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Geriatric Mental Health Disaster and Emergency Preparedness

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

Although emergency organizations, such as the American Red Cross,<br />

now have materials <strong>and</strong> plans for dealing with older <strong>and</strong> disabled people<br />

during emergencies, a next important step is volunteers trained to work<br />

with vulnerable people to doubly ensure their specific needs will be met<br />

during a crisis. The materials that have recently become available can be<br />

useful tools for training volunteers.<br />

One study found that older people know very little about how to protect<br />

themselves during emergencies (Rosenkoetter, et al., 2007). There<br />

is a tremendous need for public education about emergency preparedness.<br />

More must be done to reach older persons <strong>and</strong> persons with disabilities<br />

(Gibson & Hayunga, 2006). If older persons do not know how to<br />

prepare, if they are unable to do so, or if they do not know they should be<br />

preparing, then by definition they are at risk (Rosenkoetter, et al.). The<br />

findings suggest communication that adequately <strong>and</strong> accurately informs<br />

older people of approaching disasters is critical (Rosenkoetter, et al.).<br />

Accurate <strong>and</strong> timely predisaster information is especially important <strong>and</strong><br />

should include developing <strong>and</strong> tailoring messages to influence older<br />

people (Public <strong>Health</strong> Agency of Canada, 2008). Officials could promote<br />

public acceptance by explaining how decisions are made, what emergency<br />

measures need to be taken, <strong>and</strong> where older adults can access information<br />

(Rosenkoetter, et al.). It is particularly important that older<br />

people are involved in these discussions <strong>and</strong> decisions, advising on how<br />

best to reach older people in emergency situations <strong>and</strong> how older people<br />

want to receive such messages (Public <strong>Health</strong> Agency of Canada).<br />

Volunteers could then be recruited to create <strong>and</strong> distribute educational<br />

information at senior centers, religious <strong>and</strong> congregate meal sites, <strong>and</strong><br />

where low-income older adults are known to cluster.<br />

Communities need to maintain special needs registries to assist older<br />

adults, especially those with physical <strong>and</strong> mental illnesses or disabilities,<br />

with medical <strong>and</strong> transfer needs in the event of a disaster <strong>and</strong> encourage<br />

residents to plan ahead as well as to know where they can go <strong>and</strong> how<br />

to get there (Rosenkoetter, et al., 2007). As governments are invariably<br />

overextended in times of emergency, <strong>and</strong> humanitarian <strong>and</strong> other relief<br />

agencies are under-resourced, communities have an important role in<br />

maintaining links between older people <strong>and</strong> disaster recovery services<br />

(Public <strong>Health</strong> Agency of Canada, 2008). More emergency preparedness<br />

planning is needed at the community level. Engaging neighborhood<br />

leaders <strong>and</strong> block wardens is an effective way to keep vulnerable persons<br />

from slipping through the cracks (Gibson & Hayunga, 2006).

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