Levin Karen L, Berliner Maegan, Merdjanoff Alexis
National Center for Disaster Preparedness, Columbia University, New York.
J Public Health Manag Pract. 2014 Sep-Oct;20 Suppl 5:S79-82. doi: 10.1097/PHH.0000000000000096.
Given the variability, complexities, and available resources for local vulnerable populations, it is clear that preparing effectively for catastrophic events cannot be accomplished with a single, simple template. Inclusion of Community Human Service Organizations' (CHSO's) direct service delivery personnel ensures that emergency disaster planning efforts for vulnerable populations are effective and responsive to unique needs and constraints. By leveraging existing local resources, it extends the preparedness system's reach to the whole community.
CHSO personnel already perform community-based services and directly engage with vulnerable and special needs populations; typically they are on the front lines during an emergency event. Generally, however, the CHSOs, staff, and clients are neither adequately prepared for disasters nor well integrated into emergency systems. To address preparedness gaps identified during Hurricane Sandy, regional CHSO and local health department partners requested that the Columbia Regional Learning Center provide preparedness trainings for their agencies and staff responsible for vulnerable clients.
Evaluation of this initiative was begun with a mixed-methods approach consisting of collaborative learning activities, a function-based assessment tool, and a 5 Steps to Preparedness module.
Results from a survey were inclusive because of a low response rate but suggested satisfaction with the training format and content; increases in awareness of a client preparedness role; and steps toward improved personal, agency, and client preparedness.
Direct service delivery personnel can leverage routine client interactions for preparedness planning and thus can contribute significantly to vulnerable population and community disaster readiness. Trainings that provide preparedness tools can help support this role.
CHSO personnel are knowledgeable and have the expertise to assist clients in personal preparedness planning; yet, there are challenges around their ability and willingness to take on additional responsibilities.
鉴于当地弱势群体情况的多样性、复杂性以及可用资源,显然,仅靠单一、简单的模板无法有效应对灾难性事件。纳入社区人类服务组织(CHSO)的直接服务提供人员,可确保针对弱势群体的应急灾难规划工作行之有效,并能满足其独特需求与限制条件。通过利用现有的当地资源,它将备灾系统的覆盖范围扩展至整个社区。
CHSO人员已经在提供基于社区的服务,并直接与弱势群体和有特殊需求的人群打交道;通常在紧急事件发生时,他们处于第一线。然而,总体而言,CHSO、其工作人员和客户对灾难的准备都不足,也未很好地融入应急系统。为解决桑迪飓风期间发现的备灾差距问题,地区CHSO和当地卫生部门合作伙伴要求哥伦比亚地区学习中心为其负责弱势客户的机构和工作人员提供备灾培训。
对该倡议的评估采用了混合方法,包括协作学习活动、基于功能的评估工具以及“备灾五步”模块。
由于回复率较低,调查结果不具全面代表性,但显示出对培训形式和内容的满意度;对客户备灾角色的认识有所提高;以及在个人、机构和客户备灾方面朝着改进的方向迈出了步伐。
直接服务提供人员可以利用与客户的日常互动进行备灾规划,从而为弱势群体和社区的灾难准备工作做出重大贡献。提供备灾工具的培训有助于支持这一角色。
CHSO人员知识丰富,具备协助客户进行个人备灾规划的专业知识;然而,在他们承担额外责任的能力和意愿方面存在挑战。