Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-78c5997874-j824f Total loading time: 0 Render date: 2024-11-03T01:51:11.897Z Has data issue: false hasContentIssue false

14 - Healthcare systems planning

from Part IV - Special topics

Published online by Cambridge University Press:  09 August 2009

By
Brain W. Flynn
Edited by
Robert J. Ursano ,
Carol S. Fullerton ,
Lars Weisaeth  and
Beverley Raphael
Brain W. Flynn
Affiliation:
Adjunct Psychiatry Professor Department of Psychiatry Center for the Study of Traumatic Stress Uniformed Services University of the Health Sciences P.O. Box 1205 Severna Park, MD21146, USA
Robert J. Ursano
Affiliation:
Uniformed Services University of the Health Sciences, Maryland
Carol S. Fullerton
Affiliation:
Uniformed Services University of the Health Sciences, Maryland
Lars Weisaeth
Affiliation:
Universitetet i Oslo
Beverley Raphael
Affiliation:
University of Western Sydney
Get access

Summary

Introduction

Few things are axiomatic in the field of disaster mental health. The need to plan and value of preparation for extraordinary events are on this short list. This level of consensus probably stems more from the demonstrated value of preparation inherent in seemingly unrelated areas such as national defense, community and personal protection, and the anthropological legacy, at least in the European context, of needing to preserve and store food for winter. Being prepared seems to work better than not being prepared. There is little argument about the value of anticipating what is possible and probable, identifying what needs to be done and who is to do it, and setting about the task of getting ready. Then why is it so difficult to design and implement sound disaster preparedness to address psychosocial issues in general, and in healthcare systems specifically?

This chapter will attempt to identify some of these obstacles to effective planning, describe components of sound approaches to preparedness, and suggest strategies to implement viable and sustainable plans. The chapter concludes with describing implications for public health, clinical care, and research.

The healthcare systems have many diverse components. In addition, across governmental lines, especially across national and regional boundaries, these systems may look quite different. This chapter assumes a healthcare system that is, at minimum, composed of public health, hospital and community medical services, emergency medical services, and specialty health and medical care.

Keywords

all-hazards planningcommunity partnershipsdisaster planninghealthcare systems planningnational response planpatient care providersincident managementmental healthpublic health
Type
Chapter
Information
Textbook of Disaster Psychiatry , pp. 284 - 308
Publisher: Cambridge University Press
Print publication year: 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Red Cross. (2005). Be Prepared: American Red Cross Preparedness Information. Available at www.redcross.org/services/disaster/0,1082,0_500_,00.html, accessed May 13, 2007.
DeGruy, F. (1996). Mental health in the primary care setting. In Primary Care: America's Health in a New Era, eds. Donaldson, M. S., Yordy, K. D., Lohr, K. N. & Vanselow, N. A.. Washington, D.C.: Institute of Medicine, National Academy Press.
DeMartino, R. & Flynn, B.W. (2004). Bioterrorism: a strategy for preparedness, response, and recovery. In Bioterrorism: Psychological and Public Health Interventions, eds. Ursano, R. J., Norwood, A. E. & Fullerton, C. S.. Cambridge: Cambridge University Press.
Federal Emergency Management Agency. (2005). Your Family Disaster Plan. Available at: www.fema.gov/plan/index.shtm, accessed May 13, 2007.
Flynn, B.W. (2005). Mental health response to terrorism in the United States: an adolescent field in an adolescent nation. In The Trauma of Terrorism: Sharing Knowledge and Shared Caring – an International Handbook, eds. Danieli, Y., Brom, D. & Sills, J.. Binghampton, NY: The Haworth Maltreatment and Trauma Press.
Institute of Medicine. (2003). Preparing for the Psychological Consequences of Terrorism: A Public Health Strategy. Washington, D.C.: The National Academies Press.
Joint Commission on Accreditation of Health Care Organizations. (2003). Health Care at the Crossroads: Strategies for Creating and Sustaining Community-wide Emergency Preparedness Systems. Available online at www.ncsl.org/programs/health/ep3–12–03.pdf, accessed May 12, 2007.
Karsenty, E., Shemer, J., Alshech, I.et al. (1991). Medical aspects of the missile attacks on Israel. Israeli Journal of Medical Science, 27, 603–607.Google Scholar
Kawana, N., Ishimatsu, S. & Kanda, K. (2001). Psycho-physiological effects of the sarin attack on the Tokyo subway system. Military Medicine, 166, 23–26.Google Scholar
Lasker, R. D. (2004). Redefining Readiness: Terrorism Planning Through the Eyes of the Public. New York: The New York Academy of Medicine.
National Institute of Mental Health. (2002). Mental Health and Mass Violence: Evidence-Based early Intervention for Victims/Survivors of Mass Violence: A Workshop to Reach Consensus on Best Practices. NIH Publication No. 02–5138. Washington, D.C.: US Government Printing Office.
Reissman, D.R., Spencer, S., Tanielian, T.L. & Stein, B.D. (2005). Integrating behavioral aspects into community preparedness and response systems. In The Trauma of Terrorism: Sharing Knowledge and Shared Caring – An International Handbook, eds. Danieli, Y., Brom, D. & Sills, J.. Binghampton, NY: The Haworth Maltreatment and Trauma Press.
Shaw, J.A. & Shaw, S. (2004). The psychological effect of a community-wide disaster on children: planning for bioterrorism. In Bioterrorism: Psychological and Public Health Interventions, eds. Ursano, R. J., Norwood, A. E. & Fullerton, C. S.. Cambridge: Cambridge University Press.
Shultz, J. M., Espinel, Z., Cohen, R. E.et al. (2004). Disaster Behavioral Health Training for Health Care Professionals. Miami, Fla.: Disaster Epidemiology and Emergency Preparedness Center, Miller School of Medicine, University of Miami.
Ursano, R. J., Norwood, A. E. & Fullerton, C. S. (2001). Planning for Bioterrorism: Behavioral and Mental Health Responses to Weapons of Mass Destruction and Mass Disruption. Bethesda, Md.: Uniformed Services University of the Health Sciences.
Ursano, R. J., Norwood, A. E. & Fullerton, C. S. (2002). Responding to Bioterrorism: Individual and Community Needs.Bethesda, Md: Uniformed Services University of the Health Sciences.
US Department of Health and Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services, National Institute of Mental Health. (1999). Mental Health: A Report of the Surgeon General. Rockville, Md.: US Department of Health and Human Services.
US Department of Health and Human Services. (2003). Mental Health All-Hazards Disaster Planning Guidance. DHHS Pub. No. SMA 3829. Rockville, Md.: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.
US Department of Homeland Security. (2004). The National Response Plan. Available at: www.dhs.gov/nrp, accessed May 13, 2007.
US Department of Homeland Security/FEMA. (1996). Guide for All-Hazard Emergency Operations Planning, State and Local Guide (SLG). Washington, D.C.: US Department of Homeland Security/FEMA.
US Department of Homeland Security/FEMA. (2002). State and Local EOP Planning Guidance. Available at www.fema.gov/plan/gaheop.shtm, accessed May 13, 2007.
US Department of Homeland Security/FEMA. (2004). Are You Ready? An In-depth Guide to Citizen Preparedness (IS-22). Available at: www.fema.gov/areyouready/, accessed May 13, 2007.
US Department of Homeland Security/FEMA. (2005). National Incident Management System. Available at: www.fema.gov/nims.

Save book to Kindle

To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

  • Healthcare systems planning
    • By Brain W. Flynn, Adjunct Psychiatry Professor Department of Psychiatry Center for the Study of Traumatic Stress Uniformed Services University of the Health Sciences P.O. Box 1205 Severna Park, MD21146, USA
  • Edited by Robert J. Ursano, Uniformed Services University of the Health Sciences, Maryland, Carol S. Fullerton, Uniformed Services University of the Health Sciences, Maryland, Lars Weisaeth, Universitetet i Oslo, Beverley Raphael, University of Western Sydney
  • Book: Textbook of Disaster Psychiatry
  • Online publication: 09 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544415.015
Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

  • Healthcare systems planning
    • By Brain W. Flynn, Adjunct Psychiatry Professor Department of Psychiatry Center for the Study of Traumatic Stress Uniformed Services University of the Health Sciences P.O. Box 1205 Severna Park, MD21146, USA
  • Edited by Robert J. Ursano, Uniformed Services University of the Health Sciences, Maryland, Carol S. Fullerton, Uniformed Services University of the Health Sciences, Maryland, Lars Weisaeth, Universitetet i Oslo, Beverley Raphael, University of Western Sydney
  • Book: Textbook of Disaster Psychiatry
  • Online publication: 09 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544415.015
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Healthcare systems planning
    • By Brain W. Flynn, Adjunct Psychiatry Professor Department of Psychiatry Center for the Study of Traumatic Stress Uniformed Services University of the Health Sciences P.O. Box 1205 Severna Park, MD21146, USA
  • Edited by Robert J. Ursano, Uniformed Services University of the Health Sciences, Maryland, Carol S. Fullerton, Uniformed Services University of the Health Sciences, Maryland, Lars Weisaeth, Universitetet i Oslo, Beverley Raphael, University of Western Sydney
  • Book: Textbook of Disaster Psychiatry
  • Online publication: 09 August 2009
  • Chapter DOI: https://doi.org/10.1017/CBO9780511544415.015
Available formats
×