Disaster Mental Health in the Wake of Hurricane Katrina
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Mental Health in the Wake of Hurricane Katrina ▼▼▼▼▼ The Twenty-second Annual Rosalynn Carter Symposium on Mental Health Policy November 8 and 9, 2006 One Copenhill 453 Freedom Parkway Atlanta, GA 30307 (404) 420-5100 • Fax (404) 420-5145 www.cartercenter.org Disaster Mental Health in the Wake of Hurricane Katrina ▼▼▼▼▼ The Twenty-second Annual Rosalynn Carter Symposium on Mental Health Policy November 8 and 9, 2006 Contents Opening Remarks Rosalynn Carter, Chair, The Carter Center Mental Health Task Force ..............................................................4 Keynote Panel: Hurricane Survivors Norman Robinson, News Anchor, WDSU-TV, New Orleans, Moderator ..........................................................5 James Cooper, Office Coordinator, The Extra Mile ..............................................................................................5 Jeff Wellborn, Assistant Commander, Crisis Transportation Services, New Orleans Police Department ........................................................................................................................7 Sally Sullivan, Project Recovery, Mississippi ......................................................................................................10 Verlyn Lewis-Boyd, Executive Director, Louisiana Federation of Families ........................................................12 Questions & Answers ..........................................................................................................................................15 Video Presentation Norman Robinson, News Anchor, WDSU-TV, New Orleans............................................................................18 Panel I: Science and Research Greg Miller, Writer, Science Magazine; 2004-2005 Fellow, Rosalynn Carter Fellowships for Mental Health Journalism, Moderator ....................................................................................20 Robert Ursano, M.D., Professor and Chairman, Department of Psychiatry, Uniformed Services University of the Health Sciences ............................................................21 Joy Osofsky, Ph.D., Professor of Pediatrics, Psychiatry, and Public Health; Head, Division of Pediatric Mental Health, Louisiana State University Medical Center ........................................25 Monica Schoch-Spana, Ph.D., Senior Associate, Center for Biosecurity; Assistant Professor of Medicine, University of Pittsburgh Medical School ....................................................30 Questions & Answers ..........................................................................................................................................33 Dinner Address Scott Cowen, D.B.A., President, Tulane University ..........................................................................................36 Questions & Answers ..........................................................................................................................................46 Panel II: Science to Practice Jane Hansen, Staff Writer, The Atlanta Journal-Constitution, Moderator ............................................................48 David Satcher, M.D., Director of the Center of Excellence for Health Disparities; Poussaint/Satcher/Cosby Chair in Mental Health, Morehouse School of Medicine ........................................................................................................................50 Paula Madrid, Psy.D., Director, Resiliency Program, National Center for Disaster Preparedness, Columbia University ..................................................................................53 Dennis Derr, Ed.D., Senior Professional in Human Resources; Partner, Signature Resources ..........................57 Questions & Answers ..........................................................................................................................................62 Contents Panel III: Policy Bill Lichtenstein, President, Lichtenstein Creative Media, Moderator..............................................................65 Anthony Speier, Ph.D., Director, Disaster Mental Health, Louisiana Office of Mental Health ......................66 Craig Fugate, Director, Florida Division of Emergency Management ................................................................68 Brian Flynn, Ed.D., Associate Director, Center for the Study of Traumatic Stress; Adjunct Professor of Psychiatry, Uniformed Services University..........................................................71 Questions & Answers ..........................................................................................................................................76 General Discussion Thomas Bornemann, Ed.D., Director, The Carter Center Mental Health Program Lei Ellingson, M.P.P., Assistant Director, The Carter Center Mental Health Program ....................................79 Closing Remarks Rosalynn Carter, Chair, The Carter Center Mental Health Task Force ............................................................82 Biographies ..............................................................................................................................................................84 Planning Committee ..............................................................................................................................................88 Participants List ......................................................................................................................................................89 Task Force Members ..............................................................................................................................................95 Funders ....................................................................................................................................................................96 3 Opening Remarks Opening Remarks Rosalynn Carter Chair, The Carter Center Mental Health Task Force hese symposia on mental health policy give us a wonderful opportunity to look at the latest research in mental health, to connect that with best practice models, and then to try to Tdevelop some action steps that we all can take in our different organizations that can lead to some positive changes. We come with a variety of missions, some directly related to the mental health field and some in other fields. We bring together leaders whose decisions can have a positive impact in their communities and on policy issues. Hurricane Katrina is arguably the most significant natural disaster that has occurred in the United States, causing serious and long-lasting mental health effects. It is important to take the lessons learned from this tragedy and make sure that mental health is a priority in the planning, preparedness, and response policies for potential future disasters, including pandemic flu and terrorist activities. The topic of the symposium was selected by the Carter Center Mental Health Task Force in an effort to impress upon the public health and mental heath communities that improvements to the infrastructure of the public health and mental health systems need to be made. We also need to prevent future breakdowns within federal and local organizations vital to the delivery of services in anticipation of another catastrophic event. Having a keynote panel is new this year. We did this, in part, because we felt it was important not to lose sight of the many individual stories from the disaster. Sometimes when we hear about huge numbers of lives lost, extensive property damage, numbers of people evacuated, it is easy to forget the personal stories of hardship and heroism. We all know that the response to Hurricane Katrina was inadequate. The long evacuation and widespread displacement are taking a terrible toll on the mental health of survivors and evacuees. We are looking to help the mental health community take the lessons learned from this catastrophe and translate them into concrete actions that will lead to more effective policies. This symposium is meant to contribute to the much broader discussion about the mental health ramifications of disasters, including terrorism. Our objective is to leave this symposium with specific things that we can do, in services and in policies, to improve our mental health planning, preparedness, and response to future significant disasters. 4 Keynote Panel Keynote Panel: Hurricane Survivors Norman Robinson News Anchor, WDSU-TV, New Orleans ike my fellow panelists, I am a victim of mental health field, you will hear the panelists’ Hurricane Katrina, so this is cathartic for personal experiences in their own words as you, Lme, as I suspect it is for the entire panel, for the experts, attempt to assess the mental health we are among the walking wounded, of which needs of the devastated Gulf Coast. there are thousands. As professionals in the James Cooper Office Coordinator, The Extra Mile was going through cancer treatment when I am a person with co-occurring disorders. I the hurricane hit, and I got stranded in am bipolar, plus I am a recovering alcoholic and INew Orleans for eight days. I was not able have been clean for quite a few years. I am going to get out in Metairie, Jefferson Parish, La. There on my ninth year. was no way of communicating, of getting in Once we were evacuated, we went to Baton touch with doctors, of getting in touch with Rouge and were able to stay in a friend’s professionals to help, of being able to get out apartment for a short time. We had no of the area. Cell