Crisis Management Through Incident Command Presentation
Transcript of Crisis Management Through Incident Command Presentation
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“Crisis Management Through Incident Command”
Tom Moriarty
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“The Incident Commander needs to determine the immediate needs of all
people exposed to the crisis”
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“A mental health professional, trained in emotional trauma needs to be assigned to the command post”
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Assess the Emotional Needs
• Students
• Staff
• Parents
• Command Post Personnel
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Types of Victims
• Primary
• Secondary
• Tertiary
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“Emotional trauma may decrease the effectiveness of Incident Command
Personnel”
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“The goal is to assure that victims of disaster become survivors by preventing long-term negative consequences of emotionally
traumatic events.”
Goal of Disaster Mental Health
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Types of Disasters
• Natural
• Technological
• Health
• Terrorism
• Civil
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“Individual trauma recovery is difficult while a community
remains in shreds.”
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“Most people do not believe they need mental health services after
a disaster.”
“I have lost everything and now you think I’m crazy.”
Remember
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“No one who experiences a disaster is left untouched by it.”
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Seeing massive destruction and terrible sights causes feelings of:
• Anxiety
• Anger
• Grief
• Despair/hopelessness
• Sadness
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People/Groups Most at Risk
• Lost/missing loved ones
• Injuries to self or loved ones
• Lost or severely damaged homes
• Lost jobs
• Exposure to traumatic sights, sounds, or experiences
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“Disaster mental health is usually more “practical” than “psychological” in nature.”
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Immediate and Practical Living Needs
• Location of missing loved ones
• Finding temporary housing/shelter
• Clothing/food
• Medical care/medications/eyeglasses
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Grief Reactions to Loss are Normal
• Loved ones
• Pets
• Home and treasured possessions
• Hopes and dreams
• Meanings of life
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Disaster Mental Health Interventions
• Rapid assessment and triage
• Crisis intervention
• Supportive listening
• Problem-solving immediate issues
• Education about disaster stress
• Debriefing and community meetings
• Information and referral
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Phases of Disaster Reactions
• Warning of Threat
• Impact
• Rescue or Heroic
• Remedy or Honeymoon
• Inventory
• Disillusionment
• Reconstruction and Recovery
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Physical Reactions
• Fatigue, exhaustion
• Gastrointestinal distress
• Appetite change
• Tightening in throat, chest, or stomach
• Worsening of chronic conditions
• Somatic complaints
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Effects of Long-Term Disaster Stress
• Anxiety and vigilance
• Anger, resentment and conflict
• Uncertainty about the future
• Prolonged mourning of losses
• Diminished problem-solving
• Isolation and hopelessness
• Health problems
• Physical and mental exhaustion
• Lifestyle changes
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Emotional Reactions
• Anxiety
• Depression, Sadness, Grief
• Feeling hopeless or helpless
• Feeling numb
• Irritability
• Guilt, self doubt
• Unpredictable mood swings
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Behavioral Reactions
• Social withdrawal/Silence
• Hyper-alert to environment
• Suspiciousness
• Emotional outbursts, loss of control
• Changes from typical behavior