Providing appropriate emergency sheltering after an event is a collaborative effort in Milwaukee County.

ASSISTANCE FROM PARTNERS FAsT partners are needed to successfully meet the needs of people who arrive at an emergency shelter by providing: Feeding Information Hands on Care Supplies Security Social Services

FAsT PARTNERS Milwaukee County Emergency Management Milwaukee County Department on Aging Milwaukee County Disability Services Division Milwaukee County Behavioral Health Division Milwaukee County Department of Health and Human Service Milwaukee County Department of Family Care American Red Cross

FAsT PLANS AND PROCEDURES Assessment Team Notification and Mobilization Mobilization of Functional Needs Support Services Responsibilities of the affected community and local responders, partner agencies, and contracted services Organizational Chart Volunteer roles Shelter signage and rules Demobilization Guidance

NOTIFICATION Shelter staff records the number of individuals arriving at the shelter site, as well as the needs of the individuals. Shelter manager makes request to activate the FAsT once they have exceeded the adequate resources to accommodate the needs of the clients. Milwaukee County Emergency Management receives information about the status of a community based shelter and confirms that potential triggers have been identified prior to activating the FAsT.

POTENTIAL TRIGGERS Insufficient number of skilled staff or volunteers Lack of proper supplies and equipment Inadequate shelter location and/or amenities A need for specific services Extended duration of the event

MOBILIZATION Emergency Management will activate FAsT representatives by contacting them and providing the following: Details about the shelter location The Shelter Manager’s Contact information Other necessary information, such as meeting time and location

MOBILIZATION FAsT representatives will notify their respective division that the FAsT has been activated and will ask the division to begin deployment procedures Prepare staffing plans to cover regular duties and provide assistance a the shelter site Gather supplies and materials that may be needed at the shelter Activate divisional contigency / COOP Pland If available, provideclient database

6 HOURS Call for Red Cross response 2-4 HOURS Request for FAsT assessment Red Cross assessment 2 HOURS FAsT arrival at shelter for assessment FAsT mobilization Deployment of MCFNES resources 1-2 HOURS FAsT prepares a recommendation and presents to County Leaders Arrival & set-up of MCFNES resources at shelter Multi-agency shelter set-up process complete EMERGENCY EVENT 8:00 12:00 2:004:0010:00 SAMPLE TIMELINE SCENARIO

MULTI- AGENCY ORGANIZATIONAL CHART

CONTACT INFO: Milwaukee County Emergency Management Municipal Emergency Service Coordinator GENENE HIBBLER (414)

MILWAUKEE COUNTY DEPARTMENT ON AGING Emergency Preparedness For Older Adults The Milwaukee County Department on Aging recognizes the importance of collaborating with existing Human Service Agencies and Milwaukee County Emergency Management that impact on the health and welfare of older adults in times of disaster.

DEPARTMENT ON AGING’S ROLE: COORDINATION AND SUPPORT ASSISTANCE Participate in the Forward Assessment Team in coordination with the Incident Commander and Emergency Management. Deploy 24 Hour Emergency Response Team, if or as needed, to evaluate and assess the needs of Older Adults, 60 years and older. Coordinate resources available to older adults with contracted or community organizations in response to disruption of services. Provide assessments to evaluate frail elderly with Long Term Care needs through the Aging Resource Center of Milwaukee County as requested. Provide Information and Assistance to elders through the Aging resource Center’s Call Center Unit on available community resources.

DEPARTMENT ON AGING’S ROLE: POST RECOVERY PHASE Conduct a needs assessment in coordination with older adult organizations to identify short-term, long-term and unmet needs after an incident. Implement appropriate protective actions and studies addressing the long-term health effects on older adults after an incident. Educate MCDA staff, Aging Network agencies, older adults and caregivers on developing Emergency Disaster Plans and Toolkits in preparation for disasters.

MILWAUKEE COUNTY DEPARTMENT ON AGING Contact Information: STEVE PETERSON, MHA, CIRS-A Aging Resource Center Program Coordinator 1220 West Vliet, Suite L Milwaukee, WI

DISABILITIES SERVICES DIVISION The Disabilities Services Division (DSD) is committed to assisting, coordinating, and providing support to individuals with developmental and physical disabilities in the event of an emergency. DSD will collaborate with internal and local external organizations to determine the assistance the Division is able to contribute to response efforts.

DISABILITIES SERVICES DIVISION Disability Services Division will collaborate with internal and local external organizations to determine the assistance the Division is able to contribute to response efforts.

PRIMARY ROLE: COORDINATION DSD will deploy staff members to emergency sites. DSD staff members will complete assessments for children and adults ages birth to 59 years with developmental and physical disabilities to determine their short-term and long-term care needs for specific services. For communication purposes, each DSD staff member will have a laptop and a cell phone. Families and children with special needs will be linked to the appropriate community services. DSD staff members will provide information and assistance to callers regarding shelters, food pantries, benefit programs, or other assistance.

DSD staff members will partner with internal partners (Department on Aging, Behavioral Health Division), contracted staff members, and external community organizations to ensure individuals with disabilities are provided with the supports they need. DSD will coordinate with Income Maintenance (IM) for financial eligibility for public programming. DSD will coordinate with the Bureau of Milwaukee Child Welfare for children under 18 who are in need of emergency assistance. DSD will coordinate with internal departments to use the media (T.V. and newspapers), the County Website, telephones, and s to communicate the status of the emergency.

DISABILITY SERVICES DIVISION Contact Information: Marietta Luster Quality Assurance 1220 West Vliet, Suite 300 Milwaukee, WI

BEHAVIORAL HEALTH DIVISION ROLES Providing assistance with: Mental Health assessments Mental Health Triage Mental health referrals Emergency replacement of certain medications

HUMAN SERVICES ROLES Assisting with registration, triage functions, & care Help to locate & replace lost items such as assistive equipment and medications Assistance in finding temporary or new housing Reunification with loved ones Providing assistance or referrals for medical or mental health needs Assistance with FEMA applications and other paperwork

HUMAN SERVICES ROLES The DHHS Operations Division will participate as part of the FAsT to assess the operational needs that could be of assistance to American Red Cross during a shelter activation:

TRANSPORT OF SUPPLIES AND EQUIPMENT Use of facility vehicles and/or contracted vehicles to deliver supplies and materials to the shelter.

MANPOWER FOR EQUIPMENT SET-UP Provide Operations staff and/or contracted staff to supplement Red Cross staff and volunteers Assist with cot & other equipment set-up, signage posting, and other preparatory tasks.

OTHER SERVICES Maintenance Assistance Portable Generator Equipment Trailer General Utilities Housekeeping Assistance Food Service Assistance DHHS Contract Security Contract

HUMAN SERVICES ROLES DHHS also has access to a wide array of equipment and supplies: Tables, chairs, office supplies, etc. that may be useful in a shelter setting and could be provided on short notice. The Milwaukee County Functional Needs Emergency Shelter Equipment Trailer Portable generator

MILWAUKEE COUNTY FUNCTIONAL NEEDS EMERGENCY SHELTER EQUIPMENT TRAILER 25-FOOT TRAILER FULLY LOADED WEIGHT = 9,500 LBS. SELF-CONTAINED GENERATOR

Medical Supplies Durable Medical Equipment Assistive Devices Registration Materials & Supplies Cots, Inflatable Beds, Bedding Personal Care Items Pediatric Items Pet Care Items

MILWAUKEE COUNTY FUNCTIONAL NEEDS EMERGENCY SHELTER GENERATOR Durable, sound-attenuated diesel generators provide mobile prime power for emergency management applications. A digital controller monitors and protects the generator and engine while providing performance data on an easy to read LCD display. A large, skid mounted fuel tank provides up to a 32 hour run time at full prime load, even without a trailer.

Contact: Laura Schnicke Emergency Preparedness Coordinator Milwaukee County Department of Health & Human Services (414)

33 AMERICAN RED CROSS ROLES Initiates and manages emergency shelters for residents unable to return home due to the aftermath of a disaster. Establish agreements with facility owners to share in the liability and cover the costs incurred from the shelter activity. Assures that the immediate needs of the clients are met and that residents with functional needs have services available to them or modifications within reason are provided in the shelter.

34 AMERICAN RED CROSS ROLES Plan, organize, direct and manage the shelter and assure clients have access to relief services as well as keeping clients sheltered with their family, friends or other residents within their community.

35 SHELTERING PHILOSOPHY Shelters must be clean, safe, accessible and secure. Shelter workers and managers must be strong advocates for all clients. Clients should be seen as proactive participants in recovery. Care and resources provided should be tailored to both the specific needs of the individual client and the local community as a whole. Shelter operators should prepare and respond with community partners.

APPLYING ADA BASIC PRINCIPLES In a small or wide spread community disaster, the Red Cross will: Operate shelters so all residents get the same benefits of basic needs, first aid care, and the support of family and friends. Meet the access and functional needs of shelter residents while keeping families together with assistance from community partners. Coordinate with facility owners, Emergency Management, Human Services, Public Health and other non-profits to make shelters accessible Consult shelter residents to understand and meet their individual needs.

SHELTER SERVICES Availability of full range of services in shelters o Feeding o Bulk Distribution o Family Reunification o Health Services o Mental Health o Client Casework

38 ASSESSMENT TOOL IDENTIFIES Caregiver needs Equipment needs Help with walking, eating, dressing, bathing and toileting Medication administration assistance Hearing or understanding spoken language Vision problems Language issues Skilled nursing care needs Anxiety, Mental Health needs

HEALTH & MENTAL HEALTH ASSESSMENT Determine the needs of the client, connect to resources Replace items lost/damaged in the disaster Provide for continuity of care Work with our partners like Public Health Depts and Dept. of Health and Human Services Include local partners to address functional needs support services

WHO WE CANNOT SHELTER Three “tipping” points: Individuals who require constant medical supervision Individuals who need hospital care Individuals who are a danger to themselves or to others 40

41 WHAT HAPPENS THEN? Hospital Referrals Nursing Home Referrals Assisted Living Facility Referrals Group Home Referrals Other facilities available within the community Medical needs and client safety are the most important issues. We will work with the client and our partners in the community to find safe and appropriate placement.

PREPARING TOGETHER Educate the disaster workforce on local issues surrounding access and functional needs. Support community planning. Identify and secure appropriate facilities. Coordinate community resources to address gaps in supplies, equipment and services. Participate or plan exercises.

43 Kurt Worden

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