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Functional Needs Support Services in Shelters. July, 2012. CMIST Framework for Needs Identification. C ommunication M aintaining Health I ndependence S afety, Support services and Self Determination T ransportation. Communication. Personal amplification devices Hearing aid batteries

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Functional Needs Support Services in Shelters

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Functional needs support services in shelters

Functional Needs Support Services in Shelters

July, 2012

Cmist framework for needs identification

CMIST Framework for Needs Identification

  • Communication

  • Maintaining Health

  • Independence

  • Safety, Support services and Self Determination

  • Transportation



  • Personal amplification devices

  • Hearing aid batteries

  • Communication board

  • Video phone or TTY

  • Sign language interpreter

  • Other language interpreter

  • Information in Large Print, Braille, other languages, or electronic formats

Maintaining health

Maintaining Health

  • Medication

  • Catheters

  • Basic first aid supplies

  • Access (transportation) to dialysis and other health services

  • Protective undergarments

  • Nutritional drinks

  • Straws

  • Glucose meter, lancets and test strips



  • Access to electrical power, batteries, chargers

  • Wheelchairs

  • Portable, raised toilet seats

  • Accessible cots

  • Privacy screens

  • Personal Care Attendants

Safety support services and self determination

Safety, Support Services and Self-Determination

  • Personal Assistance Services

  • Assistance accessing programs

  • Mental health services

  • Case management / case coordination

  • Supervision

  • Safety from abuse, neglect and exploitation



  • Lift-equipped vehicles

  • Transporting equipment or service animals

  • PCA services while in transit

  • Access to accessible public transportation

  • Information in alternate formats or other languages to know what transportation services are available and how to access / request transportation services

Ways to procure equipment and services for shelters

Ways to Procure Equipment and Services for Shelters

  • Directly purchasing and storing equipment

  • MOA/MOUs

  • Non-governmental organizations

  • Continuing services at the shelter that an individual typically receives in their home

  • Local and State contracts

  • National contracts

  • Volunteers and trained shelter staff

Directly purchasing and storing equipment

Directly Purchasing and Storing Equipment

  • Non-perishable equipment

  • Storage at the facility that will be used as a shelter

  • Storage in a separate facility with a plan to transport to the shelter

Moa mous and contracts

MOA/MOUs and Contracts

  • Legwork must be done in advance

  • Remember to include all aspects of a service in the contract

    • Drivers for accessible vehicles

    • Wear and tear of any equipment that will be returned

    • Staff overtime

    • Coordination needs

  • State and local contracts

    • Pros

    • Cons

Continuing services an individual already uses

Continuing Services an Individual Already Uses

  • Benefits

    • They know the individual and his or her needs

    • Individual is more comfortable

    • No gap in services

Service and advocacy organizations

Service and Advocacy Organizations

  • Subject matter expertise

  • Know what supplies and services may be needed and where to go to procure those services

  • Providing resources and services

  • Providing coordination of services

Volunteers and trained shelter staff

Volunteers and Trained Shelter Staff

  • Readily available

  • Can be very well trained

  • Need to ensure proper skills

  • Need for coordination

  • Respect survivor choice

Fema national contracts

FEMA National Contracts

  • Types of contracts

    • Interpreters

    • Alternate formats

    • Personal Care Assistant Services

  • Considerations

    • Take longer

    • More expensive

    • Often not local

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