Disaster recovery plan to reduce health disparities and improve access to community services

Develop a disaster recovery plan to reduce health disparities and improve access to community services after a disaster. Then develop and record a 10–12 slide presentation (please refer to the PowerPoint tutorial) of the plan with audio and speaker notes for the local system, city officials, and the disaster relief team.
First, review the full scenario and associated data in the Assessment 03 Supplement: Disaster Recover Plan [PDF] Download Assessment 03 Supplement: Disaster Recover Plan [PDF]resource.
Then complete the following:

  1. Develop a disaster recovery plan for the community that will reduce health disparities and improve access to services after a disaster.
    o Assess community needs.
    o Consider resources, personnel, budget, and community makeup.
    o Identify the people accountable for implementation of the plan and describe their roles.
    o Focus on specific Healthy People 2020 goals and 2030 objectives.
    o Include a timeline for the recovery effort.
  2. Apply the MAP-IT (Mobilize, Assess, Plan, Implement, Track) framework to guide the development of your plan:
    o Mobilize collaborative partners.
    o Assess community needs.
     Use the demographic data and specifics related to the disaster to identify the needs of the community and develop a recovery plan. Consider physical, emotional, cultural, and financial needs of the entire community.
     Include in your plan the equitable allocation of services for the diverse community.
     Apply the triage classification to provide a rationale for those who may have been injured during the train derailment. Provide support for your position.
     Include in your plan contact tracing of the homeless, disabled, displaced community members, migrant workers, and those who have hearing impairment or English as a second language in the event of severe tornadoes.
    o Plan to reduce health disparities and improve access to services.

Full Answer Section

   

MAP-IT Framework:

1. Mobilize Collaborative Partners:

  • Local government agencies: Emergency management, public health, social services, transportation, and infrastructure.
  • Healthcare providers: Hospitals, clinics, community health centers, mental health professionals.
  • Non-profit organizations: Food banks, shelters, faith-based groups, advocacy organizations.
  • Community leaders: Representatives from different ethnic, cultural, and linguistic groups.
  • Volunteers: Skilled and unskilled individuals to support various tasks.

2. Assess Community Needs:

Data analysis:

  • Review demographic data to identify vulnerable populations: low-income, elderly, disabled, immigrants, people of color, etc.
  • Analyze disaster-specific data: injuries, displaced residents, contaminated areas, infrastructure damage.

Needs assessment:

  • Conduct physical assessments of shelters, medical facilities, and other essential services.
  • Organize community meetings and surveys to understand residents' needs and concerns.
  • Use culturally sensitive approaches to engage diverse populations.

Triage Classification:

  • Apply the START (Simple Triage and Rapid Treatment) system to prioritize medical care for injured individuals.
  • Consider factors like level of consciousness, breathing, and potential for bleeding.
  • Ensure equitable access to care regardless of socioeconomic status, cultural background, or language limitations.

Contact Tracing:

  • Utilize existing community networks and trusted individuals to locate vulnerable populations: homeless, disabled, displaced, migrant workers.
  • Partner with organizations providing services to these populations, such as shelters, food banks, and community centers.
  • Offer language assistance and culturally sensitive approaches to ensure effective communication.

3. Plan to Reduce Health Disparities and Improve Access to Services:

Physical Health:

  • Establish temporary medical clinics in underserved areas.
  • Provide transportation to medical facilities for those with limited mobility.
  • Ensure access to culturally appropriate healthcare services and language interpreters.
  • Organize health education campaigns on disaster preparedness, sanitation, and disease prevention.

Emotional Health:

  • Offer trauma-informed counseling and mental health services, including individual and group therapy.
  • Support community-based grief and support groups facilitated by cultural and religious leaders.
  • Train healthcare providers and community workers on mental health first aid and cultural sensitivity.

Cultural Considerations:

  • Partner with community leaders and cultural organizations to ensure culturally appropriate services.
  • Provide communication materials in multiple languages and accessible formats.
  • Respect diverse religious and spiritual beliefs in recovery efforts.

Financial Assistance:

  • Advocate for temporary financial assistance programs for displaced residents and those with lost income.
  • Connect individuals to existing social safety net programs and food banks.
  • Organize fundraising events and volunteer opportunities to support the community.

4. Implement and Track:

  • Establish a clear command structure and communication channels for efficient coordination.
  • Assign specific roles and responsibilities to partners and volunteers.
  • Monitor progress towards recovery goals and adjust plans as needed.
  • Collect data on resource utilization, service delivery, and community outcomes.
  • Conduct regular evaluations to identify successes and areas for improvement.

5. Timeline:

  • Immediate (0-3 months): Focus on emergency response, medical care, shelter, and basic needs.
  • Short-term (3-6 months): Restore essential services, rebuild infrastructure, and provide mental health support.
  • Mid-term (6-12 months): Address long-term housing needs, economic recovery, and community resilience building.
  • Long-term (1+ years): Monitor health disparities, advocate for policy changes, and build sustainable recovery strategies.

Healthy People 2020 Goals and 2030 Objectives:

  • Focus on goals related to environmental health, injury prevention, mental health, and access to healthcare.
  • Align recovery efforts with the 2030 objectives of promoting health equity, eliminating disparities, and creating a healthy and sustainable future for all.

Presentation Slides:

  • Introduction: Briefly describe the disaster and the plan's objectives.
  • Community Needs Assessment: Highlight vulnerable populations and key needs identified.
  • Mobilizing Partners and Resources: Showcase collaborations and resource allocation strategies.
  • Reducing Health Disparities: Explain specific actions to address physical, emotional, and cultural needs.
  • Improving Access to Services: Outline plans for healthcare, mental health, and financial assistance.
  • **Implementation

Sample Answer

   

Scenario: A train derailment and subsequent chemical spill have disrupted essential infrastructure and services in a diverse community, exacerbating existing health disparities.

Goals:

  • Reduce health disparities and improve access to services for all community members after the disaster.
  • Minimize the long-term impacts on physical, emotional, cultural, and financial well-being.
  • Ensure equitable allocation of resources and services for diverse populations.