Integrated Mental Health Model for Disaster Recovery Paula C. - - PowerPoint PPT Presentation

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Integrated Mental Health Model for Disaster Recovery Paula C. - - PowerPoint PPT Presentation

Jan 04, 2023 330 likes •526 views

The Benefits of an Integrated Mental Health Model for Disaster Recovery Paula C. Davis, LCSW-BACS Clinical Director, Catholic Charities Behavioral Health Adjunct Instructor, LSU School of Social Work David C. Aguillard, MHA, MPA, MA Executive

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CCDBR 2016 DCM (12/1/2016)

Paula C. Davis, LCSW-BACS Clinical Director, Catholic Charities Behavioral Health Adjunct Instructor, LSU School of Social Work David C. Aguillard, MHA, MPA, MA Executive Director, Catholic Charities Diocese of Baton Rouge December 2, 2016

The Benefits of an Integrated Mental Health Model for Disaster Recovery

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CCDBR 2016 DCM (12/1/2016)

CCDBR DR Experience

  • Hurricanes, tornadoes, wild fires, oil spills and even

ice storms and a tsunami.

  • Lead agency post-Katrina
  • Pilot project following Gustav
  • DR after Isaac
  • Helped start the DCM program in NY after

Superstorm Sandy.

  • Assisted agencies in Boston, Joplin, Birmingham and

Oklahoma, among other locations.

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CCDBR 2016 DCM (12/1/2016)

CCDBR DCM Timelines

Hurricane Katrina 5 months DCM Begins 23 months 1,900 HH Enrolled Hurricane Isaac 8 months DCM Begins 23 months 450 HHs Enrolled March 2016 Flood 2 months DCM Begins 4 Months 263 HHs Enrolled August 2016 Flood Immediately DCM Begins 3 Months 2,137 HHs Enrolled

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CCDBR 2016 DCM (12/1/2016)

HHs Served by CCDBR Disaster Operations in 2016

  • 19,266 Households

$70k in transportation, appliances, return to work, utilities, housing

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CCDBR 2016 DCM (12/1/2016)

CCDBR DCM HHs

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CCDBR 2016 DCM (12/1/2016)

CCDBR DCM HoH Demographics

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CCDBR 2016 DCM (12/1/2016)

CCDBR DCM HoH Demographics

Ethnicity: Hispanic 4%

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CCDBR 2016 DCM (12/1/2016)

CCDBR DCM Household Income Levels

<$24,300 for a family of 4

FY2016 HUD Metropolitan FMR Area's Income Limits

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CCDBR 2016 DCM (12/1/2016)

Disaster Syndrome

  • 1/3 of survivors will develop some

type of post-disaster disorder

– Depression, PTSD, social isolation, adjustment disorders, inability to concentrate, sleeplessness, substance abuse, domestic violence

  • Leaves long-term psychological scars.
  • Successive disasters can have

cumulative effects.

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CCDBR 2016 DCM (12/1/2016)

Current FEMA Model

Existing Recovery Categories of Need

  • 1. Animal Assistance
  • 2. Appliances
  • 3. Benefits
  • 4. Children and Youth Services
  • 5. Clothing
  • 6. Emotional/Spiritual Care
  • 7. Employment
  • 8. Food & Nutrition
  • 9. Functional Needs
  • 10. Funeral Assistance
  • 11. Furniture
  • 12. Household Goods
  • 13. Housing
  • 14. Job Training
  • 15. Legal
  • 16. Medical Assistance
  • 17. Missing Person
  • 18. Mold Remediation
  • 19. Other
  • 20. Repair and Rebuild
  • 21. Transportation
  • 22. Utilities
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CCDBR 2016 DCM (12/1/2016)

Post-Disaster Mental Health

A study following the BP oil spill found that more than one year later:

15% 33% 28% 35% 6% 10% 18% 4%

0% 5% 10% 15% 20% 25% 30% 35% 40%

Serious Mental Illness Depression Anxiety Post traumatic stress

  • La. Post Disaster Mental Health

Study Participants National Norms

Source: LSU Health Sciences Center – New Orleans

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CCDBR 2016 DCM (12/1/2016)

Social Cost of Unresolved MH

  • Half of BP study reported disturbed family and work
  • Following a disaster, stress and loss of support systems

increases public health problems.

  • Tobacco Use
  • Alcohol and Substance Abuse
  • Domestic Violence
  • Child Abuse & Neglect
  • Obstacles to Recovery
  • DCM Population Unlikely to Access Services
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CCDBR 2016 DCM (12/1/2016)

CCDBR DCM Demographics

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CCDBR 2016 DCM (12/1/2016)

Integrated Disaster Recovery

Solution: Integrated Mental Health

  • Current FEMA Model integrated

Construction Supervision into Recovery Teams

  • Recommendation
  • Clinical Supervisor
  • 1 Licensed Mental Health Professional per

team

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CCDBR 2016 DCM (12/1/2016)

Benefits of Integrated Model

  • Accessible
  • Non-Stigmatizing part of the program
  • “Warm Referrals”
  • Builds on Natural Support Systems
  • Includes Entire Family
  • Pre- & Post-Testing to Demonstrate Impact
  • Screener developed with LSU Health Sciences Center and The Bridge Center
  • Prevention
  • Holistic
  • Builds Resilient Families
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CCDBR 2016 DCM (12/1/2016)

Cost -- Benefit

  • Integrated Teams of 10 LPCs and 1 Clinical Supervisor -

about $1 million – to serve about 10K Households within CCDBR Structure

  • Stand alone - >$2 million
  • $1 spent on MH treatment returns
  • $7.00 economic benefit (increased productivity, decreased

absenteeism)

  • $7.14 health cost savings
  • $3.68 in reduced criminal activity
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CCDBR 2016 DCM (12/1/2016)

Recommendations for the Task Force

  • 1. Future Recommendation: FEMA funding
  • f long term recovery to include

integrated mental health.

  • 2. Current Opportunity: SSBG if awarded,

use for integrated mental health services for the 2016 floods.

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CCDBR 2016 DCM (12/1/2016)