Acosta Joie, Chandra Anita, Feeney Kevin Carter
Rand Health Q. 2011 Mar 1;1(1):18. eCollection 2011 Spring.
In 2009, individuals heavily affected by Hurricanes Katrina and Rita were still in need of social services. The Federal Emergency Management Agency (FEMA) provided funding to the Louisiana Recovery Authority to implement the Disaster Case Management Pilot (DCMP) in order to help people still living in FEMA temporary housing units in April 2009 move to permanent and secure housing and access services. Despite concerted effort by participating agencies, the implementation of the DCMP was fraught with challenges. As a result, the pilot could not be implemented as intended, leaving the needs of many clients not fully met. This article shares details of a study that documents some of the key challenges in coordination, communication, and financing of the program and offers recommendations for future state and FEMA implementation of disaster case management. In light of these challenges, the authors recommend that federal and state governments review the systems used to identify and locate residents in need of disaster case management; these systems performed poorly in the DCMP, making it difficult to appropriately plan services. The stop and start of recovery initiatives led to serious discontinuities in client recovery, so the authors also recommend that federal and state governments consider a single, longer-term recovery initiative that seamlessly acknowledges the stages of human recovery. Improvements in how federal and state governments identify and locate affected residents, consider needs and vulnerabilities in planning, and ensure continuity of services are critical to ensure high-quality disaster case management.
2009年,受卡特里娜飓风和丽塔飓风严重影响的个人仍需要社会服务。联邦紧急事务管理局(FEMA)向路易斯安那州恢复管理局提供资金,以实施灾难个案管理试点项目(DCMP),帮助那些在2009年4月仍居住在联邦紧急事务管理局临时住房单元中的人们搬到永久安全的住房并获得相关服务。尽管参与机构共同努力,但DCMP的实施仍充满挑战。因此,该试点项目未能按计划实施,许多客户的需求未得到充分满足。本文分享了一项研究的细节,该研究记录了该项目在协调、沟通和融资方面的一些关键挑战,并为未来该州和联邦紧急事务管理局实施灾难个案管理提供了建议。鉴于这些挑战,作者建议联邦和州政府审查用于识别和定位需要灾难个案管理的居民的系统;这些系统在DCMP中表现不佳,使得难以合理规划服务。恢复计划的断断续续导致客户恢复过程严重脱节,因此作者还建议联邦和州政府考虑实施一项单一的、长期的恢复计划,该计划应无缝衔接人类恢复的各个阶段。改善联邦和州政府识别和定位受影响居民的方式、在规划中考虑需求和脆弱性以及确保服务的连续性,对于确保高质量的灾难个案管理至关重要。