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DSL MEMO SERIES 2001-17

Replaces DSL Memo Series 99-04

August 22, 2001

STATE OF WISCONSIN
Department of Health and Family Services
Division of Supportive Living

To:
AODA Coordinators
DD Coordinators
Directors of County Departments of Social Services
Directors of County Human Services Departments
Directors of County Department of Community Programs
COP Lead Agency Directors
County COP Contacts
CSP Coordinators
ILC Directors
LTS Coordinators
LTS Planning Committee Chairs
Mental Health Coordinators

From:
Sinikka McCabe, Administrator
Division of Supportive Living

DOCUMENT SUMMARY

This memo provides suggestions for contingency planning for those program consumers who may need assistance in the event of an emergency. The memo provides examples of the types of situations that might be planned for during the consumer's annual service plan review.

Re: Contingency Planning For Program Consumer

The Division of Supportive Living strongly encourages all case or care managers for community long term support or community support programs to systematically plan for emergencies with individual program participants. Local power outages, severe storms, floods, ice or extreme heat/cold can occur, posing a serious threat to vulnerable persons living alone or with fragile caregivers. It is prudent to develop contingency plans for possible scattered power outages or data system failures at any time.

For vulnerable individuals participating in your programs, we recommend an assessment of risks they may face in a local emergency. Plans should then be developed to prevent or respond to any assessed risk. These issues can be appropriately considered during annual or other regular reviews, monitoring or reassessments normally conducted by case managers. The plans, developed in collaboration with individuals and their families, should be recorded as part of the care plans. The following are some issues to consider:

  1. Living Arrangements: Is the individual in an environment that will pose a significant hazard if there is a power outage, extreme heat, loss of heat, telephone services, or interruption to the water supply. For example, does the person live alone or with a frail caregiver that makes it unlikely that the individual could take the necessary steps to get assistance or relocate to a safe and warm place? Care plans should indicate who can provide assistance (family, neighbor, service organization) and how they would be in contact with the individual if utilities were out of service in a local area. 
  2. Vital Supplies: Would required prepared meals, food supplies, medication or medical supplies be available if normal business activity were interrupted in the community for a few days? Does the person have copies of prescriptions or labeled containers in case clinic or pharmacy computer records are not accessible? 
  3. Emergency Government: Long term support program managers should discuss with local emergency government officials contingency plans for vulnerable and homebound individuals.
    Of particular concern are plans for evacuation of individuals from their homes in the event of an emergency. 
  4. Local Technical Assistance Resources: The aging network has been active in recent years in providing technical assistance and coordination with emergency government. Disaster planning materials (funded by the federal government) are available through the county aging units or area agencies on aging. Of particular value are the checklists developed for emergency workers, including reminders of vital materials (e.g., dentures, medications, eyeglasses, insurance cards) that should accompany a frail older person who is being evacuated to a safe shelter or another residence. Colleagues in other long term support and disability services agencies could benefit from collaboration with the aging network in planning for any potential emergencies.
    The Division of Supportive Living recently updated a handbook titled, "After the Disaster: The Role of Human Services in Response and Recovery." The handbook has been mailed to the Administrators of County Human Services. The handbook is intended to serve as a resource for local human service agencies and their contractors as they plan for responding to the unique needs of individuals with disabilities, older people and the general population in the counties they serve.
  5. Management Planning: Agencies should have contingency plans in place to identify which staff will be contacted for what purpose. Plans for replacing vital service providers in the event of an emergency are important. Consideration should be given to the inclusion in provider contracts of expectations for provider capability in an emergency.

Technical assistance can be provided by the Bureau of Quality Assurance or the relevant program bureaus in DSL to assist you in contingency planning with individual program participants.

Regional Office Contact::
Area Administrators

Central Office Contact::
Rita Prigioni
Director of Administrative Program Support
Division of Supportive Living
(608) 266-8472
E-mail: PrigiRE@wisconsin.gov

cc
Bureau/Office Directors
DSL Section Chiefs
Area Administrators/Assistant Area Administrators
Area Agencies on Aging

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