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Dawn Skaggs
National Director of Whole Community Planning and Training
Aging in Texas - 2015
Creating a Safe and Prepared Community
BCFS Health and Human Services
Arizona • California • Colorado • Florida • Illinois • New YorkOhio • Oregon • Tennessee • Texas • Washington, D.C. Africa • Eastern Europe • Latin America • Southeast Asia
BCFS Health and Human Services
BCFS HHS is one of six corporate entities within the BCFS system of non-profit companies.
Programs and services include: Emergency management planning and response Medical and mental health services Residential services for adults with I/DD Social services International humanitarian aid and medical teams Support services to other non-profit organizations
Emergency Management DivisionA non-profit working with federal, state and local government and private industry specializing in: Emergency Management Turn Key Disaster Response EM Consultation and Training
o Plans developmento Medical and Alternate Care
Shelteringo Mass Fatality planningo Planning for the whole
community including individuals with disabilities and others with access and functional needs
Large Incident Reponses• Branch Davidian Incident• Southeast Asia Tsunami• Hurricane Emily• Hurricane Katrina• Hurricane Rita• Eagle Pass Tornado• Hurricane Dean• FLDS Event• Hurricane Dolly• Hurricane Gustav• Hurricane Ike• H1N1 Flu• Haiti Earthquake• Hurricane Alex• Texas Wildfires 2011• USHHS ORR Influx 2012• USHHS ORR Influx 2014
Preparedness as A Way of Thinking
Scale and Severity of Natural Disasters
1990 2010
Natural disasters recorded 1900-2011
Aging Population – “The Silver Tsunami”
“Beginning January 2011, each day 10,000 or more Americans will celebrate their 65th birthday…”
Access and Functional Needs
A Paradigm Shift
Traditional Model Whole Community Personal Preparedness Model
Personal Preparedness
Unique Individual
Needs
Personal and
Household Kits
Family and Household
Plans
Personal Becomes Community
Prepared Seniors
Local, State and Federal Agencies
+
Resilient Individuals
and CommunitiesOther Community
Stakeholders
Planning considerations for Seniors
• Time– Personal Preparedness Planning is not an
inoculation
• Money– Preparedness planning is not funding based
• Sufficient Knowledge– Planning comes from personal experience
and expertise
Time
• Not a 1 time multi day activity• Incorporated into daily activities• Alternative thought process
Money
• Asset based approach rather than purchase based approach
• Can be completed on any budget • Not a one time commitment of resources
Knowledge
• Experience based education• Not fear based• Empowerment based communication
Empowerment Tools
• Strategy guides• Kit building• Information collecting• Community/Relationship building
A Model of Person Centered Person Directed Emergency Planning
Feeling Safe Being Safe
• Video Modules• Think-Plan-Do Process• Practice and Personalize• Problem solve• Identify support people• Follow up
Training Experience
Four Steps to
Preparedness:
The FSBS Tools
The Worksheet• Contains:
– Personal information– Health information– Contact information– Communication information– Accommodations information– Kit preparations guidance– Evacuation and planning
guidance
• Purpose:– Assist individual to create their kit
and complete their preparedness steps
– Provide critical information to first responders, shelter staff and others
The Magnet
• Contains:– Personal information– Emergency Kit information– Accommodations information– Contact and resource
information– Medication information
(attached)
• Purpose:– For individual to use for contact
and resource information– For first responder to use when
responding to a home or assisting in evacuation
The Kit
• Contains:– Evacuation supplies for
individual– Personalized items for
individual based on their disability and needs
– FSBS Worksheet– Medications sheet
• Purpose:– Provide individual with
essential items for a 3-5 day evacuation in a general shelter
The Neighbor
• Contains:– Ideas and instructions on
how to meet and exchange information with the neighbor
– Cut out forms to exchange emergency information with the neighbor
• Purpose:‒ Assist individual to meet
and exchange information with another person in close geographic area to build a natural support
FSBS Program Strategy
• Personal empowerment teaching techniques
• Community based train-the-trainer curriculum predicated on the premise of self advocates as subject matter experts
• Lead by example model
• Seniors are inspired take the lead to help others become prepared
• Seniors become community resources rather than recipients of care, reaching out to responders etc.
The Wedgwood Fire
• In the early morning hours of December 28, 2014, a fire broke out in Wedgwood Senior Living high-rise apts. in the City of Castle Hills outside San Antonio.
• Castle Hills and San Antonio fire departments responded going door-to-door waking and evacuating residents from the burning building.
John Gonzalez S.A. Express-News News-4sanantonio
Evacuation and Loss of Independence
Over 200 residents age 55-100 were evacuated, most with only the clothes on their back and leaving behind important documents and all their personal belongings.
KSAT 12 San Antonio
Resident's left behind critical items to maintaining independence
– Medication– Durable medical equipment– Consumable medical supplies– Documents and Records
Matthew Busch - SA Express-News
Tragic Outcomes
• Six residents perished – five on the scene, and one later at a hospital.
• Approximately 200 seniors were left homeless and unable to retrieve what was left of their possessions or return to their residences.
• The apartments remained closed for several weeks while the cause of the fire was investigated.
Cynthia Esparza – SA Express-News
The Need
• Identification• Medication • Durable medical equipment• Consumable medical supplies• Lodging and long term housing• Furnishings and household items• Personal care and hygiene items• Important documents• Contact information for resources• Food and clothing• Transportation• Access to mental health and stress management supplies and
natural resources
Meeting the need:
• Personalized kit by the door• Magnet or other posted information for first
responders with necessary information• Copies of documents, contact numbers
and important information• Collaboration plans with family and friends
The Medical Emergency
• Personal preparations• Neighbor Network• Responder relationship• Positive Outcome
Questions?
Dawn Skaggs M.A.
National Director of Whole Community Planning and Training
BCFS Health and Human Services
Emergency Management Division
210-716-8700