Hurricanes and Storms: From Preparedness to Recovery, Strategies for a Brighter Future

Transcription

1 Hurricanes and Storms: From Preparedness to Recovery, Strategies for a Brighter Future Scott Needle, MD, FAAP David Schonfeld, MD, FAAP Disaster Preparedness Advisory Council Wednesday, August 8, :00pm ET/3:00pm CT

2 WEBINAR SPONSORS

3 OBJECTIVES 1. Recognize situations that pediatricians as well as families are still facing specific to recovery from the 2017 hurricanes. 2. Identify steps that can be taken to improve preparedness for hurricane recovery (for offices as well as patients/families). 3. Outline the common symptoms of adjustment reactions in children and adolescents that may occur in response to a disaster. 4. Describe the timeline for coping over time and the importance of long-term support. 5. Appreciate the importance of professional self-care and list strategies clinicians can use to promote wellness for themselves and colleagues. 6. Outline 5-10 ways that pediatricians can improve outcomes for children and families during disaster recovery. 7. Identify 3 resources to improve pediatric capabilities in hurricane recovery.

4 TECHNICAL SUPPORT If you have any questions or need technical assistance: Go to to live chat with 24/7 Customer Care Call

5 PRA CREDITS STATEMENT The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The AAP designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is acceptable for a maximum of 1.0 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of Pediatrics. The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by ACCME. Physician assistants may receive a maximum of 1.0 hours of Category 1 credit for completing this program. This program is accredited for 1.0 NAPNAP CE contact hours of which 0 contain pharmacology (Rx) content, (0 related to psychopharmacology) (0 related to controlled substances), per the National Association of Pediatric Nurse Practitioners (NAPNAP) Continuing Education Guidelines.

6 CME/MOC Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 1 MOC points in the American Board of Pediatrics (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.

7 FACULTY Insert Photo Here David J Schonfeld, MD, FAAP Director, National Center for School Crisis and Bereavement Professor of the Practice, Suzanne Dworak-Peck School of Social Work and Department of Pediatrics, USC and CHLA Member, American Academy of Pediatrics Disaster Preparedness Advisory Council

8 FACULTY Scott Needle, MD, FAAP Community Pediatrician and Medical Director Healthcare Network of Southwest Florida Member, American Academy of Pediatrics Disaster Preparedness Advisory Council

9 DISCLOSURES The presenters have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider of commercial services discussed in this activity. The presenters do not intend to discuss an unapproved/investigative use of a commercial product/device in this presentation.

10 2017: HARVEY, IRMA, MARIA

11 2017: A YEAR OF DISASTERS 137 Major Disaster Declarations 34 states Puerto Rico, Virgin Islands Hurricanes Flooding Wildfires Mass shootings

12 THE EFFECTS OF DISASTERS Morbidity and mortality Economic loss Long-term suffering Disruption of healthcare Economic loss Provider stress

13 Return to normalcy GOALS OF RECOVERY Reduce suffering Promote resiliency Get back to helping others

14 RETURN TO OPERATIONS Space Staff Services Stuff Security

15 COMMUNICATIONS Getting the word out Services, hours, and locations What families can do

16 VACCINES Keep all vials! Insurance: spoilage Private: return for credit VFC: return for exchange

17 PRACTICE RECOVERY: RESOURCES AAP Chapter Business insurance Material losses Loss of income Local government, Chamber of Commerce Be your own advocate!

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20 WHAT TO EXPECT (WHEN YOU RE PRACTICING AFTER DISASTER) Food Water Shelter Children s needs Basic needs Medicines Equipment Functioning Flares Chronic conditions Derm Respiratory Injury Exposure GI Acute concerns

21 THE MEDICAL HOME AND TRANSITIONING FROM RESPONSE TO RECOVERY Normalcy Familiarity Best healthcare setting Coordination of services Address the chronic needs of recovery

22 HOW TO HELP Assist and support families Individually Across the practice Anticipate needs and concerns Monitor for developments Advocate for children

23 HOW TO HELP Care for yourself Learn, revise, and prepare Preparedness Checklist for Pediatric Practices Ensuring the Health of Children in Disasters

24 Supporting the recovery of children, families and yourself David J Schonfeld, MD, FAAP Suzanne Dworak-Peck School of Social Work and Pediatrics University of Southern California and Children s Hospital Los Angeles Schonfel@usc.edu Director, National Center for School Crisis and Bereavement NCSCB ( )

25 National Center for School Crisis and Bereavement I have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider of commercial products or services discussed in this CME activity I do not intend to discuss unapproved/investigative use of commercial product(s)/device(s) in my presentation

26 Range of Reactions to Crisis Cascade of secondary losses and stressors Relocation Loss of peer network Academic failure New social network Financial stresses Parental stress, mental health problems Marital conflict or domestic violence Don t focus solely on post-traumatic symptoms from the events immediately surrounding the crisis Explore how they are coping now in light of current stressors National Center for School Crisis and Bereavement

27 Potential Symptoms of Adjustment Reactions Sleep problems Separation anxiety and school avoidance Anxiety and trauma-related fears Difficulties with concentration Deterioration in academic performance Regression Depression Substance abuse Somatization Trauma symptoms/post-traumatic stress disorder National Center for School Crisis and Bereavement

28 National Center for School Crisis and Bereavement

29 Adjustment Over Time in Crisis A = baseline functioning B = event C = vulnerable state D = usual coping mechanisms fail E = helplessness, hopelessness F = improved functioning G = continued impairment H = return to baseline I = post-traumatic growth National Center for School Crisis and Bereavement I A B H C F G D E

30 Importance of Professional Self-Care National Center for School Crisis and Bereavement It is distressing to be with children who are in distress It s critical health care providers find ways to have their own personal needs met and appreciate and address impact of supporting children who are grieving or traumatized

31 National Center for School Crisis and Bereavement Supporting Those Most in Need can be Gratifying Realistic objectives of purpose of interactions Health care providers have skills and resources to provide meaningful assistance Health care providers are aware of and have sufficient support to deal with personal impact of work Especially difficult in austere environment and when you have other challenges

32 Support for Staff National Center for School Crisis and Bereavement Organizational support Additional support staff Modify workload, expectations, schedule Supportive supervision Professional development Employee Assistance Program Family and peer support Inclusion of spouses/significant others in meetings Bring staff together for social reasons preserve cohesion Celebrate successes

33 Challenges to Self-Care National Center for School Crisis and Bereavement Making time when there is so much to do and everyone needs your help Feeling shame or guilt for attending to your own needs Assuming others are having less trouble adjusting Lack of modeling of professional self-care

34 National Center for School Crisis and Bereavement Website Resources National Center for School Crisis and Bereavement Coalition to Support Grieving Students AAP Children and Disasters Coping and adjustment:

35 National Center for School Crisis and Bereavement

36 National Center for School Crisis and Bereavement

37 National Center for School Crisis and Bereavement For further information about NCSCB visit us, call us, like us, share us: NCSCB ( ) National Center for School Crisis and Bereavement

38 RESOURCES AAP Children & Disasters Web Site ( AAP Hurricane Preparedness Web Page ( AAP Hurricane Response and Recovery Web Page (

39 CME/MOC CREDIT Complete the post activity survey. Only physicians can claim MOC Part 2 credit. A quiz for MOC Part 2 credit will be included in the post activity survey. Physicians must identify their ABP ID number. AAP staff will each person claiming CME/MOC 2 credit with their certificate of completion. DisasterReady@aap.org with any questions.

40 QUESTIONS? Please to receive info on future events, or follow-up as needed.

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