Kansas All-Hazards Behavioral Health Program Preparedness, Response, and Recovery For Kansas Communities

KAHBH Personnel Dr. Briana S. Nelson Goff, FSHS Charlie Griffin, FSHS Kathy Harmon, Assistant Director of Mental Health, SRS, Topeka Jared DuPree, FSHS PhD Student Stephanie Wick, FSHS MS Student Anthony Walker, FSHS MS Student Michael Smith, Psychology Undergraduate Student Courtney Winslow, Psychology/FSHS Undergraduate student Dixie Lopez, BRIDGES & DSP Undergraduate Student Lizette Vargas, BRIDGES & DSP Undergraduate Student

“Behavioral Health” Mental Health + Substance Abuse

“It is important to remember that mental health intervention is a prompt and effective medical response to a bioterrorism attack. Early detection, successful management of casualties, and effective treatments bolster the public’s sense of safety and increase confidence in our institutions. Because the overriding goal of terrorism is to change people’s beliefs, sense of safety, and behaviors, mental health experts are an essential part of planning and responding.” Statement from the Conference Transcript: Responding to Bioterrorism: Individual and Community Needs, October 19-21, 2001

“Mental Health is the linchpin to an effective response.“ Statement from April 2005 TOPOFF 3 Exercise

All-Hazards = All-Hazards Disasters Bioterrorism Major Community Crises

State-Level Role of KAHBH During a disaster in Kansas, the Kansas Mental Health Authority through SRS serves as a liaison to the Kansas Department of Emergency Management, Local Community Mental Health Centers, and FEMA in a Presidentially declared disaster FEMA has required each State to develop a crisis response plan in meeting the mental health and substance abuse needs at state and local levels, which are formally integrated into the State Emergency Operations Plan

KDHE established a contract with KMHA to provide funds for 1 year to coordinate the development and implementation of the All-Hazards Behavioral Health Plan In January 2005, Kansas Department of Social and Rehabilitation Services, Mental Health Authority, subcontracted with Kansas State University, School of Family Studies and Human Services The Kansas All-Hazards Behavioral Health (KAHBH) Project was developed through the subcontract

KAHBH Purpose KAHBH provides State-wide organization and coordination for behavioral health response to disaster and other all-hazards events Responsibilities of the KAHBH Project are outlined in 7 Primary Tasks

Key KAHBH Tasks Resource identification and collection Training and education Development of Annex to KEOP, KAHBH Plan, and Operations Manual State-wide network recruitment and coordination Preparedness, response, and recovery activities

KAHBH Trainings Core Behavioral Health Training –To begin Nov/Dec 2005 –Based on SAMHSA/CMHS Training Manual –2 day training Regional Facts Responses to disasters (SAMHSA Core) –PTSD –Reactions Resilience Culture/vulnerable populations overview Ethics Roles and functions (break into mental health and paraprofessional groups) Regional/community networks –Why team based approach? –Why the mix of people? –How we fit in the larger state Emergency Response System –Crisis Counseling Program vs ARC vs CISM –KAHBH forms

Paraprofessional Training –All nonmental health members/ paraprofessionals –4 hours training on basic helping skills in crisis counseling The Role of the Helper Professional and personal boundaries Ethics, confidentiality, and dual relationships Communication Skills Challenges in Helping Diversity and multicultural awareness as a helper Helping in Crisis and Grief Situations

Specialty Trainings –Children (under age 18) –Frail Elderly –Developmentally and physically disabled –Severe Mental Illness and People in active Substance Abuse Treatment –People in Correctional Institutions –College Students in dorms/away from home/Families/individuals relocated –People with high traumatic exposure –People in poverty and homeless –Women/girls in the area –Emergency responders involved in rescue/recovery –Multicultural issues –Farmers/Ranchers/Agricultural Workers/Rural Populations

Other Training 2005 All-Hazards Behavioral Health Symposium: Preparedness, Response, and Recovery in Kansas –October 6-7, 2005 –Kansas Highway Patrol Academy in Salina, KS. –Topics and presenters have been identified –Conference brochure is being printed and mailed to 500 first responders, mental health providers, etc.

KAHBH Network 10 staff 15 Stakeholders 12 SRS Field Staff 29 CMHC Coordinators Goal: 200+ KAHBH Network members

KAHBH Stakeholder Supporting Agencies Kansas Department of Health & Environment, Office of Local & Rural Health, Topeka SRS Mental Health Authority, Topeka SRS Health Care Policy, Addiction & Rehabilitation Services, Topeka Kansas State University, School of Family Studies and Human Services, Manhattan University of Kansas School of Medicine, Department of Preventive Medicine & Public Health, Wichita Lawrence Therapy Services, Lawrence Mental Health Center of East Central Kansas, Emporia Regional Prevention Center, Olathe COMCARE, Wichita American Red Cross, Midway Kansas Chapter, Wichita Wyandot Center, Kansas City Association of Community Mental Health Centers of Kansas, Inc., Topeka Center for Counseling & Consultation, Great Bend Prairie View Behavioral & Mental Health Care, Newton ** Heartland Assessment Center, Roeland Park, KS ** **Resigned due to accepting positions in other states

KAHBH Plan and Operations Manual The initial Kansas All-Hazards Behavioral Health Annex has been drafted and submitted to the Kansas Department of Emergency Management (KDEM) to be reviewed and accepted into the Kansas Emergency Operations Plan. –KDEM acceptance currently is pending The State Plan will provide a detailed description of the behavioral health preparedness, response, and recovery in Kansas Preliminary drafts for 4 areas of the Operations Manual have been developed and reviewed by the SRS Contract Manager.

KAHBH ANNEX (Submitted to KDEM) KAHBH Plan KAHBH Operation Manual (In progress) KAHBH Operation Manual (In progress) KAHBH Operation Manual (In progress) KAHBH Operation Manual (In progress)

Preparedness Activities Response Activities Recovery Activities

KAHBH Tasks 1.To develop a compendium of resources for use at community and regional levels, to meet the peri- and post-event psychosocial needs of victims, at-risk individuals, family members, and emergency first responders 2.Assist hospital and public health regions by identifying key mental health professionals in the State who can assist these regions in developing behavioral health components of their plans. This will include appropriate field staff in SRS Mental Health, emergency response coordinators in the area mental health centers, and others who will provide technical assistance to hospital regions regarding the issues to be incorporated into the regional plans. 3.To assist SRS in the development of an All-Hazards Behavioral Health Plan/Annex (which will serve as the SRS Mental health ANNEX /Appendix to the Kansas Emergency Operations Plan). 4.To work with SRS Mental Health to identify the minimum behavioral health training competencies, to develop a curriculum, and to provide the training and refresher courses for health care professionals and community leaders responding to a Presidentially declared disaster or other public health emergencies.

5.To develop a system for SRS Mental Health to identify and track the number of health professionals and community leaders (to minimum standards as identified in #4) trained in the recognition, outreach, treatment and referral of patients exhibiting behavioral health consequences related to a Presidentially declared disaster and other public health emergencies. 6.To include the Kansas Department of Health and Environment (KDHE) in behavioral health preparedness networks and work groups overseeing the All-Hazards Behavioral Health Plan development and implementation, and work with KDHE to ensure that regional hospital preparedness plans are integrated with this plan. 7.To work with SRS Mental Health to design a process to make application, to coordinate community outreach services, and to provide on-site program management for the Center for Mental Health Services Immediate Services Program and the FEMA Regular Services Program in the event of a Presidentially declared disaster. Develop an Operations Manual for Kansas All-Hazards Behavioral Response.