for older<br />

<strong>and</strong> frail people, structuring a system of mental health response, spiritual<br />

assessment in times of crisis, evaluating a bioterrorism preparedness<br />

campaign for veterans, <strong>and</strong> crisis as a revelatory experience.<br />

Beginning in 2006, the CNYGEC curriculum, <strong>Geriatric</strong> <strong>Mental</strong><br />

<strong>Health</strong> <strong>and</strong> <strong>Emergency</strong> <strong>Preparedness</strong>, was piloted in a 40-hour certificate<br />

program attended by 21 health care professionals. Based on feedback from<br />

these participants, the training program was refined <strong>and</strong> offered again<br />

in 2007 to 20 attendees <strong>and</strong> in 2008 to 24 attendees. This comprehensive<br />

geriatric mental health disaster preparedness curriculum includes learning<br />

objectives; an instructor’s outline; a teaching guide; resources such as cases,<br />

videotapes, ritual, <strong>and</strong> role-plays; <strong>and</strong> PowerPoint presentations on CD-<br />

ROM. Supplemental curricular materials include a video highlighting<br />

the stories of survivors of the September 11, 2001, terrorist attacks <strong>and</strong><br />

CNYGEC elective workshops entitled the <strong>Mental</strong> <strong>Health</strong> <strong>and</strong> Quality of<br />

Life Improvement in Turbulent Times <strong>and</strong> Spirituality During Times of<br />

Stress.<br />

Stanford <strong>Geriatric</strong> Education Center<br />

The Stanford GEC (SGEC) also targeted its HRSA funding on the mental<br />

health effects of disasters <strong>and</strong> emergencies on older people. Specifically,<br />

the SGEC project concentrated on older ethnic minorities, with<br />

the following goals: (1) develop, implement, evaluate, <strong>and</strong> disseminate

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