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 Editor’s E-Note
Hurricane season is fast approaching, and disaster preparedness efforts cannot begin too soon for those individuals in the most vulnerable regions of the country. Less than one third of the public has a basic family emergency plan, and less than two thirds feel prepared for a disaster.
Hard lessons were learned with Hurricanes Katrina and Ike and many other natural disasters in recent years. Adequate preparation is a must for everyone in these areas, but families of children with special healthcare needs must take extra steps to ensure that their loved ones are properly cared for when disaster strikes.
In this month’s exclusive, two social workers from the University of Alabama map out some disaster preparedness plans that could work for anyone but take extra precautions to create a safety net for families of medically needy children.
We welcome your comments at SWTeditor@gvpub.com.
— Marianne Mallon, editor |
| E-News Exclusive |
 Disaster Preparedness for Families of Children With Special Healthcare Needs
By Lisa R. Baker, PhD, LCSW, and Laurel Iverson Hitchcock, MPH, MSW
Social workers are being called on more frequently to provide services to disaster survivors and among them are even more vulnerable groups. Most interventions traditionally occur postdisaster (e.g., Kirk & Madden, 2003) to help communities return to their predisaster level of functioning and prevent the development of serious consequences such as posttraumatic stress disorder, substance abuse, and interpersonal violence (James & Gilliland, 2005). Even though preparedness measures dramatically reduce the impact of a disastrous event, the National Center for Disaster Preparedness at Columbia University reports that less than one third of the public has a basic family emergency plan, and two thirds feel unprepared for a disaster. Preparedness is especially important for families that include vulnerable populations such as children with special healthcare needs.
Approximately 20% of households include at least one child with a special healthcare need. Within that 20%, 9.4 million children under the age of 18 have chronic medical conditions requiring ongoing medical treatment, according to the American College of Emergency Physicians. They require health and related services that go beyond what are typically required and present challenging characteristics for disaster recovery situations, such as being noncommunicative, anxious, or unable to provide information during a crisis situation. Additionally, parents are not always able to correctly inform physicians of their child’s chronic conditions. Children presenting to a medical needs shelter or hospital emergency department after a disaster often have acute medical issues exacerbated by underlying conditions, complicated triage, and stressed resources. These needs should be addressed in a disaster plan.
(FULL STORY) |
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