Office of Human Services Emergency Preparedness & Response Disaster Human Services & Post-Disaster Health Outcomes CDR Jonathan White, Ph.D., LCSW-C Administration for Children & Families Office of Human Services Emergency Preparedness and Response

Superstorm Sandy (2012). Photo: ACF.

Administration for Children & Families A division of the U.S. Department of Health and Human Services Promotes the economic and social well- being of families, children, individuals and communities Administers more than 60 programs, budget of $51 billion

Child Care Child Support Services Child Welfare & Foster Care Community Services Block Grant Family Violence Prevention & Services Head Start Immediate Disaster Case Management Low Income Home Energy Assistance Program Refugee Resettlement Runaway & Homeless Youth Social Services Block Grant Temporary Assistance for Needy Families Transitioning Foster Youth Unaccompanied Alien Children Services ACF Equities in Disasters

ACF Emergency Activities The Office of Human Services Emergency Preparedness and Response (OHSEPR) provides leadership in human services preparedness, response, and recovery, promoting resilience of individuals, families, and communities prior to, during, and after nationally declared disasters and public health emergencies. Partnership between ACF Office of Human Services Emergency Preparedness and Response (OHSEPR) and the 10 ACF Regional Administrators’ offices. In each ACF Regional Administrator’s office, there is a Regional Emergency Management Specialist (REMS).

Human Services in Disaster Preparedness Integration of human services systems with public health and emergency management Promote community resilience, focusing on at-risk populations served by human services systems Response Continuity of services when disaster strikes Addressing new, disaster-caused human services needs Recovery Restore and rebuild human services infrastructure Equitable recovery for at-risk populations served by human services systems: leave no one behind

ACF Operations Roles ACF Programmatic Authorities Preparedness, Response, Recovery, Mitigation Support to: Grantees, States, Tribes, Territories ESF-6 (NRF) Response, Preparedness Support to: FEMA, States, Tribes, Territories ESF-8 (NRF) Response, Preparedness Support to: ASPR, States, Tribes, Territories Health & Social Services RSF (NDRF) Recovery, Preparedness Support to: ASPR, States, Tribes, Territories

Drivers of Disaster Human Services Needs Drivers of Human Services Needs Disaster Impacts Social Disruption Critical & Social Infrastructure Damage Evacuation/ Mass Movement Work/Wage Disruptions

Key Health-Related Social Services/ Human Services Programs ECONOMIC SECURITY e.g., Temporary Assistance for Needy Families (TANF) CHILD SUPPORTEARLY CHILDHOOD Head Start and Child Care FAMILY VIOLENCE PREVENTION & SERVICES e.g. State Domestic Violence Coalitions, State Administrators, National Domestic Violence Hotline (NDVH) CHILD WELFARE & FOSTER CARE e.g., Child Abuse Prevention & Treatment Act programs, Title IV- E, Adult Protective Services NUTRITION ASSISTANCE e.g., Supplemental Nutrition Assistance Program and Women, Infants & Children ENERGY ASSISTANCE e.g., Low Income Home Energy Assistance Program (LIHEAP) AGING SERVICES e.g., Older Americans Act Programs VULNERABLE POPULATIONS ASSISTANCE e.g., Runaway & Homeless Youth, refugee & asylee programs, Transitioning Foster Youth, human trafficking programs

Mechanisms for Health Outcomes Program Type Injury Risk Health Access Stress- Related Economic Determinant Behavioral Health Environ- mental Develop- mental Economic Security Yes Child Support Yes Early Childhood Yes Family Violence Yes Child Welfare Yes Nutrition Yes Energy Yes Aging Svcs Yes Vulnerable Pop Svcs Yes

Key Lessons Learned The client populations served in “steady state” by human services/social services systems are also key “at risk” populations for adverse health outcomes post-disaster

Key Lessons Learned Significant gaps remain in interoperability of human services/social services with emergency management and public health at all levels

Key Lessons Learned Child care has particular challenges in recovery

Response HHS provides situational awareness on impacts to human services and early childhood programs ACF provides LNO and SME support to the Federal interagency on HHS human services as described in the HHS Disaster Human Services CONOPS (2014)

Short-Term Recovery Convene (or leverage existing) Children and Youth Task Force Children and Youth Task Force in Disasters: Guidelines for Development Assess child care impacts and convene Child Care Recovery Group under Children & Youth Task Force if required (to include Lead CCDF agency, Child Care Resource & Referral agency, ACF, Save The Children, FEMA, and providers)

Intermediate Term Recovery Establish linkages between behavioral health and early childhood programs Promote awareness of the National Domestic Violence Hotline (TTY)

Long-Term Recovery Support effective and coordinated systems of Disaster Case Management by the Federal government, VOADs, State government, or others Leverage recovery experiences under the H&SS NDRF to build greater capacity and interoperability for human services preparedness for future events

Questions?

CDR Jonathan White Deputy Director Office of Human Services Emergency Preparedness & Response Administration for Children and Families (202)