Abstract
Abstract
Objectives:
The Communication (C), Maintaining Health (M), Independence (I), Services, Support and Self-Determination (S), and Transportation (T) is a framework (C-MIST) for identifying functional needs in an emergency response. A C-MIST documentation tool provides shelter staff with a list of potential client needs and actions to address them. This retrospective review describes the needs and actions indicated on completed C-MIST documentation tools (ie, records) within domestic general population shelters following Hurricane Florence in 2018.
Methods:
A convenience sample of 1209 records completed by shelter disaster health services personnel was provided by the American Red Cross. The records correspond to client stays in 19 shelters between September and October 2018. Data abstracted from hardcopy forms were de-identified and recorded in a database. Summary statistics were computed.
Results:
High incidence needs included medical supplies for everyday care (including medications) not related to mobility (15.4%), medically or culturally needed diets (12.2%), durable medical equipment (9.7%), mental health care (8.8%), and transportation (8.4%). High incidence actions included replacement medication (9.3%), refer to Disaster Mental Health Services (6.4%), provide assistive mobility equipment (5.1%), provide diabetes management supplies (5.0%), provide alternative food and beverages (4.1%), and provide transportation (3.9%).
Conclusions:
The process for identifying health and functional support needs in shelters should be standardized through the use of the C-MIST framework.
Publisher
Cambridge University Press (CUP)
Subject
Public Health, Environmental and Occupational Health
Reference23 articles.
1. Disaster-Related Shelter Surveillance During the Hurricane Harvey Response – Texas 2017
2. 7. Federal Emergency Management Agency. Shelter field guide FEMA P-785. 2015. Accessed August 5, 2021. http://www.nationalmasscarestrategy.org/wp-content/uploads/2015/10/Shelter-Field-Guide-508_f3.pdf
3. 22. Federal Emergency Management Agency. Guidance on planning for integration of functional needs support services in general populations shelters. BCFS Health and Human Services. Accessed July 4, 2021. 2010. https://www.fema.gov/pdf/about/odic/fnss_guidance.pdf
4. Eye of the storm: Analysis of shelter treatment records of evacuees to Acadiana from Hurricanes Katrina and Rita
5. Heading for higher ground: factors affecting real and hypothetical hurricane evacuation behavior