2. Strengthening Vulnerable Populations Through Preparedness APC Roadshow Billings, MT July 16-17, 2009

3. Goal At the end of this APC session participants will be able to assist vulnerable populations in their community by using the tools and resources described.

4. Presentation Objectives Describe the process Montgomery County went through to help prepare its vulnerable populations List at least two tools and/or resources identified in the presentation. Identify how one of the tools and/or resources in the presentation can be used in your community.

5. Multi-cultural Communication Group Activity

6. Montgomery County Process

7. Why Prepare Vulnerable Populations? Katrina Pictures from: www.cfcnca.org, katrinapictures.blogspot.comwww.cfcnca.org

8. Prior to Katrina vulnerable populations were susceptible to: Poor health conditions (chronic) Unemployment Lack of insurance (housing, health) Lack of transportation Dependency on social and health services Inequity or discrimination (social, racial, economic, geographic)* *The Brookings Institution, Metropolitan Policy Program. New Orleans After the Storm: Lessons from the Past, a Plan for the Future. October 2005.

9. Basic Demographics 497 squares miles next to Washington D.C 931,000 persons Affluent Poverty level High Cost of Living 125 different languages

10. Definition of Vulnerable Populations Determined by your own population within your community and what populations will be most at-risk during an emergency event.

11. Montgomery Countys Vulnerable Populations Limited English Proficiency Economically disadvantaged Isolated from the community Physically or mentally challenged Pregnant Women Children Homeless Persons with chronic conditions Seniors Minority groups

12. Identifying Gatekeepers (i.e., community health nurses, home health aides, Latino Health Promoters, public/private agencies) Montgomery County Emergency Preparedness and Response Vulnerable Populations Committee County Offices of: PH Emergency Preparedness Homeland Security Community Affairs Senior Health Promotion Aging and Disability Police Volunteer Center Health Promoter Programs Community groups, advocacy groups, hospitals, assisted living facilities, group homes, nursing homes, and faith communities

13. BLIND PERSONS National Federation of the Blind Montgomery County Chapter 11923 Parklawn Drive, Suite 104 Rockville, MD 20852 Contact: Debbie Brown 301-881-1892 (V-Home) 202-707-0503 (V-Work) no e-mail address GATEKEEPERS TO TARGET POPULATION: Persons who are Blind American Council of the Blind 1155 15 th Street, NW, Suite 1004 Washington, DC 20005 202-467-5081 (V) 202-467-5085 (FAX) info@acb.org info@acb.org www.acb.org Maryland School for the Blind 3501 Taylor Avenue Baltimore, MD 21236 410-444-5000 (V) 410-319-5701 (FAX) info@mdschblind.org info@mdschblind.org www.mdschblind.org Metropolitan Washington Ear, Inc. 35 University Blvd. East Silver Spring, MD 20901 301-681-6636 (V) 301-681-5227 (FAX) information@washear.org www.washear.org Radio, reading and information service. information@washear.org www.washear.org Services for the Visually Impaired 8720 Georgia Avenue, Suite 210 Silver Spring, MD 20910 301-589-0894 (V) 301-589-7281 (FAX) info@servicesvi.org info@servicesvi.org www.servicesvi.org National Federation of the Blind 1800 Johnson Street Baltimore, MD 21230 410-659-9314 (V) 410-685-5653 (FAX) Linda J. McCarty Director of Public Relations lmccarty@nfb.org Patricia A. Maurer Director of Community Relations communityrelations@nfb.org www.nfb.org lmccarty@nfb.org communityrelations@nfb.org www.nfb.org Newsline for the Blind 1-888-882-1629 nfbnewsline@nfb.org Newsline is a free 24-hour nationwide telephone service for people who are blind, visually impaired and/or unable to read a printed newspaper. nfbnewsline@nfb.org American Federation of the Blind Governmental Relation Group 820 First Street, NE, Suite 400 Washington, DC 20002 202-408-0200 (V) 202-408-8172 (V) 202-289-7880 FAX) afbgov@aft.net www.afb.org National Federation of the Blind of Maryland 9013 Nelson Way Columbia, MD 21045 410-715-9596 (V-Home) left voicemail for e-mail address

14. Tools/Resources Plan to Be Safe Campaign –Emergency Preparedness Checklist for Case Management and Home Care Services Emergency Preparedness Curriculum for Latino Health Promoters Emergency Preparedness Checklist for Nursing Homes, Assisted Living Facilities, and Group Homes Emergency Response Planning for Child Care Providers

15. Plan to Be Safe Campaign The Need Simple Not too many words (low literacy and multiple languages) Attractive Cost effective Need to encourage people to plan (avoid what happened in Katrina)

16. Plan to Be Safe Campaign Development Initially wanted to target seniors Graphic Artist Focus group of department of recreation staff with seniors Washington Post 2-1-07 Thrasher

17. Plan to Be Safe Campaign Materials

18. Plan to Be Safe Flipchart

19. Plan to Be Safe Training of Employees Video Presentation

20. Frederick & Anne Arundel Counties, MD

21. Plan 9 Hawaii

22. Plan 9 Billboard

23. Local Hospital-Plan 9

24. Integration into County and Community Programs County Programs –Aging and Disability –Department of Recreation –Community Health Nurses-Pregnant women and families with young children –Health Promoters (lay-health community leaders) –Health Clinics (HIV, STD, TB) Community Programs –Faith Community Nurses –Home Health Agencies –Home Visiting Programs

25. Case Management Tool

26. Case Management Evaluation Emergency Preparedness Checklist for Case Management and Home Care Services (which includes Plan to Be Safe messages). Aging and Disability Program (Plan 9 supplies) –Baseline: 50% had a 3-day supply of 5 or more items. –30 day: 62.5% had a 3-day supply of 5 or more items –90 day: 90.6% had a 3-day supply of 5 or more items

27. Latino Health Promoter Curriculum Purpose: To train promotores de salud in Public Health Emergency Preparedness 3-Day training Includes Plan to Be Safe tools

28. Latino Health Promoters Evaluation Emergency Preparedness in the Latino Community: Training Manual for Health Promoters –Reported emergency preparedness practices increased, to the point where all participants reported having talked with their families about emergencies and having an emergency plan after the third session.

29. Easy to use checklist format Ensure a well prepared health care facility Checklist for Nursing Homes, Assisted Living Facilities, and Group Homes

30. Nursing Home Checklist Evaluation Montgomery County and State of Maryland have incorporated the checklist into its annual quality-of- care surveys of nursing homes and large assisted living facilities Many have updated their emergency plans, replaced generators, included shelter-in-place strategies.

31. Emergency Response Planning for Child Care Providers Collaborative tool with child care and public health Designed to plan and prepare child care providers for emergency events and to assist in the recovery effort by helping children cope with the traumatic event. A train-the-trainer guide is included.

32. Child Care Evaluation Developed and tested with child care providers (family and center) State of Maryland has used it as a model for licensure requirements for family child care providers Continues to be improved-Fall 2009 COOP training module

33. Additional Tools/Resources

34. Pan Flu & Us-Materials Toolkit available for LHDs or others to host a similar conference in their locality Materials online only- in PDF, MS Word, and MS Publisher First step in relationship with home care

35. Seattle-King County, WA APC Vulnerable Populations-Equity in Emergency Response: Public Health Planning for Vulnerable Populations No Ordinary Flu Comic Book, Multiple languages www.advancepracticetoolkits.com

36. Socioeconomic and Racial/Ethnic Activity

38. Contact Information Rachel Abbey Rachel.Abbey@montgomerycountymd.gov Marta Gill Marta.Gill@montgomerycountymd.gov All tools and resources mentioned in this presentation can be found at: www.montgomerycountymd.gov/apc Or NACCHO Toolbox at: www.naccho.org/toolbox