November 2007

Disaster Recovery Resources for Substance Abuse Treatment Providers

Table of Contents

SAMHSA's Fundamentals of Disaster Planning and Response (Webcast) This Web site includes Webcast presentations on a range of disaster behavioral health topics including substance abuse disorders, trauma, and post-traumatic stress.

SAMHSA's Disaster Relief Information This Web site includes disaster relief information and resources for States and policymakers; service providers; consumers, families, and individuals; school administrators and teachers; parents and caregivers; and children and teens.

Abrupt Withdrawal from Pain Medications—Information and Caution This document was created by the National Pain Foundation to provide information about medication withdrawal in emergency situations.

Alcohol Screening and Brief Intervention (SBI) for Trauma Patients This guide was developed by the Center for Substance Abuse Treatment (CSAT) to help Level I and Level II hospital trauma centers implement an SBI program. It may also benefit disaster-related substance abuse screening efforts. >>> Order this Guide.

Quick Guide for Administrators Based on TIP 45: Detoxification and Substance Abuse Treatment Disasters can increase the need for detoxification and substance abuse treatment. This Quick Guide was developed to accompany Detoxification and Substance Abuse Treatment, Number 45 in the Treatment Improvement Protocol (TIP) series, published by CSAT. It is based entirely on TIP 45 and is designed to meet the needs of the busy administrator with concise and convenient "how-to" information. >>> Order this Guide.

Quick Guide for Clinicians Based on TIP 45: Detoxification and Substance Abuse Treatment This Quick Guide was developed to accompany Detoxification and Substance Abuse Treatment, Number 45 in the TIP series, published by CSAT. It is based entirely on TIP 45 and is designed to meet the needs of the busy clinician with concise and convenient "how-to" information. >>> Order this Guide.

Recommendations to Physicians Caring for Katrina/Rita Disaster Victims on Chronic Opioids These general recommendations are intended as an overview for relief physicians encountering patients taking prescription opioids for relief of chronic pain.

Traumatic Events and Substance Abuse: Demands on the Substance Abuse Treatment Delivery System This presentation, created by CSAT, discusses substance abuse treatment after disasters and trauma using data collected after Hurricane Hugo, the Oklahoma City Bombing, and the terrorist attacks of September 11, 2001. The presentation includes information on both disaster preparedness and response.

After a Disaster: A Guide for Parents and Teachers Children respond to trauma in many different ways. This factsheet discusses the signs that are common at different ages to help parents and teachers recognize problems and respond appropriately.

A Guide for Older Adults This factsheet includes information for older adults about common reactions to disaster.

After Disaster: What Teens Can Do This factsheet discusses common teenage reactions to disaster.

Age-specific Interventions at Home for Children in Trauma: From Preschool to Adolescence This factsheet provides information for families about how to mitigate the effects of a disaster or trauma on preschoolers, elementary-age children, pre-adolescents, and adolescents.

Disaster Events and Services for Persons with Co-Occurring Substance Abuse and Mental Health Disorders This tip sheet was developed by the SAMHSA Co-Occurring Center for Excellence to address disaster-related issues for persons with co-occurring disorders.

Handout: Alcohol, Medication, and Drug Use After Disaster This Psychological First Aid handout offers suggestions for avoiding increased use of alcohol, medications, and other drugs after a disaster, as well as tips on avoiding relapse for persons in recovery.

How to Help Children After a Disaster This factsheet provides tips for how to talk to children after a terrorist attack. It also includes active interventions for children and families who have been directly affected.

Mental Health Aspects of Terrorism This factsheet discusses the typical stress and grief reactions to terrorism. It includes talking and listening tips for effectively communicating with family and friends in the aftermath of a terrorist attack.

Self-Care Tips for Emergency and Disaster Response Workers This factsheet for emergency and disaster response workers discusses the normal reactions to a disaster, signs that one may need stress management assistance, and ways to help manage your stress.

After a Disaster: Self-Care Tips for Dealing with Stress This factsheet provides information to help deal with stress following a disaster. It includes the signs and symptoms of stress, as well as ways to ease stress.

All-Hazards Response Planning for State Substance Abuse Service Systems This document suggests elements to be included in substance abuse planning, including recommendations for training, administrative tips, and considerations for populations with special needs.

D-ATM: One Tool for Ensuring Continuity of Care in Disaster Situations for Patients in Treatment for Opioid Dependence This presentation describes Digital Access to Medication (D-ATM), a pilot system being developed by CSAT. D-ATM allows Opioid Treatment Programs to access information during a disaster in order to verify that a person is a patient, and provide a safe and accurate dose.

D-ATM Demo: Screen Shots Used in Training, Annotated This presentation uses screen shots to demonstrate how D-ATM works.

Department of Alcohol and Drug Programs Pandemic Influenza Preparedness and Response Annex This pandemic influenza preparedness and response plan was developed by the California Department of Alcohol and Drug Programs.

Emergency Preparedness Plan This is a general guide for substance abuse and mental health clinics. It contains processes for preparedness, response, mitigation, and recovery in the event of an emergency. The guide includes form templates and hazard vulnerability analysis.

Continuity of Operations (COOP) Plan Template This Federal Emergency Management Agency (FEMA) template provides a structure for formulating a COOP plan according to Department of Homeland Security (DHS) Headquarters COOP Guidance Document. This template is designed to accompany the Continuity of Operations Template Instructions, which consists of general guidance and sample language for reference. Organizations are encouraged to tailor COOP development to meet their own needs and requirements.

U.S. Department of Homeland Security, Federal Emergency Management Agency: Interim Guidance on COOP This planning guidance is designed to help States and local governments/jurisdictions develop Continuity of Operations (COOP) plans tailored to the characteristics of their individual organizations and the essential functions they perform. This guidance promotes a step-based approach to COOP planning.

A Report on the Post-September 11 State Disaster Relief Grant Program of SAMHSA's Center for Substance Abuse Treatment This report focuses on the program activities undertaken by the nine States that received CSAT grants under the Post-September 11 State Disaster Relief Grant Program. To obtain a hardcopy of the report, please call the SAMHSA National Clearinghouse for Alcohol and Drug Information at 1-800-729-6686.

New York State Office of Alcoholism and Substance Abuse Services Response to the September 11, 2001, Terrorist Attack on the World Trade Center Towers in New York City This is a 6-month, detailed, chronological summary of the New York State Office of Acholism and Substance Abuse Services (OASAS) response to the terrorist attacks of September 11, 2001.

The Impact of 9/11 on New York City's Substance Abuse Treatment Programs: A Study of Patients and Administrators This is a summary of a retrospective study of the impact of the terrorist attacks on New York City's drug abuse treatment programs and their patients. It was conducted by New York State OASAS from December 2002 to April 2003. The primary objectives were to identify problems encountered and lessons learned so that treatment agencies are more prepared to respond to future crises. In addition, the study included secondary analysis of treatment admission data collected prior to and immediately after the terrorist attacks.

Public Health Arena … Substance Abuse Needs: Lessons Learned from the 2005 Hurricane Response This presentation, developed by the SAMHSA Disaster Technical Assistance Center, addresses substance abuse lessons learned from the 2005 hurricanes.

Substance Abuse Treatment Implications to Terrorism Events Drawing from empirical research from the Oklahoma City Bombing and the terrorist attacks of September 11, 2001, this presentation discusses the substance abuse implications of terrorism events.

The Impact of the World Trade Center Disaster on Treatment and Prevention Services for Alcohol and Other Drug Abuse in New York: Immediate Effects, Lingering Problems, and Lessons Learned This report details the response of the New York State OASAS, Federal agencies, city and county governments, and providers to the terrorist attacks of September 11, 2001, and the 6 months after, through the experiences and stories of New Yorkers. These writings are designed to help other States prepare for disasters, especially human-caused tribulation. Lessons learned by New York can assist others in looking at current system capabilities for response, providing service in the face of disaster, and protecting not only the clients, but also the service providers.