This document discusses coping strategies for American Indian disaster survivors and suggests Psychological First Aid. It covers:
- Types of traumatic events and disasters American Indians may face
- Traditional American Indian coping strategies like connection to community, nature, elders, ceremonies and rituals
- Additional potential strategies like CERT training, talking to children, and fostering hope, self-efficacy and resilience
- Psychological First Aid which promotes safety, calming, self-efficacy, connection and hope to assist recovery from trauma.
American Indian cultures possess resilience through traditions aligned with Psychological First Aid principles.
We know how people should react in a crisis, but how do they really—and why? Why do people continue to live in high-risk areas? Why don’t people prepare for disasters or take emergency measures when they should? All of us have been confounded by these questions at some point. Dr. Matthew “Disaster Man” Davis delves into the psychology of disasters: how people view their risk, how they respond during and after crises, the obstacles to preparedness and action, and what we can do to factor these realities into our planning.
What is resilience when it comes to talking about communities and disasters? I discuss the emergence and importance of social vulnerability as it relates to public health preparedness, too.
We know how people should react in a crisis, but how do they really—and why? Why do people continue to live in high-risk areas? Why don’t people prepare for disasters or take emergency measures when they should? All of us have been confounded by these questions at some point. Dr. Matthew “Disaster Man” Davis delves into the psychology of disasters: how people view their risk, how they respond during and after crises, the obstacles to preparedness and action, and what we can do to factor these realities into our planning.
What is resilience when it comes to talking about communities and disasters? I discuss the emergence and importance of social vulnerability as it relates to public health preparedness, too.
Silent Spring is a book written by Rachel Carson. This presentation shows the situation when Carson wrote the book and the effect after the book published.
A disaster is a sudden, calamitous event that seriously disrupts the functioning of a community or society and causes human, material, and economic or environmental losses that exceed the community’s or society’s ability to cope using its own resources.
Community Resilience for the Environmental Health officerDavid Eisenman
Why is community resilience important to environmental health officers in public health? What are some challenges to incorporating this approach in EH?
Silent Spring is a book written by Rachel Carson. This presentation shows the situation when Carson wrote the book and the effect after the book published.
A disaster is a sudden, calamitous event that seriously disrupts the functioning of a community or society and causes human, material, and economic or environmental losses that exceed the community’s or society’s ability to cope using its own resources.
Community Resilience for the Environmental Health officerDavid Eisenman
Why is community resilience important to environmental health officers in public health? What are some challenges to incorporating this approach in EH?
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Empowering the Data Analytics Ecosystem: A Laser Focus on Value
The data analytics ecosystem thrives when every component functions at its peak, unlocking the true potential of data. Here's a laser focus on key areas for an empowered ecosystem:
1. Democratize Access, Not Data:
Granular Access Controls: Provide users with self-service tools tailored to their specific needs, preventing data overload and misuse.
Data Catalogs: Implement robust data catalogs for easy discovery and understanding of available data sources.
2. Foster Collaboration with Clear Roles:
Data Mesh Architecture: Break down data silos by creating a distributed data ownership model with clear ownership and responsibilities.
Collaborative Workspaces: Utilize interactive platforms where data scientists, analysts, and domain experts can work seamlessly together.
3. Leverage Advanced Analytics Strategically:
AI-powered Automation: Automate repetitive tasks like data cleaning and feature engineering, freeing up data talent for higher-level analysis.
Right-Tool Selection: Strategically choose the most effective advanced analytics techniques (e.g., AI, ML) based on specific business problems.
4. Prioritize Data Quality with Automation:
Automated Data Validation: Implement automated data quality checks to identify and rectify errors at the source, minimizing downstream issues.
Data Lineage Tracking: Track the flow of data throughout the ecosystem, ensuring transparency and facilitating root cause analysis for errors.
5. Cultivate a Data-Driven Mindset:
Metrics-Driven Performance Management: Align KPIs and performance metrics with data-driven insights to ensure actionable decision making.
Data Storytelling Workshops: Equip stakeholders with the skills to translate complex data findings into compelling narratives that drive action.
Benefits of a Precise Ecosystem:
Sharpened Focus: Precise access and clear roles ensure everyone works with the most relevant data, maximizing efficiency.
Actionable Insights: Strategic analytics and automated quality checks lead to more reliable and actionable data insights.
Continuous Improvement: Data-driven performance management fosters a culture of learning and continuous improvement.
Sustainable Growth: Empowered by data, organizations can make informed decisions to drive sustainable growth and innovation.
By focusing on these precise actions, organizations can create an empowered data analytics ecosystem that delivers real value by driving data-driven decisions and maximizing the return on their data investment.
Chatty Kathy - UNC Bootcamp Final Project Presentation - Final Version - 5.23...John Andrews
SlideShare Description for "Chatty Kathy - UNC Bootcamp Final Project Presentation"
Title: Chatty Kathy: Enhancing Physical Activity Among Older Adults
Description:
Discover how Chatty Kathy, an innovative project developed at the UNC Bootcamp, aims to tackle the challenge of low physical activity among older adults. Our AI-driven solution uses peer interaction to boost and sustain exercise levels, significantly improving health outcomes. This presentation covers our problem statement, the rationale behind Chatty Kathy, synthetic data and persona creation, model performance metrics, a visual demonstration of the project, and potential future developments. Join us for an insightful Q&A session to explore the potential of this groundbreaking project.
Project Team: Jay Requarth, Jana Avery, John Andrews, Dr. Dick Davis II, Nee Buntoum, Nam Yeongjin & Mat Nicholas
Adjusting primitives for graph : SHORT REPORT / NOTESSubhajit Sahu
Graph algorithms, like PageRank Compressed Sparse Row (CSR) is an adjacency-list based graph representation that is
Multiply with different modes (map)
1. Performance of sequential execution based vs OpenMP based vector multiply.
2. Comparing various launch configs for CUDA based vector multiply.
Sum with different storage types (reduce)
1. Performance of vector element sum using float vs bfloat16 as the storage type.
Sum with different modes (reduce)
1. Performance of sequential execution based vs OpenMP based vector element sum.
2. Performance of memcpy vs in-place based CUDA based vector element sum.
3. Comparing various launch configs for CUDA based vector element sum (memcpy).
4. Comparing various launch configs for CUDA based vector element sum (in-place).
Sum with in-place strategies of CUDA mode (reduce)
1. Comparing various launch configs for CUDA based vector element sum (in-place).
Levelwise PageRank with Loop-Based Dead End Handling Strategy : SHORT REPORT ...Subhajit Sahu
Abstract — Levelwise PageRank is an alternative method of PageRank computation which decomposes the input graph into a directed acyclic block-graph of strongly connected components, and processes them in topological order, one level at a time. This enables calculation for ranks in a distributed fashion without per-iteration communication, unlike the standard method where all vertices are processed in each iteration. It however comes with a precondition of the absence of dead ends in the input graph. Here, the native non-distributed performance of Levelwise PageRank was compared against Monolithic PageRank on a CPU as well as a GPU. To ensure a fair comparison, Monolithic PageRank was also performed on a graph where vertices were split by components. Results indicate that Levelwise PageRank is about as fast as Monolithic PageRank on the CPU, but quite a bit slower on the GPU. Slowdown on the GPU is likely caused by a large submission of small workloads, and expected to be non-issue when the computation is performed on massive graphs.
1. Coping with Trauma and Psychological First Aid
for Disaster Survivors:
Suggestions for American Indians
EMERGENCY
PREPAREDNESS
CONFERENCE
August 9, 2007
Portland, Oregon
2. Research Professor
Schools of Nursing
and Public Health and
Community Medicine
Faculty
Northwest Center for
Public Health Practice
University of Washington
Randal Beaton, PhD, EMT
3. Funding Support
• CDC/ASPH Centers for Public Health
Preparedness Cooperative Agreement
U09/CCU024247-03. (J. Thompson, PI)
• HRSA Advanced Nurse Education Training
grant #1 D09HP08334-01-00-
Disaster & Environmental Health Nursing
(R. Beaton, PI)
4. Special Thanks
• Linda Frizzell, E. Cherokee & Lakota
• June Strickland, Cherokee
• Ticey Casey, Siletz
• Iris HeavyRunner PrettyPaint, Blackfeet
• Jay LaPlante, Blackfeet
• National Child Traumatic Stress Network
and the National Center for PTSD
5. Learner Objectives
1. To identify various ways of coping with
traumatic events including disasters
2. To examine some existing coping
strategies in American Indians as well as
other potential coping strategies
3. To analyze Psychological First Aid as a
potential intervention for American Indian
individuals and tribes in the aftermath of
trauma & disaster
6. Traumatic Events
• Traumatic stressors are events that
challenge our existing ways of making
sense out of our own reactions, our
perceptions of others and challenge our
“fair world assumptions”: The world is
safe, The world is predictable and “Bad
things do not happen to good people”
• Traumata can evoke fear, uncertainty (can
I cope?), helplessness & hopelessness
7. Types of Traumatic Events
• Time-limited single events- such as a
motor vehicle accident or sexual assault
• Sequential stressors which can have a
cumulative effect– such as the exposures
that firefighters experience in line of duty
• Complex– long lasting exposures to
danger such as war zone combat or
intrafamilial child abuse
8. Disaster Magnitude
• Crisis—almost routine. Usually can be
handled by family & support system; e.g.,
job loss
• Emergency—may require 911 response or
visit to hospital; e.g. injury or acute illness
• Disaster—may require resources from
outside community (FEMA definition)
• Catastrophe—Poster child: “Katrina”
9. Cataclysmic Events
• These are events or a series of events that are of
such a magnitude, scope and severity that
“disaster” is not really the appropriate term.
• For example:
the “Historical Trauma”
of American Indians which
occurred over a span of 500 years resulting in
collective emotional injury over life spans &
across generations (Yellow Horse Brave Heart &
DeBruyn, 1998)
10. Types of Disasters- (From Beaton &
Bridges, “Disaster Nursing”,in press)
Natural Man-made
Technological
Biological
Unintentional Tsunamis,
Floods,
Hurricanes,
Earthquakes,
Wildfires, etc.
e.g., Bhopal, Haz-
Mat, Case study of
uranium mining
industry and the
Navajos (Markstrom
& Charley, 2003)
Epidemic &
pandemics
e.g., 1918-
1919 global
Influenza
Pandemic
Intentional “Act of God” Chemical, Nuclear,
Radiological,
Explosion, Acts of
Terrorism
Bioterrorism
12. Coping with Traumatic Events
• Obviously depends on the nature, type &
duration of the trauma, threat or disaster
• As examples, marriage, divorce & death of
a spouse are all major life events that
challenge our ability to cope.
• Disaster Exemplar(s) Compare and
contrast the Exxon Valdez Oil Spill/
Ecological Disaster with the Great Alaskan
Earthquake/Tsunami of 1964.
13. The Great Alaskan Earthquake
• On Mar. 27, 1964 (5:36 pm Alaska
standard time) a 9.2 magnitude
earthquake struck Alaska
• Epicenter was North Prince William Sound
• Earthquake lasted 4-5 minutes and
spawned a deadly tsunami
14. The six-story Four Seasons apartment building in
Anchorage was completely destroyed.
17. Disaster Impact(s)
• Resulted in 115 fatalities in Alaska– 106
due to the tsunami
• The tsunami caused damage and
casualties along the Western Canadian,
Washington and Oregon Coasts
• $84 million in property damage in Alaska
alone
18. The Exxon Valdez Oil Spill
• On March 24, 1989 just after midnight the
Exxon Valdez oil tanker struck a reef in
Prince William Sound and eventually
leaked 10.8 million gallons
• The oil covered large areas of the surface
of Prince William Sound and drifted with
the currents & winds onto the rocky shores
of many of the beaches in the region
23. Ecological Disaster Impact(s)
• No human casualties
• Animal deaths included an estimated
250,000-500,000 seabirds, 2,800-5,000
sea otters, 300 harbor seal, 250 bald
eagles and 22 orca whales
• Impact on fishery, fishing, seafood, sports
fisheries & tourism industries- economic
and lifestyle impacts in Alaska Natives
• Protracted litigation
24. Coping may also be viewed from a
variety of perspectives
• Individual
• Family
• Community
• Tribal
In many cases trauma and disaster impact(s) exceed
the coping capability of individuals and families and
require community and tribal intervention and structures
25. Coping Strategies: Defined
• Coping strategies refer to specific efforts–
social, behavioral, cognitive and
emotional– that people (and families/
communities/tribes) employ to master,
tolerate or minimize threats associated
with stressful events.
(after Taylor et al, 2002)
26. Problem vs. Emotion Focusing Coping
• Problem-focused coping- trying to figure
out what the problem is, addressing the
root cause of the problem and trying to
resolve it
• Emotion-focused coping- engaging in
emotional discharge; for example crying,
yelling, venting; e.g., “rants”
Tiet et al (2006)
27. Approach & Avoidance Coping
• Approach coping— making plans,
confronting difficult situations, trying hard to
work things out & focusing on the positive
• Avoidance coping— Social withdrawal,
trying to avoid and/or not think about the
problem, avoid confrontations and conflict &
even emotional numbing (avoiding one’s
feelings)
28. Adaptive vs. Maladaptive Coping
• Adaptive coping: effective coping which
protects or buffers us against stress and
helps reduce tension; e.g. exercise may
be an adaptive coping strategy even
though it does not solve “the problem”
• Maladaptive coping: ineffective coping
which neither reduces stress nor resolves
the situation.
(Beaton & Murphy, 2002)
29. Empirical investigation of coping in Puget
Sound Firefighters (Beaton et al, 1999)
H. Simpson
Very difficult to measure “sense of humor” in fire service
30. The Importance of Stressor
Appraisal & “Self-talk”
• How we label our perceptions can influence our
response.
• Little difference in stress physiology between
“excitement” and “anxiety”
• Paramedics who label a task or event as a
“challenge” as opposed to a “stressor” have
lower blood pressure readings
• Most people, most of the time are resilient- and
say to themselves: “I know I can handle this
challenge”=self-efficacy
32. Little empirical data are available to guide
recommendations for coping
with trauma in American Indians
• Importance of tribal cultural traditions in
building community resilience
• Importance of ceremony and ritual in
coping- the drums, the colors
• Importance of tribal connectedness and
cohesion through song, dance
• Importance of native art as therapy
35. JUNE STRICKLAND, RN, PhD
OBSERVATIONS
• Water is very important to coastal people-
to go to and walk by the water
• Plateau people drink water and wash face
with water under stress
• Prayer songs sung to one’s self or others
• Prayer is generally a part of the way for all
• Families may use talking circles in crisis
• Youth talk of going to the mountains
38. Canoe Journey
• Since 1997 the Canoe Journey has been
hosted by different tribes each summer
and is now attended by 6,000 people daily
during the celebration and potlatch
• Incorporates safety, strength, traditional
regalia, language, song, plants & food.
• The canoe journey gives meaning & is a
unifying force for Indian Nations & culture
40. Tribal healers & elders
Medicine persons and tribal elders possess
• Wisdom and compassion
• Sacred knowledge
• Leadership in times of stress; Nisqually
earthquake example
Contrast with non-Indian culture:
youth & celebrity worship
42. Traditional Native Culture & Resilience (from
HeavyRunner PrettyPaint & Morris, 1997)
• Sacredness of all creation
• Sharing material possessions
• Cooperation vs. competition
• Harmony & balance- maintained by not
imposing on an individual’s rights & beliefs
• Humor
• Oral traditions
43. Gathering of Native Americans
(GONA) -LaPlante
• Four day gathering of Native Americans
who want to become change agents &
leaders
• GONA is a safe place for communities to
share, heal and plan for action
• GONA offers hope, encouragement, a
framework and presents a prevention model
based on traditional native cultural values
44. Conceptual Model of Nursing in Native
American Culture (Struthers & Lowe, 2003)
Holistic model that incorporates a number of
elements in nursing care with American
Indians including:
• Trust
• Respect
• Spirituality
• Traditions and
• Connections
45. Additional Coping Strategies
• In addition to American Indian customs,
traditions and tribal ways of coping
• These coping strategies may or may not be
culturally appropriate for some or most
American Indians—Western approaches to care
have not been embraced by American Indian
populations and most forms of mental health
treatment have yielded disappointing results
Think of these additional coping strategies as a MENU–
pick and choose ones that may work for you, your family & your tribe
46. Preventive Approaches to
Coping with Disaster
Disaster planning- everybody and every family
needs a family disaster plan (in my opinion)
Washington State Disaster Preparedness
Handbook is available @
http://www.metrokc.gov/prepare/docs/PR_WaDisPrepHandbk2005.pdf
This includes concrete suggestions for helping
children adjust after a disaster
47. Helping Children After a Disaster
(From Washington DOH Disaster
Preparedness Handbook, 2005)
• Talk with the children about how they are
feeling. Assure them that it’s OK to have
those feelings.
• Children should not be expected to be
brave or tough. Tell them it’s OK to cry.
• Don’t give children more information than
they can handle about this disaster.
48. Other Preventive Approaches to Foster
Individual & Community Resilience
• Survival and Red Cross Training– learn CRP
and basic survival skills (if you don’t already
know them)
• Join a community emergency response team
such as CERT.
• UW CERT webpage site
http://www.washington.edu/admin/business/oem/cer/
49. CERT for Tribal Nations
• In Nov. of 2002 members of five Midwest
tribes– the Kickapoo Tribe in Kansas, the
Omaha Tribe of Nebraska, the Prairie
Band of the Potawatomi Nation, the Sac
and Fox Nation of Missouri and the
Winnebago Tribe of Nebraska–
participated in a CERT course supported
by a FEMA grant
50. Preventative Approaches to Coping
with Trauma & Disaster
• An ounce of prevention is worth a ton of cure.
• Strategies that can prevent a crisis or
emergency or mitigation strategies that
minimize the impact of a disaster are the
most effective in terms of avoiding the
harmful mental health effects of trauma
51. Personal Strategies to Foster Resilience
in the Aftermath of Trauma and Disaster
(Adapted From APA, 2002 Resilience Fact Sheets)
• Avoid viewing event as insurmountable– “I will
recover, my family will recover, my tribe will
survive and thrive”
• Rely on connections with family, friends,
elders and tribal leaders
• Accept that change and loss are part of living
52. Fostering resilience (continued)
• Avoid withdrawal coping strategies- engage
in problem solving and take action
• Potential for posttraumatic growth- trauma
can actually lead to opportunities for growth
and self-discovery (Tedeschi et al, 1998)
• Meditation & spiritual practices
• Maintain a hopeful outlook. There is very,
very little downside to optimism
53. Some “Unrealistic” Optimism may
actually be adaptive
• 50% of marriages fail within five years
(perhaps even higher rates of divorce in
American Indians), yet marriage remains
very popular
• 95% of cancer survivors think they are
“doing better than most”
• Key is to avoid “catastrophizing”– that is,
assuming the worst (and even worse)
54. Psychological First Aid (PFA)
National Child Traumatic Stress Network
www.NCTSN.org
National Center for PTSD
www.ncptsd.va.gov
55. Basics of Psychological First Aid
What is Psychological First Aid?
• An evidence-informed approach to assist children,
adolescents, adults, and families in the immediate
aftermath of disaster and terrorism
This approach to disaster survivors’ mental health has
been adopted by:
• American Red Cross
• Medical Reserve Corps
• Community Emergency Response Teams (CERT)
• Among others
59. Promotion of Psychological Sense of
Safety & Comfort
• Reduces biological aspects of
traumatic stress reactions
• Positively affects thoughts that
inhibit recovery
60. Promotion of Calming
• Reduces anxiety, high arousal,
numbing, or strong emotions
• Supports better:
–Sleep
–Eating
–Decision-making
–Performance of life tasks
• May reduce the probability of long-
term psychological difficulties
61. Promotion of Self-Efficacy
• Encourage disaster
survivors to play an active
role in their own recovery
• Increases people’s beliefs
about their capabilities
• Increases self-control of
thought, emotions, and
behavior
62. Promotion of Connectedness
• Related to better emotional well-being and recovery
• Provides opportunities for:
– Information about resources
– Practical problem-solving
– Emotional understanding
– Sharing of experiences
– Normalization of
reactions and experiences
– Sharing of ways of coping
63. Instilling Hope
Favorable outcomes
are associated with:
• Optimism
• Positive expectancy
• A feeling of
confidence in life
and/or self
• Strong faith-based
beliefs
64. • American Indian tribes and peoples have 500
years of experience coping with trauma
• Historical trauma has been considered a “risk
factor” for adverse trauma outcomes but it
may also serve as a source of strength &
resolve
• Effective ways of coping depend on the
cultural context, the nature, intensity &
duration of the trauma or disaster
Summary and Conclusions– Coping
with Trauma and Disaster
65. Summary and Conclusions–
Coping with Trauma and Disaster
• American Indian tribes and individuals
possess a number of protective traditions,
rituals and ceremonies as well as other
cultural sources of resilience which are
consistent with the principles and actions of
Psychological First Aid (PFA) including:
- connectedness
- hope and
- self-efficacy
66. Resilience in American Indian Tribes and
Individuals in the Face of Trauma & Adversity
• “Resilience is not a new concept to our
(American Indian) people.
• It is an ancient principle of a philosophy of
American Indian life
• It teaches: “stand strong…try hard…and
never give up”
Iris HeavyRunner PrettyPaint, 2006
University of Montana