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Planning for Individuals with Disabilities and other Access and Functional Needs: Mass Care and Sheltering. This presentation was created by Nusura , Inc. for the Orange County Sheriff’s Division of Emergency Management . Facilitator Introductions. June Kailes Gary Gleason. - PowerPoint PPT Presentation

Text of Facilitator Introductions

Planning for Individuals Disabilities and others with Access and Functional Needs in Mass Care and Sheltering

Planning for Individuals with Disabilities and other Access and Functional Needs:Mass Care and Sheltering

The objectives of this section include:

1This presentation was created by Nusura, Inc. for the Orange County Sheriffs Division of Emergency Management Facilitator IntroductionsJune KailesGary Gleason

Each facilitator should state his/her name, title, company, and background, including specific information about emergency experience.

3Participant IntroductionsNameTitle Agency/organizationRole during an emergency

Go around the room and ask each member of the audience to state his/her name, title, agency, years of experience, his/her role during an emergency, and any recovery planning experience.

4LogisticsSafetyElectronicsBreaksContact InfoSurvey feedback

AgendaKey considerations and guiding principlesShelter and mass care planningShelter operationsTransition and recovery

Key ConsiderationsThe needs of those with disabilities and other AFN CANNOT wait to be identified and addressed once an emergency or disaster occurs.

Guiding PrinciplesUnder the Americans with Disabilities Act (ADA), children and adults with disabilities are entitled to equal opportunity to participate in programs, services, and activities in the most integrated setting.

8Guiding PrinciplesADA mandates equal opportunity to ProgramsServicesActivitiesShelters must be architecturally AND programmatically accessible

9Guiding PrinciplesThe primary goal of sheltering and mass care is to help people stay safe, healthy, and independent.

10What is a Mass Care Facility? Facilities include pre-identified: SheltersNon-traditional sheltersMedical sheltersEvacuation centersDisaster assistance and resource centersMass feeding sitesPoint of Distribution Sites (PODS)Safe refuge sitesResettlement processing centersDecontamination sites

Shelter TypesMass CareServe the general populationMedicalProvide a heightened level of medical care for people who are medically fragileHouse people who require the medical care that would usually be provided by medical professionals in a nursing home or hospital Often, it is assumed that during a disaster, children and adults requiring functional needs special support must be housed in a medical special needs shelter. Children and adults with access and functional needs do not necessarily have medical conditions and typically do not require the care that medical shelters provide. Diverting to medical shelters can result in the separation of individuals with disabilities from those associated with them such as family, friends, neighbors and caregivers. In addition, inappropriate placement can jeopardize the health and safety of the entire community by creating unnecessary surges on emergency medical resources.

12Who Shelters WhereShelter people with disabilities and other access and functional needs in mass care shelters.Most people with disabilities and other access and functional needs are not medically fragileADA requires accommodation in most integrated setting possible

Adapted from http://www.ada.gov/pcatoolkit/chap7shelterprog.htm13Who Shelters WhereHows people in mass care shelters even if theyre not accompanied by their personal care aideIn most instances, people who normally get help with activities of daily living (eating, dressing, routine health care, personal hygiene, etc.) can be housed in a mass care shelterLocal governments and shelter operators may not make eligibility for mass care shelters dependent on a persons ability to bring his or her own personal care attendantConsider using trained volunteers to help with these tasks

Adapted from http://www.ada.gov/pcatoolkit/chap7shelterprog.htm14Identifying Shelter & Mass Care SitesFederal and State laws require that children and adults with disabilities have equal opportunity to access emergency programs and services. Without modifications, some shelters are not appropriate to support the integration of those with AFN. With a few modifications and minimal expense, some spaces can easily be made accessible.

Evaluating a Shelter SiteShelters need accessible:EntrancesRoutes to all services/activity areasRoutes within toilet rooms Passenger drop off and pick up areasParkingSidewalks and walkwaysShelter entrances, hallways, and corridorsCheck in/information areas16Evaluating a Shelter Site, continuedSleeping areasRestrooms, showers, and toilet stalls, including portable toiletsPublic telephonesDrinking fountainsEating areasMedical first aid areasRecreation areas

Selecting a Shelter SiteState codes and standards must, at a minimum, meet the Federal requirements, but can be more comprehensive. The ADA and other Federal laws, including the Stafford Act, the Rehabilitation Act, the Fair Housing Act, and the Architectural Barriers Act, provide affirmative obligations and prohibitions of discrimination on the basis of disability. No State or local government, or its contractors, may, by law, policy, or contract, provide services below those standards without violating Federal law. This does not mean that a State or local government cannot enact laws and ordinances or provide services, obligations, and prohibitions that extend beyond these standards to ensure greater access. A common example would be to provide twice as many as the required number of accessible parking spaces and access aisles.Since most States and communities have additional codes and standards related to accessibility, emergency managers and shelter planners should be sure to identify and comply with these requirements as well

18Equipping and Supplying a Shelter Shelter and Mass Care sites should be prepared to provide or connect people to durable medical equipment, medication, and other resources to help people stay safe.Support ServicesThe following are examples of types of services that should be available in a general population shelter:Power generationHealth service providersCommunications providersFood service providersTransportation providersDurable medical equipment Consumable medical supplies

Power Generation Redundant source of power even in the event of a long-term power outage. Some facilities may have no source of emergency power generation, while others may have only a limited source. Emergency managers and shelter planners should take whatever steps are necessary to see that there is a plan for providing an alternate source of power in the event of an outage and mechanical service contracts/services for emergency repairs. Medical Providers Physicians, Registered Nurses, Licensed Vocational Nurse, EMTs and Paramedics Psychiatrists and Dental providers Emergency veterinary service provider Access to dialysis treatments (this includes providing access to transportation to and from the dialysis facility and a meal(s) if a resident is not at the shelter during meal time(s)) Communications providers Interpreters (Spanish, sign language, etc.) Television with captioning Information technology/computer services TTY - TDD 20Staffing the ShelterEmergency managers and shelter planners should integrate people with expertise regarding access and functional support needs into the staffing plan. Agencies in the stakeholder group are often a good resource for providing shelter staff with appropriate experience.

Assessment TeamsFAST Other assessment resources

Shelter IntakeAn individual request for an accommodation, based on disability or other AFN, should be provided even if not requested during the initial intake.Dietary ConsiderationsPlans should also include a process for responding quickly to unanticipated dietary needs and restrictions. Food preparation techniques may need to be adjusted (e.g., food may need to be pureed) to meet resident needs.

Considerations for Service AnimalsUnder the ADA, a service animal is one animal that is individually trained to provide assistance to a person with a disability. Must be allowed in and provided appropriate accommodation. Animals may help with a non-visible disability.

Considerations for Service Animals, continuedIf an animal is not immediately identifiable as a service animal, shelter staff may ask only two questions to determine if an animal is a service animal: Is this a service animal required because of a disability? What work or tasks has the animal been trained to perform?

June, can you verify this is the law. Ive heard that it is illegal to ask anything. 26Communication ConsiderationsThe ADA states that a public entity shall take appropriate steps to ensure that communication with applicants, participants, and members of the public with disabilities are as effective as communication with others.This applies to sheltering and mass care services.

Effective communication requirements also apply to private and non-profit entities providing sheltering services.

27Assistive TechnologyAssistive technology can help people with disabilities and access and functional needs communicateiPadsapps can provide enlarged text , picture, immediate access to interpreters and translationMagnifying Readers Enlarges text for people with low visionEnhanced Listening Devices improves the clarity of sound Live Video Interpreting provides immediate access to sign language interpreters standing by at a remote location Captioned Phones provide real-time voice-to-text for people who can speak on the phone but cannot hear the caller on the other end

https://www.fema.gov/news-release/2012/12/16/fema-continues-innovations-meet-access-and-functional-needs-integration28Quiet AreaThe stress that is created during and after an emergency or disaster is increased as a result of the noise and crowded conditions of a shelter. Plans