ffHomeless Planning forHomeless Planning for
Emergencies: Seattle & KingEmergencies: Seattle & KingEmergencies: Seattle & ...
OverviewOverview
 Health Care for the Homeless backgroundHealth Care for the Homeless background
 Public Health Prepar...
Mission of HCHNMission of HCHNMission of HCHNMission of HCHN
The Health Care for the Homeless NetworkThe Health Care for t...
What is Health Care for theWhat is Health Care for the
Homeless (HCHN) Project?Homeless (HCHN) Project?
 Sited at Public...
HCHN Team LocationsHCHN Team Locations
 SheltersShelters -- women men youth familieswomen men youth families SheltersS...
How do HCHN teams work?How do HCHN teams work?How do HCHN teams work?How do HCHN teams work?
 Trauma informed careTrauma...
HCHN Health and SafetyHCHN Health and Safety
ProjectProject -- 19941994
 Established best practice guidelines model poli...
Why are homeless and poor peopleWhy are homeless and poor peopley p p py p p p
more vulnerable to communicablemore vulnera...
Factors that Increase VulnerabilityFactors that Increase VulnerabilityFactors that Increase VulnerabilityFactors that Incr...
Established a FoundationEstablished a FoundationEstablished a FoundationEstablished a Foundation
 Concepts of disease pr...
Crisis Creates Opportunity &Crisis Creates Opportunity &
InterestInterest
 ““New” germsNew” germs New germsNew germs
...
Alcohol Based Hand GelAlcohol Based Hand GelAlcohol Based Hand GelAlcohol Based Hand Gel
Early resistance to putting up di...
Wash ‘em wash ‘em wash ’emWash ‘em wash ‘em wash ’emWash em, wash em, wash emWash em, wash em, wash em
Vulnerability of Homeless People inVulnerability of Homeless People in
E i /DiE i /DiEmergencies/DisastersEmergencies/Disa...
Consider the partic larConsider the partic larConsider the particularConsider the particular
vulnerability of allvulnerabi...
Small Disasters are Helpful!Small Disasters are Helpful!Small Disasters are Helpful!Small Disasters are Helpful!
Fresh i...
Barriers to EmergencyBarriers to Emergency
P dP dPreparednessPreparedness
 Disaster fatigueDisaster fatigue emergency up...
Nisqually EarthquakeNisqually Earthquake
February 28 2001February 28 2001February 28, 2001February 28, 2001
Pioneer Square...
2002 TB Outbreak2002 TB Outbreak -- Homeless inHomeless in
S lS lSeattleSeattle
 Over 1 year many sheltersOver 1 year ma...
FebruaryFebruary 20032003
Avian Flu H5N1 2005Avian Flu H5N1 2005
Led to the development of:Led to the development of:pp
An Influenza Pandemic Planni...
In this case, a near crisis offered anIn this case, a near crisis offered an
opportunity to begin planningopportunity to b...
Vulnerable Populations Action TeamVulnerable Populations Action TeamVulnerable Populations Action TeamVulnerable Populatio...
Vulnerable Populations Action TeamVulnerable Populations Action TeamVulnerable Populations Action TeamVulnerable Populatio...
Vulnerable PopulationsVulnerable PopulationsVulnerable PopulationsVulnerable Populations
• Blind
• Chemically dependent
• ...
Reaching our Vulnerable ResidentsReaching our Vulnerable Residents
R i PARTNERSHIPSR i PARTNERSHIPSRequires PARTNERSHIPSRe...
Resources and TechnicalResources and Technical
A iA iAssistanceAssistance
• Agency Emergency
Planning:
www.kingcounty.gov/...
CommunicationCommunication
Community Communication Network (CCN)
 Receive
 Reportp
 Redistribute
Messaging:
Health Advi...
Howard Hanson Dam & H1N1Howard Hanson Dam & H1N1Howard Hanson Dam & H1N1Howard Hanson Dam & H1N1
January 2009 April 2009
“The Dam Flu Meeting”“The Dam Flu Meeting”The Dam Flu MeetingThe Dam Flu Meeting
 Weekly Homeless Provider Stakeholder G...
Howard Hanson DamHoward Hanson Dam
Homeless residents are:Homeless residents are:
 Living outside in very temporaryLivin...
Howard Hanson DamHoward Hanson DamHoward Hanson DamHoward Hanson Dam
Homeless considerations for:Homeless considerations f...
H1N1H1N1
 Flu surveillanceFlu surveillance
 Tami flu distributionTami flu distribution Tami flu distributionTami flu...
Activation PlanActivation PlanActivation PlanActivation Plan
Goals:Goals:
Ad i di th d f h l lAd i di th d f h l l Advis...
Catholic Community Services (Catholic Community Services (CCS)CCS)
 12 Family Centers across western Washington
 45 emer...
CCS Core ValuesCCS Core ValuesCCS Core ValuesCCS Core Values
 CompassionCompassion -- Providing care, understanding and ...
Partnership with Public HealthPartnership with Public Health--
S l & Ki CS l & Ki CSeattle & King CountySeattle & King Cou...
Benefits of PublicBenefits of Public -- PrivatePrivate
P hiP hiPartnershipPartnership
 Serving the same target populatio...
Steps You Can TakeSteps You Can Take
 Build a foundation of trustBuild a foundation of trust
 Use “Mini” crises to enc...
Homeless Planning for Emergencies:  Preparedness, Response, and Recovery
Homeless Planning for Emergencies:  Preparedness, Response, and Recovery
Homeless Planning for Emergencies:  Preparedness, Response, and Recovery
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Homeless Planning for Emergencies: Preparedness, Response, and Recovery

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Speakers:  Robin Pfohman, Vulnerable Populations Action Program Manager, Public Health-
Seattle & King County
 Susan Vaughn, Regional Chief of Operations, Catholic Community Services of
Western Washington
 Kim Sather, Division Manager, Shelter and Day Services, Compass Housing
Alliance
In early fall 2009, the Public Health- Seattle & King County‟s Preparedness Section partnered
with Healthcare for the Homeless Network to bring together homeless advocates to help inform
the homeless of both the H1N1 response and the Green River planning effort. The potential of
such a planning effort soon became clear and the group agreed to continue to meet after the
threat of H1N1 subsided. This stakeholder group established the following goals and activities:
Goals 1. Advise emergency planners regarding the needs of homeless people in emergency
response plans. 2. Advocate on behalf of homeless people during preparedness planning and in
event of an emergency. Activities 1. Establish two-way communication systems between
community providers and Public Health. 2. Meet twice annually with meetings scheduled to
bookend flu season, or as needed. 3. Mobilize quickly to respond in an emergency.

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Homeless Planning for Emergencies: Preparedness, Response, and Recovery

  1. 1. ffHomeless Planning forHomeless Planning for Emergencies: Seattle & KingEmergencies: Seattle & KingEmergencies: Seattle & KingEmergencies: Seattle & King CountyCounty Heather Barr RN Public Health Seattle & King CountyHeather Barr RN, Public Health Seattle & King County Robin Pfohman, Public Health- Seattle & King County Susan Vaughn, Catholic Community Services
  2. 2. OverviewOverview  Health Care for the Homeless backgroundHealth Care for the Homeless background  Public Health Preparedness andPublic Health Preparedness and Public Health Preparedness andPublic Health Preparedness and vulnerable population planningvulnerable population planning  C i d t iti f tiC i d t iti f ti Crises and opportunities for actionCrises and opportunities for action  Community partner perspectiveCommunity partner perspective-- CatholicCatholic Community ServicesCommunity Services  ChallengesChallengesgg  Sustaining the partnershipsSustaining the partnerships
  3. 3. Mission of HCHNMission of HCHNMission of HCHNMission of HCHN The Health Care for the Homeless NetworkThe Health Care for the Homeless NetworkThe Health Care for the Homeless NetworkThe Health Care for the Homeless Network (HCHN) provides health care services for(HCHN) provides health care services for people experiencing homelessness in Kingpeople experiencing homelessness in Kingpeople experiencing homelessness in Kingpeople experiencing homelessness in King County and provides leadership to helpCounty and provides leadership to help change the conditions that deprive ourchange the conditions that deprive ourchange the conditions that deprive ourchange the conditions that deprive our neighbors of home and healthneighbors of home and health
  4. 4. What is Health Care for theWhat is Health Care for the Homeless (HCHN) Project?Homeless (HCHN) Project?  Sited at Public HealthSited at Public Health Seattle &Seattle & Sited at Public HealthSited at Public Health-- Seattle &Seattle & King County in the mid 80’sKing County in the mid 80’s  Federal GrantFederal Grant --180 nation wide180 nation wide Federal GrantFederal Grant 180 nation wide180 nation wide  Contract with 12 agencies atContract with 12 agencies at various service sites (40 +)various service sites (40 +)  Sites serve variety of populationSites serve variety of population groupsgroups A f li i l id dA f li i l id d A range of clinical providers andA range of clinical providers and staff who provide outreach peerstaff who provide outreach peer counselingcounselingcounselingcounseling
  5. 5. HCHN Team LocationsHCHN Team Locations  SheltersShelters -- women men youth familieswomen men youth families SheltersShelters women, men, youth, familieswomen, men, youth, families  DropDrop--in centers, hygiene centersin centers, hygiene centers T iti l d t h iT iti l d t h i Transitional and permanent housingTransitional and permanent housing  Sobering CenterSobering Center  Mobile Medical VanMobile Medical Van  Direct outreachDirect outreach -- encampments streetencampments street Direct outreachDirect outreach encampments, streetencampments, street  Countywide servicesCountywide services
  6. 6. How do HCHN teams work?How do HCHN teams work?How do HCHN teams work?How do HCHN teams work?  Trauma informed careTrauma informed care-- working with aworking with agg wounded populationwounded population  Meet the person "where they are“Meet the person "where they are“ Meet the person where they areMeet the person where they are  Build trusting relationshipsBuild trusting relationships  U h d ti d ti ti lU h d ti d ti ti l Use harm reduction and motivationalUse harm reduction and motivational interviewing techniquesinterviewing techniques  Build relationships with the agencies thatBuild relationships with the agencies that host themhost them
  7. 7. HCHN Health and SafetyHCHN Health and Safety ProjectProject -- 19941994  Established best practice guidelines model policiesEstablished best practice guidelines model policies Established best practice guidelines, model policiesEstablished best practice guidelines, model policies  Provided training and technical assistance to anyProvided training and technical assistance to any agency serving homeless residents in King Countyagency serving homeless residents in King Countyg y g g yg y g g y  Environmental Health, EMS, CDEnvironmental Health, EMS, CD--EpiEpi  Assured basic standards were met at City of SeattleAssured basic standards were met at City of Seattleyy funded sheltersfunded shelters  Provided consultationProvided consultation P id d H l h d i liP id d H l h d i li Provided Health education to clientsProvided Health education to clients  Focused on Communicable Disease Education andFocused on Communicable Disease Education and PreventionPreventionPreventionPrevention
  8. 8. Why are homeless and poor peopleWhy are homeless and poor peopley p p py p p p more vulnerable to communicablemore vulnerable to communicable diseases than are people who live indiseases than are people who live indiseases than are people who live indiseases than are people who live in homes and have decent incomes?homes and have decent incomes?
  9. 9. Factors that Increase VulnerabilityFactors that Increase VulnerabilityFactors that Increase VulnerabilityFactors that Increase Vulnerability  AccessAccess transportationtransportation  Oppression racismOppression racism AccessAccess -- transportation,transportation, insurance, $, lack ofinsurance, $, lack of knowledgeknowledge  Oppression, racism,Oppression, racism, povertypoverty  Shelters overShelters over--crowdedcrowded  FearFear -- of sickness, ofof sickness, of hospitals, of mortality, CPS,hospitals, of mortality, CPS, judgementjudgement  Lack of access to hygieneLack of access to hygiene facilitiesfacilities  Poor nutritionPoor nutritionjudgementjudgement  Past experiences with systemPast experiences with system  Mental health issuesMental health issues  Poor nutritionPoor nutrition  StressStress  Sleep deprivationSleep deprivation  Drug and alcohol issuesDrug and alcohol issues  Sleep deprivationSleep deprivation  Chronic health conditionsChronic health conditions
  10. 10. Established a FoundationEstablished a FoundationEstablished a FoundationEstablished a Foundation  Concepts of disease prevention applicableConcepts of disease prevention applicable Concepts of disease prevention applicableConcepts of disease prevention applicable to dealing with pandemic fluto dealing with pandemic flu  History of providing flu vaccine clinics onHistory of providing flu vaccine clinics on History of providing flu vaccine clinics onHistory of providing flu vaccine clinics on site at shelterssite at shelters C id i th d f i k l tC id i th d f i k l t Considering the needs of sick people atConsidering the needs of sick people at sheltersshelters  Expanding hours to accommodate andExpanding hours to accommodate and isolate sick people, establishing “flu room”isolate sick people, establishing “flu room”
  11. 11. Crisis Creates Opportunity &Crisis Creates Opportunity & InterestInterest  ““New” germsNew” germs New germsNew germs Identified case at a siteIdentified case at a site -- MRSA, birdMRSA, bird,, flu, etcflu, etc Key prevention measures cover manyKey prevention measures cover many diseasesdiseases
  12. 12. Alcohol Based Hand GelAlcohol Based Hand GelAlcohol Based Hand GelAlcohol Based Hand Gel Early resistance to putting up dispensersEarly resistance to putting up dispensers --Early resistance to putting up dispensersEarly resistance to putting up dispensers -- now common practicenow common practice
  13. 13. Wash ‘em wash ‘em wash ’emWash ‘em wash ‘em wash ’emWash em, wash em, wash emWash em, wash em, wash em
  14. 14. Vulnerability of Homeless People inVulnerability of Homeless People in E i /DiE i /DiEmergencies/DisastersEmergencies/Disasters  Transportation issuesTransportation issues Transportation issuesTransportation issues  CommunicationCommunication U di t bl ttU di t bl tt Unpredictable patternsUnpredictable patterns  Lack of social supportLack of social support  Inability to achieve isolation in publicInability to achieve isolation in public placesplacespp  Fear of “system”Fear of “system”  Live in a constant state of emergencyLive in a constant state of emergency Live in a constant state of emergencyLive in a constant state of emergency
  15. 15. Consider the partic larConsider the partic larConsider the particularConsider the particular vulnerability of allvulnerability of all population groups ofpopulation groups ofpopulation groups ofpopulation groups of homeless peoplehomeless people
  16. 16. Small Disasters are Helpful!Small Disasters are Helpful!Small Disasters are Helpful!Small Disasters are Helpful! Fresh interest in preparednessFresh interest in preparednessFresh interest in preparednessFresh interest in preparedness “Reality check”“Reality check” Reality checkReality check Training opportunityTraining opportunityg pp yg pp y Get to use those emergency kitsGet to use those emergency kits
  17. 17. Barriers to EmergencyBarriers to Emergency P dP dPreparednessPreparedness  Disaster fatigueDisaster fatigue emergency uponemergency upon Disaster fatigueDisaster fatigue -- emergency uponemergency upon emergencyemergency M t d b t bM t d b t b Management concerned, but busyManagement concerned, but busy coping with daycoping with day-- toto--day emergenciesday emergencies  Lack of funds, time, resources, storageLack of funds, time, resources, storage  DenialDenial  Short staffedShort staffed
  18. 18. Nisqually EarthquakeNisqually Earthquake February 28 2001February 28 2001February 28, 2001February 28, 2001 Pioneer SquarePioneer SquarePioneer SquarePioneer Square
  19. 19. 2002 TB Outbreak2002 TB Outbreak -- Homeless inHomeless in S lS lSeattleSeattle  Over 1 year many sheltersOver 1 year many shelters Over 1 year, many sheltersOver 1 year, many shelters  Health Dept TB Clinic and Health care forHealth Dept TB Clinic and Health care for th H l l d j lth H l l d j lthe Homeless played a major rolethe Homeless played a major role  Established TB Coalition, a group of stakeEstablished TB Coalition, a group of stake--, g p, g p holders (shelter providers, City and Countyholders (shelter providers, City and County staff) that continue to meet quarterlystaff) that continue to meet quarterly) q y) q y
  20. 20. FebruaryFebruary 20032003
  21. 21. Avian Flu H5N1 2005Avian Flu H5N1 2005 Led to the development of:Led to the development of:pp An Influenza Pandemic Planning Guide forAn Influenza Pandemic Planning Guide for Homeless and Housing Service ProvidersHomeless and Housing Service ProvidersHomeless and Housing Service ProvidersHomeless and Housing Service Providers
  22. 22. In this case, a near crisis offered anIn this case, a near crisis offered an opportunity to begin planningopportunity to begin planning
  23. 23. Vulnerable Populations Action TeamVulnerable Populations Action TeamVulnerable Populations Action TeamVulnerable Populations Action Team 20062006 "When your disaster plans protect"When your disaster plans protect and serve the most vulnerable inand serve the most vulnerable in it ll lit ll lyour community, all people areyour community, all people are better positioned to survive, thrivebetter positioned to survive, thrive and prosper "and prosper "and prosper.and prosper. ÂnaÂna--Marie JonesMarie Jones Executive DirectorExecutive Director CARD (Collaborating Agencies Responding to Disasters)CARD (Collaborating Agencies Responding to Disasters) Oakland, CaliforniaOakland, California
  24. 24. Vulnerable Populations Action TeamVulnerable Populations Action TeamVulnerable Populations Action TeamVulnerable Populations Action Team Included Connected PreparedIncluded Connected PreparedIncluded. Connected. PreparedIncluded. Connected. Prepared.. Vision: By working collaboratively withVision: By working collaboratively withVision: By working collaboratively withVision: By working collaboratively with community partners, Public Health’s VPATcommunity partners, Public Health’s VPAT initiative ensures that no one group isinitiative ensures that no one group isinitiative ensures that no one group isinitiative ensures that no one group is more impacted than another in anmore impacted than another in an emergencyemergencyemergency.emergency.
  25. 25. Vulnerable PopulationsVulnerable PopulationsVulnerable PopulationsVulnerable Populations • Blind • Chemically dependent • Impoverished • Limited English Proficient• Chemically dependent • Children • Clients of criminal justice system • Limited English Proficient • Medically Dependent, Medically Compromised • Mentally Ill • Deaf, deaf-blind, hard of hearing • Developmentally disabled • Emerging or transient special Mentally Ill • Physically Disabled • Refugees and Immigrants • Seniors• Emerging or transient special needs • Homeless and shelter dependent • Undocumented persons
  26. 26. Reaching our Vulnerable ResidentsReaching our Vulnerable Residents R i PARTNERSHIPSR i PARTNERSHIPSRequires PARTNERSHIPSRequires PARTNERSHIPS Emergency Management CBO & FBO/Networks  Preparedness Resources  Technical Assistance • Key Human Services • Knows Vulnerable Clients  Communication  Response Resources • Trusted Entities • Situational Awareness
  27. 27. Resources and TechnicalResources and Technical A iA iAssistanceAssistance • Agency Emergency Planning: www.kingcounty.gov/heal thservices/health/preparethservices/health/prepare dness/VPAT/standards V l bl P l ti• Vulnerable Populations Planning Toolkit: www apctoolkits com/vulnwww.apctoolkits.com/vuln erablepopulation
  28. 28. CommunicationCommunication Community Communication Network (CCN)  Receive  Reportp  Redistribute Messaging: Health Advisories: winter storm, H1N1, heat, , Health Alerts (activate after hours contact): Carbon Monoxide
  29. 29. Howard Hanson Dam & H1N1Howard Hanson Dam & H1N1Howard Hanson Dam & H1N1Howard Hanson Dam & H1N1 January 2009 April 2009
  30. 30. “The Dam Flu Meeting”“The Dam Flu Meeting”The Dam Flu MeetingThe Dam Flu Meeting  Weekly Homeless Provider Stakeholder GroupWeekly Homeless Provider Stakeholder Group Weekly Homeless Provider Stakeholder GroupWeekly Homeless Provider Stakeholder Group established Summer 2009established Summer 2009  Leveraged resources to hire a planner toLeveraged resources to hire a planner tog pg p support worksupport work  Howard Hanson DamHoward Hanson Dam –– Notification andNotification and Warning, Mass CareWarning, Mass Care  H1N1 FluH1N1 Flu-- Situational Awareness, Tier TwoSituational Awareness, Tier Two Shelter Plan, Vaccine ClinicsShelter Plan, Vaccine Clinics
  31. 31. Howard Hanson DamHoward Hanson Dam Homeless residents are:Homeless residents are:  Living outside in very temporaryLiving outside in very temporary structures, camps, carsstructures, camps, cars  Living in flood prone areasLiving in flood prone areas  Living in areas that are difficult to accessLiving in areas that are difficult to access-- Living in areas that are difficult to accessLiving in areas that are difficult to access intentionallyintentionally
  32. 32. Howard Hanson DamHoward Hanson DamHoward Hanson DamHoward Hanson Dam Homeless considerations for:Homeless considerations for:Homeless considerations for:Homeless considerations for:  Notification and WarningNotification and Warning  Transportation and EvacuationTransportation and Evacuation  PrePre--messagingmessaging  ShelteringSheltering  Challenges: raising awareness,Challenges: raising awareness, competing priorities, city by city planningcompeting priorities, city by city planningp g p , y y y p gp g p , y y y p g
  33. 33. H1N1H1N1  Flu surveillanceFlu surveillance  Tami flu distributionTami flu distribution Tami flu distributionTami flu distribution  Flu vaccine clinicsFlu vaccine clinics Ti T Sh ltTi T Sh lt Tier Two ShelterTier Two Shelter  Communicable Disease VideoCommunicable Disease Video ki /h l h i /h l hki /h l h i /h l hwww.kingcounty.gov/healthservices/healthwww.kingcounty.gov/healthservices/health /personal/HCHN/videos/personal/HCHN/videos Challenges: logistical issues, resourcesChallenges: logistical issues, resources
  34. 34. Activation PlanActivation PlanActivation PlanActivation Plan Goals:Goals: Ad i di th d f h l lAd i di th d f h l l Advise regarding the needs of homeless peopleAdvise regarding the needs of homeless people in plansin plans  Advocate on behalf of homeless residentsAdvocate on behalf of homeless residents Advocate on behalf of homeless residentsAdvocate on behalf of homeless residents Activities:Activities:  TwoTwo--way communication systemway communication system  Meet twice annuallyMeet twice annually  Mobilize quickly to respond in an emergency,Mobilize quickly to respond in an emergency, when necessarywhen necessary
  35. 35. Catholic Community Services (Catholic Community Services (CCS)CCS)  12 Family Centers across western Washington  45 emergency shelters and transitional housing programs 45 emergency shelters and transitional housing programs  Over 1.9 million hours of home care for the elderly/disabled  Over 1.4 million meals served  1,900 + affordable permanent housing units – including housing for migrant farm workers  Family Preservation and Foster Care Services Family Preservation and Foster Care Services  Addiction recovery services  Catholic Immigration Services H l P ti Homeless Prevention  Statewide  Literacy and early learning programsy y g p g  Over 139,000 hours of Volunteer Chore Services
  36. 36. CCS Core ValuesCCS Core ValuesCCS Core ValuesCCS Core Values  CompassionCompassion -- Providing care, understanding and concernProviding care, understanding and concern for those we serve in order to honor the Godfor those we serve in order to honor the God--given life andgiven life andfor those we serve in order to honor the Godfor those we serve in order to honor the God given life andgiven life and sacredness of each person at every stage and condition ofsacredness of each person at every stage and condition of life.life.  DiversityDiversity -- Welcoming the differences of race culture faithWelcoming the differences of race culture faith DiversityDiversity Welcoming the differences of race, culture, faith,Welcoming the differences of race, culture, faith, and thought with a strong commitment to naming andand thought with a strong commitment to naming and combating institutional racism and discrimination.combating institutional racism and discrimination.  ExcellenceExcellence -- Providing high quality professionally competentProviding high quality professionally competent ExcellenceExcellence -- Providing high quality, professionally competentProviding high quality, professionally competent services with integrity, using best practices.services with integrity, using best practices.  JusticeJustice -- Defending and advocating for the rights of poor andDefending and advocating for the rights of poor and vulnerable people while working toward the common goodvulnerable people while working toward the common goodvulnerable people while working toward the common good.vulnerable people while working toward the common good.  StewardshipStewardship -- Prudently developing and using the gifts andPrudently developing and using the gifts and talents of employees and volunteers and the financialtalents of employees and volunteers and the financial resources needed to live out our missionresources needed to live out our missionresources needed to live out our mission.resources needed to live out our mission.
  37. 37. Partnership with Public HealthPartnership with Public Health-- S l & Ki CS l & Ki CSeattle & King CountySeattle & King County CommunicationsCommunications  Vaccine distributionVaccine distribution  Community Communication NetworkCommunity Communication Network-- HealthHealth AdvisoriesAdvisoriesAdvisoriesAdvisories Projects/programsProjects/programs  Disaster Case ManagementDisaster Case Management  Tier II ShelteringTier II Sheltering TrainingTraining TrainingTraining  Mobile Medical VanMobile Medical Van  OutreachOutreach –– Public Health nursePublic Health nurse
  38. 38. Benefits of PublicBenefits of Public -- PrivatePrivate P hiP hiPartnershipPartnership  Serving the same target populationsServing the same target populations Serving the same target populationsServing the same target populations  Leverage resourcesLeverage resources L kill tL kill t Leverage skill setsLeverage skill sets  Ability to disseminate quickly to theAbility to disseminate quickly to the communitycommunity  Ability to respond quicklyAbility to respond quicklyy p q yy p q y  Increased respect and understanding ofIncreased respect and understanding of the work we both dothe work we both do -- true collaborationtrue collaborationthe work we both dothe work we both do true collaborationtrue collaboration
  39. 39. Steps You Can TakeSteps You Can Take  Build a foundation of trustBuild a foundation of trust  Use “Mini” crises to enco rage planningUse “Mini” crises to enco rage planning Use “Mini” crises to encourage planningUse “Mini” crises to encourage planning and partnershipand partnership  Cultivate partnerships with agencies servingCultivate partnerships with agencies serving vulnerable populationsvulnerable populations  Plan togetherPlan together  Sustain and improve partnershipsSustain and improve partnerships Sustain and improve partnershipsSustain and improve partnerships  Be poised to respond to future crisesBe poised to respond to future crises

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