1. Assisting Special Needs Populations During Crisis Situations David Kontak, MA MS, OTR/L Director, Assistive Technology Services, Crotched Mountain Rehabilitation Center 603-547-3311 x 1595 David.kontak@crotchedmountain.org

2. A Guide from the Center for Disease Control and Prevention http://cdd.unm.edu/products/tips_web020205.pdf This guide has many excellent, concise recommendations Laminate these individual sheets and hang in the shelter area I have included examples in the handouts

3. Physical Accessibility Keep hallways clear Allow at least 40” of clearance space Ramps should be no steeper than 1” elevation for every 12” of length Doorway entrances should be at least 38” wide Cover thresholds with small ramps to increase independence

4. People with Mobility Impairments Ask how you can help Ask them to explain the way they typically transfer out of their wheelchair. Don’t assume they can sit unsupported in a standard chair or bench! Ask them if they have skin issues that require them to be tilted or moved frequently.

5. Communication Speak slowly and concisely- gesture and give visual examples when possible Ask them to show you how they communicate (“how do you say yes?”) For persons with Autism, let them look around at the facility first- then give them a “home spot”

6. Communication cont. A sequence of 3-4 pictures laminated in a row can describe the plan to them Let them do what they need to do to establish self regulation (as long as they are not hurting themselves or others) Headphones and music might be a distraction for some

7. Persons with Cognitive Challenges Speak slowly and clearly Do not give more than 3 step directions With adults, modify your communication, but don’t treat them like children Speak directly to the person Use visual examples (pictures, gestures) when possible

8. Persons with Mental Illness Reassure them if they are agitated If they say things that are irrational or not true- don’t argue with them Help them to find their comfort zone Re-direct with activities when possible

9. Service Animals Remember, no documentation is required to claim that an animal is designated for service Be tolerant of service animals unless safety is disrupted. Do not pet or distract a service animal

10. Persons with Visual Impairments Identify yourself Warn them before you touch Describe the surroundings to them to minimize fear

11. Resources www.ada.gov/emergencyprepguide.htm. www.ada.gov/emergencyprepguide.htm http://emergency.cdc.gov/disasters/chronic.asp http://cdd.unm.edu/products/tips_web020205.pdf