Disaster Planning for Children and Families
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Transcript of Disaster Planning for Children and Families
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Disaster Planning for Children Disaster Planning for Children and Familiesand Families
Lou Romig MD, FAAP, FACEPLou Romig MD, FAAP, FACEP
Miami Children’s HospitalMiami Children’s Hospital
FL-5 DMATFL-5 DMAT
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Best practices?Best practices?
We’re getting practice We’ve got little data Every practice setting is different
Just like kids, no plan or policy fits all.
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Getting a gripGetting a grip
The 9-11 attacks, Katrina and the threat of pandemic flu have skewed our planning processes
The basics must be tackled first and addressed with solid plans.
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For children, there’s nothing more basic than familyfamily.
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You don’t You don’t need a need a distinct distinct
Pediatric Pediatric Plan if Plan if you…you…
Empower and supportEmpower and support
FamiliesFamilies
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Family IssuesFamily Issues
Every day can be a disaster
Strengthen critical community infrastructure to meet the daily needs of children and their caregivers
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Family IssuesFamily Issues
The family is the strongest unit of survival Personal identification
• On each person• Family records• Centralized records (photos,
fingerprints, DNA)
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Family IssuesFamily Issues
The family is the strongest unit of survival Family identification
• Begin data collection and identification at the time of first contact with the response system
• Develop family identifiers (photos, unique numbers, barcodes)
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Family IssuesFamily Issues
The family is the strongest unit of survival Keep families together
• Shelter families together• Evacuate families together• Take the time to do it right • Optimize existing resources to
assist with record-keeping and planning
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Family IssuesFamily Issues
The family is the strongest unit of survival Reunification in family planning
• School and workplace plans• Rendezvous points• Communication plans• Identifying materials as a part of
evacuation supplies
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Family IssuesFamily Issues
The family is the strongest unit of survival Reunification planning by
agencies• Assist with integration of
documentation systems across agencies
• Support appropriate identification record programs
• Work with reunification agencies and programs before a disaster occurs
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Family IssuesFamily Issues
Family disaster preparedness isn’t cheap Encourage preparedness incentives
• Insurance discounts• Tax-free days, tax credits(?)
Expand funding programs to help pay for supplies/equipment
• Medications/Medical goods• Food/formula• Batteries, flashlights, etc
Community service projects addressing family preparedness
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Disaster SheltersDisaster Shelters
Family-friendly
Family-safe
Family-functional
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Family IssuesFamily Issues
Family-friendly shelters Allow families to remain
together and care for each other Plans consider the special
needs of children• Food• Supplies• Hygiene• Activities• Psychological support
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Family IssuesFamily Issues
Family-safe shelters Healthy environment
• Smoke free• Drug/alcohol free
Safety and security• “Child-proofing”• Supervision• Exit/internal security• Ability to isolate children from
disturbing situations
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Family IssuesFamily Issues
Family-functional shelters Information center Recovery resources available Access to communication resources Access to medical care/resources Child care/supervision
• Organize shelter occupants to assist• Utilize community child care workers• Utilize community mental health/child
life resources for therapeutic play and psychological guidance for families
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Family IssuesFamily Issues
Psychology: Strength vs. scarring A culture of disaster
preparedness Make disaster preparedness a
part of the way we bring up our children• “Duck and cover”
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Information about pediatric disaster Information about pediatric disaster psychology is abundant.psychology is abundant.
Pediatric mental health programs are not.Pediatric mental health programs are not.
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Family IssuesFamily Issues
Psychology: Strength vs. scarring Parents/caregivers School personnel Primary medical care providers Disaster responders
Advocate for stronger mental health systems.
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Pediatric and Family Disaster Pediatric and Family Disaster Planning ResourcesPlanning Resources
Experienced parents Family representatives
School-based parent groups Parents of children with disabilities and
special medical/psychological needs
Primary care medical practitioners and professional organizations
Mental health professionals State EMS for Children programs
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Pediatric and Family Disaster Pediatric and Family Disaster Planning ResourcesPlanning Resources
Pediatric Terrorism and Disaster Preparedness: A Resource for Pediatricians
www.ahrq.gov/research/pedprep/resource.htm
American Academy of Pediatrics “Children and Disasters” website
www.aap.org/terrorism
Columbia University National Center for Disaster Preparedness website
www.pediatricpreparedness.org/
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Pediatric and Family Disaster Pediatric and Family Disaster Planning ResourcesPlanning Resources
National Association of Child Care Resource and Referral Agencies Disaster Planning Initiative
www.naccrra.org/disaster/
National Advisory Committee on Children and Terrorism Recommendations to the Secretary
www.bt.cdc.gov/children/recommend.asp
HRSA/MCHB EMS for Children Program website
http://bolivia.hrsa.gov/emsc/
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Pediatric and Family Disaster Pediatric and Family Disaster Planning ResourcesPlanning Resources
FEMA for Kids websitewww.fema.gov/kids
Ready Kids websitewww.ready.gov/kids
JumpSTART websitewww.jumpstarttriage.com
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Challenges to YouChallenges to You
Focus on the basics Focus on families Think like a parent Empower the caregivers to give
the care
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Challenges to YouChallenges to You
Recruit the help of child and family advocates
Use the knowledge and experience of others
Collect data!