The Nebraska Disaster Recovery Adults 2020-21 Project will serve adults with mental health or substance abuse issues in 23 Nebraska counties with Individual Assistance Declarations under FEMA-4420-DR. This project will extend mental health access by providing trainings to recognize and respond to adults with behavioral health issues, educate the workforce on disaster related mental health issues, and provide treatment vouchers to those within impacted areas.
Interventions: Access to behavioral health treatment services will be augmented through vouchers accessible through the statewide Rural Response Hotline (RRH). Experienced RRH staff will refer callers to appropriate services, and distribute vouchers. Crisis counselors working in communities will refer individuals to the RRH for access to vouchers as needed. A pool of funds for recovery support services will help reduce barriers for those receiving vouchers to access services, by providing childcare, transportation, and other services as needed. Workforce development will include training in Post-Disaster Cognitive Behavioral Therapy for treatment providers, and Adult Mental Health First Aid (MHFA) training of trainers. Crisis Counselors will work to foster community relationships and knowledge of disaster recovery processes, and to link individuals and families impacted by the disaster to community resources.
Goals & Objectives: We anticipate providing 1200 adults with access to direct behavioral health treatment (800 in year 1, and 400 in the six months of year 2); 3000 adults (2000 in year 1 and 1000 in the six months of year 2) through direct crisis counseling contacts in the community; and 360 (240 in year 1 and 120 in the six months of year 2) through Mental Health First Aid trainings . Goal 1: Community members are able to recognize signs of mental illness and substance use and respond with immediate support and assistance. Objective 1.1: By September 1, 2020, hold Adult Mental Health First Aid training-of-trainers. Objective 1.2: By September 2021, hold a minimum of 12 trainings (average of one per month after training-of-trainers) in Mental Health First Aid across disaster-impacted counties (some trainings will involve multiple counties). Goal 2: Increase access to mental health and substance use treatment services throughout the catchment area. Objective 2.1: By September 2021, issue 1200 vouchers through Hotline. Goal 3: Increase ability of clinicians to provide disaster-specific treatment to individuals in order to form an appropriate plan of services. Objective 3.1: Provide training in CBT-PD to 30 clinicians by December 2020. Goal 4: Increase communities’ ability to understand disaster reactions and recovery. Objective 4.1: Region Disaster Crisis Counselors provide education and information through 3,000 outreach contacts (one-on-one education, individual crisis counseling, group counseling, public presentations).