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Origins of DBHRT. SAMHSA GrantAttitude towards DBH in NH and past BH responsesOur
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1. DBHRT ANNUAL CONFERENCE MAY 14, 2010
2. Origins of DBHRT SAMHSA Grant
Attitude towards DBH in NH and past BH responses
Our Great Expectations
Disaster Behavioral Health Advisory Committee
Appeal to NH BH professionals
Early trainings
3. The Good, the Bad and the Ugly
4. The Good Interest in becoming a DBHRT member
Sufficient response to requests - always
Requests from schools and NHNG
Commitment of Liaisons
Support from Leadership
Relationship with Response Partners
Trainings
5. Trainings Provided PFA
DBHRT Basic
Understanding Military Culture
Mass Casualty - Family Assistance
Mandated Reporting
Community Resilience
CISM Group
Suicide Postvention
Needs of Deaf and Hard of Hearing
Ministry in Times of Disaster
6. The Bad and the Ugly We get called, when something bad has happened
Suicides/Murders
Funerals and memorial services
How one death can impact so many
7. DBHRT ORGANIZATION COORDINATOR
LIAISONS (2)
TEAM LEADERS (14)
SQUAD BOSSES
TEAM MEMBERS (700)
8. Where DBHRT Fits Into ICS Org.
9. DBHRT SERVICES A Review Training
Consultation
Initial Community Needs Assessment
Psychological First Aid
Crisis Intervention
Outreach and information dissemination
Critical Incident Stress Management
Screening and Referral
10. REQUESTING DBHRT SERVICES DBHRT requested through single point of contact HSEM (800) 852-3792
DBHRT does not self-deploy
Coordinator gathers preliminary information
Coordinator assigns Liaison to conduct I.C.N.A.
Coordination with other BH responders
I.C.N.A. determines initial deployment needs
11. Service Delivery Sites A Review Schools
National Guard
Shelters
PODs
Community Settings
Hospitals
Field Decontamination
Staging Areas
Feeding Locations
Family Assistance Centers
12. RESPONSES TO ACTUAL EVENTS HEP A
H1N1
Mont Vernon
School Incidents Ice Storm - 2008
NH Floods- 05, 06 and 07
NH National Guard
Katrina Evacuees
13. October, 2003 Lincoln - Missing child
December 9, 2003 Deerfield - Murder/suicide
February 28, 2004 Derry - Hep A clinic
August 4-9, 2004 Sandwich - Death of camper
December 8, 2004 Concord - Death of student
December 20, 2004 Hanover - Flu Vaccination Clinic
March, 2005 - NG Natural Helper Workshops
March, 2006 - Whitefield suicide
May 3-6th - Concord death of NHTI student
October 2005 - Statewide Floods
March 2006 - Wilton Suicide
May 2006 - Statewide Floods
June 2006 - Deerfield death of 7th grade student
August 2006 - Cornish failed rescue attempt
14.
August 2006 - Conway MH office staff suicide
August 2006 - Animal Hospital Suicide
September, 2006 - Woodsville Elem. School Faculty spouse death
October, 2006 - Manchester death of Officer Briggs
November 2006 - Keene suicide at Residential Substance Abuse Program
December 2, 2006 - Portsmouth Parade accident- Greenland School
December 8, 2006 Portsmouth Crossroads Shelter- sudden death of a resident
January, 2007 - Berlin Fire
February, 2007 - Wolfeboro, Huggins Hospital death of colleague
15. April, 2007 - New Hampton Prep death of student
May, 2007 Franconia double murder including line of duty death of police officer
August, 2007 - NHNG Reunion and Reintegration with children
October, 2007 - McIntosh College Death of Student
October 29, 2007 - Pelham Fire Dept
Nov 3, 2007 - Annual Flu Shot POD
Dec 9, 2007 - NHNG reintegration discussion
Dec 11, 2007 - Nottingham, Fatal fire
Jan 2008 - Epping Pre-School, death of 2 students
January, 2008 Moultonborough community support for number of suicides
Feb 2008 - Operation Flood Recovery debriefing
March, 2008 - Balsams Ski worker injured by machine
April, 2008 -Franklin Fire death of Mother and 2 school age children
16. April, 2008 - Greenland School sudden death of 7th grade student
April, 2008 - Allenstown double auto fatality
May, 2008 - Timberlane High School debriefing after teacher coded
May, 2008 - Franconia State Park Visitor killed by falling rock
June, 2008 - NHNG reintegration discussion
July, 2008 - NHNG reintegration discussion
August, 2008 - NHNG Phase I Reintegration
August, 2008 - Operation Military Kids Camp
September, 2008 - Groveton suicide
October, 2008 death of NHNG soldier
November, 2008 Chichester School death of student
17. November, 2008 suicide death of soldier
November, 2008 NHNG Family support staff stress
November, 2008 - NHNG Drill weekend
November, 2008 Hillsboro-Deering - death of teacher
Dec 2008 Statewide response to ice storm
February, 2009 Hampton Falls suicide
Feb 2009 Meredith - Ph I Reintegration for children
May, 2009 Milford H.S. student deaths
May, 2009 Timberlane H.S. student death
May, 2009 Wolfboro death of school nurse
June, 2009 Pittsfield fatal house fire
18. August, 2009 NH Employment Security request for emotional support
October, 2009 Mont Vernon murder
October, 2009 Post-deployment workshop with military kids
October, 2009 POD Exercises
October, 2009 Allenstown Tornado Exercise
November, 2009 Rindge, NH - stabilization for officers who responded to fatal shooting
December, 2009 H1N1 Clinics
January, 2010 suicide death of student
January, 2010 Crossroads shelter suicide death of resident
February, 2010 debriefing/post deployment check for CNO following death of NH soldier
February, 2010 Pre-Deployment activities with military kids
19. March, 2010 Epping Schools - death of 8th grade student
March, 2010 Dover H.S. electric shock of student
March, 2010 Epping H.S. - student suicide ideation and attempt
March, 2010 Debriefing sudden death of a teacher
March, 2010 Pre-Deployment activities with military kids
April, 2010 Pre-Deployment activities with military kids
April, 2010 Cardigan Mountain School suicide death of student
April, 2010 the suicide death of Boy Scout
20. Lessons Learned From: DBHRT members
Victims & survivors
Response partners
After Action Review Comments
21. What Makes a Good Team Member? FLEXIBLE
EMPATHETIC
SENSITIVE
CREATIVE
POSITIVE
NON-TRADITIONAL
COMFORTABLE IN CHAOS
ENERGETIC
FOCUSED
TEAM PLAYER
SELF-STARTER
COMFORTABLE WITH SURVIVORS
COMMITTED
AVAILABLE
22. Challenges
A Mass Casualty Event in NH
Needing to do more with less
Matching the response to the need
Risk of compassion fatigue
Maintaining DBHRT Database
Maintaining DBHRT Volunteers
Individual and Family Preparedness
24. What will the Future Bring? Increased requests from school
Post War Readjustment and demand for services
New Trainings
New Threats?
The unknown ??????????????????????
25. CONTACT INFORMATION Paul Deignan
(C)419-0074, (W) 800-852-3792 OR 223-3621
Paul.Deignan@hsem.nh.gov
Mark Lindberg
(c) 991-3366 (w) 444-5358
mlindberg@northernhs.org
Joan Haskell
(c) 566-3523 x 3480
889-6147
HaskellJ@GNMHC.org
WEB SITE www.nhoem.state.nh.us
26. DBHRT Regional Breakout Groups Hazards, vulnerabilities, risks
Culture and demographics
Past critical incidents & disasters
BH responses
BH assets
Opportunities
Challenges