title: Providing shelter to nursing home evacuees in disasters: lessons from Hurricane Katrina.
abstract: OBJECTIVE
  We examined nursing home preparedness needs by studying the experiences of nursing homes that sheltered evacuees from Hurricane Katrina.
  
  
  METHODS
  Five weeks after Hurricane Katrina, and again 15 weeks later, we conducted interviews with administrators of 14 nursing homes that sheltered 458 evacuees in 4 states. Nine weeks after Katrina, we conducted site visits to 4 nursing homes and interviewed 4 administrators and 38 staff members. We used grounded theory analysis to identify major themes and thematic analysis to organize content.
  
  
  RESULTS
  Although most sheltering facilities were well prepared for emergency triage and treatment, we identified some major preparedness shortcomings. Nursing homes were not included in community planning or recognized as community health care resources. Supplies and medications were inadequate, and there was insufficient communication and information about evacuees provided by evacuating nursing homes to sheltering nursing homes. Residents and staff had notable mental health-related needs after 5 months, and maintaining adequate staffing was a challenge.
  
  
  CONCLUSIONS
  Nursing homes should develop and practice procedures to shelter and provide long-term access to mental health services following a disaster. Nursing homes should be integrated into community disaster planning and be classified in an emergency priority category similar to hospitals.
authors.affiliation: Department of Health Services Policy and Management, Arnold School of Public Health, University of South Carolina, 800 Sumter St, Columbia, SC 29208, USA. sladitka@gwm.sc.edu
authors.forename: Sarah B
authors.initials: SB
authors.lastname: Laditka
authors.forename: James N
authors.initials: JN
authors.lastname: Laditka
authors.forename: Sudha
authors.initials: S
authors.lastname: Xirasagar
authors.forename: Carol B
authors.initials: CB
authors.lastname: Cornman
authors.forename: Courtney B
authors.initials: CB
authors.lastname: Davis
authors.forename: Jane V E
authors.initials: JV
authors.lastname: Richter
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004189:Disaster Planning / Q000458:organization & administration*; D004190:Disasters; D005260:Female; D006297:Health Services Accessibility / Q000458:organization & administration; D006801:Humans; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling / Q000458:organization & administration; D012066:Relief Work / Q000458:organization & administration*; D017751:Safety Management / Q000458:organization & administration; D014187:Transportation of Patients / Q000458:organization & administration*; D014218:Triage / Q000458:organization & administration*; D014481:United States