Mental Health Issues

Mental Health Issues After A Disaster

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Mark and I took a C.E.R.T. class several years ago that talked about how to deal with mental health issues after a disaster. Now keep in mind, we are not doctors or involved in any medical field. The initials CERT stand for Community Emergency Respond Team, in other words, first responders in our neighborhood after a disaster.

I’m sure you can imagine what chaos may happen if and when we have a disaster. When we do have an unforeseen emergency, most medical personnel will more than likely be called to the hospital or medical clinics to deal with all the people injured. They may be called to go to local schools to care for those that are hurt, depending on how bad the disaster may be.

Here’s the deal, we had the most wonderful doctor come and tell us a few tidbits on how to deal with minor mental health issues. I can still picture the woman standing there and talking us through some statements that can help or traumatize people even more. I have outlined the topics we discussed below.

We need to be prepared for those people who live by us with mental health issues who are dependent on their medications. If the pharmacies are closed or the roads are shut down, where can we direct them to get help, if help is even available?

Emergency Preparedness Meetings

If you have monthly emergency preparedness neighborhood meetings please suggest that all families think about any medications they take to see if they can get extra inventory by paying cash for the prescriptions. I realize diabetes is a big issue as well, but today I’m only talking about mental health issues.

Some medications doctors will not give 90 days’ worth, I understand that, but it doesn’t hurt to ask. I realize some insurance companies will not pay for 90 days, but it’s still worth checking on now before we really need those medications. Yes, drugs are expensive, but peace of mind means everything to me.

I have a few friends that pay cash upfront for medications that will last a year so they know for sure they will have the medications throughout the year, and thus any disaster period because they would die without them. It’s surprising how much cheaper prescriptions are if you pay cash over using your insurance. Sometimes the price is cheaper than the co-pay.

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But don’t get me started on that soapbox. Please educate yourself, check around, and see what the cash price is, you may be very surprised how much cheaper they may be compared to using your insurance plan. Of course, you have to get your doctor to agree to prescribe 90 days, 120 days, or 12 months worth.

Mental Health Issues

Our CERT team or designated team members:

  • Get enough sleep
  • Eat a well-balanced diet
  • Balance work, play, and get needed rest
  • Be ready to receive help as well as give help
  • Connect with the people in your neighborhood
  • Use spiritual resources

We need to use the tools above to help others control their stress levels.

Seven phases after a disaster:

  • Introductions and descriptions: we need to show confidence that we know what we’re doing when we talk to the people we work with after a disaster.
  • Review with the group the factual material about the incident that has occurred.
  • Share your initial thoughts/feelings about the incident.
  • Share your emotional reactions to the incident.
  • Review of the symptoms of stress experienced by the participants.
  • Instructions about normal stress reactions.
  • Closing and further needs assessment.

Provide support by:

  • Listening to the people in your neighborhood about their feelings and their physical needs. Victims often need to talk about what they have been through, and they want someone to listen to them. Please don’t just brush them off.
  • Empathizing, show by your responses that you hear their concerns. Victims want to know that someone else shares their feelings of pain and grief.
  • Help family members connect to natural support systems, such as family, friends, and clergy.

Avoid these phrases:

  • “I understand:” We can’t understand unless we have had the same experience.
  • “Don’t feel bad:” The survivor has the right to feel bad and will need time to feel differently.
  • “You’re strong/You’ll get through this:” Many survivors do not feel strong and question if they will ever recover from the loss.
  • “Don’t cry:” It’s okay to cry.
  • “It’s God’s will:” Giving religious meaning to an event to a person you don’t know may anger or insult the person.
  • “It could be worse” or “At least you still have….:” It’s up to the individual to decide whether things could be worse.
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Children At Risk After A Disaster

We need to be prepared to deal with children after a disaster. Yes, it is a mental health issue. They may have anxiety, bad dreams, they may not be able to sleep, fear, they may be grumpy, sad, and anger may kick in. Sometimes, children do not know how to express how they feel. 

This is why I keep this old TV that will play DVDs if I use my Goal Zero Solar Generator. I can show movies to children, and adults as well. It’s only a 32-inch TV, but it will work great. If we stock up on some card games, board games, paper, and colored pencils that would be awesome. We will need everything we can pull out of our hat, so to speak, to keep the neighborhood as calm and stress-free as we can.

I must confess I have 10,000 straws ready to serve Kool-Aid or Tang to neighbors. Let’s hope people in my neighborhood can bring their own water, right? You know kids love straws and they will be great for the elderly as well. What are some things you have thought about when a calamity hits your neighborhood? I can make dollar pancakes that will surely make someone smile.

Here’s my play dough recipe that you can make: Play Dough by Linda

Names Are Critical

Leanne reminded me about using NAMES when talking to people after disasters. It’s calming to them.

Survivors that need more help:

  • If survivors show evidence of being suicidal, psychotic, or unable to care for themselves, they should be referred to mental health professionals for support. (This will be infrequent in most groups of survivors.)

Final Word

After taking this CERT class, it really made me aware of statements that are okay and not okay to say to people after a traumatic time in my friends’ lives. If we make a plan about mental health issues before a disaster, we will be more prepared to work through some hard moments. May God bless those who need to take charge in your neighborhood before the medical, fire department or emergency personnel show up to take the lead. May God bless this world, Linda

POD or Point of Distribution by Linda

Community Emergency Response Team

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  1. Linda ~
    On the subject of mental health – we need to first see to our own mental health after a disaster. Part of that, I feel, is being prepared in the first place. What a stress relief it is to know that I am ready for nearly anything! I still am not sure how I will react mentally in those situations that may arise. I have put some thought into it, however, and feel that I am prepared to act/react in a stable way but the actuality may be something quiet different.

    Something that I have in my preps is a Bible. As a Bible believing Christian, I feel that having that to turn to in an event will help my mental stability. In just about any event (minor as well as major) I have found that if I just say to someone, “Let’s pray.” I am very rarely turned down. I was involved in an event a couple of years ago serving a very large number of homeless. And I profess that I am a weakling when it comes to praying outloud!! Anyway, my job was to distribute bottles of water to a line up of a couple hundred homeless people waiting to be served in this event. As I distributed water, I simply said, “Let’s pray.” Many of the people said they weren’t Christians but none of them turned down prayer.

    I think that something that needs to be added to the list – Use the person’s name! It is not just enough to speak to them – using their name adds another dimension to our interaction. If we are just involved with our neighbors and we know who they are by name – still use their name. If we are involved with people we do not know, asking their name and using it changes how they act/react to us and what we are bringing to the table.

    I did like the statements to avoid. Some people believe that when we empathize we are saying that we understand. I am a very empathetic person but I cannot come close to “knowing” how or “understanding how” another person feels. Even if I have been or am in the same situation, I cannot know/understand how THEY are feeling. I can only know how I am feeling.

    Great post as always.

  2. One thing that all the off-grid doctors I have taken classes from, or whose books I have read, have recommended is having meclizine (Dramamine), Benadryl, or doxylamine succinate (an OTC sleeping aid) on hand for mild anxiety issues post-disaster. Of course, I wouldn’t recommend passing them out like candy, but we have them for family. We like to think we’re all pretty resilient and well-prepared and will handle a crisis well, but it never hurts to be prepared just in case.

  3. You said there are key phrases to calm people down—but you didn’t include them. You listed what NOT to say, but didn’t give examples of what TO say.
    Can you please provide some examples?
    Thank you!


    1. Hi Susan, you may want to look under this paragraph: Seven phases after a disaster. They are pretty simple and easy. For example, using your own voice, the first one would be, FACTUAL: “We are all aware of the flooding that has hit our neighborhood today.” 2. SHARE YOUR OWN THOUGHTS: “I’m very concerned about the flooding, but we can get through this if we work together.” REVIEW STRESS: 3. We can see that a few people may have anxiety, fear, some may not be able to sleep.” Susan, I think that this will come easy for some people to take charge and others may become agitated and angry. This is why it is critical we meet together as a neighborhood and make plans before an emergency arises. Linda

      1. THANK YOU!
        Guess I missed that part (had a phone call). Greatly appreciate the fast response!
        Have a great day!

        1. Another great article, Linda. I find I’m often surprised by how people react to individual crises that happen in the here and now. I’m always curious about how people react to a mass crisis, tho we don’t see many stories of this (like the fires in CA, hurricane affected areas, etc).
          Individual perceptions and reactions are based on previous life experiences or from what they’ve heard, I think. I’ve seen people who’ve had a ‘run of bad luck’ all their lives deal very well with a major crisis (like, this is “just one more thing” as they trudge along). Then there are those same type people who just seem to lose it, as this ‘one more thing’ just freezes them.
          I do worry about the younger people who take anti-anxiety meds already, when we live in normal times.
          I so agree with being factual about what’s going on, and some sort of short-term plan would offer relief.
          Your list of phrases brought to mind one I Absolutely hate: ” you got this!” Well, what’s the alternative, for Pete’s sake?!?
          I did chuckle when I read “things could be worse”: where I live, this is often a Response to the question ‘how are you?’, no matter how Bad the situation. But, it would be considered rude to use as a comforting statement. As a response, it’s meant to be an optimistic thing.
          Thanks for reminding us about mental health issues.

          1. Hi Wendy, great comment! I had to giggle about “you got this.” Sometimes I really wish I had gone to college and gotten a degree in conversation reaction or whatever we could call it. I have so much empathy I want to say the right thing. I would never hurt anyone intentionally by my words. I worry about the anxiety meds as well, wow. May God bless this world. Linda

  4. I received this article from a CERT team member who attended my “Disaster Preparedness” and “Disaster Psychology” courses recently. Your synopsis is very accurate and your “additions” are very insightful.

    Leanne’s comment that being prepared personally is important is more than on point. Those of us that are “preppers” know that we can’t be 100% prepared for EVERY emergency, but being prepared as best we can for any emergency puts us in a position of being able to help our neighbors because we are already in the “mental place” of knowing we can survive whatever happens and can bring that confidence to our neighbors when “stuff” happens.

    Jennifer’s additions are beneficial to me as I haven’t heard this before. That’s the beauty of the internet, we can all share ideas that will be important when (sadly, not if) it happens.

    Thank you for your efforts to enlighten us. Keep up the good work.

    1. Hi Paul, thank you for your comment, I love it! We do indeed learn from each other by sharing ideas over the internet. We must be prepared for the unexpected in order to be in a good “mental place.” Once a prepper, always a prepper, Linda

  5. We personally lost a home in the 1980’s to a house fire and it was a total gut punch. Thankfully, we still had 3 out of 4 of our parents and had access to their copies of the most important pictures. Losing priceless, irreplaceable pictures was the hardest part of our experience. Since then all pictures are scanned and downloaded to flash drives and distributed to secondary locations. Just a thought in your preparedness.

    1. Hi Beth, that is terrible! Great tip on the flash drive! Back in the ’80s, we had negatives! That would have been so heartbreaking! I remember keeping the negatives in a bank safety deposit box, wow those were the days. I’m glad you and your family survived and that other family member had some of the pictures that are truly priceless. Linda

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