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Hurricanes and Storms: From

Preparedness to Recovery,

Strategies for a Brighter Future

Wednesday, August 8, 2018

4:00pm ET/3:00pm CT

Scott Needle, MD, FAAP

David Schonfeld, MD, FAAP

Disaster Preparedness Advisory Council

WEBINARSPONSORS

OBJECTIVES

1.Recognize situations that pediatricians as well as families are still facing specific to

recovery from the 2017 hurricanes.

2.Identify steps that can be taken to improve preparedness for hurricane recovery (for

offices as well as patients/families).

3.Outline the common symptoms of adjustment reactions in children and adolescents

that may occur in response to a disaster.

4.Describe the timeline for coping over time and the importance of long-term support.

5.Appreciate the importance of professional self-care and list strategies clinicians can

use to promote wellness for themselves and colleagues.

6.Outline 5-10 ways that pediatricians can improve outcomes for children and families

during disaster recovery.

7.Identify 3 resources to improve pediatric capabilities in hurricane recovery.

TECHNICALSUPPORT

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PRA CREDITSSTATEMENT

The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. should claim only the credit commensurate with the extent of their participation in the activity.

This activity is acceptable for a maximum of 1.0 AAP credits. These credits can be applied toward the

AAP CME/CPD Award available to Fellows and Candidate Members of the American Academy of

Pediatrics.

The American Academy of Physician Assistants (AAPA) accepts certificates of participation for ACCME. Physician assistants may receive a maximum of 1.0 hours of Category 1 credit for completing this program. This program is accredited for 1.0 NAPNAP CE contact hours of which 0 contain pharmacology (Rx) content, (0 related to psychopharmacology) (0 related to controlled substances), per the National Association of Pediatric Nurse Practitioners (NAPNAP) Continuing Education Guidelines.

CME/MOC

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn 1 MOC points in the American Board of completion information to ACCME for the purpose of granting

ABP MOC credit.

FACULTY

David J Schonfeld, MD, FAAP

Director, National Center for School Crisis and

Bereavement

Professor of the Practice, Suzanne Dworak-Peck School of Social Work and Department of Pediatrics, USC and CHLA

Member, American Academy of Pediatrics

Disaster Preparedness Advisory Council

Insert Photo Here

FACULTY

Scott Needle, MD, FAAP

Community Pediatrician and Medical Director

Healthcare Network of Southwest Florida

Member, American Academy of Pediatrics

Disaster Preparedness Advisory Council

DISCLOSURES

The presenters have no relevant financial relationships with the manufacturer(s) of any commercial product(s) and/or provider of commercial services discussed in this activity.

The presenters do not intend to discuss an

unapproved/investigative use of a commercial product/device in this presentation.

2017: HARVEY, IRMA, MARIA

2017: A YEAROFDISASTERS

137 Major Disaster Declarations

34 states

Puerto Rico, Virgin Islands

Hurricanes

Flooding

Wildfires

Mass shootings

THEEFFECTSOFDISASTERS

Morbidity and mortality

Economic loss

Long-term suffering

Disruption of healthcare

Economic loss

Provider stress

GOALSOFRECOVERY

Return to normalcy

Reduce suffering

Promote resiliency

Get back to helping others

RETURNTOOPERATIONS

SpaceStaff

StuffSecurity

Services

COMMUNICATIONS

Getting the word out

Services, hours, and locations

What families can do

VACCINES

Keep all vials!

Insurance: spoilage

Private: return for credit

VFC: return for exchange

PRACTICERECOVERY: RESOURCES

AAP Chapter

Business insurance

Material losses

Loss of income

Local government,

Chamber of Commerce

Be your own advocate!

ͻFood

ͻWater

ͻShelter

Basic needs

ͻMedicines

ͻEquipment

ͻFunctioning

ͻFlares

Chronic

conditions

ͻDerm

ͻRespiratory

ͻInjury

ͻExposure

ͻGI

Acute concerns

RECOVERY

Normalcy

Familiarity

Best healthcare setting

Coordination of services

Address the chronic needs of recovery

HOWTOHELP

Assist and support families

Individually

Across the practice

Anticipate needs and concerns

Monitor for developments

Advocate for children

HOWTOHELP

Care for yourself

Learn, revise, and prepare

Preparedness Checklist for

Pediatric Practices

Ensuring the Health of Children

in Disasters

Supporting the recovery of

children, families and yourself

David J Schonfeld, MD, FAAP

Suzanne Dworak-PeckSchool of Social Work and PediatricsUniversity of Southern California andSchonfel@usc.edu

Director, National Center for School Crisis and Bereavement www.schoolcrisiscenter.org

1-877-536-NCSCB (1-877-536-2722)

www.grievingstudents.org

National Center for School Crisis and Bereavement

I have no relevant financial relationships with

the manufacturer(s) of any commercial product(s) and/or provider of commercial products or services discussed in this CME activity

I do not intend to discuss

unapproved/investigative use of commercial product(s)/device(s) in my presentation

National Center for School Crisis and Bereavement

Cascade of secondary losses and stressors

Relocation

Loss of peer network

Academic failure

New social network

Financial stresses

Parental stress, mental health problems

Marital conflict or domestic violence

Explore how they are coping now in light of current stressors

Range of Reactions to Crisis

National Center for School Crisis and Bereavement

Sleep problems

Separation anxiety and school avoidance

Anxiety and trauma-related fears

Difficulties with concentration

Deterioration in academic performance

Regression

Depression

Substance abuse

Somatization

Trauma symptoms/post-traumatic stress disorder

Potential Symptoms of Adjustment Reactions

National Center for School Crisis and Bereavement

National Center for School Crisis and Bereavement

AB C DE F G H I

A = baseline functioning

B = event

C = vulnerable state

D = usual coping mechanisms fail

E = helplessness, hopelessness

F = improved functioning

G = continued impairment

H = return to baseline

I = post-traumatic growth

Adjustment Over Time in Crisis

National Center for School Crisis and Bereavement

Importance of Professional Self-Care

It is distressing to be with children who are in distress own personal needs met and appreciate and address impact of supporting children who are grieving or traumatized

National Center for School Crisis and Bereavement

Supporting Those Most in Need can be Gratifying

Realistic objectives of purpose of interactions

Health care providers have skills and resources to provide meaningful assistance Health care providers are aware of and have sufficient support to deal with personal impact of work Especially difficult in austere environment and when you have other challenges National Center for School Crisis and BereavementSupport for Staff

Organizational support

Additional support staff

Modify workload, expectations, schedule

Supportive supervision

Professional development

Employee Assistance Program

Family and peer support

Inclusion of spouses/significant others in meetings Bring staff together for social reasons ʹpreserve cohesion

Celebrate successes

National Center for School Crisis and Bereavement

Challenges to Self-Care

Making time when there is so much to do and

everyone needs your help

Feeling shame or guilt for attending to your own

needs

Assuming others are having less trouble adjusting

Lack of modeling of professional self-care

National Center for School Crisis and Bereavement

National Center for School Crisis and Bereavement

www.schoolcrisiscenter.org

Coalition to Support Grieving Students

www.grievingstudents.org AAP Children and Disasters ʹwww.aap.org/disasters

Coping and adjustment:

www.aap.org/disasters/adjustment

Website Resources

National Center for School Crisis and Bereavement

www.schoolcrisiscenter.org

National Center for School Crisis and Bereavement

www.grievingstudents.org

National Center for School Crisis and Bereavement

For further information about NCSCB

visit us, call us, like us, share us: facebook.com/schoolcrisisorg @schoolcrisisorg

National Center for School Crisis and Bereavement

www.SchoolCrisisCenter.org | info@schoolcrisiscenter.org

1-888-53-NCSCB (1-888-536-2722)

RESOURCES

AAP Children & Disasters Web Site (www.aap.org/disasters)

AAP Hurricane Preparedness Web Page

(www.aap.org/disasters/hurricane)

AAP Hurricane Response and Recovery Web Page

(www.aap.org/disastersrecovery)

CME/MOC CREDIT

Complete the post activity survey.

Only physicianscan claim MOC Part 2 credit. A quiz for MOC Part

2 credit will be included in the post activity survey.

Physicians must identify their ABP ID number.

AAP staff will email each person claiming CME/MOC 2 credit with their certificate of completion. Email DisasterReady@aap.orgwith any questions.

QUESTIONS?

Please e-mail DisasterReady@aap.orgto receive info on future events, or follow-up as needed.quotesdbs_dbs28.pdfusesText_34

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