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Access _ Functional Needs - Missouri Department of Health

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					FUNCTIONAL NEEDS SUPPORT SERVICES:
PREPAREDNESS FOR
ALL MISSOURIANS
           Introductions
                 Karen Benson
               Convoy of Hope -
       Global Disaster Response Director
     Missouri United Methodist Conference -
              Disaster Coordinator

               Debra Hendricks
Department of Social Services – Children’s Division

                 Dante Gliniecki
      State Emergency Management Agency
            Statewide Area Coordinator
Access and Functional Needs:

• Can be defined as someone needing
  supports to maintain independence in daily
  activities, communication,
  transportation/evacuation, supervision or
  medical care.
People with Access and Functional Needs:
• People with disabilities:   • Persons requiring
   –   Physical                 bariatric equipment
   –   Sensory
   –   Mental health          • People who are non-
   –   Cognitive                English speaking or who
• Older individuals             have limited language
• Children                      abilities.
• Women in late stages of     • People with limited
  pregnancy                     transportation
Americans with Disabilities Act

• Children and adults with disabilities are
  entitled to equal opportunity to participate in
  programs, services and activities in the most
  integrated setting.
Functional Needs Support Services (FNSS):

• Are the services that enable children and adults to
  maintain their usual level of independence in
  general population shelters.
• Intended to ensure equal access to all services
  provided by a shelter.
• Supports needed to function independently can
  occur before, during and possibly after a disaster.
Functional Needs Support Services Include:

• Reasonable modifications to policies,
  practices and procedures.
• Durable Medical Equipment. (DME)
• Consumable Medical Supplies. (CMS)
• Personal Assistance Services. (PAS)
• Other goods and services as needed.
Key Concepts:
• Self-determination   • Physical Access
• No “One Size Fits    • Effective
  All”                   Communication
• Equal Access         • Program
• Equal Opportunity      Modifications
• Inclusion            • No Charge
• Integration
Functional Assessment Support Teams (FAST):

  • Conduct Assessments
  • Evaluates Functional Needs
  • Determines Resources Needed
FAST:
• Government Employees
  – SEMA, DSS, DMH, DHSS
• Community based personnel
  – Centers for Independent Living, Councils
• Non-governmental organizations
  – American Red Cross, Salvation Army
FAST Members:
• Have extensive knowledge of the
  populations they serve.
• Understand the needs of the shelter to which
  they were assigned.
• Have access to available services and
  resources.
• Include people who have access and
  functional needs.
Benefits of FAST:
• Community resource.
• Gives you, the local government, eyes and
  ears in the shelter.
• Assists in identifying and providing FNSS.
• Assists in meeting requirements of the
  American’s with Disabilities Act and other
  laws.
Advanced Planning is Critical
• Don’t wait for a disaster to begin planning for
  persons who have access & functional
  needs.
• Planning should occur at all levels of
  emergency preparedness.
• Include stakeholders in the planning.
Integrated Community Planning Steps:
•   Review current plans.
•   Identify stakeholders.
•   Complete gap analysis.
•   Identify resources.
•   Establish relationships.
Identify Stakeholders
•   People requiring FNSS.
•   Agencies/ organizations that provide FNSS.
•   Advocacy organizations.
•   Providers of services.
•   Faith based organizations.
•   VOAD, COAD
Community Gap Analysis
• Identify the types of disabilities and/or
  functional needs that exist within the
  community.
• Determine the types of resources that will be
  needed to serve the community.
Identify Resources & Establish Relationships
• Work with partners to help determine which
  tasks and responsibilities will be met by all
  stakeholders.
• Establish relationships with providers and
  identify how they can support the needs of
  individuals with access & functional needs.
Considerations for FNSS Planning:
• Reasonable         • Mental health
  modifications to     issues (i.e.
  policies,            provision of quiet
  procedures,          rooms)
  practices          • Transportation
• Communication      • Cooled/heated
• Access to            environment
  medications        • Other
FNSS Makes Sense
• Don’t have to plan for two types of shelters.
• Maximizes resources.
• Supports already exist in communities.
• Addresses the needs of all members of the
  community.
• It’s the right thing to do!
     Develop back-up plans
for personal assistance services,
        Hospice or other
  forms of in-home assistance!
Personal Emergency
 Planning is a must!
Resources:
• Guidance for Planning of Integration of
  Functional Needs Support Services:
  www.fema.gov/pdf/about/odic/fnss_guidance.pdf
• National Commission on Children and
  Disasters:
  www.childrenanddisasters.acf.hhs.gov/
Resources
 Department of Mental Health Disaster
  Readiness: http://dmh.mo.gov/disaster/
 Missouri Centers for Independent Living:
  http://www.mosilc.org/CIL.htm
 National Organization on Disabilities:
  www.nod.org/emergency
 Disability Preparedness Resource Center:
  www.disabilitypreparedness.gov
Resources
 American Red Cross:
  http://www.redcross.org
 Missouri State Emergency Management
  Agency: http://sema.dps.mo.gov/
 Federal Emergency Management
  Agency: http://www.fema.gov
            The Missouri State Access and
             Functional Needs Committee

                                     GOVERNOR'S FAITH-BASED AND
                                    COMMUNITY SERVICE PARTNERSHIP
                                       FOR DISASTER RECOVERY
                                     STATE CITIZEN CORPS COUNCIL




   ACCESS AND
FUNCTIONAL NEEDS    SPIRITUAL AND
                                            LEGISLATIVE             EXECUTIVE   CITIZEN CORPS
   COMMITTEE       EMOTIONAL CARE
                                            COMMITTEE               COMMITTEE    COMMITTEE
(FORMERLY LED BY     COMMITTEE
      DHSS




  CHILDREN IN
 DISASTER SUB-
  COMMITTEE
  (PROPOSED)
Missouri Severe Storms,
Tornadoes, And Flooding
Major Disaster Declared May 9,
2011 (DR-1980)
Disasters in Missouri

Tornado in St Louis   Flooding in Southeast MO
 Disasters in Missouri
                     Southern Missouri
Tornado in Sedalia
                     Tornado
Disasters in Missouri
          Joplin Tornado – May 22, 2011
Joplin Tornado
Joplin Tornado
Joplin Tornado
Joplin T
Disasters in Missouri

Carter County Tornado   Flooding in Wayne
May 25, 2011            County 2011
 Fires                 Power Outages
 Floods                Earthquakes
 Tornados              Chemical Spills
 Ice/Snow &            Plane Crashes
  Other Severe          Terrorism
  Storms                Pandemic Flu
 Severe Heat/Cold
ACCESS AND FUNCTIONAL
NEEDS EVENTS IN RECENT
AND CURRENT DISASTERS


•   Shelters
•   Children
•   People with Disabilities
•   Ongoing Recovery
                                      Deb Hendricks
Karen Benson                          Children’s Division
Director, Global Disaster             Missouri Department of Social
Response                              Services     P.O. Box 88
Convoy of Hope                        615 Howerton Court
330 S. Patterson                      Jefferson City, MO 65102
Springfield, MO 65802                 Office: (573) 751-4920
Office: (417) 823-8998 x368           Fax: (573) 526-3971
Cell: (417) 466.5406                  Debra.L.Hendricks@dss.mo.gov
kbenson@convoyofhope.org




              Dante Gliniecki
              Statewide Volunteer Coordinator
              SEMA
              PO Box 116
              Jefferson City MO 65102
              573-526-9132
              Dante.gliniecki@sema.dps.mo.gov

				
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