Presentation on theme: "Vulnerable Populations Tools"— Presentation transcript:
1 Vulnerable Populations Tools Developed byMontgomery County APC
2 Presentation Objectives Define vulnerable populationsDescribe two tools that will assist in preparing vulnerable populationsCase Management Tool for Aging and Disabled - ChecklistLatino Health Promoter Curriculum - TTT
3 Definition of Vulnerable Populations Determined by your own population within your community and what populations will be most at-risk during an emergency event.Notes: Vulnerability is determined not so much by the event, rather, by the different social, economic, and political processes and conditions that society creates under which people face hazards. Dr. Randy Rowel, Special Populations Bioterrorism Initiative: Emergency Response Needs for Low-Income Populations, Morgan State University, School of Public Health Policy, October 24, 2005.
4 Examples of Vulnerable Populations Limited English ProficiencyEconomically disadvantagedIsolated from the communityPhysically or mentally challengedPregnant WomenChildrenHomelessPersons with chronic conditionsSeniorsMinority groupsThese are examples of groups of vulnerable populations. Each community needs to assess what populations will be vulnerable during an emergency event. These populations will be often those same populations that local health departments serve every day.Bill—you might want to talk about some vulnerable populations in your community.
5 Case Management ToolPurpose: Part of community engagement model, introduce emergency preparedness into the workforcePilot tested through collaborative effort with SME’s in Aging and Disability Program.Case Management Tool was developed when as we have worked with our Aging and Disability program. They made the form as part of their case management file, where it is reviewed by the case manager. They have also made it a part of their contract with agencies that A& D work with for home care services.The pilot of this case management form was very successful-collecting the 9 items for the emergency toolkit. Emergency Preparedness Checklist for Case Management and Home Care Services (which includes Plan to Be Safe messages).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 items90 day: 90.6% had a 3-day supply of 5 or more items100% of case workers documented having a conversation with the family and helping the family make an emergency plan.5
6 Engage County and Community Programs County ProgramsAging and DisabilityCommunity Health Nurses-Pregnant women and families with young childrenFoster CareHealth Clinics (HIV, STD, TB)Case Management ServicesCommunity ProgramsFaith Community NursesHome Health AgenciesHome Visiting ProgramsRehabilitation CentersCase Management ProgramsMontgomery APC developed the Case Management Checklist in order to engage County and Community Services in assisting with preparing their clients and patients for emergency events. It is built upon Montgomery APC’s Plan to Be Safe Campaign and the three steps:Have a ConversationMake a PlanMake a KitIt also helps to encourage the family and the service provider to develop a plan on how they would communicate during an emergency event. In Montgomery County this was recently used during the February snow storms.
7 Case Management ToolModification/Use-original files available upon requestIntended to be copied and placed into case management recordsAvailable for free through Montgomery APC’s webpage.
8 Latino Health Promoter Curriculum Purpose: To train promotores de salud in Public Health Emergency Preparedness3-Day trainingDeveloped based upon focus group studies to educate gatekeepers to promote emergency preparedness in daily work with Latino CommunityThe Latino Health Promoter Curriculum was developed based upon Focus Groups which were conducted in 2006 some of the results are as follows:Participants had difficulty defining “emergency”Wide range of perceived personal emergency risksFew participants reported receiving information on EPConcern with government’s readinessMost participants did not have an EP planImmigration identified as a current emergencyCarter-Pokras, Olivia, PhD, Zambrana, Ruth E., PhD, Mora, Sonia E., and Aaby, Katherine A., MPH, RN. Emergency preparedness: knowledge andperceptions of latin american immigrants. Journal of Health Care for the Poor and Underserved. 18 (2007): 465–481.
9 BackgroundScarce information on emergency preparedness (EP) knowledge and attitudes in LatinosRacial/ethnic minorities more vulnerable to disastersNeed to develop culturally and linguistically competent (EP) interventionsWhy we did the project and the need.
10 Objectives of the Montgomery APC/LHI Project Compile information/assess Latino’s knowledge, perceptions of risk, and preferred and actual sources of information on EP.Develop culturally appropriate EP materials to be replicated and used in other jurisdictionsDevelop and test an EP intervention among low-income Latinos-through a mini-pilot projectStep 1: In order to develop this curriculum Montgomery APC performed focus groups in the Latino community in Montgomery County to understand the best way to communicate emergency preparedness messages to the community.Step 2: Montgomery APC developed a curriculum for Latino Health Promoters (or other lay health promoters) on emergency preparedness.Step 3: Once the health promoters gained knowledge and awareness of emergency preparedness they performed educational sessions in the community. Montgomery APC was able to gather data from the mini-pilot project that demonstrated that participants were more prepared for emergencies after participating in the intervention, than before.For the purposes of this presentation we are going to walk through the Latino Health Promoter Curriculum.
11 Factors Contributing to Success of Using Latino Health Promoters Carefully designed culturally & linguistically competent interventionLimited number of key messagesCollaboration with trusted agenciesIncentives?Skills, talents, enthusiasm, experience of promotersCommunity trust in promotersWhy did we use Latino Health Promoters to deliver the message to the Latino Community?The data indicate that the promoter-led community education sessions on emergency preparedness are remarkably effective in increasing the Latino community’s readiness for emergencies. In a recent national survey on emergency preparedness among the United States public, 43 percent in general and 33 percent of Latinos said they felt very prepared or prepared for a disaster with no warning (terror attack or earthquake). When asked about a disaster with a warning (hurricane or wildfire), the numbers increased—60 percent in general and 48 percent of Latinos.Results from Montgomery County, MD’s mini-pilot project using Latino Health Promoters as messengers resulted in 70 percent of participants saying they felt prepared to deal with an emergency which is substantially higher than both scenarios proposed to respondents in the national survey.The same national survey also found that 43 percent of the public in general said they had a family emergency preparedness plan, whereas 100 percent of the Montgomery County, MD mini-pilot participants reported they had a plan. Redlener, I. et. al. (2007).The American Preparedness Project: here the US Public Stands in 2007 onTerrorism, Security, and Disaster Peparedness: Annual Survey of the American Public. New York: National Center for Disaster Preparedness, Columbia University Mailman School of Public Health and The Children’s Health Fund.Factors that may have contributed to the project’s success are:A carefully designed, culturally and linguistically appropriate intervention, based on audience research and the lessons learned from years of experience of the Vías program.Use of a limited number of messages to help the promoters master basic concepts and to help the community understand key actions to undertake.Collaboration with trusted community agencies that serve Latinos.The provision of incentives, although no participant mentioned these in the post intervention questionnaires.The skills, talents, creativity, and enthusiasm of the experienced Vías promoters.The trust that the Vías promoters enjoy in the communities where the interventions were conducted; they are well known through their ongoing work at these site.
12 Health Promoter Curriculum Basic information on public health emergencies and actions to take to prepare for an emergencyOutreach, community engagement techniques, and use of educational materialsOutlines specific knowledge and skills learning objectives, training content and methodsIncludes simple record keeping toolWhat is included in the Latino Health Promoter Curriculum
13 Have a ConversationThe curriculum is built upon Montgomery County’s Plan to Be Safe Campaign’s three messages:Have a Conversation-talk with your family about emergencies.Make a Plan-Write down a communication plan and share it with your family. Have contact information for different members in the area you live, as well as outside of the area you live to serve as the point of contact.Make a Kit-keep a kit of essential items that your family will need to have in case of an emergency where you cannot leave the house or have no electrical power.
16 ConclusionTraining curriculum & accompanying materials facilitate replication in other sites.Careful attention to building relationships with community & nurturing promoters
17 Activity 9: Preparing for Emergencies RULES:Form two teams30 seconds to state how the object is related to emergency preparednessMust state if this an essential item or notIncorrect answers allow the other team to answerPoints are awarded to the team that can correctly answer the two questionsSample Activity from the LHI Curriculum.Bill- you can walk people through the activity or actually perform the activity with the group depending upon time.
19 Mario in Florida:Essential-phone numbers and contact information of relatives or friends outside of your state are always good to have in case you can’t reach others in your family. This person could serve as the point of contact to call if you can’t reach anyone else.
20 Essential-if you are in need of a wheelchair or other mobility device for special needs, place that into your kit.
21 Essential-a battery operated flashlight Essential-a battery operated flashlight. Even better are the crank radio/flashlight combinations.
22 Montgomery County Public Schools Emergency Preparedness Plans Essential-Emergency plans that you feel are important to the safety of your family members. Having your children’s school plans will make you feel better as a parent to know what is going on.
28 Essential-first aid kits are good to have for minor emergencies Essential-first aid kits are good to have for minor emergencies. These kits do not have to be very extensive. Extra bandages, band aids, over the counter medications, thermometers, etc. are good to have on hand.
39 Latino Health Promoter Curriculum Modification/Use-Can be implemented with any Health Promoter or outreach program that works with the Latino community.Available for free through Montgomery APC’s webpage