nasa eap response to hurricane katrina. nasa eap response event and impact of hurricane katrina on...

NASA EAP ResponseNASA EAP Responsetoto

Hurricane KatrinaHurricane Katrina

NASA EAP ResponseNASA EAP Response Event and Impact of Hurricane Katrina on Event and Impact of Hurricane Katrina on

employee populationemployee population

Cultivation & Preparation of a CISM TeamCultivation & Preparation of a CISM Team

EAP response immediately before, during EAP response immediately before, during

and after Hurricane Katrinaand after Hurricane Katrina

EAP outreach to the employee populationEAP outreach to the employee population

Lessons Learned: future hurricane Lessons Learned: future hurricane

preparationpreparation

Long-term outreach: hurricane-affected Long-term outreach: hurricane-affected

and vulnerable populationand vulnerable population

Aug 29th

6:15 a.m.

Aug 29th 7:30 a.m.

Hurricane track turns north to La./Miss. Gulf Coast

Hurricanemakes landfallon Gulf Coast

Levees breachin New Orleans

Aug 26th

11 p.m.

The EventThe Event

http://en.wikipedia.org/wiki/Image:KatrinaNewOrleansFlooded.jpg

Aug 29th

– Sept. 5th

Aug 29th – Sept.1

Immediate ImpactImmediate ImpactMichoud Facility

saved from floodingby Ride-Out Crew

Stennis Space Center sheltered thousands

Sept. 5th – 15th

Sept. 1st – Sept. 8th

Immediate ImpactImmediate ImpactStennis sets up call center to account for employees

Michoud Operations critical skill employees return to work

MichoudFacility

becomes makeshiftmilitary

base

Sept. 15th – Oct. 2nd

Oct. 3rd

Michoud employees located; satellite offices open

Impact on EmployeesImpact on EmployeesMAF Employee Homes (2,200)MAF Employee Homes (2,200)

Total loss/unlivableTotal loss/unlivable 31.9% 31.9%

Repairable/unlivable 15.3%Repairable/unlivable 15.3%

Damaged/livable*Damaged/livable* 44.8% 44.8%

No damage/livableNo damage/livable 6.3% 6.3%

UnknownUnknown 1.7% 1.7%

Stennis Employee Homes (4,500)Stennis Employee Homes (4,500) Total loss/unlivable 25%Total loss/unlivable 25%

* Subjective definition of “livable”* Subjective definition of “livable”

Impact on EmployeesImpact on Employees InjuriesInjuries 1.5%1.5%

DeathsDeaths

•MAF family membersMAF family members 1.8%1.8%

•SSC family membersSSC family members .09%.09%

employees employees (tenant residence agency) (tenant residence agency) (1)(1)

Other lossesOther losses

Hurricane Preparation: CISM TeamHurricane Preparation: CISM Team

Cultivating/Preparing a CISM TeamCultivating/Preparing a CISM TeamPolicyPolicy• PurposePurpose• ServicesServices• CoordinationCoordination


Cultivating/Preparing a CISM TeamCultivating/Preparing a CISM TeamDevelopment of Internal TeamDevelopment of Internal Team•Buy inBuy in•Selecting to diversitySelecting to diversity•TrainingTraining•PracticePractice•Utilization/seasoning Utilization/seasoning (large and small (large and small incidents)incidents)


Cultivating/Preparing a CISM TeamCultivating/Preparing a CISM Team

Development of Agency TeamDevelopment of Agency Team• Proximity mutual aid planProximity mutual aid plan• Concept training (conference)Concept training (conference)• Supporting the impacted CenterSupporting the impacted Center

PartnershipsPartnerships• Internal - first responders, EOC, clinicInternal - first responders, EOC, clinic• Community - other teams, resourcesCommunity - other teams, resources


Cultivating/Preparing a CISM TeamCultivating/Preparing a CISM TeamEducation/outreachEducation/outreach•Part of hurricane preparednessPart of hurricane preparedness activitiesactivities•Inclusion in hurricane response plan/Inclusion in hurricane response plan/ ERP'sERP's•Media/home page utilization Media/home page utilization


Cultivating/Preparing a CISM TeamCultivating/Preparing a CISM TeamCare for the caregiversCare for the caregivers•Debriefing the teamDebriefing the team•Time off/rotationTime off/rotation•Resources: trainer, MHP’sResources: trainer, MHP’s

EAP Response: ImmediateEAP Response: ImmediateLarge-scale DisasterLarge-scale Disaster•Disaster as a process - not an eventDisaster as a process - not an event•ChallengesChallenges

Evacuation (transportation, shelter, Evacuation (transportation, shelter, medication, aging relatives)medication, aging relatives)

CommunicationCommunicationLoss/griefLoss/griefDealing with the unknownDealing with the unknown

EAP Response: ImmediateEAP Response: ImmediateImmediate Monitoring &CoordinationImmediate Monitoring &Coordination•NASA Occupational Health OfficeNASA Occupational Health Office

Monitored development and progress of Monitored development and progress of Hurricane KatrinaHurricane Katrina

Support personnel placed on stand-bySupport personnel placed on stand-byFlew in assessment team from MSFCFlew in assessment team from MSFCFlew in CISM trained EAP supportFlew in CISM trained EAP supportDaily updates with HeadquartersDaily updates with HeadquartersNASA call center at MSFC (CISM team)NASA call center at MSFC (CISM team)

EAP Response: ImmediateEAP Response: ImmediateImmediate Monitoring &CoordinationImmediate Monitoring &Coordination•Stennis Space Center EAP TeamStennis Space Center EAP Team

Joined Medical Clinic Ride-Out CrewJoined Medical Clinic Ride-Out CrewNotified EOC of arrivalNotified EOC of arrivalNotified shelter managers of availabilityNotified shelter managers of availability

EAP Response: ImmediateEAP Response: ImmediateImmediate Monitoring &CoordinationImmediate Monitoring &Coordination•Michoud Assembly Facility EAP TeamMichoud Assembly Facility EAP Team

Flew to site to support EOC Team/Ride- Flew to site to support EOC Team/Ride- Out CrewOut Crew

Provided consultation for call center in Provided consultation for call center in Denver (corporate)Denver (corporate)

Set up satellite EAP office in HoustonSet up satellite EAP office in HoustonTraveled to multiple locations to provide Traveled to multiple locations to provide

CISM servicesCISM services

EAP Response: ImmediateEAP Response: ImmediateImmediate CISM/EAP ServicesImmediate CISM/EAP Services•Medical clinic triageMedical clinic triage

Included mental health componentIncluded mental health componentClinic staff debriefingClinic staff debriefing

•ConsultationConsultationAvailability to medical clinic, Availability to medical clinic,

management and EOCmanagement and EOCHandouts on trauma reactions, coping Handouts on trauma reactions, coping

and available counselingand available counselingBriefings at resident agency staff Briefings at resident agency staff

meetingsmeetings

EAP Response: ImmediateEAP Response: ImmediateImmediate CISM/EAP ServicesImmediate CISM/EAP Services•Emotional Support (on-site & Emotional Support (on-site & telephone)telephone)

Grief and Trauma counselingGrief and Trauma counselingFirst responder supportFirst responder supportShelter visitsShelter visitsBereavement supportBereavement supportInformation disseminationInformation disseminationResource networking and referralResource networking and referral

EAP Response: OutreachEAP Response: Outreach

ConsiderationsConsiderations

Employee/family member needsEmployee/family member needs

Levels of functioningLevels of functioning

Timing and implementation of Timing and implementation of interventions based on community interventions based on community conditions & location circumstancesconditions & location circumstances

CISM models as frameworkCISM models as framework


CISM Framework ModelsCISM Framework ModelsCrisis Intervention, Acute Stress Crisis Intervention, Acute Stress

Management, PTSD preventionManagement, PTSD prevention

• Maslow’s Hierarchy of NeedsMaslow’s Hierarchy of Needs

• Disaster Mental HealthDisaster Mental Health

• Psychological First AidPsychological First Aid

• ICISF CISMICISF CISM


CISM Framework ModelsCISM Framework ModelsCrisis Intervention, Acute Stress Crisis Intervention, Acute Stress

Management, PTSD preventionManagement, PTSD prevention

•CODE-C (protracted event model)CODE-C (protracted event model)Phase I (short-term, 0-3 mo.)Phase I (short-term, 0-3 mo.)

Phase II (mid-term, 4 mo.-1 yr.)Phase II (mid-term, 4 mo.-1 yr.)

Phase III (long-term, 1 yr. +)Phase III (long-term, 1 yr. +)


CISM Framework ModelsCISM Framework Models

Treatment/ReferralsTreatment/Referrals

• Peer Support GroupsPeer Support Groups

• Referrals for counselingReferrals for counseling

EAP Outreach: Wheel of ResponseEAP Outreach: Wheel of Response

Ongoing Outreach•Hurricane Season Preparedness Briefings

•Hurricane Season Letter to Families& Emergency Contacts Card

- Anticipatory Anxiety- Anniversary Reaction

•On-going leadership initiatives•Wellness activities ●EAP Advisory Group

•Mutual Aid Relationships, Coverage & Self-Care•On-going Future planning

Ongoing Outreach•Hurricane Season Preparedness Briefings

•Hurricane Season Letter to Families& Emergency Contacts Card

- Anticipatory Anxiety- Anniversary Reaction

•On-going leadership initiatives•Wellness activities ●EAP Advisory Group

•Mutual Aid Relationships, Coverage & Self-Care•On-going Future planning

Attrition•New employee orientation

•Leader training/conversations•Stay Interviews

•Disaster cost-of-living increase

Attrition•New employee orientation

•Leader training/conversations•Stay Interviews

•Disaster cost-of-living increase

Education/Training•Leading the Workforce After a Disaster I & II

•Full-Spectrum Leadership•Essentials for New Leaders

•Fatigue Awareness Workshop for Leaders•Recognizing signs of impact & productivity problems

•Workplace Violence Prevention•Handling the Holidays after a Disaster

•Coping Workshops

Education/Training•Leading the Workforce After a Disaster I & II

•Full-Spectrum Leadership•Essentials for New Leaders

•Fatigue Awareness Workshop for Leaders•Recognizing signs of impact & productivity problems

•Workplace Violence Prevention•Handling the Holidays after a Disaster

•Coping Workshops

Media/Communication•External access websites

•Center newsletters•Electronic communications

•S&HF Fair•NASA websites•EAP websites

Media/Communication•External access websites

•Center newsletters•Electronic communications

•S&HF Fair•NASA websites•EAP websites

CISM•Briefings/All-Hands Mtg./Town Hall Mtgs.

▪Departmental Briefings•Targeted CISD groups (trauma/exposure)

•Individual CISD’s & Counseling•Peer Support Seminars

•EMDR Option ●Support Groups•Leadership Facilitated Discussions

•S&HF “Stress” Questionnaire

CISM•Briefings/All-Hands Mtg./Town Hall Mtgs.

▪Departmental Briefings•Targeted CISD groups (trauma/exposure)

•Individual CISD’s & Counseling•Peer Support Seminars

•EMDR Option ●Support Groups•Leadership Facilitated Discussions

•S&HF “Stress” Questionnaire

Leadership•Shelter management

•Daycare ▪Hotlines/Call Centers•Payroll continuation

•Katrina Funds ▪Critical Ops. Housing •RTW Scripts ▪TDY Assignments

•Transportation Assistance•Flex-time ▪Personal LOA

•Summer Camp for ee’s kids•Employee Volunteer Groups

•Housing Fairs•Industry partnerships

Leadership•Shelter management

•Daycare ▪Hotlines/Call Centers•Payroll continuation

•Katrina Funds ▪Critical Ops. Housing •RTW Scripts ▪TDY Assignments

•Transportation Assistance•Flex-time ▪Personal LOA

•Summer Camp for ee’s kids•Employee Volunteer Groups

•Housing Fairs•Industry partnerships

First Responders•EOC/Ride-Out Crews

•Safety ▪Medical Clinics•Fire ▪Security•Recovery Crews

First Responders•EOC/Ride-Out Crews

•Safety ▪Medical Clinics•Fire ▪Security•Recovery Crews

Hurricane KatrinaResponse

- EAP -Interface

Hurricane KatrinaResponse

- EAP -Interface

Lessons Learned - Future Lessons Learned - Future Hurricane PreparationHurricane Preparation

Communication ProcessesCommunication Processes

• EmployeesEmployees

• CISM Team MembersCISM Team Members

• External SupportExternal Support

• Prior to & immediately following Prior to & immediately following hurricanehurricane

RecommendationsRecommendations

Lessons Learned-Future Hurricane PreparationLessons Learned-Future Hurricane Preparation

Communication ProcessesCommunication ProcessesEmployeesEmployees• Obtain emergency contact information Obtain emergency contact information in routine database (personal phonein routine database (personal phone numbers/e-mail addresses)numbers/e-mail addresses)

• Provide access to EAP 800 numberProvide access to EAP 800 number


Communication ProcessesCommunication ProcessesCISM Team MembersCISM Team Members• Obtain emergency contact numbers & Obtain emergency contact numbers & personal e-mail addressespersonal e-mail addresses

• Determine which members are close Determine which members are close to facility for immediate and short- to facility for immediate and short- term interventionsterm interventions


Communication ProcessesCommunication ProcessesExternal SupportExternal Support• Pre-establish communication and Pre-establish communication and support options with contractor support options with contractor agencies’ and corporate EAP as well agencies’ and corporate EAP as well as potential community resourcesas potential community resources

by locationby locationensure trained in CISMensure trained in CISMfamiliarity with Center populationfamiliarity with Center population


Communication ProcessesCommunication Processes Prior to HurricanePrior to Hurricane::• Confirm emergency contact info. for Confirm emergency contact info. for all employees prior to evacuationall employees prior to evacuation

• Obtain list, location and CISM Obtain list, location and CISM experience of ride-out personnel to be experience of ride-out personnel to be included in first responder supportincluded in first responder support

• Obtain on-site Emergency Operating Obtain on-site Emergency Operating Center (EOC) contact informationCenter (EOC) contact information


Communication ProcessesCommunication ProcessesPrior to HurricanePrior to Hurricane (cont’d.): (cont’d.):• Confirm current external support Confirm current external support options (contractor agencies EAP,options (contractor agencies EAP, corporate EAP, community corporate EAP, community resources)resources)


Communication ProcessesCommunication ProcessesImmediately following hurricaneImmediately following hurricane::• Upon implementation of ride-out, Upon implementation of ride-out, open communication with medical/ open communication with medical/ occupational health support occupational health support personnelpersonnel

• EAP communication with EOC during EAP communication with EOC during and immediately following landfall of and immediately following landfall of hurricanehurricane


Communication ProcessesCommunication ProcessesImmediately following hurricane (cont’d.):• EAP updates with leadership personnel and CISM Team members


RecommendationsRecommendationsTransportation

• Pre-arrange transportation for EAP personnel to meet with EOC/Ride-Out crew immediately after hurricane/ event

Mutual-aid plan for agency center-to- center support


RecommendationsRecommendationsDevelop agency-wide comprehensive Develop agency-wide comprehensive plan for large scale incidents to plan for large scale incidents to include:include:

• triage mobilization plan for response triage mobilization plan for response 24-48 hours post-incident24-48 hours post-incident• list of key personnel to lead EAP list of key personnel to lead EAP effortsefforts• contingency plans based on each contingency plans based on each center’s needs center’s needs


RecommendationsRecommendationsAgency-wide comprehensive plan:Agency-wide comprehensive plan:

• evacuation POC for all EAP personnelevacuation POC for all EAP personnel

• “ “EAP Hurricane Kit” containing critical EAP Hurricane Kit” containing critical information to be kept in office; update information to be kept in office; update annually prior to hurricane seasonannually prior to hurricane season

• company/corporate plan for long-term company/corporate plan for long-term mutual aid for large scale/high acuity mutual aid for large scale/high acuity incidentsincidents

• periodic “table-top drill” of planperiodic “table-top drill” of plan


RecommendationsRecommendationsConsider NIMS protocol as a model Consider NIMS protocol as a model for EAP stafffor EAP staff

Ongoing support, training and Ongoing support, training and resources for CISD teamsresources for CISD teams (budget/labor: quarterly meetings/ (budget/labor: quarterly meetings/ drills, educational books/audio drills, educational books/audio supplies, team identifying badges/ supplies, team identifying badges/ shirts, etc.)shirts, etc.)


RecommendationsRecommendationsLeadershipLeadership

• Establish a company-wide Emergency Establish a company-wide Emergency Business Continuity Plan (all depts.)Business Continuity Plan (all depts.)

• Establish clear lines of responsibilities Establish clear lines of responsibilities for tasks, personnel and back-upsfor tasks, personnel and back-ups


RecommendationsRecommendationsLeadership Leadership (cont’d.)(cont’d.)

• Train executive leadership and EOC Train executive leadership and EOC leaders on:leaders on:

CISM/EAP Disaster Response PlanCISM/EAP Disaster Response PlanPsychological impact & recovery Psychological impact & recovery from disaster, including long-term from disaster, including long-term phases of supportphases of supportLeading a Workforce After DisasterLeading a Workforce After Disaster


RecommendationsRecommendationsLeadership Leadership (cont’d.)(cont’d.)

• Establish protocols for inability to Establish protocols for inability to RTW and templates for RTW scriptsRTW and templates for RTW scripts

• Teach themTeach them “mosey leadership” “mosey leadership”


RecommendationsRecommendationsTrain key personnel Train key personnel (Center/Contractor (Center/Contractor Management, EOC/Ride-Out Crew,Management, EOC/Ride-Out Crew, First Responders)First Responders) in:in:

●●Psychological First AidPsychological First Aid ●●Death notificationDeath notification ● ●Signs to look forSigns to look for ● ●Self-CareSelf-Care

Discuss with medical support team Discuss with medical support team potential need for various psychiatric potential need for various psychiatric medical care, including chemical restraintmedical care, including chemical restraint


RecommendationsRecommendationsEquipment:Equipment:

• EAP cell phone with non-local area EAP cell phone with non-local area codecode• Laptop computer with wireless cardLaptop computer with wireless card• Flash drive/CD: critical CISM info.Flash drive/CD: critical CISM info.

Pre-set online/teleconference mtgs. Pre-set online/teleconference mtgs. date/time for EOC/Leadership/HR date/time for EOC/Leadership/HR teams update, CISM Team, etc.teams update, CISM Team, etc.Prepared disaster specific handoutsPrepared disaster specific handouts

EAP Response: Long-TermEAP Response: Long-TermInterventions/TreatmentInterventions/Treatmentfor a Vulnerable Populationfor a Vulnerable Population

Large-scale Disaster•Disaster as a process; not an eventDisaster as a process; not an event

•ChallengesChallengesCommunity factorsCommunity factors Health factorsHealth factorsFamily factorsFamily factors ResiliencyResiliency

•Assessing symptomsAssessing symptoms•Specific interventions and treatment Specific interventions and treatment modalitiesmodalities

Large-scale Disaster•ChallengesChallenges

Community factors:Community factors: City/state infrastructure City/state infrastructure (levees, roads/ (levees, roads/

bridges, community overcrowding, bridges, community overcrowding, police/fire, etc.)police/fire, etc.)

Community/logistical support Community/logistical support (lack of (lack of daily living resources)daily living resources) Housing decisions Housing decisions (temporary housing, (temporary housing,

buy/build/rebuild, new elevation buy/build/rebuild, new elevation requirements, etc.)requirements, etc.)

EAP Response: Long-TermEAP Response: Long-Term

Large-scale Disaster•Challenges Challenges (cont’d.)(cont’d.)::

Family factorsFamily factors Long-distance relationshipsLong-distance relationships Loss/grief Loss/grief (living space, personal (living space, personal

belongings, financial, spouse’s job, belongings, financial, spouse’s job, community, support systems,community, support systems, death of loved ones)death of loved ones)

Loss/lack of psychosocial supportLoss/lack of psychosocial support Personal financesPersonal finances


Large-scale Disaster•Challenges Challenges (cont’d.)(cont’d.)::

Family factors Family factors (cont’d.)(cont’d.) Insurance/FEMA/SBA, etc.Insurance/FEMA/SBA, etc. Legal issues/decisionsLegal issues/decisions Living conditions Living conditions (FEMA trailer, multiple (FEMA trailer, multiple family members/families in single home)family members/families in single home)


EAP Response: Long-TermEAP Response: Long-TermLarge-scale Disaster•Challenges Challenges (cont’d.)(cont’d.)::

Health factorsHealth factors physical healthphysical health mental Healthmental Health

suicidessuicides in domestic violencein domestic violencemajor symptoms of “stress” reportedmajor symptoms of “stress” reported

EAP Response: Long-TermEAP Response: Long-TermAssessing symptoms:Assessing symptoms:

Annual MAF Safety & Health FairAnnual MAF Safety & Health Fair• EAP booth on “Relaxation”EAP booth on “Relaxation”

Joint effort with on-site contractorJoint effort with on-site contractor Major symptoms of stress reportedMajor symptoms of stress reported

EAP Response: Long-TermEAP Response: Long-TermLarge-scale Disaster•Challenges Challenges (cont’d.)(cont’d.)::

How to keep going … “resiliency fatigue”How to keep going … “resiliency fatigue” tired of coping/optimismtired of coping/optimism daily reminders of loss (debris, closed daily reminders of loss (debris, closed stores, long lines)stores, long lines) grounding elements unavailable or grounding elements unavailable or

transienttransient what can be controlled is very little and what can be controlled is very little and

shifts oftenshifts often

EAP Response: Long-TermEAP Response: Long-TermLarge-scale Disaster•ChallengesChallenges

How to keep going …“resiliency fatigue”How to keep going …“resiliency fatigue”Strategy - adaptive copingStrategy - adaptive coping

focus on small stepsfocus on small stepsday by day approachday by day approachrecognizing daily gainrecognizing daily gain

EAP Response: Long-TermEAP Response: Long-Term Interventions/TreatmentInterventions/Treatment

On-going education and awareness

Peer support

Treatment models/Referrals:

• EMDR, PTSD, CBT, Experiential Therapy, etc.

• Supportive counseling: individual/ couples/family


Interventions/Treatment Interventions/Treatment (cont’d.)(cont’d.)

Wellness activitiesWellness activities

Resiliency strategies Resiliency strategies

On-going leadership initiatives

““Mosey therapy”Mosey therapy”

SummarySummary

CISM Team members:CISM Team members:

As victims too

Potential for secondary trauma

Self-care

•mutual aid relationships/coverage

•listen to feedback

•share/talk, rest

SummarySummaryEvery disaster is differentEvery disaster is different

Response requires both planning Response requires both planning and flexibilityand flexibility

• Focus on what works – the key is Focus on what works – the key is the peoplethe people

Learn/stay current on: Learn/stay current on: crisis intervention, CISM, disaster crisis intervention, CISM, disaster mental health, traumatic stress, etc.mental health, traumatic stress, etc.

• Flexibility vs. sticking to any Flexibility vs. sticking to any specific modelspecific model

Flexibility, creativity, resiliency!Flexibility, creativity, resiliency!

nasa eap response to hurricane katrina. nasa eap response event and impact of hurricane katrina on...

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