Core Competencies

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DEEP PREP

Competencies
The Centers for Public Health Preparedness, administered by the CDC and American Schools of Public Health, have prepared a draft set of Disaster Mental Health Core Competencies. DEEP PREP has been developed to train public health professionals and their community preparedness and response partners in a manner that addresses the full range of disaster behavioral health generalist competencies. DEEP PREP also trains on a wide range of disaster behavioral health topics that are not part of the current list of competencies.

Disaster Behavioral Health Core Competencies and Corresponding DEEP PREP Chapters
No. Descriptor Full Text Knowledge of key terms and concepts related to disaster mental / psychosocial / behavioral health preparedness and response as demonstrated by ones ability to define and/or describe the following: Biopsychosocial and cultural manifestations of human stress DISASTER BEHAVIORAL HEALTH (DBH), STRESS RESPONSE, MENTAL HEALTH OUTCOMES DEEP PREP Chapters

I
I.A

Key Concepts

Stress response

I.B I.C I.D I.E I.F I.G

Community response Effects of trauma Incident management Intervention principles Crisis intervention Population responses

Phases of psychosocial disaster and recovery reactions at ECOLOGICAL CONTEXT the community level Effects of psychological trauma and disaster-related losses MENTAL HEALTH and hardships OUTCOMES Incident management structure and the role of disaster RESILIENCE mental health in a multidisciplinary disaster response Disaster mental health intervention principles Crisis intervention(s) with disaster affected individuals INTERVENTION INTERVENTION

Population-based responses before, during, and after a MENTAL HEALTH disaster, e.g., evacuation, shelter in place OUTCOMES, HURRICANES, PANDEMIC INFLUENZA, TERRORISM Skill in communicating effectively as demonstrated by ones ability to: Establish rapport Employ active / reflective listening skills INTERVENTION INTERVENTION

II
II.A II.B

Communication
Rapport Active listening

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DEEP PREP: All-Hazards Disaster Behavioral Health Training

No. II.C II.D II.E

Descriptor Non-verbal skills Boundaries Cultural competence

Full Text Demonstrate effective non-verbal communications Establish realistic boundaries and expectations for the interaction Behave in a culturally competent and developmentally appropriate manner Skill in assessing need for and type of intervention (if any) as demonstrated by, but not limited to, ones ability to: Gather information by employing methods such as: observation, self-report, other reports, and other assessments. Identify immediate medical needs, if any Identify basic human needs (e.g., food, clothing, shelter) Identify social and emotional needs Determine level of functionality (e.g., the ability to care for self and others, follow medical advice and safety orders) Recognize mild psychological and behavioral distress reactions and distinguish them from potentially incapacitating reactions Synthesize assessment information Skill in formulating and implementing an action plan (based upon ones knowledge, skill, authority, and functional role) to meet needs identified through assessment and as demonstrated by, but not limited to, ones ability to: Develop an action plan Identify available resources (e.g., food, shelter, medical, transportation, crisis intervention services, local counseling services, financial resources) Identify appropriate stress management interventions Formulate an action plan Initiate an action plan to include, but not be limited to, the ability to: Provide appropriate stress management, if needed

DEEP PREP Chapters INTERVENTION INTERVENTION INTERVENTION, DBH, ECOLOGICAL CONTEXT

DEEP PREP

III
III.A

Needs Assessment
Gather information

INTERVENTION

III.B III.C III.D III.E III.F

Medical needs Basic needs Social/emotional needs Functionality Distress vs. severe reactions

INTERVENTION INTERVENTION INTERVENTION INTERVENTION, RESILIENCE STRESS RESPONSE, MENTAL HEALTH OUTCOMES, INTERVENTION INTERVENTION

III.G

Synthesis

IV
IV.A IV.A.1

Action Plan

Develop action plan Identify resources

INTERVENTION, RESILIENCE, SPECIAL POPULATIONS INTERVENTION INTERVENTION

IV.A.2 IV.A.3 IV.B IV.B.1

Identify interventions Formulate plan Initiate plan Stress management

INTERVENTION

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Center for Disaster & Extreme Event Preparedness

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DEEP PREP

No. IV.B.2

Descriptor Connect to resources Connect to social supports Other interventions Evaluate

Full Text

DEEP PREP Chapters

Connect to available resources (e.g., food, shelter, medical, INTERVENTION, transportation, crisis intervention services, local counseling RESILIENCE, SPECIAL services, financial resources) POPULATIONS Connect to natural support systems (e.g. family, friends, co-worker, spiritual support Implement other interventions as appropriate Evaluate the effectiveness of an action plan considering changes in situation or disaster phase through methods such as observation, self-report, other reports, and other assessments. Revise an action plan as needed (e.g., track progress and outcomes) Knowledge of responder peer-care and self-care techniques as demonstrated by ones ability to: Describe peer-care techniques (e.g., buddy system, RESILIENCE, informal town meetings) HURRICANES, PANDEMIC INFLUENZA, TERRORISM Describe self-care techniques (e.g., stress management, journaling, communication with significant others, proper exercise, proper nutrition, programmed down time, sufficient quality sleep) Describe organizational interventions that reduce job stress (e.g., organizational briefings, adjustment of shift work, job rotations, location rotations, effective and empathic leadership, work/rest/nourishment cycles, support services, as indicated) RESILIENCE, HURRICANES, PANDEMIC INFLUENZA, TERRORISM RESILIENCE, HURRICANES, PANDEMIC INFLUENZA, TERRORISM INTERVENTION, RESILIENCE, SPECIAL POPULATIONS INTERVENTION, RESILIENCE INTERVENTION

IV.B.3

IV.B.4 IV.C

IV.D

Revise

INTERVENTION

V
V.A

Peer-/Self-Care
Peer-care techniques

V.B

Self-care techniques

V.C

Organizational approaches

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DEEP PREP: All-Hazards Disaster Behavioral Health Training

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