Strengthening Vulnerable Populations Through Preparedness Quality Health Care for Culturally Diverse Populations Conference October 21, 2010
Presentation Objectives • Describe the process Montgomery County went through to help prepare its vulnerable populations • List at least two tools and/ or resources identified in the presentation. • Identify how one of the tools and/ or resources in the presentation can be used in your community.
Montgom ery County Process
Why Prepare Vulnerable Populations? • Katrina Pictures from: www.cfcnca.org, katrinapictures.blogspot.com
Prior to Katrina vulnerable populations were susceptible to: • Poor health • Dependency on conditions (chronic) social and health services • Unemployment • Inequity or • Lack of insurance discrimination (housing, health) (social, racial, • Lack of economic, transportation geographic)* * The Brookings Institution, Metropolitan Policy Program. New Orleans After the Storm: Lessons from the Past, a Plan for the Future . October 2005.
Basic Demographics • 496 squares miles next to Washington D.C • 931,000 population • Affluent • Poverty level • High Cost of Living • 125 different languages
Definition of Vulnerable Populations • Determined by your own population within your community and what populations will be most at-risk during an emergency event.
Montgomery County’s Vulnerable Populations (examples) • Limited English • Children Proficiency • Homeless • Economically • Persons with chronic disadvantaged conditions • Isolated from the • Seniors community • Additional groups • Physically or mentally challenged • Pregnant Women
Identifying Gatekeepers (i.e., community health nurses, home health aides, Latino Health Promoters, public/ private agencies) Montgom ery County • Aging and Disability Em ergency Preparedness • Police and Response Vulnerable • Volunteer Center Populations Com m ittee • Health Promoter Programs County Offices of: • Community groups, • PH Emergency Preparedness advocacy groups, hospitals, • Homeland Security assisted living facilities, group homes, nursing • Community Affairs homes, and faith • Senior Health Promotion communities
GATEKEEPERS TO TARGET POPULATI ON: Persons w ho are Blind American Council of the Blind Services for the Visually Impaired 1155 15 th Street, NW, Suite 1004 8720 Georgia Avenue, Suite 210 Washington, DC 20005 Silver Spring, MD 20910 National Federation of the Blind 202-467-5081 (V) 301-589-0894 (V) Montgomery County Chapter 202-467-5085 (FAX) 301-589-7281 (FAX) 11923 Parklawn Drive, Suite 104 info@acb.org info@servicesvi.org Rockville, MD 20852 www.acb.org www.servicesvi.org Contact: Debbie Brown 301-881-1892 (V-Home) American Federation of the Blind 202-707-0503 (V-Work) Governmental Relation Group no e-mail address 820 First Street, NE, Suite 400 Washington, DC 20002 National Federation of the Blind 202-408-0200 (V) 1800 Johnson Street 202-408-8172 (V) Baltimore, MD 21230 202-289-7880 FAX) 410-659-9314 (V) afbgov@aft.net 410-685-5653 (FAX) www.afb.org Linda J. McCarty BLIND PERSONS Director of Public Relations lmccarty@nfb.org Patricia A. Maurer Newsline for the Blind Director of Community Relations 1-888-882-1629 communityrelations@nfb.org nfbnewsline@nfb.org www.nfb.org Newsline is a free 24-hour nationwide telephone service for people who are blind, visually impaired and/or unable to National Federation of the Blind read a printed newspaper. of Maryland Metropolitan Washington Ear, Inc. 9013 Nelson Way Maryland School for the Blind 35 University Blvd. East Columbia, MD 21045 3501 Taylor Avenue Silver Spring, MD 20901 410-715-9596 (V-Home) Baltimore, MD 21236 301-681-6636 (V) left voicemail for e-mail address 410-444-5000 (V) 301-681-5227 (FAX) 410-319-5701 (FAX) information@washear.org info@mdschblind.org www.washear.org www.mdschblind.org Radio, reading and information service.
Tools/ Resources • Plan to Be Safe Campaign – Emergency Preparedness Checklist for Case Management and Home Care Services • Emergency Preparedness Curriculum for Latino Health Promoters • Flu Prevention and Care Guide
Plan to Be Safe Cam paign The Need • Simple • Not too many words (low literacy and multiple languages) • Attractive • Cost effective • Need to encourage people to plan (avoid what happened in Katrina)
Plan to Be Safe Campaign Development • Initially wanted to target seniors • Graphic Artist • Focus group of department of recreation staff with Washington Post 2-1-07 Thrasher seniors Washington Post 2-1-07 Thrasher
Plan to Be Safe Campaign Materials
Plan to Be Safe Flipchart
Plan to Be Safe Training of Employees CD-ROM Video
Frederick & Anne Arundel Counties, MD
Plan 9 Hawaii
Plan 9 Billboard
Local Hospital-Plan 9
Evaluation Outcomes Using Plan to Be Safe Campaign • Aging and Disability Program (Plan 9 supplies) – Baseline: 50% had a 3-day supply of 5 or more items. – 30 day: 62.5% had a 3-day supply of 5 or more items – 90 day: 90.6% had a 3-day supply of 5 or more items
Latino Health Promoter Curriculum • Purpose: To train promotores de salud in Public Health Emergency Preparedness • 3-Day training • Includes Plan to Be Safe tools • New! Curriculum on Pandemic Flu
Latino Health Promoters Evaluation Outcomes • Emergency Preparedness in the Latino Community: Training Manual for Health Promoters – Reported emergency preparedness practices increased, to the point where all participants reported having talked with their families about emergencies and having an emergency plan after the third session.
Flu Prevention and Care Guide
Flu Prevention and Care Guide • Development – Hired a company with expertise in low literacy and LEP publications – Received feedback from people who are a part of LEP and low literacy communities and service providers – Field test three versions with target population groups
Flu Prevention and Care Guide Insert your logo and contact Insert your logo and contact information here. information here.
Flu Prevention and Care Guide Outcomes • Utilized during H1N1 as an educational tool for the public • Received a Merit award in the 17th Annual National Health Information Awards
Contact Information Rachel Abbey Rachel.Abbey@montgomerycountymd.gov All tools and resources mentioned in this presentation can be found at: www.montgomerycountymd.gov/ apc Or NACCHO Toolbox at: www.naccho.org/ toolbox
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