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Geriatric Mental Health Disaster and Emergency Preparedness

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380 Appendix I A Guide to Developing Training Programs<br />

preparedness. Training programs can vary <strong>and</strong> may include face-to-face,<br />

Web-based, <strong>and</strong> self-study modalities, among others. It is crucial that<br />

health care agencies throughout the country begin creating <strong>and</strong> implementing<br />

training programs in geriatric emergency preparedness in an effort<br />

to meet the special needs of a growing older population. According<br />

to the U.S. Department of <strong>Health</strong> <strong>and</strong> Human Services Administration<br />

on Aging, the population of individuals 65 <strong>and</strong> older will increase from<br />

35 million in 2000 to 40 million in 2010, a 15% increase, <strong>and</strong> then to<br />

55 million in 2020, a 36% increase for that decade. By 2030, there will be<br />

about 72.1 million older persons, almost twice as many as in 2007. People<br />

65 years old <strong>and</strong> older made up 12.6% of the population in 2007 but are<br />

projected to be 19.3% of the population by 2030. The 85-<strong>and</strong>-older population<br />

is expected to increase from 5.5 million in 2007 to 5.8 million in<br />

2010 <strong>and</strong> then to 6.6 million in 2020 (Administration on Aging, 2008).<br />

All health care professionals need to be prepared in the event they<br />

are called upon to assist older persons during or after an emergency. Historically,<br />

older people have been overlooked in emergencies <strong>and</strong> disasters<br />

as many of this book’s chapters have underscored. <strong>Disaster</strong>s in the United<br />

States such as September 11, 2001, Hurricane Katrina, <strong>and</strong> Hurricane Rita<br />

are just a few examples of major emergencies both unforeseen <strong>and</strong> extremely<br />

difficult to control afterward. Older persons <strong>and</strong> other vulnerable<br />

groups, such as the disabled, often fell between the cracks during <strong>and</strong> after<br />

these disasters in part because health care providers <strong>and</strong> other emergency<br />

responders were not prepared to address their unique needs.<br />

STEPS IN SETTING UP A TRAINING PROGRAM<br />

Several important steps will help assure success when setting up a training<br />

program in geriatric emergency preparedness. While there may be<br />

variations to procedures due to the size <strong>and</strong> purpose of a particular program,<br />

certain measures should be followed by any organization. If a training<br />

program already is developed <strong>and</strong> in place, it is vital that the agency<br />

review how it is currently managed <strong>and</strong> evaluated. If no programs are in<br />

place, the following suggestions may be useful when setting up a training<br />

program within your organization ( Versitas Corporation, 2006).<br />

Management Approval<br />

One of the first steps in creating an emergency preparedness training<br />

program is to receive proper management approval. Permission to create

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