Whether you are just starting your private practice or you are a seasoned professional, you and your office are not immune from fires, floods, earthquakes, tornadoes, tsunamis, volcanoes and other natural disasters. That’s why I’ve invited Julie Uhernik, RN, LPC to guest post today.
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A Guest Post by Julie Uhernik, RN, LPC
(If you want to guest post on this blog, check out the guidelines here.)
Natural Disasters
This year has seen an unprecedented number of natural disasters which have affected thousands of lives either through direct experience of disaster or through collective knowledge of and concern for the many affected. The response of counselors to assist disaster survivors has been tremendous. Many counselors have partnered with the Red Cross and other disaster relief organizations to bring mental health assistance to survivors, their families and fellow responders.
Professional organizations such as the American Counseling Association (ACA) have made Disaster and Trauma Response a primary area of focus, assisting counselors to obtain knowledge and information on best practices in this rapidly emerging field. However, one important consideration that has not received quite that same amount of attention is a professional’s response to a disaster that directly impacts the counselor and their clients. To put it simply . . .
- What will you do if your office is destroyed by a tornado or hurricane?
- Have you made provisions for your practice or agency in Counselor Professional Preparedness Planning?
- Does your agency or practice have a plan in place should the unthinkable occur?
- What do you need to do to protect your clients, your family and your greatest counseling asset…yourself?!
Standards of Care
The Center for Disease Control and Prevention** recommends that we all “Get a Kit, Make a Plan and Be Informed”. The newly revised ACA Code of Ethics Standard C.2.h. (Counselor Incapacitation or Termination of Practice) requires a transfer plan to be in place to assure that clients have access to both counseling and their records during the period of time in which you are unable to provide counseling services. This standard would presumably include therapists whose offices / agencies were destroyed in a disaster.
It is recommended that your Professional Preparedness Plan include:
- A Disaster Risk Analysis. Consider what are the most likely disaster risks where you practice, i.e. tornado, wildfire, floods, etc.
- Written plans for pre-disaster, during the event and post-event.
- Counselor basic knowledge of disaster mental health response, including topics such as Psychological First Aid, National Incident Response Management (NIRM) and Basic Incident Command (ICS) response.
- Personal Disaster Response planning for you and your family, particularly if you are asked/called to be a Disaster Mental Health responder.
There are many important things to ponder before a disaster occurs. As a counselor, are you ready?
**See PDF file Adapting Standards of Care under Extreme Emergencies
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Jessica says
Thank you for this valuable information Tamara! This is something I think many practitioners and businesses neglect to consider and I’m thankful that you are bringing it to the forefront of our attention!
Tamara Suttle says
This wasn’t even talked about when I was in grad school so I know I’m not alone! Here in this part of Colorado, our big risk is fires. So grateful to Julie for sharing her expertise in this area!
Jessica says
Agreed! I’m in Colorado as well so I am especially thankful to have this information, and I will be bringing it to the attention of our program director this week! Thanks again Tamara!
Tamara Suttle says
Jessica! Did I know that already? You’re in Colorado? Where are you?
Jessica says
Tamara,
I don’t think you knew 🙂 I live in Littleton but currently work at an extended care facility for women in recovery in Wheat Ridge. You are down in Castle Rock correct? I love Colorado, but as you pointed out we do need to be aware of all th potential weather related disagree! Thanks again fir the great information!
Tamara Suttle says
Jessica! I did not realize you are in my own back door! Hope we have an opportunity to meet face to face before the end of the year!
And, of course, so happy to help you grow in your work, too! Thanks for continuing the conversation!
Jessica says
Tamara,
I do not think you knew. I live in Littleton (so not too far from you!), but I work at an extended care facility in Wheat Ridge for women in recovery from substance abuse. Thank you so much again for the wonderful posts! You have such valuable information, and I am very thankful to have found you!
Julie Uhernik says
Thanks for your response Jessica. It is true that being prepared and planning for worst case scenarios is something most often avoided (denial maybe?) but so important. Maybe as there is an increase of attention on disaster mental health response, emergency planning and preparedness will go along side by side!
Tamara Suttle says
Oh, Julie! I think you hit the nail on the head! It is denial, isn’t it?! At least that certainly fits for me! I remember in 2002 when we had the Hayman Fire in Colorado. Over 134, 000 acres burned and the fire came within 10 miles of our house. The ash and soot were so thick that it looked like it was snowing for days. You would think after that ordeal that my home would be ready for a disaster, wouldn’t you? But, . . . it’s not. It’s denial and wishful thinking but certainly not a proactive adult stance.
Thanks for the nudge, Julie!
Julie Uhernik says
Tamara, so glad you stayed safe as disaster was at your doorstep!! I am from Colorado as well and remember the Hayman fire response as well as the more recent Four Mile Canyon Fire near Boulder.
I think the focus on encouraging emergency and business contingency planning would be more effective if it moves away from fear based encouragement toward a behavioral change model. In other words, the scary notion of “this could happen to me” doesn’t seem to get people to act on emergency business planning. It’s seems that fear (experiencing disaster first hand or repeated media exposure, etc) makes it less likely that therapists will engage in emergency planning etc…? This is just an observation, but perhaps a good area for future research. I know public health field grapples with how to motivate people to change and to shift to a focus on prevention. Thanks for including my article and great posts!
Tamara Suttle says
Julie, I so agree! The idea of fear as a motivator has been debunked on so many different levels, hasn’t it?! It doesn’t work to discourage drug use or drunk driving and it doesn’t work to get us to do our emergency planning, either. Ahhh, yes! I hear you gearing up for some research and more publishing, Julie! You go, girl!
Jessica says
I sure hope so Julie!
Tamara Suttle says
Julie, Hurricane Irene is a perfect reminder to . . . get our disaster planning in place!
Stephanie Bolton, MA, MT-BC says
Wow, this is a topic I honestly never thought about in relation to my practice. But goodness, I need to make some plans now that I’ve read this post! The major concern in my area is tornadoes. My community was affected by the April 27th tornadoes, and although my home and home office didn’t sustain any damage– it reminds me that I need to have a way to access my records/files/etc in the (God forbid) event that I’m not so fortunate next time we have a bad tornado day. So thank you very much for the resources and links you provided here!
Tamara Suttle says
Hi, Stephanie! I’m so pleased that you dropped in here this evening! It’s good to hear from you! Truthfully, until I got to Colorado, I never thought about natural (or man-made) disasters, either. However, the wildfires, tornadoes, and blizzards in this state have definitely given me cause to reconsider the possibilities. And, those of you in Alabama, like you said, have your own challenges in the form of tornadoes for sure! Glad to remind you of what you already know – that we have to be responsible for our practices 24 / 7 .
I hope you’ll drop back in soon to chat again! Always love hearing from creative arts professionals here at Private Practice from the Inside Out!