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nal Center for Disaster Medicine & Public Health -_,
Office of Human Services Emergency Preparedness & Response
Disaster Human Services & the Socioeconomic Determinants of Post-Disaster Health Outcomes
Administration for Children & Families Office of Human Services Emergency Preparedness and
Response
tional Center Disaster Medicine & Public Health bruary 11th, 2014. 1:00 PM, ET eet @NCDMPH #DisasterLearning
CDR Jonathan White, Ph.D., LCSW-C
Na Fe Tw
National Center for Disaster Medicine & Public Health
NCDMPH Disclaimers
• The views expressed in this presentation are solely those of the presenter and do not reflect the views of the National Center for Disaster Medicine and Public Health, the Uniformed Services University of the Health Sciences, and the US Department of Defense
Superstorm Sandy (2012). Photo: ACF.
Administration for Children & Families
• A division of the U.S. Department ofHealth and Human Services
• Promotes the economic and social well-being of families, children, individuals andcommunities
• Administers more than 60 programs,budget of $51 billion
acf.hhs.gov
ACF Equities in Disasters
• Child Care • Child Support Services • Child Welfare & Foster Care • Community Services Block
Grant • Family Violence Prevention
& Services • Head Start • Immediate Disaster Case
Management
• Low Income Home Energy Assistance Program
• Refugee Resettlement • Runaway & Homeless
Youth • Social Services Block Grant • Temporary Assistance for
Needy Families • Unaccompanied Alien
Children Services
ACF Emergency Activities
• The Office of Human Services Emergency Preparedness and Response (OHSEPR) provides leadership in human services preparedness, response, and recovery, promoting resilience of individuals, families, and communities prior to, during, and after nationally declared disasters and public health emergencies.
• Partnership between ACF Office of Human Services Emergency Preparedness and Response (OHSEPR) and the 10 ACF Regional Administrators’ offices.
• In each ACF Regional Administrator’s office, there is a Regional Emergency Management Specialist (REMS).
Human Services in Disaster
Preparedness
• Integration of human services systems with public health and emergency management
• Promote community resilience, focusing on at-risk populations served by human services systems
Response
• Continuity of services when disaster strikes
• Addressing new, disaster-caused human services needs
Recovery
• Restore and rebuild human services infrastructure
• Equitable recovery for at-risk populations served by human services systems: leave no one behind
ESF-8 (NRF)
ACF Operations Roles
ACF Programmatic Authorities
• Preparedness, Response, Recovery, Mitigation
• Support to: Grantees, States, Tribes, Territories
ESF-6 (NRF) • Response,
Preparedness • Support to: FEMA,
States, Tribes, Territories
ESF-8 (NRF) • Response,
Preparedness • Support to: ASPR,
States, Tribes, Territories
Health & Social Services RSF (NDRF) • Recovery,
Preparedness • Support to: ASPR,
States, Tribes, Territories
Drivers of Disaster Human Services Needs
Drivers of Human Services Needs
Disaster Impacts Social Disruption
Critical & Social Infrastructure
Damage
Evacuation/ Mass
Movement
Work/Wage Disruptions
Key Health-Related Social Services/ Human Services Programs
CHILD SUPPORT EARLY CHILDHOOD Head Start and Child Care
CHILD WELFARE & FOSTER CARE e.g., Child Abuse Prevention &
Treatment Act programs, Title IV-E, Adult Protective Services
NUTRITION ASSISTANCE e.g., Supplemental Nutrition
Assistance Program and Women, Infants & Children
ENERGY ASSISTANCE e.g., Low Income Home Energy
Assistance Program (LIHEAP)
AGING SERVICES e.g., Older Americans Act
Programs
VULNERABLE POPULATIONS ASSISTANCE
e.g., Runaway & Homeless Youth, refugee & asylee programs,
Transitioning Foster Youth, human trafficking programs
ECONOMIC SECURITY e.g., Temporary Assistance for
Needy Families (TANF)
FAMILY VIOLENCE PREVENTION & SERVICES
e.g. State Domestic Violence Coalitions, State Administrators,
National Domestic Violence Hotline (NDVH)
Mechanisms for Health Outcomes Program Type
Injury Risk
Health Access
Stress-Related
Economic Determinant
Behavioral Health
Environ-mental
Develop-mental
Economic Security
Child Support
Early Childhood
Family Violence
Child Welfare
Nutrition
Energy
Aging Svcs
Vulnerable Pop Svcs
uper torm andy (2012) Photo: ACF.
Superstorm Sandy (2012). Photo: ACF.
Key Lessons Learned
• The client populations served in “steady state” by human services/social services systems are also key “at risk” populations for adverse health outcomes post-disaster
Key Lessons Learned
• Significant gaps remain in interoperability of human services/social services with emergency management and public health at all levels
Key Lessons Learned
• Child care has particular challenges in recovery
Recommendations: Short-Term Recovery
• Convene (or leverage existing) Children and Youth Task Force
Children and Youth Task Force in Disasters: Guidelines for Developmentwww.acf.hhs.gov/sites/default/files/ohsepr/childrens_task_force_development_web.pdf
• Assess child care impacts and convene Child Care Recovery Group under Children &Youth Task Force if required (to include Lead CCDF agency, Child Care Resource &Referral agency, ACF, Save The Children,and providers)
Superstorm Sandy (2012). Photo: ACF.
Recommendations: Intermediate Term Recovery
• Establish linkages between behavioral health and early childhood programs
• Promote awareness of the National Domestic Violence Hotline
800-799-7233 www.thehotline.org 800-787-3224 (TTY)
Recommendations: Long-Term Recovery
• Support effective and coordinated systems ofDisaster Case Management by the Federalgovernment, VOADs, State government, orothers
• Leverage recovery experiences under the NDRF to build greater capacity and interoperability for human services preparedness for future events
Joplin, Missouri Photo: FEMA.
Questions?
CDR Jonathan White Deputy Director
Office of Human Services Emergency Preparedness & Response
Administration for Children and Families jonathan.white@acf.hhs.gov
(202) 690-6984
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