title: Disabled adults in adult care facilities facing disasters in New York City: an aggregate assessment.
abstract: Disabled adults who reside in adult care facilities (ACFs) are an at-risk population in the event of an emergency or disaster. This aggregate requires housing in congregate residential settings due to frailty, function, and/or cognitive impairments. All senior residents need long-term assistance to maintain maximum independence, including 24-hr on-site monitoring, case management, and personal care services such as eating, toileting, transferring, bathing, and dressing. Twenty-five percent of this special population of older adults has psychiatric disabilities and nonmental health comorbidities (Caron et al, 2008). Through a literature search, the challenges and risks of this aggregate in the event of a naturally occurring or manmade emergency, including epidemiological and environmental risks, are identified. Evidence-based literature reveals that the foundation of an effective emergency response and recovery is planning and preparation. Lessons learned from past disasters in the United States have brought attention to the needs of disabled and chronically ill older adults. Developing partnerships, improving communication systems, identifying emergency shelters for disabled adults, and empowering ACF residents and staff through education are recommended with the universal goal of reducing injury, preventing or controlling illness, and saving lives. An innovative educational program utilizing Hybrid Modality is outlined in this article including planning, coalition building, and the use of mapping systems as tools and strategies to improve outcomes. Resources such as local, state, and federal agencies; consumer groups; and trade associations are referenced for accessibility.
authors: tmajaschultz@gmail.com
authors: Theresa
authors: T
authors: Maja-Schultz
authors: Bara
authors: B
authors: Swain
mesh_terms: D000368:Aged; D003631:Day Care, Medical / Q000458:organization & administration*; D006233:Persons with Disabilities; D004189:Disaster Planning; D006801:Humans; D009519:New York City; D012307:Risk Factors; D035862:Vulnerable Populations