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					            Southeast
              Flood
            Behavioral
              Health
             Disaster
11 County
Southeast
Region
            Response
 Flash Flooding in the SE MN
                    August 18/19th 2007




Seven fatalities occurred (5 in Winona and 2 in Houston county). Close to
 4,200 homes were damaged or destroyed. An estimated $67 million in
     damages occurred in the six declared federal disaster areas.
Fighting a fire from a propane tank on Elba’s Main St.
Rushford
Winona County Road 120
Stockton
Railroad bridge west of Winona
  Request for Behavioral Health
       Support Services
            August 20th – 24th, 2007

• Verbal request for BH
  services from the most
  severely flood impacted
  counties
      - Houston County
      - Winona County
      - Fillmore County
• Written request
  - BH form developed for
  SEOC
MDH will help find volunteer resources
  if requested through the SEOC

                    State Emergency
                 Operations Center (EOC)


                                            MDH – DOC Logistics
Local EOC
                Multi-agency Coordination
                       Center (MAC)
                                                   MDH MN
                                                  Responds
    Local/Regional
   volunteer program
         BH Needs Assessment
                   August 20th – 24th

• Make initial contacts:
   – Local Red Cross,
     Government & School
     officials, First response
     teams, Mental Health
     Centers, etc….
• Get OFFICIAL account
  of incident.
   – What happened?
   – Who was involved?
   – In what capacity?
BH Needs Assessment continued
• Assessment
  – What was the physical
    impact of the disaster? (# of
    deaths? Homes destroyed?
    Employment disrupted?)
  – What segments of the
    community were impacted?
    (elderly, children, cultural groups,
    special needs?)
  – Where are they now?
    (shelter, home, family, friends?)
  – How are they coping?
BH Staging Area
 August 24th 2007




      Rochester
       Staging Area – Set-up

• Communications – cell & satellite phones
• Vests & Name tags
• BH handouts - educational materials, coloring books
• Resources –local & disaster specific
• Maps
• BH Forms – data sheets, JAS, report forms, donation
  tracking forms
• Supplies – hand sanitizer, water, notebooks
• Donations – cell phones, food (for staff), socks, cleaning
  supplies, buckets, gift cards, crayons, books, etc…
BH Strike Team Development

• Activated existing SE Region, 11 county MOU
• Counties asked to register their volunteers in MN
  Responds to be deployed as county BH Strike
  Teams
• Deployment information provided to responders
• Just-in-time PFA training provided to all
  responders
BH Area Command Structure
       BH Strike Team response

              BH Staging Area
              Rochester MDH




Houston co.     Fillmore co.    Winona co.
             BH Strike Teams
         Deployed - August 25th 2007


Utilized Psychological First Aid (PFA) as
  response framework to provide:
• Outreach
• Screening and Assessment
• Information and Referral
• Psycho-education
• Psychological support
• HOPE
        BH Service Transition
               Sept. 3rd -7th , 2007


• Zumbro Valley & Hiawatha Valley Mental Health
  Centers received a Immediate Services grant
  from DHS for short-term disaster response
  services
• Staff from Mental Health Centers join BH strike
  teams to coordinate transition of BH crisis
  services
         Program Overview

• Flood recovery partners (FRP) is a
  federally funded Crisis Counseling
  Program for individuals, families, and
  groups in SE Minnesota affected by the
  flood of August 2007.
           Phases of Grant
• Intermediate Services Grant (August
  2007-December 16, 2007)
  – All three agencies were working
    collaboratively but had separate
    administrative control.
  – Focus very much on individual outreach,
    door-to-door cold calling.
       Phases of Grant cont.
• Regular Service Grant (December 17,
  2007-September 2008)
  – Zumbro Valley MHC was selected as the
    administrative lead for the program.
  – Absorbed the staff from other agencies
    working on the program.
  – Shift in service provision from primarily
    individual to more group/community efforts.
               Services Provided
• Outreach Crisis Counseling Services
• Emotional Support
• Education and support for staff of local governments, rescuers, and
  disaster services workers
• Education and support for business owners, religious groups and
  other special populations
• Grief Seminars
• Stress Management Seminars
• Family Skill Building Seminars and Parenting Tips
• Youth Education and Support Groups
• Conflict Resolution Education
• Disaster Education
• Resource Referrals and Connections
People Served By Program

                 711
 1032
                       Individual

                       Brief Education

                       Groups (Crisis
                       Counseling)
                       Groups (Public
  63                   Education)



          1405
                               Identifiers

Visit           Duratio              Age             Sex                Race
Type            n                    (1stOnl         (1st Only)         (1st
(all            (all visits)         y)                                 Only)
visits)

1st       711   15-20          423   0-5       11    Male         304   Amer.    5
Visit           min                  yrs                                Indian
2nd       157   30-44          286   6-11      13    Female       407   White    703
Visit           min                  yrs
3rd       54    45-59          129   12-       14
Visit           min                  17
                                     yrs
4th       40    60+ min        201   18-       150
Visit                                39
                                     yrs
5th       76                         40-       362
Visit                                64
      Service Locations

           113
      47                     Home
                             Other
 95                    420   Community Center
                             Disaster Center
47                           Place of Woship
28                           Provider Site
                             School
     116                     Workplace
                 172
Identified Risk Factors


Risk Factors            Number of People

Witnessed destruction   602

Home had damage         555

Evacuated Quickly       454

Displaced >1week        438

Other financial loss    407
                 Other Statistics
• Material given to people
   – 2907
• Referrals made (case managers, substance abuse
  treatment, formal mental health assessment and treatment, etc)
   – 547
• Other activities
   – Community and Collateral contacts - 364
             Future Target Service
                  Populations
• Children
   – More involvement with schools and clubs
       • Rushford-Peterson education days – hope for development of support
         groups
       • Lewiston-Altura support group
       • Houston School outreach
       • Camp Noah
• Diverse populations
   – Specifically the Hispanic population in St. Charles and Hmong
     population in Stockton
• Working age families
   – Expanded night and weekend hours
• First Responders
   – Stress management/self care training
    What we Accomplished!

• Activation of regional BH MOU
• 148 behavioral health volunteers
  deployed
• Over 500 individuals served
• Data collection to improve future
  responses
• MN Responds utilized in volunteer
  activation
• Clarified state liability and worker’s
  compensation coverage for all
  responders
          What worked well

• Well defined mission with request
  coming from local jurisdiction
  through SEOC
• BH Strike Team response
• Psychological first aid training
• BH resources and tools
• Incident Command System
• Preparedness Planning!!
What could have worked better

• State EOC not used to
  providing logistics for health
• Difficult to schedule remotely
  for 3 service sites
• Unclear whether response
  costs qualify for FEMA or any
  other reimbursement
• Confusion about “volunteers”
  versus county mental health
  staff
           Lessons Learned
• Incident Command training for
  BH responders is needed
• Local & Regional BH plans need
  to be completed and exercised
• Need to pre-arrange BH support
  services for IC staff – scheduling
  nightmare
• Behavioral health and other strike
  teams are needed
Nancy Carlson
Behavioral Health Preparedness Coordinator
Minnesota Department of Health
Office of Emergency Preparedness
625 Robert Street North
St. Paul, MN 55155- 0975
Phone 651-201-5707
Cell: 651-247-7398
Fax: 651-201-5720
Nancy.J.Carlson@health.state.mn.us

MDH Behavioral Health Web Sites:
www.health.state.mn.us/oep/planning/mhimpact.html
www.health.state.mn.us/emergency/

				
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