Using FNSS Guidance and Establishing Accessible General Population Shelters
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Using FNSS Guidance and Establishing Accessible General Population Shelters Iowa Partners in Preparedness Conference June 22-23, 2011. Karin Ford, MSPS Iowa Department of Public Health. Photo courtesy of FEMA/Patsy Lynch. Kam Kennedy American Red Cross FEMA Region VII. Overview.

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Using FNSS Guidance and Establishing Accessible General Population Shelters Iowa Partners in Preparedness ConferenceJune 22-23, 2011

Karin Ford, MSPS

Iowa Department of Public Health

Photo courtesy of FEMA/Patsy Lynch

Kam Kennedy

American Red Cross

FEMA Region VII


Overview
Overview Population Shelters

  • Provide an overview of Functional Needs Support Services (FNSS) in general population shelters

  • Discuss Red Cross FNSS Guidance to Chapters

  • Provide examples of integration from recent responses and a response model for consideration

  • Discuss Iowa’s work with FNSS in general population shelters

  • How to make temporary changes for accessibility


Defining fnss
Defining FNSS Population Shelters

  • Services that enable children and adults to maintain their usual level of independence in general population shelters. These services include:

    • Reasonable modifications to policies, practices and procedures

    • Durable Medical Equipment (DME)

    • Consumable Medical Supplies (CMS)

    • Personal Assistance Services (PAS)

    • Other goods and services as needed


Red cross vision for accommodation
Red Cross Vision for Accommodation Population Shelters

  • Safely accommodate individuals with disabilities and those with functional needs in our congregate shelters by working with partners and increasing and sustaining capacity within the Red Cross

  • Provide appropriate referrals to partners when reasonable accommodation is not possible


Red cross vision for accommodation1
Red Cross – Vision for Accommodation Population Shelters

  • Exceptions:

    • Individuals who need:

      • Continuous medical supervision

      • Acute, life-sustaining medical care

    • Individuals who are a danger to themselves or others


Americans with disabilities act ada
Americans with Disabilities Act (ADA) Population Shelters

Under the ADA, the Red Cross must:

  • Make reasonable modifications to its policies, practices and procedures when necessary to deliver shelter services to clients with disabilities

  • Provide auxiliary aids and services to ensure effective communication

  • Welcome people with service animals

  • Ensure that shelter facilities are physically accessible for people who use wheelchairs or other mobility devices


Recommendations
Recommendations Population Shelters

  • Shelter Inventory

  • Community Planning

  • Response


Shelter inventory
Shelter Inventory Population Shelters

  • 56,000 + shelter inventory

  • Agreements updated annually

  • Facilities physically surveyed every three years


Integrated community planning
Integrated Community Planning Population Shelters

  • Work with all stakeholders to:

    • Review current plans

    • Conduct community gap analysis

    • Identify resources

    • Establish relationships with resource providers


Response
Response Population Shelters

  • Ensure Health Services (HS)/Disaster Mental Health (DMH) staff are present in shelters

  • Identify and address individual client needs

    • Use Initial Intake and Assessment Tool during registration

    • Consult with HS/DMH to address needs

    • HS and DMH will work directly with client to determine resources and next steps

    • New “scope of practice” model replacing nursing protocols


Fnss in joplin
FNSS in Joplin Population Shelters


Fast concept
FAST Concept Population Shelters

  • Functional Assessment Support Teams

  • Model from California

  • Provides for deployment of local teams to conduct assessments within shelters and bring state resources to bear

  • Under consideration in Missouri


Fnss in iowa
FNSS in Iowa Population Shelters

  • Karin Ford, MSPS IDPH

  • Working with Polk and Story counties to establish accessible shelters

  • Developing coalitions with faith based groups

  • Include providers in shelter management and case management


Emergency management and title ii of the ada
Emergency Management and Title II of the ADA Population Shelters

  • Requires that programs, services, and activities directly provided by state and local governments, and third parties must be accessible to people with disabilities

  • The ADA also requires making reasonable accommodations to policies, practices, and procedures when necessary to avoid discrimination against people with disabilities


Accessible general population shelter
Accessible General Population Shelter Population Shelters

  • Temporary features

  • Must meet ADA standards

  • Must be safe

  • Meet minimum accommodation


Four main areas

Four Main Areas Population Shelters

Parking

Entrance

Common areas

Bathroom/shower


Accessible Parking Population Shelters

  • ADA and Iowa Code

  • first spot must be van accessible

  • parking space 96 inches

  • van access 96 inches on right side

  • car access 60 inches

  • permanent upright signage

  • signage alerts to wider access aisle


Number of accessible spaces
Number of Accessible Spaces Population Shelters

  • 1 to 25 – 1

  • 26 to 50 -2

  • 51 to 75 -3

  • 76 to 100 -4

  • 101 to 150 -5

  • 151 to 200 -6

  • 201 to 300 -7

  • 301 to 400 -8

  • 401 to 500 -9

  • 501 to 1000

  • 2 percent of total

  • 1001 and over

  • 20 plus 1 for each 100 over 1000


Temporary parking
Temporary Parking Population Shelters

  • Can use temporary signage

  • Three stalls = two accessible

    stalls with access aisle in middle

  • First space must be van accessible

  • Close to entrance

  • Flat surface

  • Remember 96 inches wide

  • Access aisles 60 or 96 inches


Temporary parking1
Temporary Parking Population Shelters



Temporary upright signage
Temporary Upright Signage Population Shelters

  • Print and laminate

  • Post on temporary stand

  • Post high enough


Ramps
Ramps Population Shelters

  • Can be temporary

  • Must meet ADA specifications

  • Handrails

  • No ski slopes


Entrance
Entrance Population Shelters

  • Exterior doors follow locality fire code

  • Automatic openers are not required


Entrance of the shelter
Entrance of the Shelter Population Shelters

  • Must be accessible

  • Sidewalk 36 inches wide

  • Can use temporary ramp

  • Signage to accessible entrance


Common areas
Common Areas Population Shelters

  • Sleeping areas

  • Eating areas

  • All goods and services on one level unless working elevator

  • Alternate formats – signage, warning systems

  • Quiet room

  • Medicots

  • Transfer boards


Adequate space
Adequate space Population Shelters

  • 40 square feet

  • pwd need 80 square feet

  • medicots, higher wider

  • placed against a wall

    • stability

    • near exit


Bathroom shower
Bathroom/shower Population Shelters

  • Both accessible

  • Toilet 17-19 inches from finished floor

    • Raised toilet seat

  • 5 foot radius and grab bars for transfer

    • Temporary grab bars

      • Must hold up to 250 lbs

  • Roll in showers with transfer benches

  • Handheld or adjustable shower features


Bathroom
Bathroom Population Shelters


Bathroom sink
Bathroom/Sink Population Shelters

  • Paper towels and soap can be on the counter

  • Hang lower dispensers or mirror


Service animals
Service Animals Population Shelters

  • Perform a task to mitigate the effects of a disability

  • Miniature horses but subject to certain limitations

  • Is not a pet

  • Do not touch or give the animal food or treats

    without the permission of the owner

  • Wearing its harness, it is on duty

  • If you are asked to take the dog, hold the leash

    not the harness

  • Service animals travel with their human partner

  • Do not need to be registered or

    show proof

  • Can only remove if the service animal posses a threat

    or is not housebroke


Importance of pre planning
Importance of Pre-Planning Population Shelters

  • Care facilities, group homes

  • Are already identified

  • Have Continuity of Operations Plans

  • Can become an asset to the response


Medical shelters
Medical Shelters Population Shelters

  • Must be staffed with doctors, nurses and trained staff

  • Best case scenario, pre-established transfer locations and locations of the same level of care are secured before a disaster

  • Need medical shelters to not overwhelm the hospitals


How am i going to remember all this
How am I going to remember all this? Population Shelters

  • ADA homepage has toolkits and checklists –

    http://www.ada.gov/shleterck.htm

  • FNSS Guidance

  • Department of Justice technical assistance -

    (800) 514-0301 (voice)

  • Call me 515-242-6336


Questions? Population Shelters

Contact Information:

Karin Ford, MSPS

IDPH

321 E 12th Street

Des Moines, Iowa

50319-0075

515-242-6336

[email protected]

Kam Kennedy

American Red Cross

Special Representative to FEMA R-VII

9221 Ward Parkway

Kansas City, Missouri

(o) 816-283-7520

(bb) 816-808-3024

[email protected]


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