1 Disasters 2 4 Issue Statement According to the Robert T. Stafford Disaster Relief and Emergency Assistance Act, as amended by the Disaster 5 Mitigation Act of 2000 (P. L. 106-390), “major disaster means any natural catastrophe (including any hurricane, 6 tornado, storm, high water, wind driven water, tidal wave, tsunami, earthquake, volcanic eruption, landslide, 7 mudslide, snowstorm, or drought), or, regardless of cause, any fire, flood, or explosion, in any part of the United 8 States, which in the determination of the President causes damage of sufficient severity and magnitude to warrant 9 major disaster assistance under this Act to supplement the efforts and available resources of States, local 10 governments, and disaster relief organizations in alleviating the damage, loss, hardship, or suffering caused 11 thereby” (Title I, §§ 102, 5122). 3 12 13 The steadily changing global, political, and environmental climate has led to an increase in terrorism, random acts 14 of violence, and catastrophic occurrences of nature, seemingly increasing the frequency of disasters and the need 15 for effective responses. The social work definition of disasters is an “extraordinary event, either natural or 16 human-made, concentrated in time and space, that often results in damage to property and harm to human life or 17 health and that is disruptive of the ability of some social institutions to continue fulfilling their essential 18 functions” (Barker, R.L., 2003). 19 20 A local emergency is declared when the governance of a city or county deems conditions to pose an extreme 21 threat to the safety of people and property within that jurisdiction. When the disaster conditions threaten the safety 22 of people and property within a state, the governor may proclaim a state of emergency, making mutual aid 23 assistance mandatory from other cities, counties, and state authorities. Incidents that affect individuals, such as 24 rape or other violent crime, a serious home fire, or a tragic accident, may affect the family system and certain 25 community members. These incidents are not “declared” disasters, but they create upheaval in communities. The 26 financial resources to address them may not be available. DISASTERS 1 27 28 A major disaster declaration is declared when the event is clearly more than state and local governments can 29 handle alone. An emergency declaration is more limited in scope and without the long-term federal recovery 30 programs of a major disaster declaration (Federal Emergency Management Agency, 2012). Individual or family 31 assistance may be available to those whose property has been damaged or destroyed as a result of a 32 federally-declared disaster, and whose losses are not covered by insurance (Federal Emergency Management, 33 Agency, 2012). Assistance may include low-interest loans, individual and family grants, temporary or permanent 34 housing, assistance with basic needs, and crisis counseling. Other disaster aid programs include crisis counseling, 35 disaster-related unemployment assistance, legal aid and assistance with income tax, and Social Security and 36 Veteran’s benefits (Federal Emergency Management Agency, n.d.). 37 38 Federal laws, in particular the Disaster Relief Act of 1970 (P.L. 91-606), the Disaster Relief Act Amendments of 39 1980 (P.L. 96-568), and the Robert T. Stafford Disaster Relief and Emergency Assistance Act (P.L. 93-288), 40 address disaster-related concerns. Following the terrorist attacks on September 11, 2001, the Homeland Security 41 Act of 2002 and the Homeland Security Presidential Directive Five, entitled “Management of Domestic 42 Incidents” issued in 2003, authorized changes in the American government’s approach to disasters. This approach 43 is outlined in the National Response Plan (NRP), which specifies that extensive training is necessary for those 44 operating in the system (Gillespie, 2008, p.62). The NRP is a complex, formal preparedness and response plan 45 intended to provide a comprehensive policy framework for coordinating federal, state, and local governments, as 46 well as nongovernmental organizations and private sector resources (U.S. Department of Homeland Security, 47 2004). 48 49 In addition to Federal Emergency Management Agency (FEMA), other federal, state, and local government 50 agencies assist with disaster planning and response including the Substance Abuse and Mental Health Services 51 Administration Disaster Technical Assistance Center which prepares states, territories, tribe, and local entities to DISASTERS 2 082-087 Disaster 12/28/11 11:29 PM Page 3 52 deliver an effective mental health and substance abuse response to disasters (Substance Abuse and Mental Health 53 Services Administration, n.d.); the Small Business Administration which provides low interest disaster loans to 54 homeowners, renters, and businesses (Small Business Administration, n.d.); the United States Department of 55 Agriculture Farm Service Agency, which provides assistance for natural disaster losses (United States 56 Department of Agriculture, n.d.); and the Internal Revenue Service, which advises individuals and businesses on 57 tax law provisions including business continuity planning, insurance coverage and record keeping in the event of 58 a disaster (Internal Revenue Service, n.d.). Additionally, several volunteer agencies assume defined roles and 59 responsibilities in disaster situations including the American Red Cross and numerous national and state 60 charitable and religiously-affiliated organizations and agencies. 61 62 In a community affected by disaster, in addition to people directly affected, several special populations can be 63 identified. Among these groups of disaster survivors and victims are subpopulations historically of concern to 64 social work including older adults, people with low incomes, people with preexisting mental illness, children, 65 immigrants, refugees, people with disabilities, and people who are isolated, institutionalized, or otherwise at 66 social or physical risk. These populations are among the most vulnerable disaster survivors and require special 67 attention during preparedness, immediate relief, and recovery phases. People who have a history of trauma are 68 also a group at risk. Virtually no one experiences or responds to disasters unscathed. Rescue workers and military 69 personnel, witnesses to the event, first responders, people who are physically injured, mental health professionals, 70 and the skilled workers on the scene all constitute at-risk populations. The makeup of the at-risk population group 71 is determined by the nature and location of the disaster. 72 73 Access to numerous media sources, especially television and the internet has broadened the scope and awareness 74 of disasters. On one hand, covering a disaster is a public service, commanding the attention of the world to the 75 needs of the people affected. However, the coverage can also deepen the wounds and intensify the anxiety of 76 people affected because of the constant repetition of the stories, the misinformation that breaking news is often 77 fraught with, and the response of people and government as a result of the media coverage. It can also affect those 78 following the media coverage through experience of vicarious trauma. 79 80 Social workers are critical components of the overall disaster response team. Along with emergency management 81 agencies, police and fire departments, and other organizations, social service agencies are important participants 82 in the inter-organizational efforts to respond to disasters (Robards, K.J., Gillespie, D.F., & Murty, S.A., 2000, 83 p.41). Inherent in social work policy is the recognition of individual as well as systems considerations. 84 85 Disaster social work is concerned with the intervention in the social and physical environments of individuals and 86 groups as a means of preventing serious long-term emotional, spiritual, and mental health problems after a 87 disaster (Rogge, 2003). With community connections and knowledge of local values and norms, social workers 88 can be involved with disaster mitigation, including mobilizing communities to support land-use planning and 89 management, lobbying for stronger building codes and standards, expanding the use of disaster insurance, 90 creating improved disaster warning systems, and working toward safer infrastructure to reduce vulnerability 91 (Gillespie, 2008, p.63). 92 93 Social workers also facilitate access to those in need, linking vulnerable populations to services and creating 94 connections across service systems to improve distribution of resources (Gillespie, 2008, p.63). They provide 95 traumatic stress services including psychological debriefing to help victims understand typical stress response and 96 teach useful coping mechanisms (Miller, 2003). Interventions at the community level have been developed to 97 prevent long-term damage to vulnerable populations (Zakour, M.J., n.d.). Effective interventions must be tailored 98 to phases of recovery. Crisis intervention occurs during and immediately after a disaster to help people cope with 99 stress reactions. Typically, the goal of this intervention is to help survivors’ return to their pre-crisis level of 100 well-being and ability to function and to regain control over their lives (Rosenfeld, et.al., 2010, p. 258). Clinical 101 social workers also provide psychological first aid which the American Red Cross (2009) defines as a set of DISASTERS 4 082-087 Disaster 12/28/11 11:29 PM Page 5 102 supportive actions that help people cope more effectively during times of stress. 103 104 Post disaster intervention is also critical and can be characterized by “mental and physical suffering that continues 105 and sometimes escalate after the disaster is over” (Rosenfeld, et.al, 2010, p.298). The goals of post disaster 106 intervention include ameliorating mental pain and social anguish (Rosenfeld, et. al, 2010, p.298). 107 108 There is a range of reactions to stress. Exposure to severe psychological trauma including disasters can result in 109 psychological and physical health problems (Adams, R.E, & Boscarino, J.A., 2009). Post-traumatic stress 110 disorder (PTSD) is a serious potentially debilitating condition that can occur in people who have experienced or 111 witnessed a natural disaster, serious accident, terrorist incident, or other life-threatening event (Anxiety and 112 Depression Association of America, n.d.). Approximately 3.5 percent of the United States adult population is 113 currently classified as having post-traumatic stress disorder (PTSD) and 36.6 percent of those cases are classified 114 as severe (NIMH, n.d.). Studies indicate that almost 90 percent of adults have experienced at least one lifetime 115 traumatic event, yet only 15 percent of those exposed developed PTSD (Breslau, et al., 2004). Interventions 116 models must be based on resilience and strengths rather than pathology and deficit. 117 118 Because of the chaos that ensues after a disaster, a well-ordered and coordinated mass response system is needed 119 for effective disaster management. NASW has adopted a disaster policy at the national level for four primary 120 reasons: 121 122 1. Disasters are large-scale catastrophes that affect whole communities or multiple communities in geophysical, social, and psychological ways. 123 2. The trauma and deprivation resulting from disasters often are magnified for those with few resources and 124 reduced opportunities to rebuild homes and replace losses. As such, vulnerable populations are likely to be among 125 those especially affected by disasters. 126 3. Social workers are well suited to interpret the disaster context, to advocate for effective services, and to 127 provide leadership in essential collaborations among institutions and organizations. Furthermore, compatible with 128 social work epistemology, disaster assistance must be construed holistically, encompassing the physical, 129 developmental, psychological, emotional, social, cultural, and spiritual needs of individuals and systems. 130 4. Social workers continue to respond quickly and effectively to need in the immediate aftermath of disasters. 131 The importance of the potential contribution and role of social work warrants more than spontaneous responses on 132 a disaster-by-disaster basis. Effective disaster leadership and a proactive presence on the part of the profession 133 require preparation, direction, training, and practice. 134 135 The broad range of social work practice allows social workers to provide services in a variety of settings and 136 social workers from all fields of practice must have knowledge and understanding about disasters and the course 137 of recovery. Due to the increasing number and scope of disasters worldwide, multidisciplinary partnerships, 138 training, research, and coordination of response efforts are needed. 139 140 NASW entered into the first of a succession of professional agreements with the American Red Cross in 1990 to 141 facilitate social work participation in the planning, training, and provision of mental health services to disaster 142 victims. Further, the NASW Foundation created a Social Work Disaster Assistance Fund to provide financial 143 assistance to social workers affected by disasters. Donations go directly to social workers and/or social welfare 144 organizations that can provide assistance to those who have suffered loss and are in need of financial or other 145 assistance due to a disaster (NASW Foundation, n.d.). 146 147 148 POLICY STATEMENT NASW supports participation in and advocates for programs and policies that serve individuals and 149 communities in preparation for, during, and in the wake of disaster. NASW supports: 150 • prevention or mitigation of the adverse consequences of disaster and effective preparation for disaster by DISASTERS 6 082-087 Disaster 12/28/11 11:29 PM Page 7 151 individuals, families, social networks, neighborhoods, schools, organizations, and communities, especially where 152 vulnerable populations are concentrated 153 154 efforts to prevent exacerbation of problems related to the disaster 155 156 relationship rights for gay, lesbian, bisexual and transgender people and undocumented immigrants 157 158 empowerment, with sensitivity to the phases of disaster recovery and with understanding of the unique cultural 159 characteristics of the affected community and its populations 160 161 support. 162 163 and other disaster workers 164 165 response 166 continued research on the impact of disasters, effective interventions, and disaster management strategies 167 development of a cadre of well-trained, culturally competent disaster professionals committed to effective 168 interdisciplinary and inter-organizational collaboration in disaster planning and disaster response 169 170 coping methods, and strategies for accessing and successfully using the disaster assistance systems. 171 enhancement of the efficiency, effectiveness, orchestration, and responsiveness of disaster relief and recovery policies and procedures that provide access to disaster relief services and resources to all (including provision of behavioral health and social services to survivors in a context of normalization and attention to the long-term recovery phase of disasters, including in regard to mental health services and attention to the special training needs, stress management techniques, and support needs of first responders education of social workers and social work students in the specialized knowledge and methods of trauma provision of accurate and effective public information on the normal phases of disaster reaction, functional 172 173 174 175 176 177 178 179 180 181 182 183 184 185 186 187 188 189 190 191 192 193 194 195 196 197 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 223 224 225 REFERENCES Adams, R.E., & Boscarino, J.A. 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