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Geriatric Mental Health Disaster and Emergency Preparedness

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130 <strong>Geriatric</strong> <strong>Mental</strong> <strong>Health</strong> <strong>Disaster</strong> <strong>and</strong> <strong>Emergency</strong> <strong>Preparedness</strong><br />

many stakeholders in a given community, including older adults, for improved<br />

community health.<br />

Define the Role of Community Organizations<br />

in <strong>Emergency</strong> <strong>Preparedness</strong> <strong>and</strong> Response<br />

The White House report Lessons Learned from Hurricane Katrina recommended<br />

the inclusion of nongovernmental organizations (NGOs) in the<br />

broader national response effort <strong>and</strong> called upon state <strong>and</strong> local governments<br />

to “engage NGOs in the planning process, credential their personnel,<br />

<strong>and</strong> provide them the necessary resource support for their involvement<br />

in a joint response” (White House, 2006, p. 49). Under the 2008 National<br />

Response Framework, nongovernmental organizations <strong>and</strong> the private sector<br />

have designated roles based on the National Incident Management System,<br />

a template for emergency response to be used nationwide (FEMA,<br />

2008a). The private sector role is “protecting critical infrastructure systems<br />

<strong>and</strong> implementing plans for the rapid restoration of normal commercial<br />

activities <strong>and</strong> critical infrastructure operations in the event of<br />

disruption,” <strong>and</strong> the nongovernmental role is “performing essential service<br />

missions in times of need” (FEMA, p. 7). While the National Response<br />

Framework emphasizes the need for the systematic integration of the private<br />

sector <strong>and</strong> nongovernmental organizations in its unified, multilayered<br />

emergency response, it provides little information on how to integrate<br />

these groups in planning or how they will function within the National Incident<br />

Management System in an emergency. Ongoing delays in the publication<br />

of FEMA’s Response Partner Guides , which detail the key roles<br />

<strong>and</strong> actions for these groups, also hinder the ability of communities to<br />

implement emergency response plans based on these guidelines or incorporate<br />

these groups in existing preparedness efforts (FEMA, 2008a,<br />

2008b).<br />

Provide <strong>Preparedness</strong> Training<br />

Specifi c to Community Organizations<br />

To be successful, all partners in the response plan must be trained to meet a<br />

baseline level of performance <strong>and</strong> certification st<strong>and</strong>ards (FEMA, 2008a).<br />

While many training programs exist for first responders (FEMA, 2008c),<br />

new training activities should address the contributions <strong>and</strong> capacities<br />

of nongovernmental <strong>and</strong> private-sector organizations in emergency pre-

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