1. Functional and Access Needs (FAN) Kentucky Outreach and Information (KOIN)/ Kentucky Functional Needs Collaborative(KYFNC) 2013 Joint ITV Workshop October 29 2013 Presented By Kenyetta Pinkston, FAN Coordinator Brooke Skelley, Public Health Associate, KDPH

2. Objectives Discuss the Kentucky Functional Needs Collaborative Discuss Kentucky’s Functional and Access Needs Efforts Functional and Access Needs Jurisdictional Risk Assessment Functional Assessment Service Teams (FAST) Functional and Access Needs TRAIN Module

3. Defining Access and Functional Needs Populations whose members may have additional needs before, during and after an incident in functional areas, including but now limited to : C ommunication M edical Care I ndependence (maintaining) S upervision T ransportation

4. Kentucky Functional Needs Collaborative An established subcommittee of the Health and Medical Professionals Advisory Committee (HMPAC) Ensures an effective Public Health emergency response for FAN populations Comprised of subject matter experts and advocates from state agencies and non-profit organizations across Kentucky. Public Health initiates invitations to those that have interest in FAN populations.

5. The Jurisdictional Functional and Access Needs Risk Assessment

6. Jurisdictional Functional and Access Needs Population Risk Assessment CDC Mandate to assess community health Ongoing project 5 year plan to map specific FAN populations Data is mapped by county and area development district Goals for year 1 have been met.

7. FAN Population Data Age 2 & Under Under Age 5 Under Age 18 Age 65 & Over Foster Care Homeless In Poverty Lacking transportation Receive In Home Care Receive Hospice Care Receive Long Term Care Receive Dialysis Incarcerated Oxygen Dependent Deaf & Hard of Hearing Non-English Speaking KDPH and its ESF #8 response partners have access to this data in WebEOC.

9. 5-Year Plan Includes data for additional populations, including: Wheelchair/cane dependent Blind & Vision Impaired Insulin Dependent Geographically/Culturally Isolated populations TV/Radio stations Areas with no TV/radio/cell service Hospital Locations Health Department Locations

10. Benefits of the Jurisdictional FAN Risk Assessment Identifies and allocates resources pre-event Provides the opportunity to collaboration Increases expertise Promotes awareness Improves planning Reduces vulnerability Reduces investment of research time Identifies and allocates resources pre-event

11. Benefits of the Jurisdictional FAN Risk Assessment Develop outreach and education to improve preparedness efforts and outreach effectiveness Gauge expenses Identify training needs Special shelter accommodations Need for Medical Support Needs Shelter/staffing

12. Functional Assessment Service Team (FAST)

13. FAST History Part of FEMA’s “Whole Community Philosophy” Except for people who are medically fragile, all people should be able to stay in general shelters during emergencies and disasters. The FAST concept started in 2006, involving several departments and organizations within the state of California.

14. Key Concept Behind FAST People with access and functional needs CAN be accommodated in general population shelters if…… Given the proper support!!

15. FAST Purpose To provide trained staff who are able to assess and identify residents in disaster area shelters who may have functional needs. The assessment will evaluate the needs and determine whether or not these individuals can be supported within the general population shelter. To facilitate the process of obtaining essential resources for the residents with functional and access needs.

16. FAST Will Not Relieve anyone from being personally prepared by at least: Having an out of state contact Putting together and emergency kit Having an evacuation plan if sheltering is needed

17. Benefits of FAST? Allows people the ability to stay with friends and family in the same shelter FAST members help strengthen their community’s disaster resilience Reduces impact on medical support resources Identifies and strengthens relationships with community organizations essential to emergency response.

18. FAST Members Have experience and knowledge in the following areas: Hearing/Vision Loss Chronic health conditions Physical disabilities Cognitive and developmental disabilities Mental disabilities Aging Substance Abuse

19. FAST Members often have: Credible connections and trust with people Expertise in obtaining resources Expertise in delivering services

20. Department for Aging and Independent Living The Kentucky Department for Aging and Independent Living (DAIL) oversees the administration of statewide programs and services on behalf of Kentucky’s elders and individuals with disabilities. In partnership with Kentucky's 15 Area Agencies on Aging and Independent Living (AAAIL), community mental health centers, Center for Independent Living and other community partners, DAIL provides leadership and addresses issues and circumstances that stand in the way of elders and individuals with disabilities achieving the best possible quality of life.

21. Department for Aging and Independent Living Area Agencies on Aging and Independent Living (AAAIL) Available services include: Mobility assistance programs, meal plans & housing Assistance in gaining access to services Chronic Disease Self Management Program Health Promotion and Disease Prevention Supplemental services, on a limited basis

22. FAST, DAIL and the AAAILs Utilizes a pre-existing network of experts for assessing shelter residents’ needs Compliments the expertise of medical staff Allows residents with functional and access needs to remain in a shelter with family and friends.

23. FAST Process Team members arrive at shelter and present to Shelter Manager Assess the shelter Identify general access issues of shelter Identify Functional and Access Needs of within the shelter (using an assessment form) Meet with shelter leadership to discuss needs and possible solutions Assist with facilitating resources into the shelter. (when applicable)

24. Next Steps FAST members will participate in exercises and mock shelters KDPH plans to partner with additional state departments and community organizations to increase FAST membership Current Medical Reserve Corps (MRC)will have the opportunity to be trained as FAST members

25. FAN TRAIN Module

26. Defines FAN populations Discusses planning considerations for FAN populations Reviews legal mandates guiding FAN support services Describes the role of the Medical Reserve Corps in addressing FAN populations.

27. Questions??

28. Contact Information Functional and Access Needs (FAN) Coordinator Preparedness Branch Department for Public Health, CHFS 275 E. Main Street HS 1 EJ Frankfort, KY 40621 Phone: 502-564-7243 x4049 Fax: 502-564-4387