Overview for the MRC

Mission ReadyPackages

September 29, 2016

NACCHO MRP Workgroup

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.

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

Emergency Response

Community Resiliency

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

• Mass Vaccinations

• Psychological First Aid

• Community Outreach Education

Pandemic Influenza

• Call Center Support

• EPI Strike Team

Disease or Foodborne Outbreaks

• Community Outreach

• Vector Control SupportEmerging Zika

Virus

Types of Man Made Response Missions

• Points of Dispensing

• Psychological First AidAnthrax

• Disaster Mental Health/PFA

• Basic Medical CareBridge

Collapse

• Disaster Mental Health/PFA

• AcupunctureMass

Shootings

Types of Natural Disaster Response Missions

• Shelter Operations Support

• Volunteer Reception Center

• Vaccinations

Severe Weather

• Large/small animal treatment

• Shelter Operations Support

• Responder RehabWildfires

• Medical Surge Support

• Shelter Operations Support

• Communication - Ham RadiosEarthquakes

Other Response Missions

• Process Spontaneous Volunteers

Volunteer Reception Centers

• Mental Health Checks

• First Responder RehabFirst Responder

Support

• Trauma RecoveryAcupuncture

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, man-made 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

Community Response

Needs

Collaborate with

Community Stakeholders

Identify Volunteer Capabilities

Align Capabilities

with Response

Needs

Train Volunteers

Exercise Mission

Ongoing Assessment

of Capabilities

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