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Life After: Behavioral Health Resources for Hurricane Survivors in the U.S. Virgin Islands and Puerto Rico In September 2017, back-to-back hurricanes swept through the U.S. Virgin Islands and Puerto Rico. Hurricanes Irma and Maria impacted more than 100,000 Virgin Islanders and more than 3 million Puerto Ricans who call the islands home.These hurricanes were devastating, both physically and emotionally. For individuals experiencing mental and substance use disorders, a natural disaster can worsen the effects or bring about new behavioral health issues due to stress and environmental changes. This hurricane-focused resource list is formatted by audience and topic, offers behavioral health resources (in English and Spanish) for survivors, including how to prepare for future storms.Pre-storm evacuation/relocation servicesEnglish Before a Hurricane Strikes - Public Health EmergencyOffers resources for what to do to prepare for a hurricane that covers supplies, water safety, property damage, and communication. It also targets certain demographics that might have a harder time preparing for a hurricane such as seniors, pregnant women, and people with disabilities. HYPERLINK "" Family, Health, and Safety Preparation - U.S. Department of Health and Human Services (HHS); Center for Disease Control and Prevention (CDC) Provides a list of items to gather to keep one’s family safe during and after a hurricane, including safe drinking water, food and medicine, safety items, and other personal effects. HYPERLINK "" Hurricanes - Provides information relevant to the advanced preparedness of hurricanes, including where and when hurricanes typically strike, tips for staying safe and preparing one’s home, and a comprehensive timeline for what to do as the hurricane gets closer. HYPERLINK "" \h Information for Disaster Evacuees and Other Affected Persons - U.S. Department of Health and Human Services (HHS); Center for Disease Control and Prevention (CDC) Provides evacuation tips for those affected by disasters with a focus on what to do before, during, and after the disaster has occurred. Tips include keeping one’s medical records on them, how to cope with disaster and returning to a damaged home. SpanishPlanee anticipadamente para los desastres: Listo, ahora [Spanish] - U.S. Department of Homeland Security (DHS); Federal Emergency Management Agency (FEMA)This toolkit offers disaster preparedness information for a variety of audiences from children to adults. The English version is available here: de Poblaciones con necesidades funcionales y de acceso [Spanish] - Government of Puerto Rico Health Department Voluntary census to support those who need help to evacuate and take refuge in case of an emergency, with a special focus on those with physical, sensory, or cognitive impairment. and homeless families English HYPERLINK "" \h Disaster Preparedness, Response, and Recovery and Homelessness - U.S. Department of Housing and Urban Development (HUD)This page provides emergency preparedness, response, and recovery resources for CoCs, ESG recipients and subrecipients, shelters, and other homeless service providers. Disaster Response for Homeless Individuals and Families: A Trauma-Informed Approach - U.S. Department of Health and Human Services (HHS); Public Health Emergency (PHE)This two-page fact sheet provides an overview of how to plan for homeless individuals and families during a disaster, rates of past trauma among homeless individuals, information on responding to homeless individuals and families during a disaster, and suggested planning and response resources. Mobile App - Federal Emergency Management Agency (FEMA)This mobile application (available for Apple, Android, and Blackberry mobile devices) provides users with alerts from the National Weather Service, safety reminders and survival tips, locations of open shelters and where to talk to FEMA in person (or on the phone). It also allows users to share disaster photos to help first responders. HYPERLINK "" \h Ready for Anything: A Disaster Planning Manual for Runaway and Homeless Youth Programs - U.S. Department of Health and Human Services (HHS)This comprehensive manual serves as a planning asset for staff of homeless and youth programs, so they may develop successful response plans for disasters, months or years, in advance. The manual includes worksheets, templates, and other useful materials. SpanishAlcohol, medicación y el consumo de drogas después de un desastre [Spanish] - National Child Traumatic Stress Network (NCTSN)This tip sheet gives information about the increase of alcohol, medication, and drug consumption after disasters and how to cope. The English-language version is available here: Support Resource Guide [Spanish] - United Way of Connecticut (CONNECTICUT 2-1-1)This toolkit provides information and resources to assist families in Connecticut displaced by Hurricane María in Puerto Rico. App [Spanish] - U.S. Department of Homeland Security (DHS); Federal Emergency Management Agency (FEMA)The app offers disaster safety reminders, tips to survive a natural disaster, an interactive emergency checklist, storable emergency meeting locations, a map with open shelters, and open FEMA Disaster Recovery Centers. The English-language version is available here: Auxilios para resiliencia ante desastres: Un enfoque comunitario para proveer apoyo y recursos [Spanish] - Health Education Administration (HEA); Los Angeles County Department of Health (DPH)A disaster preparedness guide to promote community resilience, with an emphasis on helping kids, teenagers, and seniors during a catastrophe. The English-language version is available here: Pública en Emergencias y Desastres: Personas con condiciones de salud [Spanish] - Government of Puerto Rico Health DepartmentAn emergency plan and checklist that accounts for specific conditions and particular health situations of each member of the family. , youth, and parentsEnglishHelping Children and Teens Cope with Hurricane Season: A Guide for Parents and Caregivers - Mercy CorpsProvides tips to helps parents make their children feel safe during hurricanes. Helping Families and Schools Recover in the Aftermath of Hurricane Harvey - U.S. Department of Education A post-hurricane PowerPoint that outlines the process of helping families and schools return to normal, as many children may be left homeless as a result of the hurricane. It provides resources about educational rights and support that can be used by families to aid their children after a traumatic experience. HYPERLINK "" Students After A Disaster - Center for the Study of Traumatic Stress This is a list of helpful tools to minimize the future psychological problems that children and adolescents will experience from a traumatic event. HYPERLINK "" HYPERLINK "" \h Restoring a Sense of Well-Being in Children After a Disaster - Center for the Study of Traumatic Stress (CSTS) This fact sheet provides an overview of how to restore a sense of normalcy for children in the way of a natural disaster. HYPERLINK "" \h Resources for Schools - The National Child Traumatic Stress NetworkThis page outlines resources for schools to use to help aid in recovering from a traumatic incident. Some of the programs mentioned focus on mental health and PTSD treatment of students, while other programs focus on bringing back a sense of group belonging and cohesion among students. HYPERLINK "" Activities directed to parents, guardians or others responsible for students with functional diversity during emergency period [Spanish] - Government of Puerto Rico Education DepartmentThe Associate Secretary of Special Education prepared a comprehensive series of guides with activities for parents or guardians to conduct at home and in local communities for school-aged children during an emergency period. ómo ayudar a los ni?os a sobrellevar los efectos del huracán María [Spanish] - U.S. Department of Homeland Security (DHS); Federal Emergency Management Agency (FEMA)This fact sheet provides tips for parents to talk to their children about coping after a natural disaster. The English-language version is available here: HYPERLINK "" ómo hablarles a los ni?os sobre los desastres [Spanish] - American Academy of Pediatrics (AAP)This guide covers how to talk with children and address their emotional needs following a natural disaster. The guide comes with a Read Speaker that enables persons with lower level literacy or visual impairment to listen to the tips. The English-language version is available here: HYPERLINK "" the Hurricane Made Me Feel [Spanish] - U.S. Department of Health and Human Services (HHS); Centers for Disease Control and Prevention (CDC)An activity page for kids to use art and writing to discuss their feelings after the storm. Red Nacional para el Estrés Traumático Infantil [Spanish] - National Child Traumatic Stress Network (NCTSN)A list of resources and sources of support for parents to help children with traumatic stress after a natural disaster. y Crisis escolar. Atención para el cuidador: Consejos para familias y educadores [Spanish] - National Association of School Psychologists (NASP)A fact sheet with tips for families and educators about how to take care of their own health after a natural disaster. The English version is available here: Teachers_Spanish.pdfSobrellevar una situación de desastres: Listo, ahora [Spanish] - U.S. Department of Homeland Security (DHS); Federal Emergency Management Agency (FEMA)Focuses on post-disaster PTSD symptoms and alleviation practices, with most content focused on children. The English-language version is available here: care and health-monitoring during the stormEnglish HYPERLINK "" \h Hurricane Maria: How to Help Loved Ones in Puerto Rico and the US Virgin Islands - U.S. Department of Health and Human Services (HHS); Centers for Disease Control and Prevention (CDC)A health and safety information toolkit that can be sent via text, email, or shared on social media to provide people with the necessary information they need to stay safe. Hurricane Resources at Your Fingertips - U.S. Department of Health and Human Services (HHS)This document is a compilation of hurricane resources for health professionals, communication specialists, and pharmacists. Hurricane Safety Resources - U.S. Department of Health and Human Services (HHS); U.S. Food and Drug Administration (FDA)FDA guidelines for safety regarding food, water, pets, drugs, insulin storage, medical devices, and vaccines. Resources for Professionals - U.S. Department of Health and Human Services (HHS)Resources designed to help disaster health professionals and emergency managers prepare and recover from a hurricane. Hurricane Key Messages - U.S. Department of Health and Human Services (HHS); Centers for Disease Control (CDC)This document outlines information about the 2017 hurricane season and the response by CDC and its partners. This document will also continue to be updated as new information regarding public health, food, safety, shelter, and disease prevention becomes available. SpanishCómo cuidar tu salud y la de tu familia después del huracán [Spanish] - Government of Puerto Rico Health DepartmentWith information from the Centers for Disease Control and Prevention, Puerto Rico Health Department, IMPACTIVO, Region 2 Public Health Training Center (PHTC), Public Health Learning Network (PHLN), this healthy fact sheet covers critical survival needs and action items to take care of one’s own health and that of their family after a hurricane, ranging from basic hygiene and food contamination to infant feedings and potable water.ómo prevenir enfermedades después del huracán [Spanish] - Government of Puerto Rico Health Department; Administración de Salud Mental y Contra la Adicción (ASSMCA)A recovery toolkit with information that ASSMCA offers when hurricane survivors request assistance at their offices. See “MANEJO DE CRISIS Y APOYO EMOCIONAL?” section; PDF file name: Recuperacion ASSMCA. Also promotes the PAS helpline 1-800-981-0023 for emotional crises. ASSMCA.pdfHuracán María: Cómo ayudar a tus seres queridos en Puerto Rico y en las Islas Vírgenes de los EE.UU [Spanish] - U.S. Department of Health and Human Services (HHS); Center for Disease Control and Prevention (CDC)A health and safety information toolkit that can be sent via text, email, or shared on social media to provide people with the necessary information they need to stay safe. The English version is available here: HYPERLINK "" auxilios de salud mental y autocuidado después de un desastre - Puerto Rico Health Department?Provides tips about Mental Health First Aid and how to respond to the signs of mental and substance use disorders. Managing traumaEnglishHurricane Irma’s Impact: PTSD and Addiction - Serenity Springs Recovery CenterThis article that highlights the connection between PTSD, Anxiety, and Addiction. Hurricane Opens Trauma Wounds - Dart Center for Journalism and TraumaInformation about trauma after a hurricane, including signs of negative effects among those most vulnerable and how to best prepare for the emotional impact.[Authors: Ochberg, F.] SpanishCoping with Disaster or Traumatic Event [Spanish] - U.S. Department of Health and Human Services (HHS); Center for Disease Control and Prevention (CDC)A how-to guide on taking care of yourself and your children after a disaster. This resource also includes the common signs of distress. de la salud emocional tras una catástrofe [Spanish] - American Red CrossInformational guide about how to deal with stress after a catastrophe and a toll-free number for the Suicide Prevention Lifeline in Spanish to receive help. The English version is available here: sobre la línea de ayuda para los afectados [Spanish] - U.S. Department of Health and Human Services (HHS); Substance Abuse and Mental Health Services Administration (SAMHSA)Brochure with list of numbers, and social media pages to get help and emotional support after a catastrophe. de bolsillo sobre consejos de cómo manejar el estrés después de una catástrofe [Spanish] - U.S. Department of Health and Human Services (HHS); Substance Abuse and Mental Health Services Administration (SAMHSA)Pocket card with information for survivors (including children and adolescents) and loved ones of the victims with tips to deal with stress related to a disaster and the toll-free phone number to ask for help or by SMS. relief staff/professionalsEnglishGuidance for Emergency Responders in U.S. Virgin Islands and Puerto Rico - U.S. Department of Health and Human Services (HHS); Center for Disease Control and Prevention (CDC)The National Institute for Occupational Safety and Health (NIOSH) recommends a list of health and safety precautions for any workers in the areas of the U.S. Virgin Islands and Puerto Rico. This list includes recommendations for pre-travel planning, on-scene stress and coping, and post-response planning. HYPERLINK "" HYPERLINK "" \h Resources for Professionals - U.S. Department of Health and Human Services (HHS)Resources designed to help disaster health professionals and emergency managers prepare and recover from a hurricane. Responding to Hurricanes Maria, Jose, Irma and Harvey - American Psychological Association (APA)Provides information on managing traumatic stress after a hurricane, how to help children cope after a natural disaster, recovering emotionally from disasters, and videos in Spanish about how to deal with stress after natural disasters. HYPERLINK "" Tips for Retaining and Caring for Staff after a Disaster - U.S. Department of Health and Human Services (HHS); Assistant Secretary for Preparedness and Response (ASPR) Resource for healthcare providers to reference when managing the effects of disasters. Topic Collection: Responder Safety and Health - U.S. Department of Health and Human Services (HHS); Assistant Secretary for Preparedness and Response (ASPR) Resource designed to help disaster responders create a safe and healthy workforce to better provide the community with an effective, comprehensive response and recovery. for Providers - U.S. Department of Health and Human Services (HHS); Substance Abuse and Mental Health Association (SAMHSA) Provides resources for relief workers, including tools they can use to better handle the mental and emotional stresses that arise from working in disaster zones. HYPERLINK "" Información de seguridad para trabajadores de respuesta a emergencias y de limpieza [Spanish] - U.S. Department of Health and Human Services (HHS); Center for Disease Control and Prevention (CDC)Comprehensive list of resources covering safety tips for emergency workers and disaster cleanup personnel, in partnership with FEMA’s (). The English version is available here: auxilios de salud mental y autocuidado después de un desastre [Spanish] - Puerto Rico Health DepartmentProvides tips about Mental Health First Aid and how to respond to the signs of mental and substance use disorders. Auxilios Psicológicos [Spanish] - National Child Traumatic Stress Network (NCTSN)A practical operation guide to provide Psychological First Aid during a disaster. substance use disorders or co-occurring disordersEnglishAlcohol, medication, and drug use after a disaster - National Child Traumatic Stress Network, National Center for Child Traumatic Stress (NCTSN, NCCTS)This handout provides information that disaster survivors can use to avoid increased use of alcohol and misuse of prescription medications and other drugs after a disaster. It also provides tips for survivors to avoid relapse after a disaster. Buprenorphine treatment practitioner locator - U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (HHS, SAMHSA)This website provides an online resource locator that lists physicians who treat patients with opioid use disorder with buprenorphine (a semi-synthetic opioid used to treat narcotics use disorders). Site visitors can search for physicians authorized to provide medication-assisted treatment with buprenorphine by city, state, or ZIP code. and substance abuse/dependence?- Georgia Department of Behavioral Health and Developmental DisabilitiesProvides information on prevention and treatment of substance use disorders during and immediately after a disaster. events and services for persons with co-occurring substance abuse and mental health disorders ?- U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (HHS, SAMHSA)This tip sheet discusses the needs of people with co-occurring mental and substance use disorders after a disaster. It also covers topics for people who interact and work with these populations. National Helpline - Substance Abuse and Mental Health Association (SAMHSA)A confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. use disorders and disasters?- New York State Office of Alcoholism and Substance Abuse ServicesThis webpage describes the issue of substance use disorders after a disaster. It explains the strong correlation between trauma and substance use disorders. It also lists the warning signs of a substance use problem and notes when to seek help. for first responders: Possible alcohol and substance abuse indicators?- U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (HHS, SAMHSA)This tip sheet describes indicators and warning signs that are often associated with alcohol and other substance use disorders. These tips are useful for disaster and emergency response workers in determining whether disaster survivors need referral for further substance use/misuse assistance., medicación y el consumo de drogas después de un desastre [Spanish] - National Child Traumatic Stress Network (NCTSN)This tip sheet gives information about the increase of alcohol, medication, and drug consumption after disasters and how to cope. a su Adolescente a enfrentarse al estrés traumático y abuso de sustancias [Spanish] – National Child Traumatic Stress Network (NCTSN)A brochure to help parents and guardians who believe their teenagers may be experiencing problems as a result of traumatic stress and substance abuse. HYPERLINK "" Cómo identificar el abuso de sustancias en la comunidad de socorristas [Spanish] -Administración de Servicios para el Abuso de Sustancias y la Salud Mental (SAMHSA)This fact sheet describes for disaster response workers warning signs of substance use disorders. It also reviews specific indicators (including physical, emotional, social, behavioral, and mental) and highlights when people should seek help. The English-language version is available at: HYPERLINK "" El uso de drogas para manejar el estrés y el cambio [Spanish] – National Child Traumatic Stress Network (NCTSN)This brochure provides information about the issue of substance use disorders after a disaster and explains the connection between trauma and substance use disorders.ón sobre la Buprenorfina [Spanish] – Administración de Servicios para el Abuso de Sustancias y la Salud Mental (SAMHSA)This brochure provides information about buprenorphine (a semi-synthetic opioid used to treat narcotics use disorders) and resources to locate community networks and other organizations providing assistance for patients with substance abuse disorders. y lugares donde se puede acudir para solicitar ayuda [Spanish] - Administración de Servicios para el Abuso de Sustancias y la Salud Mental (SAMHSA)This website provides an online resource locator with organizations and places that provide intervention and prevention assistance for substance use disorders. HYPERLINK "" ón de la Sobredosis de Opioides [Spanish] – Administración de Servicios para el Abuso de Sustancias y la Salud Mental (SAMHSA)Brochure providing safety tips for patients and family members and essential steps for first aid personnel about opioid overdose. Integrado de Intervención en Crisis (Línea PAS) [Spanish] - Administración de Servicios de Salud Mental y Contra la Adicción (ASSMCA)This webpage provides information about the PAS Line, a telephone network (1-800-981-0023) (1-888-672-7622 TDD) providing assistance 24 hours a day, 7 days a week by a multidisciplinary team of health professionals. para Adultos: Programa de Tratamiento con Metadona [Spanish] - Administración de Servicios de Salud Mental y Contra la Adicción (ASSMCA)This webpage provides an online resource locator listing clinics that provide access to the Methadone Treatment Program, an integral part of the services offered by the Auxiliary Treatment Administration, developed to meet the needs of people with opioid addiction disorders in an outpatient setting. stress and substance use problems [Spanish] - International Society for Traumatic Stress Studies (ISTSS)This brochure explains how substance use can affect those who have witnessed a traumatic event. The English-language version is available at: ? HYPERLINK "" HYPERLINK "" ### ................
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