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Crisis Counseling Assistance and Training Program (CCP)

Regular Services Program (RSP)Phasedown Training

Revised 2/2013

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Introductions

Please introduce yourself by sharing the following:

Your name

Your role or position in the CCP

One thing you have appreciated about being a part of this CCP

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Objectives

After this training, participants will be able to do the following:

Identify the issues associated with phasedown.

Identify remaining survivor and community needs.

Implement strategies to address remaining needs.

Identify strategies to address staff needs related to phasedown.

Adapt public education and media messaging for phasedown.

Describe the CCP’s legacy for survivors, the community, and the staff.

Help develop a written phasedown plan.

Assist with the preparation of the CCP Final Report.

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Agenda

Morning

Welcome and Introductions

Objectives and Agenda

Section 1: Phasedown Components

Section 2: Assessing and Addressing Remaining Survivor Needs

Break

Section 3: Assessing and Addressing Staff Needs

Afternoon

Section 4: Revising Public Education and Media Plans

Section 5: Leaving a Legacy

Break

Section 6: Program Final Report

Section 7: Phasedown Plan

Applying Your Learning and Course Evaluation

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Guidelines for Working Together

Keep time (start on time, return from breaks on time, end on time).

Switch mobile phones off or to “vibrate.”

Participate fully.

Ask questions freely.

Balance talking and listening.

Respect each other’s points of view.

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Section 1—Phasedown Components

Phase of Disaster 

Key Concepts

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Session Objective

Identify the issues associated with phasedown.

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Phase of Disaster What phase of the disaster are you in?

Source: Zunin/Meyers, as cited in  U.S. Department of Health and Human Services.  (2000).  Training manual for mental health and human service workers in major disasters (DHHS Publication 90–538).  Washington, DC: U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration , Center for Mental Health Services.

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Key Concepts

The CCP should:

Support, but not replace, community infrastructure. 

Transition services to local organizations.

Facilitate community ownership of meeting the needs of survivors.

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Key Concepts (cont.)

Revise public education and media plans to reflect phasedown efforts.

Use public education and media messaging to deliver a message of hope, recovery, and resilience for individuals and the community.

Prepare individuals, community, and staff for program phasedown.

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Section 2—Assessing and Addressing Remaining Survivor Needs

Assessing and Addressing Individual Needs

Assessing and Addressing Community Needs

Identifying Community Service Capacity

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Session Objectives

Identify remaining survivor and community needs.

Implement strategies to address remaining needs.

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Assessing and Addressing Individual Needs

How many individuals are we still serving?

How many of these individuals need referrals to existing services?

How will we identify existing services and make referrals?

How will we transition them to existing services?

How will we determine when an individual will not need referral?

How will we handle newly identified survivors who may request services?

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Assessing and Addressing Individual Needs (cont.)

Crisis counselors should:

Help survivors reflect on the progress they have made.

Assist survivors in reflecting on the coping skills that have been most useful. 

Encourage survivors to continue to set and prioritize goals.

Use public education and media messaging to promote a message of hope, recovery, and resilience.

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Assessing and Addressing Individual Needs (cont.)

Ensure that survivors are aware of existing services and knowledgeable about referral mechanisms.

Continue to utilize public messaging and distribution of educational materials to communicate how to access resources.

Engage survivors in assessing their need for substance abuse and mental health services.

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Assessing and Addressing Community Needs

Discuss experiences, and analyze data collected in order to:

Determine populations and areas with remaining needs.

Identify special populations with remaining needs.

Identify those who are in need but have not accepted services.

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Assessing and Addressing Community Needs (cont.)

Inform the community about the project phasedown.

Inform community service providers of the transitioning of services.

Enhance community-resilience activities and distribution of educational materials.

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Assessing and Addressing Community Needs (cont.)

Meet with community organizations to provide opportunities for partnerships and lasting relationships.

Participate in community events that support recovery and resilience.

Plan a public messaging campaign that:

Announces the project phasedown, while emphasizing the completion of the goals by the time-limited CCP

Acknowledges progress toward recovery

Provides information about available community resources

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Identifying Community Service Capacity

Reengage behavioral health providers to identify available services and educate them about survivor behavioral health needs.

Reengage local disaster-related organizations, including faith-based groups, to identify available services and inform them of remaining survivor needs.

Ensure there is a mechanism available to the public to access needed services, such as a local hotline.

Inform individuals and community groups about available resources once the CCP has ended through  public education and media messaging.

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Working Group Task Slide

Choose the topic you are most interested in: individual needs, community needs, community service capacity.

Each working group will have three or four questions to discuss—see the questions listed in your workbook.

You’ll have 30 minutes for your discussion.

Choose a facilitator to guide the discussion, a recorder to capture key points, and a reporter to present highlights and actions items.

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Section 3—Assessing and Addressing Staff Needs

Assessing Staff Needs

Addressing Staff Needs

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Session Objective

Identify strategies to address staff needs related to phasedown.

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Assessing Staff Needs		

Consider the following:

Separation from valued work

Ending of relationships with disaster survivors and coworkers

Decreased morale as the program comes to an end

Job loss and new job search

Returning to non-disaster work

Stress related to disaster work and phasedown

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Assessing Staff Needs	(cont.)

What personal concerns do you have about the ending of the project?

What are your needs as the project comes to a close?

Make notes on the worksheet in your workbook. 

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Table Task	

Consider the list of concerns and needs generated.

What recommendations do you have for program management?

Brainstorm a list of recommendations.

Choose two or three to report back.

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Addressing Staff Needs

Ensure that staff are aware of the project end date.

Provide organized opportunities for staff to share experiences and accomplishments.

Connect staff with employment resources (e.g., résumé writing or job search workshops).

Provide references for new jobs.

Arrange for events or ceremonies to recognize program and staff achievements.

Encourage staff to continue stress management and self-care.

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Section 4—Revising Public Education and Media Plans

Assessing and Revising Public Education Strategies

Assessing and Revising the Media Plan

Developing Talking Points

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Session Objective

Adapt public education and media messaging for phasedown.

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Assessing and Revising Public Education Strategies

What community leaders and groups need to be educated about phasedown?

What strategies should be used to reach them?

What are the messages we want to convey?

How will we convey these messages through public education?

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Assessing and Revising the Media Plan

What is the current media plan?

What messages have been conveyed?

What messages need to be conveyed during phasedown?

Who should be involved in developing and implementing the revised plan?

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Developing Talking Points

Talking points should convey:

Information about availability of CCP services

Information about phasedown and transitioning of services with announcement of end date

Education about the status of community recovery with an emphasis on resilience and hope

Highlights of program successes through survivor stories

Cultural sensitivity

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Working Group Sessions

Choose which topic you want to discuss: public education, media plan, or talking points.

The questions to be addressed by each working group are listed in your workbook.

You have 30 minutes for your discussion.

Identify a facilitator to guide the discussion, a recorder to capture the key points on a tear sheet, and a reporter to present the highlights.

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Section 5—Leaving a Legacy

What Is a Legacy?

Legacy for Survivors

Legacy for the Community

Personal Legacy

Legacy for Staff

Strategies for Leaving a Legacy

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Session Objective

Describe the CCP’s legacy for survivors, the community, and the staff.

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What Is a Legacy? 

What does “legacy” mean?

Whom is the legacy meant to affect?

What are some tangible expressions of the legacy?

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Legacy for Survivors and the Community

For the group assigned to your table—either survivors or the community—discuss:

What is the legacy of this program for them?

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Legacy for Survivors

Understanding of the behavioral health effects of disaster

Improved coping skills

Knowledge of community resources

Skills to access existing supports

The establishment of personal rituals

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Legacy for the Community

A cadre of staff trained in disaster behavioral health response

A more collaborative provider network

A community that is better educated about disasters and their behavioral health effects

Enhanced resilience

Established rituals and commemorations

Community organizations better informed about survivors’ practical needs

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Personal Legacy	

Individually, reflect on:

What have I done to leave a legacy?

What would I like to do before the CCP is done?

Find a partner and share your responses with him or her.

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Legacy for Staff	

Improved skills 

Sense of satisfaction and self-worth

Improved coping and stress management skills

Community connections

Job opportunities

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Strategies for Leaving a Legacy

Create public health messages about recovery, social support, and hope.

Leave educational materials and self-help resources with community partners.

Include analysis of data and program best practices in the CCP Final Report.

Provide training and consultation to health providers, educators, and community leaders.

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Strategies for Leaving a Legacy (cont.)

Maintain a database of trained crisis counselors and partner agencies for use in future disasters.

Encourage low-cost or no-cost community projects and collaborations that can continue in an in-kind capacity. 

Determine if the hotline or helpline can continue to handle information and referrals.

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Section 6—Final Program Report

Why Is This Report Important?

Strategies for Contributing to the Report

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Session Objective

Assist with preparation of the CCP Final Report.

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Why Is This Report Important?		

A comprehensive CCP Final Report:

Tells the story of the disaster and the CCP

Identifies program highlights, accomplishments, and best practices

Documents programmatic and fiscal accountability

Provides recommendations to state and federal staff

Is an essential part of the legacy of the CCP

Becomes a public document

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Strategies for Contributing to the Report

The Final Report should “tell the story of the CCP.”

Include information about the state and all service providers.

Involve local provider staff in compiling the data and creating the “story.”

The Final Report should reflect the activities and accomplishments of the entire program.

Include information on program phasedown and legacy. 

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Strategies for Contributing to the Report (cont.)

Be familiar with the Final Report format.

Incorporate the vision of the program by:

Identifying its greatest accomplishments

Describing challenges and how they were overcome

Reflecting on how the community has benefited from the program

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Strategies for Contributing to the Report (cont.)

Discuss and document:

Program vision and accomplishments

Survivor success stories

Community success stories

Challenges and how they were addressed

Program best practices

Personal achievements of staff

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Planning to Contribute to the Final Report

For your group’s topic area, brainstorm one of the following:

Key points for that section of the Final Report

Actions to take to gather the information needed for that section of the report

Other instructions:

Take 10 minutes for your discussion.

Be prepared to report out to the rest of the group.

Record your ideas on a tear sheet.

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Section 7—Phasedown Plan

Role of Managers

Role of Crisis Counselors

Developing a Phasedown Plan

Communicating and Implementing the Phasedown Plan

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Session Objective

Help develop a written phasedown plan.

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Role of Managers

Managers should:

Analyze program data and assess provider activity to determine when to begin the formal phasedown process.

Elicit crisis counselor feedback on the status of survivor and community recovery.

Consider an early phasedown if there is a greatly reduced need.

Revise outreach and service-delivery approaches to accomplish phasedown.

Adjust staffing levels according to remaining need.

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Role of Managers (cont.)

Prepare the hotline/helpline for phasedown, and determine availability after phasedown.

Ensure that media messaging is appropriate to phasedown.

Clearly communicate the end date of the program.

Prepare final provider reports.

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Role of Crisis Counselors

Crisis counselors should:

Further identify survivor needs and available local resources.

Participate in unmet-needs or long-term care committee meetings.

Develop strategies for addressing continued service needs of survivors and special populations.

Prepare community organizations for transition of services from the CCP.

Continue distribution of educational and informational materials.

Adjust media messaging to reflect phasedown.

Prepare hotline staff for phasedown.

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Developing a Phasedown Plan

The phasedown plan should address:

Remaining survivor needs

Remaining community needs

Remaining needs of the staff and staffing issues

Strategies to address these needs

Final media messaging and public education

Final reporting activities

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Communicating and Implementing the Phasedown Plan

How should the phasedown plan be communicated to staff and other community stakeholders?

How can the CCP ensure effective implementation of the plan?

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Substance Abuse and Mental Health Services Administration (SAMHSA) Disaster Technical Assistance Center (DTAC)

SAMHSA DTAC supports SAMHSA’s efforts to prepare states, territories, and local entities to deliver an effective behavioral health response during disasters.

Toll-Free: 1-800-308-3515

E-mail: DTAC@samhsa.hhs.gov

Web: http://www.samhsa.gov/dtac 

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