MPS Disaster Psychiatry Committee Request

Hurricane Katrina has ravaged the gulf coast and has left hundreds of thousands of lives irrevocably changed in its wake. One concerning aspect of the response was lack of basic coordination on the part of the nation’s psychiatrists (and various psychiatric agencies). The MPS Disaster Psychiatry Committee would like to ascertain the level of interest in disaster response from the general membership. Please answer the following questions as they pertain to a disaster in Maryland, or the DelMarVa region. Your participation will allow us to plan a more coordinated psychiatric response.

Would you be willing to consider providing emergency psychiatric services following a disaster?

_________Yes _________No

Have you had training to provide acute psychiatric services following a disaster?

_________Yes __________No

If not, would you be willing to get training?

_________Yes __________No

How much notice would you need to be available to provide psychiatric services after disaster?

_________24 hours _________1-5days _______one week

How long can you commit to being available to provide services after disaster?

_____3 days ______1 week _____2 weeks

What are the prohibitive factors that would exclude you from participating?

Please list: ______________________________________________________________________________

______________________________________________________________________________

What are your remuneration requirements? (if less than 5 sessions)

___________pro bono ________sliding scale __________full fee

What are your remuneration requirements? (if more than 5 sessions)

___________pro bono ________ sliding scale ___________full fee

_______________________________________

Name

Please return to the MPS at 1101 St. Paul Street, Suite 305 Baltimore, MD 21202-6407 or fax to 410-625-0277. Thank you!

Cheryl Person, M.D., Chair

Disaster Psychiatry Committee