Table 2.

Level of proposed mental health services delivery by type of climate-related event.

IOM Service Categories and Approaches		Climate-Related Events
		Acute	Subacute	Long-Lasting
Prevention	Universal	PFA IMHD Mapping Tier 1–2 training SFP	MHFA CORES Advocacy Adaptation Mapping Tier 1–2 training	Risk communication Ecotherapy Psychosocial resilience Tier 1–2 training
	Selective	SFP Tier 1–2 training	Suicide prevention Heat exposure interventions Tier 1–2 training
	Indicated	Tier 1–3 training PM+ SPR SOLAR	Tier 1–3 training PM+ SPR SOLAR	Tier 1–3 training PM+ SPR SOLAR
Treatment	Standard	CBITS BBN TF-CBT CPT CBT-PD NET EMDR CBT for Anxiety and Depression Tier 3-4 training	CBITS BBN TF-CBT (conflict) CPT (conflict) CBT-PD (conflict) NET (conflict) EMDR (conflict) CBT for Anxiety and Depression Tier 3-4 training	CBITS BBN CBT for Anxiety and Depression Tier 3–4 training

Legend: BBN = bounce back now, CBITS = Cognitive-behavioral intervention for trauma in schools, CBT-PD = cognitive-behavioral therapy-post disaster, CORES = community response to eliminating suicide, CPT = cognitive processing therapy, EMDR = eye movement desensitization and reprocessing, IMHD = integrated mental health and disaster, MHFA = mental health first aid, NET = narrative exposure therapy, PFA = psychological first aid, PM+ = problem management plus, SOLAR = skills for life adjustment and resilience, SFP = Strengthening families program, SPR = skills for psychological recovery, tier 1 training = general training in core knowledge, attitudes and skills; tier 2 training = more advanced training for those who deliver PFA, basic psychological therapies and assessment; Tier 3 training = specialist training; tier 4 training = advanced specialist training. TF-CBT = trauma-focused cognitive behavioral therapy. Conflict refers to use in conflict settings.