Want feedback to this plan – tell the working group what you think. There will be presentation abut the plan and then make small groups.
Thank you to people who created the forum and invited people. The community decided who to invite.
Also thank Debbie Jackson from DCAB who is coordinating the meetings.
Robin Brandt will free float and check all the sessions – to aggregate comments and come up with all the plans. Take comments and synthesize them.
Two people (Danny and Ina) from State Civil Defense.
People from different agencies introduce selves in small groups, then ask for representatives to Oahu October 22nd meeting.
•Debbie provides flow of today’s meeting.
How we will move forth:
• Overview in powerpont
• Break into three groups (count off by three)
• Remember numbers – direct to group area
• Handouts: agenda, plan and evaluation sheet
• Timelines on agenda are guidelines – zip through this to bring ideas to us
• Each group will select recorder and share information from group with larger group
• Ground rules:
o Silence your phones
o Respect each other
o Be open andhonest with the group
o Give feedback on ideas
o Don’t hurt the messenger – feel safe
o Listen to understand
o Raise your hand to be acknowledged
o Speak one at a time
o Respect the process (start and end on time)
o Ask why questions to assumptions
o Express your ideas here – to help us.
•Set up blog – so you can log in and express ideas later on
•Money provided for the workshop includes two round trip tickets to Honolulu so people from the county of Kauai can participate. If agreeable with the group,leave with Mayor’s committee on equal access to select the candidates. Let Larry or Kristina know if you would like to come.
On with the show – Francine will start the powerpoint
• How many people know about this document on line? (very few hands go up)
• Discussion of impact of Hurricane Kristina and need to address emergency situations to be inclusive of persons with disabilities
• Focus on state agencies that were included in a discussin here in Hawaii:
o Department of Educaiton
o Dept of Health
o DCAB
o Executive Office on Aging (aging population)
o Emergency response – Civil Defense at state and county levels
o American Red Cross
o Healthcare Association of Hawaii – coordinate response from hospitals
o Advocacy agencies: Mayor’s Cmmittes on Persons with Disabilities and Hawaii Association of the Blind and Hawaii Services on Deafness
o Lacked input from the community
Developed plan and went to the Legislature for a number of initatives
How to improve and tweek the plan
This is a planning meeting – not to teach you about emergency preparedness
When develop 2008 and 2009 plan, can see the objectives and move objectives off as they are accomplished.
Every year see what needs to be improved
Please speak up and tell us – even if you object to just one work (derogatory, incorrect, expanded, etc.)
Debbie will discuss how we got to this stage of the plan
Why is the issue important – recent experiences with Hurricanes Rita, Katrina and other disasters include the entire population, so the most vulnerable people should be included.
One of the biggestdiscussions was “who are people with disabilities”?
Can’t just use ADA because some people can function independently with a care giver. Level 2 – may not need those
Give list of who is included in the plan:
As we all age, it includes all of us.
Generally think that about 20% of the people might need assistance, but 10-13% might need assistance in this state. Harris Poll for National Organization on Disability
General statistics
58% of the do not know who to contact in emergency
61% have no plans to safely and quickly evacuate
50% have no plans to safely evacuate from the workplace
Where are the people located – see on last page of the plan – they are registered in care facility. There are others who are not living in care facilities and identified in other ways.
End of October will send out a survey to know where the pockets of people with disabilities are to recommend to State Civil Defense where to locate next phase of Level 2 shelters
Focus of plan
Includes in 2007 – transportation, communities without mass transit, people without own cars have no way to get to and from a shelter
Planning for people by level of care needed (not disability) Staff different shelters with different kinds of people needed
Danny discuss levels of care and shelters
Hurricane planner for State of Hawaii is the planner for shelters – lack of shelters, types of shelters. Are behind, hope to be on track in 2007
Level 1 is regular (220 statewide) staffed by Red Cross – need 600 – 700 statewide Staffed by Red Cross. If have person with arthritis, artificial limbs, insulin pumps, etc. Shelters are segregated. Single males and females are in different corners. Families in different corner. People with special needs in another corner. Regular self care.
Level 2 – more stringent – need care for feeding, changing clothes, going to the bathroom, taking medications. Must have caregiver come with you. Heard horror stories from Katrina. Only one medical person – not care at level 2 shelters. If people need care, they must bring the caregiver.
Level 3 – ready to give birth, had a major operation – acute medical care required and under the care of a physician.
Francine
Assumptions or Basic Principles
First – emergency readiness is foremost a personal responsibility You must be ready and prepared – it is a personal responsibility. The government will not be coming to get you.
People with special needs should be kept with their families and not separated from them. Remain as a unit. Will try to keep units together because the more a unit is together, the more they can provide care and attention to each other.
Second –
Plan for pwd and special needs must be part of the overall planning for the entire community.
Although want to know where people are located and the Dept of Health and Human Services with databases on their clients, not supporting registeration of all people with disabilities.
Danny
Must have own personal disaster kit – must have individual and family disaster kit to help self.
Goal 1 – all pre-designated communit emergency management shelters Objectives:
• Upgrade existing shelters
• Locate new accessible spaces and hard to increase capacity
• Train shelter workers to response appropriately to pwd
Goal 2 the capacity to “shelter in place” shall be increased – alleviate the demand on level 1 shelters and allow individuals to remain in place
• Establish tax credits or other incentives for “shelter in place” renovations
• Assist in long term care facialites to upgrade
• Retrofit homes to allow people to stay in place
Goal 3 Increase number of level 2 shelters Long term goal all
Objectives:
• Id and designate – Level I
• Level 2
• Level 3
Goal 4 accessible public and emergency readiness campaign developed and implemented Objectives:
• Develop and conduct statewide public and professional outreach programs
• Conduct emergency planning with State case managers
• Purchase emergency kits – sold by Red Cross with basic items in kit (clothing, medication to be added)
Goal 5 Health care providers shall have appropriate emergency guidelines in place
• Develop appropriate county evacuation guidelines – what do different agencies do?
• Strengthen licensing and oversight of health care facilities to include emergency evacuation
Goal 6 (notification) Individuals with disabilities or special health needs shall receive equivalent notification of evacuation in accessible formats
• Media broadcast
• TTYs
• Accessible websites
• Reverse 911 system
Goal 7 Each county shall have a plan for providing transportation for pwd or people with special health needs who have no transporation to get to and from shelters
• Develop operational transit service plans for pwd in each county
• Inform pwd of transporation options available in the county if an emergency occurs.
Yes, transit system or service may need to be activated but not available in regular times.
Questions?
Instead of giving registered names – you are looking at where people live – discussed with Debbie –
Plot out where people live so know where to place shelters.
Question – what about the homeless people?
Answer – that’s a good questions. Maybe include agencies that provide access to people who are homeless. In Katrina – got a lot of people who were homeless. The hardest people to work with were people who are homeless because now had a place to go (shelter), so the problem is getting them to leave the shelter after the disaster is over.
Question – Gene Ota, DOE, everybody on break. Asked to attend yesterday at last minute. On State Task force for the Schools. Medicaid Fragile students – may be tied in – these are the students with oxygen or other things. Are we going to be prepared at the schools? When Medicaid fragile students are at school, their needs during a disaster needs to be addressed.
Answer – There is database of all the children served – but not all the children existing. Public health nurses know all those in their delivery system and creating an individualized plan for these families. People don’t get all services in one place. Sometimes they get no service – may not be on anyone’s case services. Maybe just Meals on Wheels and a child checking in. It doesn’t hurt to have all agencies helping pwd be prepared.
Question – Personal attendant caregivers – is there a guarantee that the caregiver will stay with the child at the school. Have tough time finding caregivers or will they go home and care for own famlies. That is a real concern.
Answer – No guarantee – gut reactions when an emergency occurs. Worry about own family first – then hope that personal care attendant will return. But we do not know if personal care attendant will do that.
Question – Will AmericanRed Cross train people to be able to provide this care?
Answer – not specifically in the plan
Danail – RedCross does not have enough staff to man all the shelters. Will be asking – if something were to happen next week and do have the shelters open (all 200) even if we don’t have a MOU but have guidelines established, we will open Level 2 Shelter. Maybe won’t have all the caregivers. But will find the volunteers that we can use to help the people who need it. Whatever the role – babysit, registration, security, take out of the garbage – whoever goes to the shelter will be asked to do their part, and asked about their skills. People tend to pull together in an emergency. It will happen. We have a plan and working toward the completion of the plan. Don’t have people trained to provide all the care needed right now. We may need to change the objectives, make the wording stronger. Asked for $8 million dollars (153,000 spaces short) last year to retrofit more DOE schools. No money was appropriated. Need your help with the legislators.
We can finish this plan before the legislative session and talk with the key legislators to provide the funds to help in all the areas. Need infusion of money and human capital to come up to a standard we would all like to see before a tragedy occurs.
Instructions:
Think as big a system as possible but knowing you will respond as an individual.
For example, I live in a condo and we have a buddy system. That’s fine for evacuating in a fire and at the time of a fire if we are both there.
At the same time I have an elderly father in single wall constructed home . I have a sister with severe disabilities and visual disability. Also have responsibility for acting in the disaster response. We must all make very quick decisions, when the emergency hits. What will the streets will look like? Just run through as many scenarios as possible and make good decisions as possible.
Break into groups.
