Integrating authorities and disciplines into the preparedness-planning process: A study of mental health, public health, and emergency management

Authors

  • Madeline Robertson, JD, MD
  • Betty Pfefferbaum, MD, JD
  • Catherine R. Codispoti, MHA
  • Juliann M. Montgomery, MPH

DOI:

https://doi.org/10.5055/ajdm.2007.0022

Keywords:

mental health, preparedness, disaster, integration, planning process

Abstract

The process of integrating all necessary authorities and disciplines into an organized preparedness plan is complex, and the inclusion of disaster mental health poses specific challenges. The goals of this project were 1) to identify whether state mental health preparedness was included in state public health and emergency management preparedness plans, 2) to document barriers to entry and strategies reportedly used by state authorities in efforts to incorporate reasonable mental health preparedness into existing public health and emergency management preparedness planning, 3) to employ a theory for organizational change to organize and synthesize this information, and 4) to stimulate further discussion and research supporting coordinated preparedness efforts at the state level, particularly those inclusive of mental health. To accomplish these goals we 1) counted the number of state public health preparedness and emergency management plans that either included, mentioned, or omitted a mental health preparedness plan; 2) interviewed key officials from nine representative states for their reports on strategies used in seeking greater inclusion of mental health preparedness in public health and emergency management preparedness planning; and 3) synthesized these results to contribute to the national dialogue on coordinating disaster preparedness, particularly with respect to mental health preparedness. We found that 15 out of 29 publicly available public health preparedness plans (52 percent) included mental health preparedness, and eight of 43 publicly available emergency management plans (18 percent) incorporated mental health. Interviewees reported numerous barriers and strategies, which we cataloged according to a well-accepted eight-step plan for transforming organizations.

Author Biographies

Madeline Robertson, JD, MD

Associate Professor, Department of Health Administration and Policy, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

Betty Pfefferbaum, MD, JD

Paul and Ruth Jonas Chair, Professor and Chairman, Department of Psychiatry and Behavioral Sciences, College of Medicine, Southwest Center for Public Health Preparedness, College of Public Health, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.

Catherine R. Codispoti, MHA

Administrative Fellow, Administration, Texas Children’s Hospital IDS, Houston, Texas.

Juliann M. Montgomery, MPH

Transformation Agent, Innovation Center, Oklahoma Department of Mental Health and Substance Abuse Services, Oklahoma City, Oklahoma.

References

White House Staff, Katrina Lessons Learned Review Group: Federal Response to Hurricane Katrina: Lessons Learned. Washington, DC: The White House, 2006.

Institute of Medicine: Preparing for the Psychological Consequences of Terrorism: A Public Health Strategy. Washington, DC: Institute of Medicine, 2003.

Artenstein AW: Bioterrorism: Psychological and public health interventions. N Engl J Med. 2005; 352(24): 2560.

Centers for Disease Control and Prevention: Disaster mental health resources. Centers for Disease Control and Prevention Website. Available at www.bt.cdc.gov/mentalhealth/. Accessed December 17, 2006.

Federal Emergency Management Agency: Guide for All-Hazard Emergency Operations Planning. Federal Emergency Management Agency Web site. Available at www.fema.gov/plan/gaheop.shtm. Accessed May 2, 2007.

US Department of Health and Human Services: Mental Health All-Hazards Disaster Planning Guidance. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, 2003.

Centers for Disease Control and Prevention: Continuation Guidance for Cooperative Agreement on Public Health Preparedness and Response for Bioterrorism, budget year four, public health preparedness and response for bioterrorism program announcement 99051, May 2, 2003. Wyoming Department of Health Web site. Available at allhazards.state.wy.us/2003%20Grant%20Documents/CDC%20guidance%20-%20Introduction%20-%20final.pdf. Accessed December 15, 2006.

Herndon S: Disaster preparedness: Mental health and substance abuse. SAMHSA News. 2003; (XI): 3-4.

Kotter JP: Leading change: Why transformation efforts fail. Harv Bus Rev. 1995; 73: 59-67.

Kotter JP: The Leadership Factor. New York: Free Press, 1998.

Collins JC, Porras J: Building your company’s vision. Harv Bus Rev. 1995; 7: 21-54.

Borkowski N: Organizational Behavior in Health Care. Sudbury, MA: Jones and Bartlett, 2005.

Centers for Disease Control and Prevention: Disaster Mental Health Primer: Key Principles, Issues and Questions. Centers for Disease Control and Prevention Web site. Available at www.bt.cdc.gov/mentalhealth/primer.asp. Accessed April 30, 2007.

Pond MH: Hurricane recovery guides preparedness planning. SAMHSA News. 2006; 14: 1-3.

Leavitt JW: Public resistance or cooperation? A tale of smallpox in two cities. Biosecur Bioterror. 2003; 1: 185-192.

Centers for Disease Control and Prevention, Association of Schools of Public Health: Centers for public heath preparedness. Association of Schools of Public Health Web site. Available at www.asph.org/acphp/. Accessed December 17, 2006.

Collins JC, Porras JI: Building your company’s vision. Harv Bus Rev. 1995; 73: 21-54.

Jones DJ, Allee S: The handbook of Texas online: The NMHA history of the mental health movement. Texas State Library and Archives Commission Web site. Available at www.lib.utexas.edu/taro/tslac/20159/tsl-20159.html#bioghist. Accessed December 17, 2006.

Compton MT, Kotwicki RJ, Kaslow NJ, et al.: Incorporating mental health into bioterrorism response planning. Public Health Rep. 2005; 120(Suppl 1): 16-19.

Published

05/01/2007

How to Cite

Robertson, JD, MD, M., B. Pfefferbaum, MD, JD, C. R. Codispoti, MHA, and J. M. Montgomery, MPH. “Integrating Authorities and Disciplines into the Preparedness-Planning Process: A Study of Mental Health, Public Health, and Emergency Management”. American Journal of Disaster Medicine, vol. 2, no. 3, May 2007, pp. 133-42, doi:10.5055/ajdm.2007.0022.

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