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HURRICANE SANDY: Integrating Clinical and Spiritual Care. Melanie Goldberg, LMSW Planning Associate, Caring Commission UJA-Federation of New York. TAKE-AWAYS: Themes of Presentation. Trauma as spiritual opener Trauma as multi-dimensional Trauma as community-based. - PowerPoint PPT Presentation
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HURRICANE SANDY: Integrating Clinical and
Spiritual CareMelanie Goldberg, LMSW
Planning Associate, Caring CommissionUJA-Federation of New York
TAKE-AWAYS:Themes of Presentation
Trauma as spiritual opener
Trauma as multi-dimensional
Trauma as community-based
SETTING THE STAGE:A City in Crisis
SETTING THE STAGE:Initial Needs and Response
17 Million
Long Island WestchesterNew York City
HUNGER ISOLATION POVERTY
LOSS OF POWER INSTABILITY DISPLACEMENT
$14 Million
Synagogues Day SchoolsAgencies
281,000 meals
270,000 bottles of water
Cash assistance for 2,000 people
Supplies for 30,000 people
Social work support for
25,500 people
Cleanup for 4,000 homes
ONE YEAR LATER:Post-Traumatic Stress Disorder (PTSD)
Red = High Exposure/DisplacementPurple = Low Exposure
Levels of PTSD following a Natural Disaster
Neria, Y., Nandi, A., & Galea, S. (2007). Post-traumatic stress disorder following disasters: A systematic review. Psychological Medicine. pp. 1-14
• 22%• 9%
6-12 Months • 19%
• 3%
12-36 Months
ONE YEAR LATER:Ongoing Needs
fear
anxiety loss
depression loneliness
frustration
anger panic
stress
confusion
pain
helplessness
ONE YEAR LATER:Case Example
“Everyone tells me I should be happy to have a new dishwasher, a new sofa… but I want to be able to open my kitchen drawer and pull out my favorite spoon to cook with;
it had an olive wood handle; I got it from Israel and it meant so much to me.”
ONE YEAR LATER:Case Example
fear
anxiety loss
depression loneliness
frustration
anger panic
stress
confusion
pain
helplessness
A TRADITIONAL DIVIDE:Mental Health and Spiritual Care
Mental Health
Spirituality
THE CASE FOR COHESION:Clinical and Spiritual Care
Spirituality and Social Work, Dialogue and Universalism, 2006
Spirituality and Psychiatry [book], 2009
Introducing Spirituality, Religion, and Culture Curricula in the Psychiatry Residence Program, Medical Humanities, 2010
Practitioners’ Understandings of Spirituality: Implications for Social Work Education, Journal of Social Work Education, 2010
Training and Education in Religion/Spirituality within APA-Accredited Clinical Psychology Programs: 8 Years Later, Journal of Religion and Health, 2011
Spirituality in Social Work and Education: Theory, Practice, and Pedagogies, Social Work Education: The International Journal, 2013
Religion and Spirituality in Psychiatry [book], 2009
OUR APPROACH:Holistic Community-Based Care
Mental Health and
Spiritual Care Providers
Client
Case Managers
Social Workers
Program Directors
Rabbis, teachers, and other
leaders
TAKE-AWAYS:Themes of Presentation
Trauma as spiritual opener
Trauma as multi-dimensional
Trauma as community-based
Illness as spiritual opener
Illness as multi-dimensional
Illness as community-based
Stress as spiritual opener
Stress as multi-dimensional
Stress as community-based
Divorce as spiritual opener
Divorce as multi-dimensional
Divorce as community-based