This document discusses and compares the mental health responses to the 2010 BP oil spill across the five Gulf Coast states. It finds that states closer to the spill with greater economic threats, like Louisiana, had more aggressive responses by dedicating additional funding early on. Louisiana hired responders and partnered with non-profits. States relying primarily on existing mental health systems had delayed responses, while those further from the spill had less urgent responses. The document advocates for states to invest early in behavioral health responses following disasters.
What Is the Medicaid Maintenance Needs Allowance in ConnecticutBarry D Horowitz
Medicaid will pay for help with your activities of daily living. In fact, it pays for most of the long-term care that seniors are receiving. Learn more medicaid monthly maintenance needs allowance in Connecticut in this presentation.
The medicare program, its origin, current funding challenges, the problems with the Ryan Plan, and how to move the current program foward while cutting costs.
What Is the Medicaid Maintenance Needs Allowance in ConnecticutBarry D Horowitz
Medicaid will pay for help with your activities of daily living. In fact, it pays for most of the long-term care that seniors are receiving. Learn more medicaid monthly maintenance needs allowance in Connecticut in this presentation.
The medicare program, its origin, current funding challenges, the problems with the Ryan Plan, and how to move the current program foward while cutting costs.
Georgia Voices for Medicaid Powerpoint - Fulton countyAlyssa Green, MPA
This presentation explains what Medicaid program is, who it protects, the creation of the coverage gap and what Medicaid advocacy looks like in the state of Georgia.
If the only certainties in life are death and taxes, a big uncertainty is how the later years of life will play out. We all hope for many years of both physical and mental health, but we’ve seen in our own families what happens when loved ones become ill or lose cognitive function. We’ve also seen what this can mean in terms of finances, care and stress on families.
Fortunately, we can all take steps to plan for the aging journey, whatever challenges we may encounter. Proactive planning can help ensure having the financial resources to make sure you have choices when and if you need assistance in the future.
This presentation was created for Cover Georgia coalition partners and others who would like to inform their stakeholders and communities about Georgia's coverage gap. Cover Georgia is a coalition of 70+ organizations working to cover Georgia's low-income uninsured by taking advantage of the federal funding made available by the federal govt. to expand Medicaid to all low-income adults.
Explaining the Health Insurance Marketplace October 2013Shawn Daughenbaugh
Basic information about the healthcare.gov marketplace. What is it, how is it affecting Wisconsin, and what is to come?
Presented in October of 2013, there is a lot we did not know and still do not.
Georgia Voices for Medicaid Powerpoint - Fulton countyAlyssa Green, MPA
This presentation explains what Medicaid program is, who it protects, the creation of the coverage gap and what Medicaid advocacy looks like in the state of Georgia.
If the only certainties in life are death and taxes, a big uncertainty is how the later years of life will play out. We all hope for many years of both physical and mental health, but we’ve seen in our own families what happens when loved ones become ill or lose cognitive function. We’ve also seen what this can mean in terms of finances, care and stress on families.
Fortunately, we can all take steps to plan for the aging journey, whatever challenges we may encounter. Proactive planning can help ensure having the financial resources to make sure you have choices when and if you need assistance in the future.
This presentation was created for Cover Georgia coalition partners and others who would like to inform their stakeholders and communities about Georgia's coverage gap. Cover Georgia is a coalition of 70+ organizations working to cover Georgia's low-income uninsured by taking advantage of the federal funding made available by the federal govt. to expand Medicaid to all low-income adults.
Explaining the Health Insurance Marketplace October 2013Shawn Daughenbaugh
Basic information about the healthcare.gov marketplace. What is it, how is it affecting Wisconsin, and what is to come?
Presented in October of 2013, there is a lot we did not know and still do not.
The Community Foundation for Palm Beach and Martin Counties, in partnership with Allegany Franciscan Ministries, conducted the 2nd Annual Nonprofit Survey to gather data regarding the needs in the community, the state of nonprofits and how best funders could be of assistance. Respondents were asked about their current challenges, the impact the economic downturn has had on the services they offer and their most pressing funding needs. Here are results related to Central and Western Palm Beach County.
This is a re-airing of Take a Stand for Haiti
Join host Sean Case, Senior Vice President of Peanut Labs, along with guest speakers:
- Katie D., Educator, American Red Cross
- Cathy Allin, President and CEO, Decision Insight
- Erika Harriford-McLaren, External Relations, ESOMAR
- Brandie Conforti, Director of Corporate Relations, Partners In Health
- and Stacy Howard, Community Relations Director, The Salvation Army.
US Assistance for International Responses to Zika UWI_Markcomm
Shaping the Caribbean's response to Zika, UWI’s Zika Task Force (www.uwi.edu/zika) is gathering and providing expert advice to develop a strategic, scientific approach for tackling the Zika virus.
See how Direct Relief collects donated medicines and medical supplies from leading medical manufacturers and healthcare companies, then provides them to a network of more than 1,000 free clinics and health centers for their uninsured and low-income patients.
Also discover how Direct Relief tracks storms and disasters using Google technology and how clinics use Direct Relief's SAP system to order from Direct Relief’s inventory of products based on their patients’ needs.
Direct Relief USA is the largest nonprofit of its kind, and the only non-profit licensed to distribute medicine in all 50 states.
Learn more at http://DirectRelief.org
Participate with support at http://directrelief.org/donate
COVID 19 Team-Based Approaches to Patient PopulationsCHC Connecticut
As presented as part of The Path Forward on Jan 28, 2021:
Stable housing and health outcomes are inextricably linked. When a patient loses housing – or is in jeopardy of losing housing– health outcomes suffer. COVID has led us to a moment of crisis. Thirty million to 40 million people in the United States face eviction. People of color are disproportionately impacted. Addressing housing as a social determinant of health is critical to achieving health equity. This webinar brings together experts from housing, healthcare and the intersection of both to share innovative short- and long-term solutions you can implement in your community.
This presentation was delivered at NADO's 2018 Annual Training Conference, held in Charlotte, NC on October 13-16. For more information, visit: https://www.nado.org/events/2018-annual-training-conference/
Global responses to COVID-19 - perspectives from the Latin American private s...David Ferreira
As the global community for investors for impact, AVPA, AVPN, EVPA & IVPC (LatImpacto) have launched the “Global Responses to a Global Pandemic webinar series: Sharing Philanthropy's Response to COVID-19”.
This 4-part series will share lessons and philanthropic responses from across the world by shining a virtual spotlight on regional examples to similar challenges. Through this webinar you will have the opportunity to:
• Explore the diverse roles grant makers can have in responding to the pandemic
• Share examples of responses
• Hear from voices on the ground
The possibility to start conversations and share peer learning with a global audience which can be continued over the coming months. Hear practitioner stories from 4 continents.
As we have seen recently the flood in the Philippines and the bushfires in Australia had destroyed many lives and the infrastructure in those countries. In this non-profit and charity industry, often non-profits organizations lead the charge in disaster relief, racing against time as events escalate and help is immediately needed. Let's take a look at what types of natural disasters would be likely to affect people, animals and the habitat we live in.
Why should we donate to these victims? What can we donate and what are the six steps to a successful natural disaster relief campaign?
Similar to The Disaster Mental Health Responses to the BP (20)
2. Disaster Mental Health
• DMH intervention is a
relatively recent addition to
disaster health treatment
• People at risk from a disaster:
Pre-existing condition, People
who are affected, Children,
Underserved populations
• Interventions are largely
dependent on ability to
access at-risk and
underserved communities
• Different interventions are
needed for different disasters
3. Exxon Valdez and Hurricane
Katrina
Looking at Technological disasters (such as an oil spill) and
at Natural Disasters (such as a hurricane)
4. The Exxon Valdez Spill
March 24, 1989 – Prince William Sound,
Alaska
Surface-spill: between 260-750,000
barrels
◦ BP Spill, estimate at 4.9 million barrels
between April 20 and July 15, 2010
Oil spill “Technological” Disaster
More stressful than Natural Disasters
Those most at risk: People who feel their
livelihood and lifestyles are at risk
Exxon cleanup dollars – “money
pollution”
6. Hurricane Katrina
Mental Health
infrastructure
and behavioral
health problems
left over from
Katrina
Gulf economy
already
recovering from
Katrina
9. Project
Comparing the Mental Health responses
in the five Gulf Coast states
Based on interview data from the five
Disaster Mental Health Coordinators
(DHMCs)
Examined four variables as they related
to the disaster mental health responses
of each state
◦ the physical proximity to spill
◦ the economic threat from the disaster
◦ the state’s funding of disaster mental health
◦ the state’s mental health support system
10. Example Questions
Figure 1. Interview Questions
1. How is your state fairing through this disaster? What were your
departments or state’s priorities when you realized the severity of
this disaster?
2. Who was considered most at risk for mental health
problems/stress from this spill?
3. What are some of the specific difficulties in terms of mental
health for your state?
4. Did your department start any new mental health programs
following the spill?
5. How were new programs funded or resourced?
6. What would you do differently in another, similar disaster?
7. What role is the nonprofit sector playing in your state’s mental
health response effort?
11. At-Risk Populations by State
Texas – Refinery workers, support
industry: Community stigma
Louisiana – Fishermen, Oil workers,
support industry, Disaster responders
Mississippi – Fishermen, Vietnamese
shrimpers, Support industry, tourism
Alabama – Fishermen, Tourism,
Family-owned businesses
Florida – Shrimpers, Oystermen,
General economy (coastal state)
12. Mental Health Indicators on
Coast
Increased demand for Community
Mental Health resources
Increased use of state support
resources
Suicides and domestic violence
Alcohol and drug abuse
“Acting out” and misbehavior in
schools
13. DMH Responses by State
Texas
◦ Continued as normal
◦ Did not request resources from BP
Louisiana
◦ Governor supplied $1million to fund “Louisiana Spirit”
program
Hired 50 early responders in “diad” pairs to target at-risk
populations for 60-day recovery fund
◦ Requested $138 million for 5 year program from BP,
received $15 million installation payment
Contributed $6 million to Catholic Charities
◦ BP/Transocean took care of many employees “in
house”
◦ Huge volunteer effort by Catholic Charities and other
nonprofits
14. DMH Responses by State
cont.
Mississippi
◦ Community Mental Health resources operated without any
additional funds until the state legislature accept BPs funds
in late October
◦ Requested $125 million for 5 year program from BP,
received $12 million installation
Money delayed until late November
◦ Money used to bolster existing health, mental health, and
economic aid programs
◦ Grant program began late November
Alabama
◦ Chartered boat captain suicide in June
Alabama advanced its own funds to hire 20 responders following
the suicide and 70 in all by November
◦ Received $12 million installation payment from BP
Spent money on psychological counseling programs as well as
programs for economic aid
15. DMH Responses by State
cont.
Florida
◦ Requested $6 million from BP for a 90-day
program, eventually received $3 million
Bolstered existing mental health and outreach
programs
Gave grant to Blakeview Baptist Behav. Health
(hurricane experience)
◦ Natural disaster responders were heavily
used
◦ Bi-monthly surveys for a year to assess MH
and response
◦ Nonprofits, faith-based, and volunteer
organizations have a large presence
16. General Information
Texas Louisiana Mississippi Alabama Florida
At-Risk Refinery Workers,
Support workers
Fishermen,
Oil workers,
Disaster
Responders
Fishermen,
Vietnamese
Shrimpers,
Support Industry,
Tourism
Fishermen,
Tourism,
Family
businesses
Shrimpers/
Oystermen,
General economy
MH Care System CMH (?) CMH (?) CMH (top-down) CMH (top-down) CMH (run
regionally)
BP Funding
Requested
NA $138mil/5 years $125mil/5 years ? $6 mil
BP Funded NA $15mil $12 mil $12 mil $3 mil
BP Funds
Available
NA September October (avail.
late November)
August September
Disaster (State)
Funding
NA $1mil (Louisiana
Spirit)
No ($?) Early Staff
Hirings
No
Add’l State
Employees (B4
BP Funds)
Normal Lvl Normal lvl+ 10-50 Normal Lvl Normal lvl+ 70+ Normal Lvl
Federal
Surveillance
NA CASPER
SAMHSA
CASPER
SAMHSA
CASPER
SAMHSA
SAMHSA
# Counties
Touching Gulf
17 11 3 2 23 (+/–)
Gulf County
Pops.
Millions 1,528,567 355,145 591,599 Millions
17. Policy Suggestions
Invest early in behavioral health
response efforts to target at-risk
individuals (Louisiana and Alabama)
States should share information and
work with SAMHSA
18. Texas Louisiana Mississip
pi
Alabama Florida
Proximity Far Closest 2nd Closest Close Medium
Econ. Threat Low High High High Medium
Add. State
Disaster Fund.
NA High No
additional
High No
additional
MH Support
System Use
Normal High Medium High Normal
Risk Low High High High Medium
Response Low High Medium High Medium
Conclusion
My hypothesis was correct, the physical
proximity to spill, the economic threat
from the disaster, the state’s funding of
disaster mental health, and the state’s
mental health support system could
determine a state’s response.
Editor's Notes
Norris, Fran H. 2005. “Range, Magnitude, and Duration of the Effects of Disasters on Mental Health.” Research Education Disaster Mental Health (March).
Picou et al., 1997
http://en.wikipedia.org/wiki/Deepwater_Horizon_oil_spill
Wang, Philip S, MD. 2008. “Mental Health Service Use Among Hurricane Katrina Survivors in the Eight Months After the Disaster.” Am J Psychiatry: 165 (December): 34-41.
