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The Mental Health Impact of Violent Tragedies
Dr. Sara Garrido
Nicoletti-Flater Associates
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July 20, 2012 at 12:40am-Century 16 Theater • Largest Mass Shooting in Colorado’s History
• Emotional/Mental Impact:
• Emergency responders: Carried victims from the theater and rushed them to local hospitals
• Crime Lab Personnel: sifted through blood and debris while processing the scene
• Homicide Detectives: 3 years of trial prep.
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Psychological Incident Commander • Ensure responders are being provided mental
health support as they process through the command center
• Provision of Psychological First Aid • Active listening; monitor for signs of acute distress
• Focus on safety and immediate needs
• Discussion of essential coping strategies
• Provide a plan for ongoing psychological support for any high-risk individuals or groups
• Proactive Outreach is essential
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Prior to an Event
• Stress Inoculation Training • What to Expect • How to Recover
•Peer Support Teams • Lethal Response Team • Trauma Response Team
• Employee Assistance Programs
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During and After an Event
• Senses are contaminated
• Feeling helpless • Distress of victims’ physical and emotional trauma vs.
responders own
• Unable to utilize humor, often a “go to” coping strategy for emergency responders
• Post-incident interventions-focus on education of “normal responses” rather than tactical debriefings-give folks a chance to prepare themselves of discussing/learning from the event
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AJ DeAndrea Sergeant, Arvada PD, Colorado
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April 20th, 1999 Columbine High School
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That Evening
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California Group
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Anniversary
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Platte Canyon HS
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Counseling
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Keyes Family
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Anniversary
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YWAM
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Anniversary
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Relationships
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Mental Health Recovery Plan
Schools
Community
1st Responders
Business Community
Government
Mental Health Incident Manager
The Impact of a Mass Casualty Incident on the Community: Planning
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The Impact of a Mass Casualty Incident on the Community: Media
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Media, continued
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Media
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Bereavement Events
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Community Responses and Memorials
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• Victims’ families
• Area schools
• Hospitals
• Churches
• Visiting dignitaries
Unanticipated Impact Events
• Hate groups • Conspirators • Internet • Phone • Mail • Blood donorship
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• 63,000 stuffed animals
• 575 boxes of toys
• 2,075 boxes of school supplies
• 4 Pallets of tissue/paper towels
• 8+ Pallets of books
• 7+ Pallets of backpacks
• 54 Bicycles
• 19,000 sq. feet of warehouse
• 150,000 to 200,000 pieces
• of mail- Cash
Management & Coordination of Donations
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• 600 + volunteers
• 3800+ Hours
• Answered phones
• Opened and responded to mail
• Systems logistics
• Long term v. short term
Managing Volunteers
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• Investigations
• Reports
• Anniversaries
• Permanent Memorials
• 6 Degrees of Separation
• Future use of mass casualty property
• Possible reduction of population
• Other mass casualty events
Other Impact Matters
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