Skip to main content Accessibility help
×
Home
Hostname: page-component-56f9d74cfd-p4n5r Total loading time: 0.445 Render date: 2022-06-28T07:32:06.426Z Has data issue: true Feature Flags: { "shouldUseShareProductTool": true, "shouldUseHypothesis": true, "isUnsiloEnabled": true, "useRatesEcommerce": false, "useNewApi": true }

Delivery of Mental Health Care in a Large Disaster Shelter

Published online by Cambridge University Press:  26 May 2015

Carol S. North*
Affiliation:
Metrocare Services and the Departments of Psychiatry and Emergency Medicine of The University of Texas Southwestern Medical Center, Dallas, Texas
Richard V. King
Affiliation:
Department of Emergency Medicine of The University of Texas Southwestern Medical Center, Dallas, Texas
Raymond L. Fowler
Affiliation:
Department of Emergency Medicine of The University of Texas Southwestern Medical Center, Dallas, Texas
Rita Kucmierz
Affiliation:
Dallas County Health and Human Services, Dallas, Texas
Jess D. Wade
Affiliation:
Dallas County Health and Human Services, Dallas, Texas
Dave Hogan
Affiliation:
City of Dallas Police Department, Dallas, Texas
John T. Carlo
Affiliation:
Aids Arms, Dallas, Texas
*
Correspondence and reprint requests to Carol S. North, MD, MPE, The Nancy and Ray L. Hunt Chair in Crisis Psychiatry, Department of Psychiatry, UT Southwestern Medical Center, 6363 Forest Park Road, Dallas, TX 75390-8828 (e-mail: carol.north@utsouthwestern.edu).

Abstract

Large numbers of evacuees arrived in Dallas, Texas, from Hurricanes Katrina and Rita just 3 weeks apart in 2005 and from Hurricanes Gustav and Ike just 3 weeks apart again in 2008. The Dallas community needed to locate, organize, and manage the response to provide shelter and health care with locally available resources. With each successive hurricane, disaster response leaders applied many lessons learned from prior operations to become more efficient and effective in the provision of services. Mental health services proved to be an essential component. From these experiences, a set of operating guidelines for large evacuee shelter mental health services in Dallas was developed, with involvement of key stakeholders. A generic description of the processes and procedures used in Dallas that highlights the important concepts, key considerations, and organizational steps was then created for potential adaptation by other communities. (Disaster Med Public Health Preparedness. 2015;9:423–429)

Type
Concepts in Disaster Medicine
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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

1. Federal Emergency Management Agency. Disaster Declarations by Year. FEMA website. 2014. http://www.fema.gov/disasters/grid/year?field_disaster_type_term_tid_1=6840. Accessed June 10, 2014.Google Scholar
2. North, CS, King, RV, Fowler, RL, et al. Psychiatric disorders among transported hurricane evacuees: acute-phase findings in a large receiving shelter site. Psychiatr Ann. 2008;38:104-113.CrossRefGoogle Scholar
3. Greenough, PG, Kirsch, TD. Hurricane Katrina. Public health response--assessing needs. N Engl J Med. 2005;353:1544-1546.CrossRefGoogle ScholarPubMed
4. Eastman, AL, Rinnert, KJ, Nemeth, IR, et al. Alternate site surge capacity in times of public health disaster maintains trauma center and emergency department integrity: Hurricane Katrina. J Trauma. 2007;63:253-257.CrossRefGoogle ScholarPubMed
5. North, CS, Pfefferbaum, B. Mental health response to community disasters: a systematic review. JAMA. 2013;310:507-518.CrossRefGoogle ScholarPubMed
6. BCFS Health and Human Services. Guidance on Planning for Integration of Functional Needs Support Services in General Population Shelters. FEMA, November, 2010. http://www.fema.gov/pdf/about/odic/fnss_guidance.pdf. Accessed March 24, 2014.Google Scholar
7. The expert consensus guideline series. Optimizing pharmacologic treatment of psychotic disorders. J Clin Psychiatry. 2003;64(suppl 12):2-97.Google ScholarPubMed
8. Hurricane Katrina - States with Official FEMA Shelters. US Department of Homeland Security, Situation Report #28, 2005. https://www.novoco.com/low_income_housing/news/archives/resource_files/Katrina_Evacuees_091505.jpg. Published September 15, 2005. Accessed August 28, 2014.Google Scholar
9. BBC, News. States Taking Hurricane Katrina Refugees. BBC News website. 2005. http://news.bbc.co.uk/2/shared/spl/hi/americas/05/katrina/html/evacuation.stm. Accessed August 28, 2014.Google Scholar
Supplementary material: PDF

North supplementary material

North supplementary material 1

Download North supplementary material(PDF)
PDF 857 KB
8
Cited by

Save article to Kindle

To save this article to your Kindle, first ensure coreplatform@cambridge.org 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.

Delivery of Mental Health Care in a Large Disaster Shelter
Available formats
×

Save article to Dropbox

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

Delivery of Mental Health Care in a Large Disaster Shelter
Available formats
×

Save article to Google Drive

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

Delivery of Mental Health Care in a Large Disaster Shelter
Available formats
×
×

Reply to: Submit a response

Please enter your response.

Your details

Please enter a valid email address.

Conflicting interests

Do you have any conflicting interests? *