C-MIST: The Functional Needs Framework

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C-MIST: The Functional Needs Framework. BC Coalition of People with Disabilities. PERSON. With a complex set of needs When needs are met Person has ability to participate in community and contribute to society. PERSON WITH FUNCTIONAL NEEDS. With a complex set of needs - PowerPoint PPT Presentation

Text of C-MIST: The Functional Needs Framework

  • C-MIST:The Functional Needs FrameworkBC Coalition of People with Disabilities

  • PERSONWith a complex set of needsWhen needs are met Person has ability to participate in community and contribute to society

  • PERSON WITH FUNCTIONAL NEEDSWith a complex set of needsExperiences environmental barriers (physical, social and economic) to having needs metRemove barriersPerson has ability to participate and contribute

  • People may have limitations in any of the following functional areas:HearingSeeingBreathingWalking and mobilityManipulating objectsSpeechCommunicationLearningUnderstanding

  • For the purposes of emergency planning and response, the functional needs framework looks at 5 categories:C-MISTCommunication





  • FUNCTIONAL NEEDS - Includes people who:Have limited or no ability to speak, read or understand EnglishHave reduced or no ability to speak, see or hearHave limitations in learning and understanding

  • FUNCTIONAL NEEDS During an emergency people may not be able to:

    Hear verbal announcementsSee directional signs to assistance servicesUnderstand the message

  • FUNCTIONAL NEEDS Includes people who need assistance with:Activities of daily living - bathing, eating etc.Managing chronic or contagious health conditions, medications, IV therapy, tube feeds, wounds, catheters, ostomiesDialysis, oxygen, suctionOperating power dependent equipment

  • FUNCTIONAL NEEDS - During an emergency:Some people may be separated from family and friendsEarly identification of needs and disaster response intervention can avoid costly deterioration of health and functional needs

  • FUNCTIONAL NEEDS Includes people who use the following to function on a daily basis:

    Mobility aids - wheelchairs, walkers, scootersCommunication aids - hearing aids, computersMedical equipment - oxygen, syringesService animalsMedications

  • FUNCTIONAL NEEDS During an emergency:Individuals may become separated from their assistive equipment and devices or service animalsDo not separate an individual from their service animal

  • FUNCTIONAL NEEDS - Includes people with any of the following:DementiaAlzheimersDepressionSchizophreniaAnxietyTransfer traumaBrain injuryDevelopmental disabilitiesSevere mental illness

  • FUNCTIONAL NEEDS Includes people who can not drive due to:DisabilityAgeTemporary injuryPovertyAddictionLegal restrictionsNo access to a vehicle

  • Meeting functional needs requires a few extra stepsA person who is deaf may need referral to food and lodging + ASL interpretation servicesA senior with low vision may need registration and inquiry and psychosocial support + information in large printA new immigrant with low-proficiency in English may need first aid + interpretation and translation in their first language

  • Using C-MIST as an encompassing tool for planningIt makes no sense to plan separately for each vulnerable populationWe need to shift away from special needs planning and responseThe FNF can be used to plan for the needs of all members of the communityThink ALL HAZARDS ALL PEOPLE

  • EXAMPLE - EVACUATIONMake sure transportation is provided for people without cars.Ensure that the equipment people need for medical reasons, communication and for functional independence is transported with them.

  • C-MIST

    Questions & Comments?

  • BC Coalition of People with Disabilitieswww.bccpd.bc.ca