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PLANNING FOR SPECIAL NEEDS

PLANNING FOR SPECIAL NEEDS. YOUR PRESENTERS: JENNY WILEY DEPT OF MENTAL HEALTH DANTE GLINIECKI SEMA VICKY DAVIDSON MISSOURI PLANNING COUNCIL FOR DEVELOPMENTAL DISABILITIES. SEMA Conference April 5, 2007. DHSS GRANTS. PUBLIC HEALTH PREPAREDNESS AND RESPONSE FOR BIOTERRORISM

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PLANNING FOR SPECIAL NEEDS

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  1. PLANNING FOR SPECIAL NEEDS YOUR PRESENTERS: JENNY WILEY DEPT OF MENTAL HEALTH DANTE GLINIECKI SEMA VICKY DAVIDSON MISSOURI PLANNING COUNCIL FOR DEVELOPMENTAL DISABILITIES SEMA Conference April 5, 2007

  2. DHSS GRANTS • PUBLIC HEALTH PREPAREDNESS AND RESPONSE FOR BIOTERRORISM • NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS

  3. Special Needs Task Force Steering Committee • Committees: • Committee I • Age, physical, mental, emotional, cognitive • Committee II • Cultural, ethnic, socio-economic status, language, citizenship status, homeless • Pediatric Advisory Committee The History

  4. Special Needs Definition Any individual, group, or community whose age, physical, mental, emotional, cognitive, cultural, ethnic, socio-economic status, language, citizenship status, or any other circumstance creates barriers to understanding or the ability to act/react in the manner in which the general population has been requested to proceed during all phases of emergency management.

  5. ACCOMPLISHMENTS • Networking • State Emergency Plan Annex for Special Needs Population • Co-Leads for the Annex • Local Planning Template • Standard Operating Guides

  6. Next Steps • Steering Committee continues to meet • Encourage planning at the local level • Provide consultation and educational trainings as requested • Include the Special Needs Population in State/Local Emergency Preparedness Exercises. • Train the Trainer • Functional Based

  7. Functional Based • Medical • Communication • Supervision • Functional Independence • Transportation • Response to guidance from public officials • FEMA is considering a draft definition of special needs defined as: need or needs of an individual that impact their ability to independently carry out the functions of daily living (functional vs. medical model)

  8. Local Planning • Local Planning Template • Resource Tool Kits • Children and Youth • http://www.dhss.mo.gov/PediatricToolkit/index.html • Culturally competent Disaster Planning Response • http://www.dhss.mo.gov/SpecialNeedsToolkit/index.html • Seniors and People with Disabilities • Regional Meetings • Special Needs Training (SEMA)

  9. Ice Storm: BolivarLessons Learned • Institute a call-back system for special needs • Clearly define what is a special needs shelter • Triage • Special medical equipment: COPD, oxy cylinder • Identify mental health needs • Function based sheltering • Persons with special needs have pets too • “Special” special needs population • Domestic violence victims • Children in foster care – behavioral issues • Bariatrics (Springfield)

  10. Ice Storm: BolivarLessons Learned • Educate Public to take care of special needs population in home • Individual planning/contingency plans • Family members dropped off at shelter/uncomfortable caring for individuals • Define different levels of care • Shelter • Shelter in place • Registry • Public Information - hotlines

  11. Ice Storm: Region D • Shelters • Too many shelters – consider how to pre-plan and pre-position supplies • Lack of appropriate shelters due to power outages • Children – older adults – sexual offender (pre 95) • Due Diligence • Multi-agency Resource Centers – worked issues i.e. underprivileged children needing clothes/ clothes and vouchers for washing • Priority system for bulk distribution: from state ARC/EOC • National Guard: incredible resource • Define shelter vs. warming center • Emergency rooms – record numbers • Educate Faith Based Organizations about assisting • Neighborhood outreach teams • Build volunteerism in local communities • ARC is us

  12. Ice Storm: Region D • Special Needs: • No lead agency: Local EOCs; LPHAs • Need working definition of special needs/Triage • Transportation • Special Needs shelter: inadequate electrical supply/MSU had to return to school – need medical shelter • Personal preparedness: medicines/ bring own supplies/caregiver if available • Oxygen: 1 hospital: 1000 bottles filled • State law requiring prescription for oxygen • Durable medical equipment: bottles and regulators • FEMA Reimbursement issues for for-profit hospitals who sheltered special needs/ MOU through local EOC • Special waivers – nursing home to exceed licensed capacity

  13. Functional Based Need Special Needs Shelters Rescues Transportation Evacuation Facilities Registries Communications COAD – SNP Committee Individual Preparedness PLANNING FOR SPECIAL NEEDS Concepts of Operations

  14. CONCEPTS OF OPERATIONSFunctional Based Needs • New Concept of Operations from National Experts • Use Existing Functions to Meet Special Needs • Adapt Current Functions (Read Annex) to SNP • Example: Combo Mass and SNP Shelter

  15. CONCEPTS OF OPERATIONSSNP Shelter • Use the Functional Based Need Approach • Begin with Mass Care Shelters • Adapt Some Shelters for SNP Shelter • Create Combo Mass and SNP Shelter • See Example Table of Organization • Identify Lead Agency and Resources

  16. CONCEPTS OF OPERATIONSRescues • Pre-planning and Mitigation is the Best Practice – Rescue Becomes Unnecessary • Access Training and Resources for Rescue (see Toolkits at www.dhss.mo.gov) • Consider: • Registries • Transport • Impact on EMS Services • Consider All Resources (CILs, AAA, Senate Bill 40 Boards, etc.)

  17. CONCEPTS OF OPERATIONSTransport • Consider Accessible Transport (OATS, Senate Bill 40 Boards, etc) • Plan for Moving Adaptive Equipment • Assess Potential Needs and Size and Scope of SNP • Incorporate Partner Agencies • Arrange Contracts, Mutual Aid – MOUs in Advance • Watch for Double Committing Resources –Ex: Bus Company Obligated to 2 or More EMAs

  18. CONCEPTS OF OPERATIONSEvacuation • Plan for Individuals and Facilities • Appoint Lead Agency and Supports • Plan SNP Shelter Locations, Reception Centers, Feeding Sites • MOUs for Out of Jurisdiction Sites • Plan Transport • Evacuation Routes and Resources

  19. CONCEPTS OF OPERATIONSFacilities • Plan for Long Term Care Facilities • Nursing Homes • Congregate Care and Group Home Facilities • SPORCs or NORCs • Schools • MOUs for Out of Jurisdiction Sites • Plan Transport • Evacuation Routes and Resources • See DHSS web site • http://www.dhss.mo.gov/SeniorServices/LTCDisasterPreparednessPlan.doc

  20. CONCEPTS OF OPERATIONSSNP Registries • Considerations • Privacy HIPPA • Managing Expectations • Maintenance • Size and Usefulness • Reluctance by SNP to Share Info • TMI • Effectiveness of a Registry • Local Registry vs State

  21. CONCEPTS OF OPERATIONSCommunications • Identify EAS Messaging Systems in the Local Area • Electronic Warning Devices • Broadcast (Radio, TV, Internet) • NOAA Weather Radio (SAME) • Reverse 911 • Phone Tree • Section 255 of the Communications Act • Americans with Disabilities Act (ADA • Adaptive Technologies

  22. COAD – Community Organizations Active in Disaster CONCEPTS OF OPERATIONSCOAD / SNP Committee / LTRC

  23. COAD – Community Organizations Active in Disaster CONCEPTS OF OPERATIONSCOAD / SNP Committee / LTRC

  24. CONCEPTS OF OPERATIONSCOAD / SNP Committee / Citizen LTRC / Council • COAD – Community Organizations Active in Disaster • Special Needs Populations Committee Includes • Public Health • Voluntary Agencies • Emergency Management • First Responder • Disability Community • Health Care Agencies • Hospitals and Clinics • Long-term Recovery Committees • Citizen Councils

  25. CONCEPTS OF OPERATIONSIndividual Preparedness • An Important Mitigation Activity • Involve Partner Agencies • Centers for Independent Living • Home Health Care Agencies • Senate Bill 40 Boards • Faith Based Organizations • Red Cross • Senior and Disability Services • Local Public Health Agencies • Other Agencies • COADs • Citizen Corps Programs

  26. EMERGENCY PREPAREDNESS FOR PEOPLE WITH DISABILITIES

  27. “SPECIAL NEEDS” FACTS: National: • 54 million have disabilities • 14 million have mobility and other disabilities • 2 million have limitations in communication • 1/10th of the population have hearing limitations Missouri: • 906,570 age 5 and older have disabilities in Missouri (2005 American Community Survey) • Approximately 100,000 with DD in Missouri • 784,467 Seniors (Missouri Senior Report - 2005)

  28. Inclusion of people with disabilities and other special needs must occur at ALL phases of emergency management.Remember, planning saves lives - it is too late to bring people to the table to start planning when you are in the midst of a disaster.

  29. WHAT CAN YOU DO? • Get to Know your special needs community • Individuals living with supports or with family • Advocacy organizations • Congregate residential settings • Senior housing • Vocational supports • Disability specific groups • State schools • Government agencies • Transportation providers • Treatment programs

  30. WHAT CAN YOU DO? • Assess resources and needs • Knowledge and expertise regarding specific populations • Trained staff • Accessible transportation/ experienced drivers • Resources/ medical supplies • Connections to clinicians and other community resources • Agency registries - access to individuals with special needs • Agency disaster plans

  31. WHAT CAN YOU DO? • Make communications accessible • Cognitive disabilities • Deaf/ hard of hearing • Blind/ visual limitations • Implement a variety of communications strategies • Warnings/ watches • Announcements • Public/ awareness information • Signage

  32. WHAT CAN YOU DO? • Educate special needs populations • Media campaigns • Presentations • Booths at health fairs/ conferences • Direct mailings • Partnering with local/ regional disability organizations • Door-to-door campaigns • Encourage volunteerism

  33. Emphasize personal responsibility!

  34. WHAT CAN YOU DO? • Develop a safe/ effective evacuation plan • Consider all types of special needs • Accessible transportation/ trained drivers • Personal care assistants • Service animals • Supplies/ DME • Individuals with disabilities should be able to bring personal care assistants or family members • Personal care assistants should be able to bring family members

  35. WHAT CAN YOU DO? • Educate special needs populations regarding “sheltering in place” • Develop a safe/ effective sheltering plan • Consider all types of functional needs • Title II of the American’s with Disabilities Act (ADA) • Section 504 of the Rehabilitation Act • Avoid institutionalizing people with disabilities • Understand such decisions can have devastating, life-altering consequences

  36. SERVICE ANIMALS: • Service animals are not considered as pets, they are necessary supports for individuals with disabilities. • If evacuation and sheltering are necessary, service animals can stay with the individual.

  37. RESOURCES: • Missouri People First: 1-800-558-8652 • Missouri Developmental Disability Resource Center: http://www.moddrc.org/support_advocacy.php • Missouri Network of Care: http://missouri.networkofcare.org/ • Missouri Association of County Developmental Disabilities Services (MACDDS): http://macdds.org/county_info.html • Missouri Centers for Independent Living: http://mosilc.org/CIL.htm

  38. RESOURCES: • Great Plains ADA Project: http://www.adaproject.org/ • Disability Preparedness Resource Center: www.disabilitypreparedness.gov • National Organization on Disabilities: www.nod.org/emergency • Missouri State Emergency Management Agency: http://sema.dps.mo.gov/ • Preparedness Information: http://www.prepare.org/

  39. QUESTIONS:

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