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Guided Preparedness Planning with Lay Communities: Enhancing Capacity of Rural Emergency Response Through a Systems-Based Partnership

  • O.Lee McCabe (a1), Charlene Perry (a2), Melissa Azur (a3), Henry G. Taylor (a4), Howard Gwon (a5), Adrian Mosley (a6), Natalie Semon (a7) and Jonathan M. Links (a8)...



Community disaster preparedness plans, particularly those with content that would mitigate the effects of psychological trauma on vulnerable rural populations, are often nonexistent or underdeveloped. The purpose of the study was to develop and evaluate a model of disaster mental health preparedness planning involving a partnership among three, key stakeholders in the public health system.


A one-group, post-test, quasi-experimental design was used to assess outcomes as a function of an intervention designated Guided Preparedness Planning (GPP). The setting was the eastern-, northern-, and mid-shore region of the state of Maryland. Partner participants were four local health departments (LHDs), 100 faith-based organizations (FBOs), and one academic health center (AHC)—the latter, collaborating entities of the Johns Hopkins University and the Johns Hopkins Health System. Individual participants were 178 community residents recruited from counties of the above-referenced geographic area. Effectiveness of GPP was based on post-intervention assessments of trainee knowledge, skills, and attitudes supportive of community disaster mental health planning. Inferences about the practicability (feasibility) of the model were drawn from pre-defined criteria for partner readiness, willingness, and ability to participate in the project. Additional aims of the study were to determine if LHD leaders would be willing and able to generate post-project strategies to perpetuate project-initiated government/faith planning alliances (sustainability), and to develop portable methods and materials to enhance model application and impact in other health jurisdictions (scalability).


The majority (95%) of the 178 lay citizens receiving the GPP intervention and submitting complete evaluations reported that planning-supportive objectives had been achieved. Moreover, all criteria for inferring model feasibility, sustainability, and scalability were met.


Within the span of a six-month period, LHDs, FBOs, and AHCs can work effectively to plan, implement, and evaluate what appears to be an effective, practical, and durable model of capacity building for public mental health emergency planning.

McCabeOL, PerryC, AzurM, TaylorHG, GwonH, MosleyA, SemonN, LinksJM. Guided Preparedness Planning with Lay Communities: Enhancing Capacity of Rural Emergency Response Through a Systems-Based Partnership. Prehosp Disaster Med. 2012;28(1):1-8.


Corresponding author

Correspondence: O. Lee McCabe, PhD Johns Hopkins Hampton House 624 N Broadway, Ste 390 Baltimore, MD 21205 USA E-mail


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1.McCabe, OL, Perry, C, Azur, M, Taylor, HG, Bailey, M, Links, JM. Psychological first-aid training for paraprofessionals: a systems-based model for enhancing capacity of rural emergency response. Prehosp Disaster Med. 2011;26(4):251-258.
2.National Institute of Mental Health: 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, DC: US Gov. Printing Office, 2002.
3.Norris, FH, Friedman, MJ, Watson, PJ, Byrne, CM, Diaz, E, Kaniasty, K. 60,000 disaster victims speak: Part I. An empirical review of the empirical literature, 1981-2001. Psychiatry. Fall. 2002;65(3):207-239.
4.Green, BL, Jacob, D, Lindy, MC, Grace, GC, Leonard, AC. Chronic posttraumatic stress disorder and diagnostic comorbidity in a disaster sample. J Nerv Ment Dis. 1992;180(12):760-766.
5.David, D, Mellman, TA, Mendoza, LM, Kullick-Bell, R, Ironson, G, Schneiderman, N. Psychiatric morbidity following Hurricane Andrew. J Trauma Stress. 1996;9(3):607-612.
6.Holloway, HC, Norwood, AE, Fullerton, CS, Engel, CC Jr, Ursano, RJ. The threat of biological weapons: prophylaxis and mitigation of psychological and social consequences. JAMA. 1997;278(5):425-427.
7.Asukai, N. Mental health efforts following man-made toxic disasters: the Sarin attack and arsenic poisoning case. Presented at 11th Congress of World Association for Disaster and Emergency Medicine; 2003; Osaka, Japan.
8.North, CS, Nixon, SJ, Shariat, S, et al. Psychiatric disorders among survivors of the Oklahoma City bombing. JAMA. 1999;288(8):755-762.
9.Boscarino, JA, Galea, S, Ahern, J, Resnick, H, Vlahov, D. Utilization of mental health services following the September 11th terrorist attacks in Manhattan, New York City. International Journal of Emergency Mental Health. 2002;4(3):143-155.
10.Galea, S, Ahern, J, Resnick, H, et al. Psychological sequelae of the September 11 terrorist attacks in New York City. N Engl J Med. 2002;346(13):982-987.
11.Schlenger, WE, Caddell, JM, Ebert, L, et al. Psychological reactions to terrorist attacks: findings from the National Study of Americans’ Reactions to September 11. JAMA. 2002;288(5):581-588.
12.Ursano, RJ, Cerise, FP, DeMartino, R, Reissman, DB, Shear, MK. The impact of disasters and their aftermath on mental health. J Clin Psychiatry. 2006;67(1):7-14.
13.Smith, EM, North, CS, McCool, RE, Shea, JM. Acute post-disaster psychiatric disorders: identification of persons at risk. Am J Psychiatry. 1990;147(2):202-206.
14.Lima, BR, Pai, S, Santacruz, H, Lozano, J. Psychiatric disorders among poor victims following a major disaster: Armero, Columbia. J Nerv Ment Dis. 1991;179(7):420-427.
15.Institute of Medicine. Preparing for the Psychological Consequences of Terrorism: A Public Health Strategy. 2003. Washington, DC: The National Academy of Sciences.
16.Pole, N, Best, SR, Metzler, T, Marmar, CR. Why are Hispanics at greater risk for PTSD? Cultur Divers Ethnic Minor Psychol. 2005;11(2):144-161.
17.Koenig, HG. In the Wake of Disaster: Religious Responses to Terrorism and Catastrophe. West Conshohocken, PA: Templeton Foundation Press; 2006.
18.Zahner, SJ, Corrado, SM. Local health department partnerships with faith-based organizations. J Public Health Manag Pract. 2004;10(3):258-265.
19.Zahner, SJ, Kaiser, B, et al. Local partnerships for community assessment and planning. J Public Health Manag Pract. 2005;11(5):460-464.
20.McCabe, OL, Mosley, AM, Gwon, HS, et al. The tower of ivory meets the house of worship: psychological first aid training for the faith community. Int J Emerg Ment Health. 2008;9(3):171-180.
21.McCabe, OL, Lating, JM, Everly, GS, et al. Psychological first aid training for the faith community: a model curriculum. Int J Emerg Ment Health. 2008;9(3):181-192.
22.McCabe, OL, Mosley, A, Gwon, HS, Kaminsky, MJ. A disaster spiritual health corps: training the faith community to respond to terrorism and catastrophe. In: Everly GS, Mitchell JT, eds. Integrative Crisis Intervention and Disaster Mental Health, Innovations in Disaster and Trauma Psychology. Ellicott City, MD: Chevron Publishing; 2008.
23.McCabe, OL, Barnett, DJ, Taylor, HG, Links, JM. Ready, willing, and able: a framework for improving the public health emergency preparedness system. Disaster Med Public Health Prep. 2010;4(2):161-168.
24.Cook, TD, Campbell, DT. Quasi-experimentation: Design and Analysis Issues for Field Settings. Chicago, IL: Rand McNally College Publishing Company; 1979.
25.The Pew Forum on Religion and Public Life. U.S. Religious Landscape Survey: Religious Affiliation: Diverse and Dynamic. Washington, DC: Pew Research Center; 2008.
26.Knebel, A, Trabert, ES. Medical Surge Capacity and Capability: A Management System for Integrating Medical and Health Resources during Large-scale Emergencies. Alexandria, VA: The CNA Corporation; 2004.



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