Mission Ready Packages

Mission Ready Packages The webinar will begin at 1:30 PM ET This event is listen-only. The webinar audio can be listened through your computer audio. Questions can be submitted in the Q&A box. Overview for the MRC September 29, 2016 NACCHO MRP Workgroup

Presenters Kathy Deffer NACCHO, MRC Program Dave Nichols MRC Seattle & King County, Washington State Nancy Carlson Minnesota State Behavioral Health MRC

Objectives 1. Provide examples of communicable diseases, man made, and natural disaster emergencies. Provide examples of some of the response missions that MRC units or volunteers have provided resources to support. 2. Understand what Mission Ready Packages are and the template used to package resources for a response mission. 3. Present opportunities for MRC units & volunteers to be a resource for Mission Ready Packages (MRPs). 4. Understand how MRP illustrate the capability of the MRC and the value in developing MRPs for your missions.

Mission of MRC Units Strengthening Public Health Community Resiliency Emergency Response

Types of MRC Emergency Responses Communicable Diseases Pandemic Influenza Vaccine Preventable Outbreaks Zika Ebola Man Made Anthrax Bridge Collapse Bombings Mass Shootings Natural Disasters Hurricanes Flooding Tornadoes Mudslides Wildfires Earthquakes

Types of Communicable Disease Response Missions Pandemic Influenza Disease or Foodborne Outbreaks Emerging Zika Virus Mass Vaccinations Psychological First Aid Community Outreach Education Call Center Support EPI Strike Team Community Outreach Vector Control Support

Types of Man Made Response Missions Anthrax Points of Dispensing Psychological First Aid Bridge Collapse Disaster Mental Health/PFA Basic Medical Care Mass Shootings Disaster Mental Health/PFA Acupuncture

Types of Natural Disaster Response Missions Severe Weather Shelter Operations Support Volunteer Reception Center Vaccinations Wildfires Large/small animal treatment Shelter Operations Support Responder Rehab Earthquakes Medical Surge Support Shelter Operations Support Communication - Ham Radios

Other Response Missions Volunteer Reception Centers First Responder Support Process Spontaneous Volunteers Mental Health Checks First Responder Rehab Acupuncture Trauma Recovery

Large Scale Emergency Preparedness and Response Lessons learned Chaos to solutions Public law passed States enact articles to support federal law EMAC established Mission Ready Packages

Mission Ready Packages Mission Ready Packages (MRPs) are a specific response and recovery resource capability that is organized, developed, trained, and exercised prior to an emergency or disaster.

MRP Excel Template Cover sheet describes the mission package and resources included Excel template includes sheets to list and track five cost factors: Travel Personnel Equipment Commodities Other

MRP Cover Sheet Resource Description MRP Title Resource Provider NIMS Resource Type Resource components Resource metrics ESF supported Mission Capabilities Resource Description

MRP Cover Sheet Resource Details Space & size requirements Limiting factors Logistical support Deployment timeline Travel & personnel costs Personnel types (NIMS) Personnel licensing Rotation of personnel

MRP Cover Sheet Resource Equipment & Costs Equipment & commodity requirements and costs Daily cost estimates Total estimated MRP costs for deployment period

Capability versus Capacity Capability Is the MRC unit able to contribute to the given response mission (shelter support, mass vaccination, etc). Represents the intersection of capacity and ability of volunteers to perform a mission. Capacity To what extent is the MRC unit able to contribute. Quantifies the skills, competencies and/or abilities of volunteers

Possible MRPs for MRC Shelter Operations Medical Support SMART Teams/FAST Teams Animal Support Pharmacy Support Mental Health Support Specialty Teams Disaster Mental Health Acupuncture Trauma Response EPI Veterinary Response Radiation Response Environmental Mass Fatality Other Missions Patient Reception Area Support Federal Medical Station Support Medical Surge First Responder Rehab

Deployment of MRPs MRPs support EMAC system for state to state resource sharing MRC units interested in this level of deployment should work with their State MRC Coordinator MRPs can only be entered into EMAC system by the State Emergency Manager Using MRPs for local deployments MRPs provide structure for demonstrating capability of MRC unit or volunteers Provides structure to train for local response needs

MN Behavioral Health MRC Statewide group of volunteer behavioral health specialists to support the global resiliency of communities during disasters and public health emergencies to build healthy Minnesota communities. Deployments may include natural disasters, manmade accidents, bioterrorism, pandemics, school emergencies, and public health emergencies. Recent non-traditional responses (HPAI, Civil Unrest) Coordinated by the MN Department of Health (MDH) Deployed volunteers are considered MDH employees for liability and Workman s Comp.

Services Provided Disaster Behavioral Health Risk Communication Assistance in the development of disaster behavioral health messaging. Disaster Education & Crisis Counseling (DCC) Services such as Psychological First Aid (PFA), Short term 1-to-1 BH Counseling Services, Group BH Services. Assistance Center (AC) Services include: Information Briefings, Psychological First Aid (PFA), Family Reunification, Death Notification support, and linkage to community resources. Behavioral Health Outreach (BHO) BH Force Health Protection

Developing BH MRC MRPs BH MRC approached by MN Homeland Security Emergency Management (HSEM)to develop MRPs BH MRC intern was used to create the MRPs as her Master s project Worked directly with HSEM and BH MRC BH MRC MRPs Mental Health Response Team Type 1 Large Multi-discipline Team (>12) Mental Health Response Team Type 4 2-person Leadership/Assessment Team

Mental Health Response Team Type1 Psychiatrist to provide diagnoses and potential medication recommendations. Geriatrician for issues with the elderly as well as SWs, psychologist, and nurses trained to work with children. Team members trained to administer mental health services by education and specialized training. Chemical Dependency Counselor to administer assessments and provide support. Pharmacist that specializes in the administration of psychotropic and other mental health related medications

Mental Health Response - Type 4 Team consists of 2 behavioral health specialists that can triage and assess those that may be experiencing mental health symptoms. Team can provide support to responders by monitoring daily and making recommendations as necessary. Team can work with adults and children and has the ability to identify appropriate mental health resources within the incident area that may be able to assist them if necessary. Team can provide BH incident command for an overall BH response and set up service such as Assistance Centers or Outreach services

MN BH MRPs Benefits to EM Provides information to EM at both the state and local level about behavioral health resources that are available. Clarifies questions about the services offered Along with the BH MRC Fact Sheet. MRP clearly details the cost of using these services. To aid EM is seeking reimbursement through FEMA or state channels.

BH MRC Included in EM Plans Some of the larger MN MRCs have the resources to develop BH teams, but most do not that ability. The BH MRC is listed in the MN Emergency Operations Plan (MEOP) as the state-level BH provider. Written into MEOP that teams will be sent to all State DRCs. Deployed at the request of the local jurisdiction. The BH MRC has been included in local and regional healthcare collation plans as a response and recovery resource. Often is deployed to supplement local staff and local MRC volunteers. May utilize local MRC volunteers to supplement BH MRC deployments pharmacists, MDs, psychiatrists, etc.

How Creating MRPs Help MRCs Development of MRPs at the local level will deepen their relationship with their state and local jurisdictional EM Creates awareness of the MRC as a disaster resource and how they can assist EM in disaster and crisis situations Help them in developing BH resources Developing an MRP helps to define the services they can provide Help with building their MRC unit Developing specialized teams aids in retention and recruitment Assist in supporting their community Builds a stronger community support system

Using MRPs for local MRC Missions Collaborate with Community Stakeholders Ongoing Assessment of Capabilities Identify Volunteer Capabilities Community Response Needs Exercise Mission Align Capabilities with Response Needs Train Volunteers

Defining the capability of MRC Using MRPs to illustrate MRC as capable resource Develop MRP templates and training plans that fit your units emergency response missions Share MRPs with the network to build network strength and branding NACCHO and MRC Work Group will identify best practices and add to MRC Tool Kit

MRPs Demonstrate MRC Capability MRPs are a recognized model used by Emergency Managers MRPs provide training goal for a specific mission MRC units can use MRPs to showcase their capabilities with stakeholders MRPs validate the capability and value of the MRC for preparedness and response

Summary MRC Volunteers have demonstrated their capability and capacity to support public health emergency responses. MRPs were developed for the EMAC system to provide pre-identified resources available for deployment. MRC units can organize their capabilities into Mission Ready Packages to ensure that qualified and capable personnel are identified and utilized for local deployments. MRPs provide a framework to illustrate the capability and capacity of individual MRC units - which collectively illustrates the value of the entire MRC network.

MRP Resources MRP Information, Templates and Videos can be found at the EMAC (Emergency Management Assistance Compact) website: http://www.emacweb.org/ For more information on the initiative to develop MRPs for MRC units email: mrc@naccho.org