Planning considerations for persons with access and functional needs in a disaster—Part 2: Evacuation and sheltering

2018 ◽  
Vol 13 (3) ◽  
pp. 195-206 ◽  
Author(s):  
Sharon E. Mace, MD ◽  
Constance J. Doyle, MD ◽  
Kim Askew, MD ◽  
Stuart Bradin, DO ◽  
Mark Baker, MD ◽  
...  

Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when dealing with these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed, and what recommendations can be made in order to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for not only this unique group but also all of the members of the community in a disaster. The second part considers evacuation, sheltering, sheltering in place, communication, medical needs, independence, supervision, and transportation (CMIST) with a focus on mental health. The third part deals with the medical aspect of CMIST and with recommendations that may aid disaster responders and planners in caring for these high-risk individuals in a disaster.

2018 ◽  
Vol 13 (3) ◽  
pp. 207-220
Author(s):  
Sharon E. Mace, MD ◽  
Constance J. Doyle, MD ◽  
Kim Askew, MD ◽  
Stuart Bradin, DO ◽  
Mark Baker, MD ◽  
...  

Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when dealing with these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made in order to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for not only this unique group but also all of the members of the community in a disaster. The second part considers evacuation, sheltering, sheltering in place, communication, medical needs, independence, supervision, and transportation (CMIST) with a focus on mental health. The third part deals with the medical aspect of CMIST and with recommendations that may aid disaster responders and planners in caring for these high-risk individuals in a disaster.


2018 ◽  
Vol 13 (2) ◽  
pp. 69-83
Author(s):  
Sharon E. Mace, MD ◽  
Constance J. Doyle, MD ◽  
Kim Askew, MD ◽  
Stuart Bradin, DO ◽  
Mark Baker, MD ◽  
...  

Although disasters can affect anyone in a given community or region, those with access and functional needs have the highest rates of morbidity and mortality during an emergency or disaster. There are many unique and complex issues that should be considered when planning and caring for these individuals in a disaster situation. Who are these individuals, what specific issues should be addressed when considering these members of the population, and what recommendations can be made to address their unique needs? How can we include them as part of the all-hazard, comprehensive approach to disaster management? The first part of this three-part series identifies who is included in this population and what are the legal considerations that arise in caring for, not only this unique group but also all the members of the community in a disaster. The second part considers evacuation, sheltering, sheltering in place, communication, medical needs, independence, supervision, and transportation (CMIST) with a focus on mental health. The third part deals with the medical aspect of CMIST and with recommendations that may aid disaster responders and planners in caring for these high-risk individuals in a disaster.


2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Aakriti Agarwala ◽  
Manisha Saluja

Pandemics though concern the medical health of a certain community or communities, also have a significant impact on the mental health of the members of that community. Each section of society is affected, albeit differently, in a pandemic. Art and literature engage with and represent society and all its mores. In a pandemic as well, these modes of representation assume a special responsibility and role. This paper seeks to analyse the representation of the mental health of individuals and society through literary and artistic mediums. In the case of artistic mediums, cinematic portrayals will be the centre of study. These representations, in turn, affect one’s mental state and understanding of a situation. The paper will thus, study and evaluate certain literary and cinematic texts, their representation of mental health, and their applicability to the COVID-19 pandemic using established theories as supporting material to substantiate the claims made in the study of the aforementioned works.


2011 ◽  
Vol 26 (S1) ◽  
pp. s18-s18
Author(s):  
J.K. Christy

Integration of Psycho-social Social Support and Mental Health Services in to National Disaster Management Guidelines India is vulnerable, in varying degrees, to a large number of natural as well as man-made disasters and also a high risk country for disasters due to expanding population, urbanization and industrialisation, development within high-risk zones, environmental degradation and climate changes. The creation of National Disaster Management Authority (NDMA) in 2005, as the apex body for disaster management, has brought out a paradigm shift in the area of disaster management. One of the important mandate of NDMA is to issue National Disaster Management Guidelines (NDMG) to the ministries/ departments to assist them to formulate their respective Disaster Management (DM) plans. In this direction NDMA has issued number of NDMG on different themes to provide basis of preparation of DM plans at different levels. There are policies & guidelines on Psycho-social Support and Mental Health Services (PSSMHS) in disasters at the international level in the form of Inter Agency Standing Committee guidelines (IASC) which advocates PSSMHS in disasters. In India there was no such policy which streamlines the Psycho-social Support and Mental Health Services in Disasters. During preparation of various National Disaster Management Guidelines, one remarkable factor noticed was the need for psycho-social care, subsequently preparation of NDMG on Medical Preparedness and Mass Causality Management brought out an overwhelming consensus to formulate a separate NDMG for PSSMHS. In order to translate the critical need for psycho-social care and support into guidelines, NDMA adopted a mission-mode approach for integrating PSSMHS in disaster response by involving participatory and multi step methodology to formulate NDMG on Psycho-social Support and Mental Health Services in Disasters.


2017 ◽  
Vol 52 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Fiona Judd ◽  
Louise Kathryn Newman ◽  
Angela A Komiti

Perinatal depression, and to a lesser extent anxiety, has been the focus of interest for perinatal psychiatrists for several decades. Policy and substantial funding has supported this. We argue that it is now time to change this focus and to invest greater funding to support clinical and research effort in ‘high-risk’ caregivers and their infants. We define high-risk caregivers as those who are likely to have attachment and relationship difficulties with their infant as a result of their own developmental experiences, personality difficulties and/or trauma-related mental disorders, often complicated by substance abuse, depression and anxiety. We propose that early intervention with such caregivers, focussing on both maternal mental health and on the needs of the infant for responsive and sensitive interaction and emotional care, would contribute to prevention of infant developmental disorders, with real gains to be made in breaking the transgenerational cycle of development of severe personality disorder.


PEDIATRICS ◽  
1977 ◽  
Vol 59 (6) ◽  
pp. 1063-1064
Author(s):  
Barbara M. Korsch

Can we identify a group of children at age 2 who are at high risk for emotional disturbance and behavioral problems at school age? In Dr. Chamberlin's careful observations of a group of children (p. 971), no behaviors were documented at age 2 that were strong predictors of these children's adaptation to the school situation two or three years later. There were not even any strong relationships noticed between early and later behaviors within the home setting, or between observations made in the home and in school at approximately the same time! These findings are extremely important and should be heeded by all those involved in planning programs for mental health intervention targeted at high risk populations.


2019 ◽  
Vol 5 (4) ◽  
pp. 365-373
Author(s):  
Brendan H. Pulsifer ◽  
Casey L. Evans ◽  
Leila Capel ◽  
Mary Lyons-Hunter ◽  
Julie A. Grieco

Author(s):  
В. Зинько ◽  
V. Zin'ko ◽  
А. Зверев ◽  
A. Zverev ◽  
М. Федин ◽  
...  

The seismoacoustical investigations was made in the western part of the Kerch strait (Azov sea) near Kamysh-Burun spit. The fracture zone with dislocated sedimentary rocks layers and buried erosional surface was revealed to the west of spit. Three seismofacial units was revealed to the east of spit. The first unit was modern sedimentary cover. The second ones has cross-bedding features and was, probably, the part of early generation of Kamysh-Burun spit, which lied to the east of its modern position. The lower border of the second unit is the erosional surface supposed of phanagorian age. The third unit is screened by acoustic shedows in large part.


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