nal Center for Disaster Medicine & Public Health -_,

Office of Human Services Emergency Preparedness & Response

Disaster Human Services & the Socioeconomic Determinants of Post-Disaster Health Outcomes

Administration for Children & Families Office of Human Services Emergency Preparedness and

Response

tional Center Disaster Medicine & Public Health bruary 11th, 2014. 1:00 PM, ET eet @NCDMPH #DisasterLearning

CDR Jonathan White, Ph.D., LCSW-C

Na Fe Tw

National Center for Disaster Medicine & Public Health

NCDMPH Disclaimers

• The views expressed in this presentation are solely those of the presenter and do not reflect the views of the National Center for Disaster Medicine and Public Health, the Uniformed Services University of the Health Sciences, and the US Department of Defense

Superstorm Sandy (2012). Photo: ACF.

Administration for Children & Families

• A division of the U.S. Department ofHealth and Human Services

• Promotes the economic and social well-being of families, children, individuals andcommunities

• Administers more than 60 programs,budget of $51 billion

acf.hhs.gov

ACF Equities in Disasters

• 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 • Unaccompanied Alien

Children Services

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

ESF-8 (NRF)

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

CHILD SUPPORT EARLY CHILDHOOD Head Start and Child Care

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

ECONOMIC SECURITY e.g., Temporary Assistance for

Needy Families (TANF)

FAMILY VIOLENCE PREVENTION & SERVICES

e.g. State Domestic Violence Coalitions, State Administrators,

National Domestic Violence Hotline (NDVH)

Mechanisms for Health Outcomes Program Type

Injury Risk

Health Access

Stress-Related

Economic Determinant

Behavioral Health

Environ-mental

Develop-mental

Economic Security

Child Support

Early Childhood

Family Violence

Child Welfare

Nutrition

Energy

Aging Svcs

Vulnerable Pop Svcs

uper torm andy (2012) Photo: ACF.

Superstorm Sandy (2012). Photo: ACF.

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

Recommendations: Short-Term Recovery

• Convene (or leverage existing) Children and Youth Task Force

Children and Youth Task Force in Disasters: Guidelines for Developmentwww.acf.hhs.gov/sites/default/files/ohsepr/childrens_task_force_development_web.pdf

• 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,and providers)

Superstorm Sandy (2012). Photo: ACF.

Recommendations: Intermediate Term Recovery

• Establish linkages between behavioral health and early childhood programs

• Promote awareness of the National Domestic Violence Hotline

800-799-7233 www.thehotline.org 800-787-3224 (TTY)

Recommendations: Long-Term Recovery

• Support effective and coordinated systems ofDisaster Case Management by the Federalgovernment, VOADs, State government, orothers

• Leverage recovery experiences under the NDRF to build greater capacity and interoperability for human services preparedness for future events

Joplin, Missouri Photo: FEMA.

Questions?

CDR Jonathan White Deputy Director

Office of Human Services Emergency Preparedness & Response

Administration for Children and Families jonathan.white@acf.hhs.gov

(202) 690-6984