1. Functional Needs Support Services In General Population Shelters

2. Presenters Beatrice Coulter – American Red Cross –State Advisor, Health Services Volunteer Ian Dyar – American Red Cross –Regional Emergency Services Director Kathleen Merriam – Lakes Region Partnership for Public Health –Emergency Planning Assistant Coordinator of Volunteers Sandy Weld – DHHS, Emergency Services Unit - Operations Coordinator

3. Introduction Functional Needs Support Shelters (FNSS) Guidance What is this plan? Why do we need it?

4. Functional Needs Support Services What does FNSS mean for State of NH? American Red Cross in NH?

5. Previous Sheltering Practices Red Cross Managed & Partnered Red Cross Supported Shelters Local Independent Shelters Special Needs Shelters –Sheltering isn’t as easy as simply opening your doors any longer…

6. What does it mean to me? Communities need to ensure evacuation plans include and can accommodate citizens with functional needs. All shelters must be ADA compliant

7. Supportive Care Shelters Much more then first aid... Providing skilled nursing care Accommodating individuals with a variety of physical, cognitive and emotional needs whose needs cannot be managed in general shelters

8. If you have a Nursing Facility within your community they are required by law to have an evacuation plan. The facility will try to move to an alternate level-appropriate medical facility If unable, shelters may receive residents at the Supportive Care Shelter… Nursing Facilities

9. Initial Intake and Assessment Tool Voluntary document to help those at registration identify needs of shelter residents.

11. Scenarios Consider a few of these issues that could likely come up in new sheltering guidance…

12. Where do they go? 51 year old woman that communicates exclusively with sign language. General Population or Medical Shelter?

13. Where do they go? 67 yo female that had "heart surgery" 2 weeks ago. Has a small oxygen tank with her. General Population or Medical Shelter?

14. Where do they go? 54 yo male with "kidney disease". Goes to hospital 3x a week for dialysis. General Population or Medical Shelter?

15. Where do they go? 32 yo male. Had a "bad car accident, hurt head ". Has seizures. Wearing something resembling a football helmet. General Population or Medical Shelter?

16. Where do they go? 400 lb male who needs PAS and equipment to lift himself from his chair to bed / toilet. General Population or Medical Shelter?

17. Where do they go? 26 year old female,6 months pregnant. Presents with gestational diabetes and history of preterm labor. General Population or Medical Shelter?

18. Where do they go? 21 yo male in a wheelchair. States he has cerebral palsy, and needs help using bathroom. General Population or Medical Shelter?

19. Where do they go? 45 yo female states she has "sugar problems". Gives herself "shots". "Lost a toe in an operation and can't see well". General Population or Medical Shelter?

20. Where do they go? 12 year old male diagnosed with Aspergers Syndrome. History of impulse control issues. Parents present. General Population or Medical Shelter?

21. “Equal access requires advanced planning”

22. Shelter Considerations Resources: –Staff. From where? How obtained? –Who has best source information? –Equipment. What type, from where? –Supplies. What? How much, from where? –Costs. How much, and how funded? –Who pays? –Agreements, contracts, MOUs.

23. How Can This Be Accomplished? Know your resources in your community Durable Medical Equipment Vendors Consumable Medical Supplies Identify populations with functional needs within your community Create Partnerships MRC, MMRS, CERTs, ESAR-VHP Stakeholders servicing populations with functional needs Identify gaps in plan

24. Local Experience Kathleen Merriam –

25. What’s next? FNSS Document and Curriculum information was formally released on October 5, 2010 The Supportive Care Shelter Guidance is available on the PH Preparedness eStudio If you have sheltering questions contact the DHHS-Emergency Services Unit Rick Cricenti at 603-271-4322