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Family Assistance Center
Mini Conference
Gateway Baptist Church,
Montgomery, Alabama
May 15, 2014
1
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
5/15/2014
Family
Assistance
Center
Optimal Planning Assumptions
• There has been an event
• Decedents (Maximum):
– 30 Decedents (or presumed decedents)
– 6 Family Members (FM) per decedent
• Staff (Assuming 100% participation on stand-up)
– 30 FARs; 10 AMIs; 5 Exec. Staff; 5 ADMINs
• Setup – WIFI (ADFS) Compatible w/ADFS
network
2
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
5/15/2014
Mission of the FAC Team Member
• To provide for and respond to the emotional,
psychological and spiritual needs of FMs
• To provide administrative support
• To assist the Coroner/Medical Examiner
(ME/C) in obtaining ante mortem information
for decedent identification
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
3
The Need for the FAC
• People are dead or missing
• Other people are looking for them
• They surge or attempt to call the site, LE and
FD, hospitals , 911, and ME/C.
• FAC deflects some of this surge
• FAC can take care of the decedents’ FMs
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
4
Primary Goals of a FAC
• Provide a private and secure place
• Protect families from media and curiosity seekers
• Facilitate information exchange among ME/C,
other agencies and the families
• Assist the ME/C can obtain data
• Address families’ informational, psychological,
first aid, and logistical needs
• Facilitate ME/C death notifications
• Reunite families with decedents
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
5
Maslow’s Hierarchy of Need
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
6
SMORT/FAC Partners
• ME/C and locals
• ADFS
• ADPH
• LE(includes FBI)
• Fire Dept.
• Baptist Disaster
• ADMH/MR
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
7
•EMS and EMA
•Schools
•Spiritual care providers
•Cultural leaders
•Businesses
•Military
•Feds: NTSB, DMORT
Key Terminology
• SMORT
• Family
• Antemortem Data
• DMORT
• Family Interview
• Reunification
• Victim Identification Profile
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
8
Guiding Principles
• Serve and support families not “fix” them
• Support the continuum of emergency
response
• Families will all grieve differently
• Establish relationships and build systems
• Mass casualty incidents are highly sensitive,
not all are suited to be in FAC environment
• “Simper Gumby” (Simper Mollis)
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
9
Information for Families
• Principal source of information for FMs
• General Briefings
• Info on memorials
• No contact with media
• No releasing of family or decedent names or
information
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
10
Site Selection Considerations
• Local authorities will determine sites dictated
by location of event and security needs
• Sites should be preselected (maybe . . . not)
• Hotel, school, or community center optimal
• Church acceptable
• Appropriate infrastructure
– Power, HVAC, toilets, communications
– Sized appropriately – large and small rooms
– Availability of EMT service
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
11
Optimal FAC (Only) Setup
Exclusive of ADFS Facilities
Entrance Hall Large Meeting Room
Quiet Lounge Food Service
TV Area Children’s Area
Chapel/
Counseling
Family
Interview
Family
Interview
Family
Interview
Family
Interview
Message
Monitor/
Roll Stand
12
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
5/15/2014
Doors
Single Large Area Layout
Lounge/Food
Table + 6 Chairs (T+6)
T+6 T+6 T+6 T+6
T+6T+6T+6T+6
T+3
Presentation
Table
Family Interview Areas
Family Interview Areas
Message
Monitor/
Roll Stand
T+3
Quiet /Chapel Area
Portable Dividers
13
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
5/15/2014
Reception and Registration
• ADMINs check in, greet and tour FMs
• FARs meet FMs and begin to work with FMs
• FMs check-in/check-out and badging required
• AMIs will eventually perform VIP interview
• All staff support ME/C
• ADMINs assist Chief Culpepper w/security
• Absolutely no media or social media in or out!
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
14
Demobilization/Debriefing
• When the last decedent is reunified with FM
• Or, as otherwise directed
• Give notice to FMs
• “Psychologically debrief” staff
• “Hotwash” follows afterwards
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
15
FAC Staff
• FACED - Director
• DeFACED - Deputy Director
• FARs - Family Assistance Reps
• ChoPPs - Chief of Pro. Personnel
• AMIs - Antemortem Interviewers
• Ops - Chief of Operations
• ADMINs - Administrative Assistants
• CoLog - Chief of Logistics
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
16
General Responsibilities/Training
• Register with “Alabama Responds”
• Notification process – 2 calls
• Possible deployment in “GO” Teams based on
size/nature of event, geography and discipline
• Keep info current/inform of resignations
• Training
– FEMA IS-100 or IS-100b
– FEMA IS-200 or IS-200b
– Combat Operation Stress Control - Baptists
– Psychological First Aid
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
17
ADMINs and Reception and
Registration at the FAC
• Welcome and greet/redirect FMs
• Perform intake procedures
• Supervise check in/out of FMs and Staff
• Assist with security and “roam” facility
• Orient FMs to FAC mission, staff and facilities
• Assign FAR to FM
• ADMINs report to CoLog
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
18
Family Briefings
• Will be honest and non-speculative, sensitive
• Used to dispel rumors and misinformation
• Scheduled and unscheduled
• All FMs get same information
• Forum for ME/C or LE to update
• Answer questions or “don’t know”
• Help maintain a consistent process
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
19
Ante Mortem Victim Identification
Services (AMIs)
• AMIs interview > one family using VIP form
– Laptop or Paper, then input to ADFS system
– Plan on 2-3 hour interview (it’s not simple)
– Requires good interview and people skills
– Private room or area
• AMIs report to OPPs
• ADFS matches ante and postmortem data
• ME/C calls a match
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
20
Family Assistance Representatives
• Serve FMs with emotional support/guidance
• One FAR is assigned to a family
• Meet the FM needs, however FARs do not
provide specialized religious, financial or
mental health counseling
• Where ad’l counseling needed, FAR, through
ChoPPs obtains such services from EMA
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
21
FAR Responsibilities
• Report to the Chief of Professional Personnel
• Assist FMs with grief reactions.
• Provide Psychological First Aid as needed
• Make referrals as requested or as indicated
• Provide PFA and grief educational
• Cooperate with and assist ME/C and AMIs in
obtaining antemortem data
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
22
FARs Address FMs With
Using principles of PFA and COSC, FARs
address with FMs:
• Safety
• Calming
• Connectedness
• Self and community efficacy
• Hope
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
23
Core FAR Objectives
• Assess physical and emotional safety of FMs
• Gather preliminary data on FMs
• Assess emotional/physical stability of FMs
• Assess practical assistance necessary
• Determine the need for referral
• Acquaint FMs with coping skills
• Advise ChoPPs and FACED of FM needs
• Use PFA Provider worksheet as a guide
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
24
Ancillary Services
• First Aid – EMS
• Childcare – May be Baptist Disaster Services
or as supplied by EMA
• Death notifications by ME/C
• Food service
• Translation services
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
25
ADMINs and Equipment
• ADMINs, under direction of CoLog serve as
advanced party
• ADMINs set up the FAC according to floor
plan utilizing on-site, EMA or FAC equipment
• ADMINs take charge of, transport, deploy,
and demobilize FAC equipment
• ADMINs assist CoLog in maintaining FAC
equipment
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
26
Table of Equipment (TOE)
Folding Tables – Light Fiberglass 12
Chairs, Light - Folding or Stackable 66
Dividers, Light wt., foldable 10
Subnotebook computers 12
32” Smart HD Monitor (message bd.) w/wheeled AV cart 1
MIFI units online w/data plan (assuming no ADFS WIFI) 2
Portable Podium 1
Towable trailer 1
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
27
Resources to Download
• For resources, click your browser to
http://www.wuala.com/
• Download the program for PC or mobile device
• Log on as “jwible15”
• Password is “Disaster1” (It is case sensitive.)
• Open the public folder, “Disaster1”, Documents, FAC.
There you will have access to the following:
– COSC complete,
– DMORT interview form,
– psychological first aid manual,
– SMORT Code of Conduct,
– The FAC (SMORT) Operations Plan, and
– The paper and this .pptx presentation.
5/15/2014
SMORT/FAC, 2014
Prepared by John R. Wible, FACED
28
For A Copy of the Presentation
• See “Family.Assistance .Center” a download
on Slideshare 7 
– http://www.slideshare.net/jwible
• Also, follow me on Facebook
John R. Wible, 2013 29
 

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Gbc.fac.mini.05.14

  • 1. Family Assistance Center Mini Conference Gateway Baptist Church, Montgomery, Alabama May 15, 2014 1 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 5/15/2014 Family Assistance Center
  • 2. Optimal Planning Assumptions • There has been an event • Decedents (Maximum): – 30 Decedents (or presumed decedents) – 6 Family Members (FM) per decedent • Staff (Assuming 100% participation on stand-up) – 30 FARs; 10 AMIs; 5 Exec. Staff; 5 ADMINs • Setup – WIFI (ADFS) Compatible w/ADFS network 2 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 5/15/2014
  • 3. Mission of the FAC Team Member • To provide for and respond to the emotional, psychological and spiritual needs of FMs • To provide administrative support • To assist the Coroner/Medical Examiner (ME/C) in obtaining ante mortem information for decedent identification 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 3
  • 4. The Need for the FAC • People are dead or missing • Other people are looking for them • They surge or attempt to call the site, LE and FD, hospitals , 911, and ME/C. • FAC deflects some of this surge • FAC can take care of the decedents’ FMs 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 4
  • 5. Primary Goals of a FAC • Provide a private and secure place • Protect families from media and curiosity seekers • Facilitate information exchange among ME/C, other agencies and the families • Assist the ME/C can obtain data • Address families’ informational, psychological, first aid, and logistical needs • Facilitate ME/C death notifications • Reunite families with decedents 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 5
  • 6. Maslow’s Hierarchy of Need 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 6
  • 7. SMORT/FAC Partners • ME/C and locals • ADFS • ADPH • LE(includes FBI) • Fire Dept. • Baptist Disaster • ADMH/MR 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 7 •EMS and EMA •Schools •Spiritual care providers •Cultural leaders •Businesses •Military •Feds: NTSB, DMORT
  • 8. Key Terminology • SMORT • Family • Antemortem Data • DMORT • Family Interview • Reunification • Victim Identification Profile 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 8
  • 9. Guiding Principles • Serve and support families not “fix” them • Support the continuum of emergency response • Families will all grieve differently • Establish relationships and build systems • Mass casualty incidents are highly sensitive, not all are suited to be in FAC environment • “Simper Gumby” (Simper Mollis) 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 9
  • 10. Information for Families • Principal source of information for FMs • General Briefings • Info on memorials • No contact with media • No releasing of family or decedent names or information 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 10
  • 11. Site Selection Considerations • Local authorities will determine sites dictated by location of event and security needs • Sites should be preselected (maybe . . . not) • Hotel, school, or community center optimal • Church acceptable • Appropriate infrastructure – Power, HVAC, toilets, communications – Sized appropriately – large and small rooms – Availability of EMT service 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 11
  • 12. Optimal FAC (Only) Setup Exclusive of ADFS Facilities Entrance Hall Large Meeting Room Quiet Lounge Food Service TV Area Children’s Area Chapel/ Counseling Family Interview Family Interview Family Interview Family Interview Message Monitor/ Roll Stand 12 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 5/15/2014 Doors
  • 13. Single Large Area Layout Lounge/Food Table + 6 Chairs (T+6) T+6 T+6 T+6 T+6 T+6T+6T+6T+6 T+3 Presentation Table Family Interview Areas Family Interview Areas Message Monitor/ Roll Stand T+3 Quiet /Chapel Area Portable Dividers 13 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 5/15/2014
  • 14. Reception and Registration • ADMINs check in, greet and tour FMs • FARs meet FMs and begin to work with FMs • FMs check-in/check-out and badging required • AMIs will eventually perform VIP interview • All staff support ME/C • ADMINs assist Chief Culpepper w/security • Absolutely no media or social media in or out! 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 14
  • 15. Demobilization/Debriefing • When the last decedent is reunified with FM • Or, as otherwise directed • Give notice to FMs • “Psychologically debrief” staff • “Hotwash” follows afterwards 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 15
  • 16. FAC Staff • FACED - Director • DeFACED - Deputy Director • FARs - Family Assistance Reps • ChoPPs - Chief of Pro. Personnel • AMIs - Antemortem Interviewers • Ops - Chief of Operations • ADMINs - Administrative Assistants • CoLog - Chief of Logistics 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 16
  • 17. General Responsibilities/Training • Register with “Alabama Responds” • Notification process – 2 calls • Possible deployment in “GO” Teams based on size/nature of event, geography and discipline • Keep info current/inform of resignations • Training – FEMA IS-100 or IS-100b – FEMA IS-200 or IS-200b – Combat Operation Stress Control - Baptists – Psychological First Aid 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 17
  • 18. ADMINs and Reception and Registration at the FAC • Welcome and greet/redirect FMs • Perform intake procedures • Supervise check in/out of FMs and Staff • Assist with security and “roam” facility • Orient FMs to FAC mission, staff and facilities • Assign FAR to FM • ADMINs report to CoLog 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 18
  • 19. Family Briefings • Will be honest and non-speculative, sensitive • Used to dispel rumors and misinformation • Scheduled and unscheduled • All FMs get same information • Forum for ME/C or LE to update • Answer questions or “don’t know” • Help maintain a consistent process 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 19
  • 20. Ante Mortem Victim Identification Services (AMIs) • AMIs interview > one family using VIP form – Laptop or Paper, then input to ADFS system – Plan on 2-3 hour interview (it’s not simple) – Requires good interview and people skills – Private room or area • AMIs report to OPPs • ADFS matches ante and postmortem data • ME/C calls a match 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 20
  • 21. Family Assistance Representatives • Serve FMs with emotional support/guidance • One FAR is assigned to a family • Meet the FM needs, however FARs do not provide specialized religious, financial or mental health counseling • Where ad’l counseling needed, FAR, through ChoPPs obtains such services from EMA 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 21
  • 22. FAR Responsibilities • Report to the Chief of Professional Personnel • Assist FMs with grief reactions. • Provide Psychological First Aid as needed • Make referrals as requested or as indicated • Provide PFA and grief educational • Cooperate with and assist ME/C and AMIs in obtaining antemortem data 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 22
  • 23. FARs Address FMs With Using principles of PFA and COSC, FARs address with FMs: • Safety • Calming • Connectedness • Self and community efficacy • Hope 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 23
  • 24. Core FAR Objectives • Assess physical and emotional safety of FMs • Gather preliminary data on FMs • Assess emotional/physical stability of FMs • Assess practical assistance necessary • Determine the need for referral • Acquaint FMs with coping skills • Advise ChoPPs and FACED of FM needs • Use PFA Provider worksheet as a guide 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 24
  • 25. Ancillary Services • First Aid – EMS • Childcare – May be Baptist Disaster Services or as supplied by EMA • Death notifications by ME/C • Food service • Translation services 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 25
  • 26. ADMINs and Equipment • ADMINs, under direction of CoLog serve as advanced party • ADMINs set up the FAC according to floor plan utilizing on-site, EMA or FAC equipment • ADMINs take charge of, transport, deploy, and demobilize FAC equipment • ADMINs assist CoLog in maintaining FAC equipment 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 26
  • 27. Table of Equipment (TOE) Folding Tables – Light Fiberglass 12 Chairs, Light - Folding or Stackable 66 Dividers, Light wt., foldable 10 Subnotebook computers 12 32” Smart HD Monitor (message bd.) w/wheeled AV cart 1 MIFI units online w/data plan (assuming no ADFS WIFI) 2 Portable Podium 1 Towable trailer 1 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 27
  • 28. Resources to Download • For resources, click your browser to http://www.wuala.com/ • Download the program for PC or mobile device • Log on as “jwible15” • Password is “Disaster1” (It is case sensitive.) • Open the public folder, “Disaster1”, Documents, FAC. There you will have access to the following: – COSC complete, – DMORT interview form, – psychological first aid manual, – SMORT Code of Conduct, – The FAC (SMORT) Operations Plan, and – The paper and this .pptx presentation. 5/15/2014 SMORT/FAC, 2014 Prepared by John R. Wible, FACED 28
  • 29. For A Copy of the Presentation • See “Family.Assistance .Center” a download on Slideshare 7  – http://www.slideshare.net/jwible • Also, follow me on Facebook John R. Wible, 2013 29  