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Mental Health Emergency Preparedness: The Need for Training and Coordination at the State Level

  • Suzanne R. Hawley (a1), Gary C. Hawley (a1), Elizabeth Ablah (a1), Theresa St. Romain (a1), Craig A. Molgaard (a1) and Shirley A. Orr (a2)...



The coordination and integration of mental health agencies' plans into disaster responses is a critical step for ensuring effective response to all-hazard emergencies.


In order to remedy the current lack of integration of mental health into emergency preparedness training, researchers must assess mental health emergency preparedness training needs. To date, no recognized assessment exists.The current study addresses this need by qualitatively surveying public health and allied health professionals regarding mental health preparedness in Kansas.


Participants included 144 professionals from public health and allied fields, all of whom attended one of seven training presentations on mental health preparedness. Following each presentation, participants provided written responses to nine qualitative questions about preparedness and mental health preparedness needs, as well as demographic information, and a program evaluation. Survey questions addressed perceptions of bioterrorism and mental health preparedness, perceptions about resource and training needs, as well as coordination of preparedness efforts.


Overall, few respondents indicated that they felt their county or community was prepared to respond to an attack. Respondents felt less prepared for mental health issues than they did for preparedness issues in general. The largest proportion of respondents reported that they would look to a community mental health center or the state health department for mental health preparedness information. Most respondents recognized the helpfulness of interagency coordination for mental health preparedness, and reported a willingness to take an active role in coordination.


The current study provides important data about the gaps regarding mental health preparedness in Kansas.This study demonstrates the present lack of preparedness and the need for coordination to reach an appropriate level of mental health preparedness for the state.These findings are the first step to implementing effective distribution of information and training.


Corresponding author

Suzanne R. Hawley, PhD, MPH, Department of Preventive Medicine and Public Health, University of Kansas School of Medicine-Wichita, 1010 N. Kansas, Wichita, Kansas 67214-3199USA E-mail:


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1.Baum, A, Dougall, AL: Terrorism and behavioral medicine. Curr Opin Psychiatry 2002;15(6):617621.
2.Benedek, DM, Holloway, HC, Becker, SM: Emergency mental health management in bioterrorism events. Emerg Med Clin North Am 2002;20(2):393407.
3.Boris, NW, Ou, AC, Singh, R: Preventing post-traumatic stress disorder after mass exposure to violence. Biosecur Bioterror 2005;3(2):154163; discussion 164–165.
4.Foa, EB, Cahill, SP, Boscarino, JA, et al. : Social, psychological, and psychiatric interventions following terrorist attacks: Recommendations for practice and research. Neuropsychopharmacology 2005;30(10):18061817.
5.Martino, C: Psychological consequences of terrorism. Int J Emerg Ment Health 2002;4(2):105111.
6.McCabe, OL, Everly, GS Jr., Siegel, ER, et al. : Psychiatry and terrorism: The profession's role in disaster response planning. Int J Emerg Ment Health 2004;6(4):197204.
7.Ritchie, EC, Friedman, M, Watson, P, et al. : Mass violence and early mental health intervention: A proposed application of best practice guidelines to chemical, biological, and radiological attacks. Mil Med 2004;169(8):575579.
8.Stein, BD, Elliott, MN, Jaycox, LH, et al. : A national longitudinal study of the psychological consequences of the September 11, 2001 terrorist attacks: Reactions, impairment, and help-seeking. Psychiatry 2004;67(2):105117.
9.North, CS: Approaching disaster mental health research after the 9/11 World Trade Center terrorist attacks. Psychiatr Clin North Am 2004;27(3):589602.
10.Norris, FH, Friedman, MJ, Watson, PJ, et al. : 60,000 disaster victims speak: Part I.An empirical review of the empirical literature, 1981–2001. Psychiatry 2002;65(3):207239.
11.Shalev, AY, Tuval-Mashiach, R, Hadar, H: Posttraumatic stress disorder as a result of mass trauma. J Clin Psychiatry 2004;65 Suppl 1:410.
12.Trust for America's Health: Ready or Not? Protecting the Public's Health from Diseases, Disasters, and Bioterrorism. Washington, DC: Trust for America's Health; 2005.
13.Centers for Disease Control and Prevention (CDC): Terrorism and emergency preparedness in state and territorial public health departments–United States, 2004. MMWR 2005;54(18):459460.
14.Mann, NC, MacKenzie, E, Anderson, C: Public health preparedness for masscasualty events: A 2002 state-by-state assessment. Prehosp Disast Med 2004; 19(3):245255.
15.Holmes, A: System issues for psychiatrists responding to disasters. Psychiatr Clin North Am 2004;27(3):541558.
16.Hall, MJ, Norwood, AE, Fullerton, CS, Ursano, RJ: Preparing for bioterrorism at the state level: Report of an informal survey. Am J Orthopsychiatry 2002;72(4):486491.
17.Bowenkamp, C: Coordination of mental health and community agencies in disaster response. Int J Emerg Ment Health 2000;2(3):159165.
18.DiGiovanni, C Jr, : The spectrum of human reactions to terrorist attacks with weapons of mass destruction: Early management considerations. Prehosp Disast Med 2003;18(3):253257.
19.Asch, SM, Stoto, M, Mendes, M, et al. : A review of instruments assessing public health preparedness. Public Health Rep 2005;120(5):532542.
20.Pope, C, Ziebland, S, Mays, N: Qualitative research in health care: Analysing qualitative data. BMJ 2000;320(7227):114116.
21.Ng, AT: Cultural diversity in the integration of disaster mental health and public health: A case study in response to bioterrorism. Int J Emerg Ment Health 2005;7(1):2331.
22.Tsao, JC, Dobalian, A, Wiens, BA, et al. : Posttraumatic stress disorder in rural primary care: Improving care for mental health following bioterrorism. J Rural Health 2006;22(1):7882.
23.Pine, DS, Costello, J, Masten, A: Trauma, proximity, and developmental psychopathology: The effects of war and terrorism on children. Neuropsychopharmacology 2005;30(10):17811792.
24.Palm, KM, Polusny, MA, Follette, VM: Vicarious traumatization: Potential hazards and interventions for disaster and trauma workers. Prehosp Disast Med 2004;19(1):7378.
25.Farmer, JC, Carlton, PK Jr, : Providing critical care during a disaster: The interface between disaster response agencies and hospitals. Crit Care Med 2006;34(3 Suppl):s56s59.
26.Tam, T, Sciberras, J, Mullington, B, King, A: Fortune favours the prepared mind: A national perspective on pandemic preparedness. Can J Public Health 2005;96(6):406408.
27.Markenson, D, DiMaggio, C, Redlener, I: Preparing health professions students for terrorism, disaster, and public health emergencies: Core competencies. Acad Med 2005;80(6):517526.


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Mental Health Emergency Preparedness: The Need for Training and Coordination at the State Level

  • Suzanne R. Hawley (a1), Gary C. Hawley (a1), Elizabeth Ablah (a1), Theresa St. Romain (a1), Craig A. Molgaard (a1) and Shirley A. Orr (a2)...


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